HomeMy WebLinkAbout3245 Regent St (3)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Applicatio[ Nunloer . .
Application pin nuniber
Property Address
ASSESSOR PARCEL NI'MBER:
Application t!?e descriprion
Subdivision Name
Propertsy Use
Property zoning
Application valuation
19- 00001454 DaEe
472!A2
3245 REGE}.IT ST
05 - 30 -15 - 1-3 -0?50 - 0000 -
ELECTRfCAIJ ONI]Y
RS9 RESDNTL SINGLE FAMILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
9/20/t9
AppLicatsion desc
DIlP
ROBERT T SPINK AND LORI A POST
3245 S REGENT ST
PORT ANGELES WA 9A362374A
BIACK DIAMOND EI]ECTRICAL CONTR
502 BI.ACK DIA}IO}D RD
PORT ANGEI]ES WA 98363
€60) s6s- 103s
Permi.t
Addltional desc
Permit Fee
Issue Date
Expj.ration DaEe
53 .00
e /2a /19
3/L8/20
EIECTRICAL AI,TER RES IDENIIAL
Plan Check Fee
Valuation
00
0
QEy Unit Charge Per
1.OO 53.OOOO ECH EI] R- BRANCH ClR WO/ SER FEED
Extensi.on
53.00
Fee summary
Permit Fee Total
Plan Check Total
Grand ToEal
53 .00
.00
53 .00
63 .00
.00
53.00
.00
. oo
.00
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SER\4CE
ROUGH.IN tt lul n M AF
FINAL nlc')s D -w
COMMENTS:
Signature ofowner or Electrical Contractor X Date:
Chaiged Paid Credited fr[re
.00
.00
.oo
ELl-2 sF 1-2 SINGLE-FAMILY
LECTRICA ITAPPLIC
Public Works and Utilities Department
321 F.. 5th Street, Port Angeles. WA 98362
360.417.4735 www.cityolpa.us electricalpermits@cityofpa.us
37't{ s. tza+s-r
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To
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Project Address
k
H
N\Ltr
Description D{x,7?-es 5
Single-Family Residential D Duplex / ARU Buitding Square footage:
lvlailing Address
Email
Phone Vv-aL-
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Mailing Address
Email:
License
Exp iration Date
Phone l60 -qbl - ??r'l
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Servace/Feeder 201-400 Amp
Service/Feeder 401€00 Amp.
Service/Feeder 601-'1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits '14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1100 Amp.
Temp. Service/Feeder 401{00 Amp.
Temp. Service/Feeder 601-1000 Amp
Portalto Portal Houriy
Signal Circuivlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5l(VA System or less
Thermostat (Noter $5 for each additionat)
Frrsl 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Oetached carage
Each Swimming Pool / Hot Tub
6-
Unit Charoe
$120.00
$146 00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$7s.00
$93.00
$110 00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
M0.00
$74.00
$110.00
Ouantitv fqbl(Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
owner as defined by RcW 19.28.251 r (1 ) owner will occupy the structure for two years after this electrical permit is finalized. (2) owner isrequired to hire an electrical 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 that I am owner of the above named property or a licensed electrical contraclor. Iam making the electrical instaltation or alteration in co ta the electrical laws, N E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port cipalCode. and S and PAMC 14.05.050 regarding Electrical permit Applicatons.
Date Print ame Signature (Owner ! Electrical Contractor / Administrator)
IElectrical Permit Applicatio ns may be submitted to City all or epermits@cityofpa.us or faxed to 360.411.4711)
Name:
Name;