HomeMy WebLinkAbout103 Lopez Ave (2)Application Number
Application pin nunlcer
Property Address
ASSESSOR PA.RCEL NOMBER:
Application ts}I)e description
subdivision Name
Property Use
Property zoninq
Application valuatlon
19 - 00000667 Datse S/08/J,9
323!49
103 LOPEZ AVE
05 -3 0 -10-5 - 0 -2036- 0000-
E'JECTRICA]J ONIJY
ELECTRICAL PERMIT
CTTY OF PORT ANGELES
36G.417-4735
RS7 F.ESDNTIJ SINGI'E FAMII'Y
0
REPORTSTAIESAT.ES TAX
ryrlro.nexcire taxlbrm
to/lre@ry,otPortAtgriles
(L*ationGode0il2)
Application desc
Eurnace and hea! pump
ContracEor
MICIIAEL & MONICA LUCAS
103 LOPEZ AVE
PORT ANGELES ltA 983 52253 5
(360 ) s55 13 86
BI.ACK DIAIVIO}.ID ELECTRTCAL CONTF
502 BI,ACK DIA}4OND R.D
PORT ANGEI,ES WA 98363
(350) 565-1.035
Permit
Additional desc
Permit Eee
Issue Date
Expiratsion Datse
58 .00
s/oB/)-e
aa/o4/19
ELECTRICAL ALTER RESIDENTTAI,
OEy Unit Charge Per
1.00 5.0000 ECH
1.00 53 .0000 EcH
EI,-ECH ADDNT BRANCII CIRCUIT
EL'R. BRANCJ] CIR WO/ SER FEED
00
0
Extension
5. O0
53 .00
Fee summary
vermrf !'ee Ioca l
Plan Check ToEaf
Grard Tot.a1
68.00
.00
58.00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN slsls {,R f]FY
FINAL a)s,1fr s d
COMMENTS:
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Sigoature ofowner or Electdoal Contractor X Date:
Plan Check Fee
Valuation
Charged Paid CrediEed Due
58 .00
. o0
68 .00
EI I.2 SFT-L
?o8r
fc^^
ur))tua 1'o
3ELECTRICALPERMIT APPLICATION
Public Works and Utilities Deparftnent
321 E. 5th Street, Port Angeles, WA 98362
360.41'1.4735 www.cityofpa.us I electricalpermits@cityofua.us
/03 tZ Lof e 7
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Project Address
u.,t-.t-+
ngle-Family Residential n Duplex / ARU Building Square footage
Name /-r;r*r Email
lvlailing Address Phone:J6a szr / ta6
ELECTRICAL CONTRACTOR INFORMATION
Name
Mailing Address
Email:
License:
Expiratio
Phone:- v6/J 9{7n Date:
31o 1)
Item
Service/Feeder 200 Amp.
Servic€/Feeder 201400 Amp.
Service/Feeder 401€00 Amp.
Service/Feeder 60'l -1 000 Amp.
Servrce/Feeder over 1000 Amp
Branch Circuit W Servace Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp
Temp Service/Feeder 201400 Amp.
Temp Service/Feeder 401S00 Amp
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Hourly
Signal Circurt/Limited Energy - 1&2 DU
[ranufactured Home Connection
Renewable Elec Energyr sKVA System or less
Thermostat (Note $5 for each additioml)
Unit Charqe
$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
$64 00
$120.00
$102.00
$56.00
Ouantitv IOb! (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL
Owner as defined by RCW.19.28.261r ( 1 ) Owner will occupy the structu.e for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said prope.ty 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 the er he above named property or a licensed electrical contraclor. I
ctrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter296-am making the electrical installation or alteration in
468 The City of Port esM icipal Code and Uti and PAMC 14.05.050 regarding Electrical Permit Applications
5-1"tl aN hhv-
Date Print Name re Owner ! Electrical Contractor / Administrato0S
1 - 2 SINGLE-FAMILY
Project Oescription:r',L-l4t r J
O!\NER INFORMATION
PROJECT DETAILS
rt
q
IRFirst 1300 Square Feet
Each Addiiional 500 square feef'
Each Outbuilding / Oetached Garage
Each Swimming Pool / Hot Tub
(--.-
IElectrical Permit Applications may be submafted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111