HomeMy WebLinkAbout107 Oakcrest AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTI SfNC],E FAMILY
0
REPORT STATE SALES TAX
on your exci$e tax form
to the City of Poft Angeles
(Location Code 0502)
-l$J<,\
P
Applica!ion Number
Applicatsion pin number
Property Address
ASSESSOR PARCEL NUMBER:
Appl icatsion ty?e descriptior
Subdivision Name .
Ploperly Use
Ploperty Zoniog
Applicatsion val.uation .
t 9- 00001512 Date 9/21/19
516 5 68
10? OAKCREST A!'E
05 - 3 0 - 15- 5 -3 - 0015- 0000 -
EIJECTRICAI ONLY
AppLj.ca!ion desc
DHP
Owner:
Sandla & Joel Roberson
10? OAICREST AVE
PORT ANGELBS lTA 983525928
(360 ) 461-1853
OWNER
Permit
Addi t.ional
Permit Fee
Tssue Date
desc
53 .00
9 /27 /t9
3 /25 /20
ELECTRICAL ALTER RESIDENTIAI
Plan Check Fee
Valuati.on
.00
0
Expiration Date
Qty Unit Charge Per1.OO 53.OOOO ECH EL.R- BRANCH CIR WO/ SER FEED
Exteus ion
53.00
Charged Credi.Eed Due
Permit Eee Total
Plan Cheek Total
Grand lotal
53.00
.00
63 .00
63 .00
.00
63 .0O
00
00
00
00
oo
00
PERMTT WILL E)(PTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN l0-3-i9 /.4
FINAL ta -3- t?"a ka
Signature ofowner or Electrical Contractor X Datei
l€)
COMMENTS:
1-2 IN LY
ELECTRICAL PER MIT APPLICATION i;,ihff
'0o
3
1t
D
E. -ith Street- Pt l \
.-s)
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NProjectAddress:t01 Dcr k-11-a"1 ve-
Project Description l0 rn
Single-Family Residential E Duplex / ARU Euilding Square footage:
Name:
Mailing Address:
Name:
Mailing Address:
Email:
n lrsCAqps
Email:
License:
Expiration Date:
Phone:
lDc ,hnl,^r=r$nl
fies
SeMce/Feeder 20O tunp-
SeMce/Feeder 201.4(n Amp.
Service/Feeder 401{00 tunp.
SeMce/Feeder 60 1-1 000 Arnp.
Seryice,/Feeder over 1000 Amp.
Branch Cirarit wl Servioe Feeder
Branch Cirorit W,/O Service Feeder
Each Additimal Brancfi Circuit
Brancfi Cir.uits 14
Temp. Servicer'Feeder 200 Arnp.
Temp. SeMce/Feeder 201 40O Amp.
Temp. Service,/Feeder 401{0O Amp.
Temp. Sewice/Feeder 601-1000 Arnp.
Portal to Portal Houdy
Signal Cirqrit/Limited Energy - 1&2 OU.
Manufactured Home Cofl nection
Renewable Elec. Energy: sKVA SYstem or less
Thermostat (Note: 35 for each additional)
Fkst'l3m Square Fe€n
Eadr Additional 5@ squae fiB€t"
Ea.fi oljtbuiHing I Mc,led Garage
Eadr Swimming Pool / Hd Tub
Unlt CharEe
$r20-fi)
$146.0O
s20s.m
$262.00
$373.00
$5.00
s53.00
$5.00
$75.00
$93.m
$110.00
$1.19.0o
$168,00
$96.00
$et.m
9120.OO
$102.00
$56.00
$120.m
340.00
374.00
$11o.oo
Ouantity Igjtal (Quanrity x Unit Charge)
63 tDic-L
$
3
$
$
$
I
$
$
$
$
$
$
$
$
$
$
$
3
$
$
$
$TOTAL
Owner as defined by RCW.19.28.261 : (1) Owner will occupy the structure for two years after this electrical permit ls flnalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of lasl inspection.
Afier reading the above statement, I hereby certify that I am the owner ofthe above named property or a iicensed electrical contractor. I
am making the electrical installation or alteration in mmpliance with the electrical laws, N.E.C., RcW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Muni I Code, and Utility ons a C 14.05.050 regarding Electrical Permit Applications
4-u-t
Date Print Name Signature (OwnerP Eleclrical Contractor / Administrator)
lElectrical Permit Applicauons may be submitted to City Hall or eiecincalperrnits@cnyofpa. us or faxed to 360,417.4711]
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