HomeMy WebLinkAbout905 Willow Ave (2)Applica!ion Number
ApplicaEion pj.n nufliber
Pr:operty Address
ASSESSOR PA&CEL NUMBER:
Applicatsion t).pe description
Subdivision Name
Property Use
Property Zoning
Applicatsion valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
17 - 00 0013 58 Date 9 / 2'7 / r'7
46L296
905 WIIJLOW AVE
06-30-15-5-2-0340-0000-
EI,ECTRICAI, ONI,Y
RS9 RESDNTL SINCLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application desc
Kitchen remodel
ConEractor
Amy & Er.1c Heftp]e
905 WTLLOW A!.E
PORT ANGELES
ELECTRIC A ERICA
PO BOX 3523
SEOUIM
(360) 912 5550
vta.983626154 wA 983 82
Permil
Addltional desc
Permit Fee
Issue Date
Expj.ration Date
223 .00
9/21/1-1
3 /26 /18
ELECTRICAL AITER RESIDENTIAL
Plan Check Fee
valuati,on
00
0
oty Uni! Charge Per8.00 5.0000 EcH1.00 120.0000 EcH1.00 63.0000 EcH
EI,-ECH ADDNT BRANCH CIRCI'IT
Et-R-SQFT FIRST 1300
EL-R. BRANCI{ CIR WO/ SER FEED
Extensi.on
40.00
120.00
63.00
Eee summary Charged Paid credited Due
Permit Fee ToEal
Plan Check Total
Grand Total
223 .00
.00
223.OO
223
223
.00
.00
.00
00
00
00
.00
.00
.00
INSPECTION T\?E DATE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN t)mlfl ff
FINAL ,
COMMENTS:** zhlg
PERMTT WILL EXPIR-E SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contactor X Date
It-
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6rF
f|iii I.
Crry or Ponr ANcur,ss PERlrrr AppLrcATroN
Building Division{Electrical Inspections
321 East Fifth Street - Port Angeles Washington, 98362
Ph: (360) 117-4735 Fax: (360) 417-4711
D.*: q' AA-' )A t1 l, arsinste Famity Dwelins
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&
- Plan Re
Job Address
Building Square F ,()
Descripti on of above 0
vte v u red , Please Complete Electrical Plan Review lnformation Sheet
Owne
Narne:
oI
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4
Co
Name:
iVailing
City:
Ph
License # / Exp
atv
tulailin
Clty:T1
Phone
Stai,"Zp
ax:
State zlp:
a\
il
$
$
$
Llcense # / Exp
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 401 -600 Amp
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feed
Branch Circuit W0 Service Feeder
Each Additional Branch Circuit
Branch Circuits 14 Only
Temp. Service/ Feeder 200 Amp
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portal to Portal Hourly
Signal Circuiu Limited Energy 1 & 2 Famity Dweiting
lllanufactured Home Connection
Renewable Eleclrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each addiiionat T-Stat
NEW CON STRUCTIOIT ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Poftion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
L
Unit Charqe
$ 120.00
$ 146.00
$ 205.00
$ 262.00
$ 373.00
$ 5.00
$ 63.00$ 5.00
$ 75.00
$ 93.00
$ 1'10.00
$ 149.00
$ 168.00
$ 96.00
$ 64.00
$ 120.00
$ 102.00
$ 56.00
Total (Qtv Multiplied bv Unit Charqe)
$
$$tri
$
$
$
$
s
$_
s
$
$
$
$ 120.00
$ 40.00
$ 74.00
$ 110.00
$
$
$
s
i2'c
Owner as defined by RCW.19.28.261 : ('1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale. rent or lease. Permit expjres after six months of last insoection.
Total
After reading the above statement, I hereby cedfy that I am the owner of the above named property or a licensed electrical contractor. I am mak tng
the electrical installation or alteratjon in compliance with the elecfical laws, N.E.C., RCW. C hapter 19.28, WAC. Chapter 296468, The City of p ortAngeles Municipal Code, and Utility Specifications and PA|VIC 14.05.0S0 regarding Electrical Permit Applicatio
{ cn""x
ns.
d oosolJSignatuof owner,lectrical contractor or eleclrical administrator:E Cash
X ated 1-15-)ot,l
E Creditcard#
020612012
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