HomeMy WebLinkAbout630 E 4th St (3)Applj.caEion Nuhber -
Application pin number
ProPerty Address
ASSESSOR PARCEIT NWBER.
Application !)?e descriptsion
Subdivision Name
Propert.y Use
Property zoninq
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
17 - 00000 975 Date 't/lA/1"7
s 9190 4
630 E 4TI] ST
05 30 ' 00,0 L-?30s,0000-
ETECTRICAI, ONIJY
RS7 RESDNTL SINGLE FAMTI,Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of PorT Angeles
(Location Code 0502)
\
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t\
Applicat.ion desc
Bathroom aDd uLility room addition
Contractor
JOHN BOIIONIS AND NANCY I]AI{N
630 E 4TH ST
PORT ANGELES WA 983 52
OWNER
Permit
Addi!iona1 desc
Permit Fee
Issue Datse
Expiralion Date
93.00'7/)-4/r'l
a /10 /t8
Ptan cneck tee
Valuation
Qtsy Unit Charge Per
6.00 5.0000 ECH
1.00 63.0000 ECH
EL'ECH ADDNT BRANCH CIRCUIT
Er-R BRANCIi CIR l{O/ SER FEED
00
Extension
30.00
53.00
Charged Credi ted Due
Permit Fee Total
Plan Check Tota]
Grand Total
93 .00
.00
93.00
93.00
.00
93.00
00
00
00
o0
00
00
Ft^*e -tE 1
PERMIT WILL EXPIRT SIx (6) MONTHS FROM I-AST INSPECTION
rNsprcrr/N T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:Z 4
II
TI
Signature ofowner or Electrical Contractor X Date:
ELECTRICA! AI,TER RESIDENTIAI
0
t
r
Crrv or Ponr ANcrr,ns PERMTT Aprr,rcarroN
Building Division/Electrical Inspections
321 East Fifth Street - Port Angeles Washington,98362
Ph: (360)417-4735 Faxz (360) 4174711
Date
i7
_ lvlulti-Family or Commercial.
J
I*s
..tl
0.\.t4
. Plan Rev
Job Address:
iew Mav Be Reouired. Please Comolete Electrical Plan Review lnfo' 610 e U'rl 4Tt't <r'n Sheet
Building Square Footage
Descri of work tr-
Owner lnform
Name
Maili
n Contractor lnformation
Name:(:l-laJ',,^'
€
l? e State L)c,. Zp:
l\4ailino Address
City:
Phone 89,1'
License # / Exp
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401 $00 Amp
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuits 14
BEnch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401$00 Amp.
Temp. Service/Feeder 601-1000 Arnp .
Portal to Poftal Houfly
Sign/Outline Lighting
Signal Circuil/ Limited Energy / First 1500 sf- Commercial
Nole: $5.00 for each additional 1500 sf
Renewable Electrical Energy - sKVA System or Less
Thermostat
q u zb2-City State Zipt _
Phone
Liceose # / Exp
@
ax
Unit Charqe
$ 132.00
$ 160.00
$ 225.00
$ 288.00
$ 410.00
$ 86.00
3)fo1.'"s s.00
$ 102.00
$ 121.00
$ 164.00
$ 185.00
$ 96.00
$ 88.00
$ 96.00
Total (Qtv Multiplied bv Unit Charqe)
o
$
$
$
$
b
$
$
$
$
$
$
$
$
$
$
$
$
-€-
$ 113.00
$ 56.00
@,*",q79*
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this eleckical permit is finalized. (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 last inspection.
After reading the above statement, I hereby ce fy that I am the owner of the above named property or a licensed electrical confactor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter '19.28, WAC. Chapter 296-468, The City of Port
Angeles lvlunicipal Code, and Utility Specifications and PAMC '14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: E casr B cnecr
x Dated: \tilu L4,
E Credit Card #
.aDt7 01t0112012ultI
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