HomeMy WebLinkAbout1310 E 3rd StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTIJ SINGLE I'AMTIY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-s
s
No
applicatioo Nunrber
ApplicaEion pin number
Propert.y Address
ASSESSOR PARCEL NUT'BER:
Appl icat j.on ty'pe descriptsio[
Subdivision Name - .
Property Use
Property zoning
Applicat.ion valuatsion .
19- 00001520 Date 10/15119
637280
L310 E 3RD ST
05- 3 0- 00 - 9- 1- 0060 - 0000 -
ELECTRICAI ONI,Y
Applj.catloI1 desc
DllP x 2
Owne!
LEDGERWOOD JOEN R
255421 IiIGHWAY 101
PORT ANGE1ES
BI,ACK DIAI'IOND ELEC]RICAL CONTR
502 BI.ACK DIAMOND RD
PORT ANGELES WA 98363(360) s5s 103 5
wA 983528211
Permit
Additional desc
Permit Eee . .
Issue Date
Expiration Dat.e
58,00
aa/16/1-9
4/J-3/20
EI-ECTR]CAL ALTER RESIDENTIAI,
Plan Check Fee
Valuation
.00
0
Qiy UniE Charge Per
1 . 00 5 .0000 ECH
1 00 53 .0000 ECH
EL-ECH ADDNT BFANCI] CIRCUIT
EL-R- BRANCH CIR WO/ SER FEED
Extension
5. O0
63 .00
Fee suhmary Charged Credited Due
Permit Fee Totsa1
Plan check TotaL
Grand Total
68. OO
.00
68.00
58 .00
.00
6S .00
00
00
00
00
o0
00
lo
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST TNSPECTION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN tle ln J7 4
FINAL itil:,q tu>#
COMMENTS \I
Signature ofowner or Electrical Contractor X Date:
ELECTRICAL PER MIT APPLICATION
,t6
0tr
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
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Description bo ow:x'Z-
Name LC,-\/Jtumo 0 Email
lvlailing Address pnon". 7z f -tLz-l
O!\NER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
Name License
Mailing Address
Email:
Expiration Date
Phone:*o -c/6/')f r7
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 S00 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201{00 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Houriy
Srgnal CircuivLimited Energy - 1&2 OU.
Manufactured Home Conneclion
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feel
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
s64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Quantitv f!]h! (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
3TOTAL
Owner as defined by RCW 19.28.26'1: (1) Owner will occupy the struclure for two years after this eleclrical permit is finalized. (2) Owner is
required to hire an eleclrical contraclor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify lhat I am the owner of the above named property or a lic€nsed electrical contractor I
am making the electrical installation or alteration in co rance electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
468, The City of Port MU al Code, and and PAMC 14.05.050 regarding Electrical Permit Applications.
/o'tf'f
Date Print ame S nature Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be sub to City ll or epe us or faxed to 360.417 .47'111
1.2 SF
1 - 2 SINGLE-FAMILY
Project Address:
Single-Family Residential ! Duplex / ARU Building Square footage: _