HomeMy WebLinkAbout1414 W 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE FAMILY
o
REPORT STATE SALES IAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
.-f)
I
-s
6-
Applicalion Number
Applicat j.on pin rruniber
Property Address
ASSESSOR PARCEL NUI'{BER:
Applicat.ion ts),pe alescription
Subdi.vision Name .
Property use
Property Zoning
ApplicaEion valuation .
19- 00000196 Date 2/04/19
o047aa
1414 W 4TH ST
06 -30- 99 - 0- 1-2210 - 0000 -
ELECTRICA! ONIJY
Application desc
EV charger
Contractor
JAMES NELSON / NANCY UZIEMBLO
1{14 W 4rH ST
PORT ANGELES WA 98363(509) 948-1691
POWER TRIP ENERGY CORP.
83 DENNY AVE
PORT TOWNSEND WA 98] 5A(360) 641- 3 080
Permit
Additsional desc
Permit Fe€ .
Issue Date
ExpiraEioo DaEe
63 .00
2/04/!9
a/03/L9
EIECTRICA! ALTER RISIDENTIAI
Plan Check Fee
Valuat ion
00
0
Qty Unit Charge
1. O0 53 .0000 EcH EL-R- BRANCH ClR }.o/ sER FEED
ExEension
63 .00
Fee summary Charged Paid Credited Due
Permil Fee Total
Plan Check TotaI
Grand Total
53.00
.00
63 .00
53 .00
.00
63.00
.00
.00
.00
. o0
.00
.00
PERMIT WILLEXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR;
DITCH
SERVICE
ROUGH.IN z )zz19 1F \B,P
FINAI zlzz )n e{7
COMMENTS:
Signature ofowner or Electrical Contractor X Date:
LECTRI A ITAPPLI
Public \tbrks and Utilities Departmerlt
-121 E. 5th Street. Po$ Angeles. \\A 9lJl62.
160.4 1 7.4735, r-rll'.cit-r,of'pa.us I electricalpermits'.?citl,otpa.us
ifli,rif
-E
o
:
+
-D\
-01I.
Project 466sgss. 1414 W 4th St
Proiect Descripti on. lnstallation of an exterior electrical outlet and conduit for EV charging
n Single-Family Residential n Duplex /ARU Buitding Square footage
iluziemblo(Oomail-com
lr4ailing 466rsss. 1414 W. 4th St Port Angetes WA Phone:(509) %&36s1
Name. Power lrip E nergy Corp License:POWERIE964JN
Expiration Date:April 2019
phone: 360€4$3080
Mailing Address. 1414 W. 4th St Port Angetes WA
Email shawn@ powertripenergy.mm
Item
Servic€r'Feeder 2@ Amp.
ServicdFeeder 201 -400 Amp.
Service/Feeder 401€00 Amp.
ServicdFeeder 60 1-1 0OO Amp.
ServicdFeeder over lOOO Amp
Branch Circuit W Service Feedet
Branch Circuit WO Service Feeder
Eacfi Additional Bran€fi Circuit
Branch Circuits 1-4
Iemp. Servicer'Fe€der 200 Amp.
Temp. Servic€y'Feeder 20140O Amp.
Temp. Service/Feeder 401$00 Am p.
Temp. Service/Feeder 601-1OOO Amp.
Portal to Portal Hourly
SignaiCircr.rir/Limited Energy - 1&2 DU
Manufactured Home Connedion
Renewable Elec. Energy: sKVA System or
Thermostat (Note: $5 for each addilional)
First
EacI
Each
tlnlt Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$1!9.00
$168.00
$96.00
$54.00
$120.00
$102.00
$56.00
Quantitl fgttrl (Quantity x unit Charge)
$
$
$
,$
$
$
$
$
$
$
s
)
$
$
$
$
$
63
feef'
Hot Tub
TOTAL
olYner as defined by RCW 19.28.261: (1) owner wlll occupy the skudure for two years afler this electrical permit is finalized. (2) Owner isroquired to hire an eleclrical contractor if above said propotty is for sale, renl or lease. Permit expires aftei six months of lasiinspection.
After reading the above statement, I hereby certify that I am the o,rvne, of the above named property or a licensed electrical contraclor Iam making the electrical installation or alteration in compliance with the elecllical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-468, Tlte City of Port Angeles Municipal Code, and and PAMC 14.05.050 regarding Eleclrical permit Applications.
112112A19 Steve Carr
Date Print Name Signature (D Owner p Electrical Contractor /Administrato0
[Eiectrical Permit Applications may be submitted to City Hall or electricalp€rmits@cit ofpa.us or fiaxed to 3fio.417.47111
1 - 2 SINGLE-FAMILY
OWNER {NFORMATION
Name. James Netsgn _ Emaill
ELECTRrcAL,OONiEACTOR IN FORMATION
PROJEET DETATLS
I
$--
$ .' .'
$-.=-.s53Oo_