HomeMy WebLinkAbout2121 W 14th St (2)$$
sldApplication Number:
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application El,pe descriplion
Subdivision Name
Property Use
Pr:operty Zoning
Appllcation waluation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18-00001378 DaEe 9/05/L8
381!42
2121 W 14TH ST
05 -30 - 01-6-0-3000 -0000-
EIJECTRICAI' ONI]Y
RS9 RESDNTI S]NGI]E FA]VI]LY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
Applicat.ion desc
Ductless heat pump
A]IRNDT MARK B
2121 ti t,lTll ST
PCRT ANGELES
EXTRA MILE TECH & ELECT
418 N. RACE ST,
PORT ANGELES I,IA
136A) 4s't -5222
, LLC
98362wA 94363 s12 0
Per:mit
AddiEional desc
Permlt !ee
Issue Date
Expiration Date
63.00
9/a5/aa
3/a4/re
ELE'TRTCAL ALTER RESIDENTTAT,
00
0
oEy Unit Charge Per
1.00 63.0000 ECH EL-R- BRANCH crR wo/ sER FEED
Charged credited D\re
Per:mit Fee Total
Plan Check Tot.al
Gr.and To!a1
63.00
- 00
63.00
6:.00
.00
63.00
00
00
00
00
00
00
PERMTT WILL EXPIRE Stx (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVTCE
ROUGH.IN q la/ra &ffi
FINAL c lal rn 4v =fiA(
COMMENTS:
Signature ofowner or Electrical Contactor X Date:
Plan Check Fee
VafuaEion
ExLension
53.00
T CAL PERMITAPP
Public Works and Utiiities Deparfirrent
321 E. 5th Street, Port Angeles, WA 98362
3 60.417 -4735 | wwrv.cityofoa.us I electricalpermits@cityolpa.us
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trTProied Address:
Name:
1-l ,l I v-) *-c-+ t 4 t''* S
D.^c /t*, s |'lc-t
,f
c r,(c
a Ernail:i\
Phone - 4bt'7tiMailing Address .)t }t
Name Ex+,2-IL Te €l c License:ExrR+r4r q73Pb
* 3tL8 PA q93bL Expiration Date:/2-26^2ot7
Phone:3Go - ct6f - r33BMailing Address .o. Bo
Email:L€
ltsO
Servicer'Feeder z]0 Amp-
Se.vice/Feeder 201-400 Amp-
ServkrdFeeder 40'1600 Anp
ServicsrFeeder 601-1000 Arnp.
Service/F€eder ovEr 10(n Amp-
Brandl Cicuit ln// Service Feeder
Brdnch Circuit W,lO SewicE Feeder
Each AdditiorEl Branch CirGrit
Brandr Circilits 1-4
Temp. Sewicer'Feeder 200 Arp.
Temp Serr,/ice/Feeder 201-400 Amp.
Temp, Service,/Feeder 401€00 AItp.
Temp. ServiE/Feeder 601-1000 Arrp
Portal to Portal Hsurly
Signal CiroritLimilei Erie,gy - l&2 DU.
ManufaciJred Home Cornec{ion
Renewable Ebc, Eneey: sKVA System o. less
Ttiermostat (Nole: $5 b. each ad(nioml)
Filst l3m Square Feet
Each Addi6irnal flX) squaE &e{"
Eadt ol,buldlrlg / IretacrEd G8r€E
Eadr Sximnfng Pool, Hot Tub
Unit Charoe
5120-00
s146-00
s205.00
852,00
9373.m
$5.00
$63 00
s5.00
$75 00
$s3 00
$110_00
$149.m
8168.00
$95.00
sar.00
sl20.00
9102.00
$56.00
$120.00
$4{).00
E14.@
9110.00
gt8[lEU lOhI (Quanlity x Unit Charge)
G?.d=
$
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$
$
$
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s
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s
$
$
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I
$
s
s
$
5
sTOTAL -T77-
Own€r 6 defined by RCw'1928161: (1) Ownerwill ocqrpy lhe strudure for two years affer this electuicalpermit is finalized. (2) Owner is
req.dred to hire an elecfikal cootra<lor if above said property is for sale, rent or lease Permit epires after six months of last inspection.
Afte. reading lhe above statement t hereby certify lhat I am lhe owner of the abgve named ffoperty or a licensed eleckical contraclor- I
afi making the elec,rrical installalion or alteration in compliance with the elecfical lavirs, N-E.C-, RCW. Chaptet'19.28, WAC. Chaptar 296-
468, The City of Port Angeles Code and Utility Specifications and PAMC 14.05.050 regarding Electricsl Permit Applications.
cl rg
Date Name Signature (E Owner Electical Contractor / Administrator)
lEleclrical PermitApdications may be submi[ed to Cty Hall or electricalpermits@cityo&a us or faxed to 360-417 -4711]
1 .2 SINGLE.FAMILY
Single-Family Residential E Duplex/ARIJ Building Square footage:
-