HomeMy WebLinkAbout1137 W 16th StApplication Number
Application pill nunDer
Proper:!y Address
ASSESSOR PARCEL NUMBER:
Applicatioi type descr:iprion
Subdivision Name
Property Use
ProperEy zoning
Applicalion valuatioo
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4r7-4735
17 00001738 Date t2/A4/r7
241508
113 ? W 15TH ST
06-30-00-0 4 3136-0000-
EI]ECTRICAL ONLY
RS7 RESDNTL SINGIE FAMIITY
0
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Application desc
Move s\,\,i!ch and light
CHANDRA M ,]OHNSON
113 7 W 16TH ST
PORT ANGELES
(350) 450 4235
OWNER
wA 94363
Pernit
Additional desc
PermrL !'ee
Issue Date
Expiratioo Date
63.00
!2/04/!'7
6/02/tB
Plan Check Fee
Valuation
ELECTRICAL ALTER RES]DENTIAL
EI. R BRAIICH CIR WOl SER FEED
00
0
Qty unit Charge
1.00 63.0000
Per
ECH
ExEenslon
63 .00
Fee summary Charged Paid C!edlted Due
Pernit Fee Tolal
Plan Check Total
Grand ToLal
51 .00
.00
53 - 00
63.00
.00
63.00
00
00
00
00
00
00
INSPECTION Tl?E DATE INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN n-lre ln tr w
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM I-AST INSPECTION
Signaturo of owler or Electrical Contractor X Date:
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
RESULTS:
e-v 2
. Plan Review lVla v Be Reoui3/ .)red
,P/qase
Complete Electncal Plan Review lnformation Sheet
Job Address
Building Square Footage:!o
oescriptior of above
Owner ln rmation
Name:5oh^s
Malli Addressi \(3 7 .r ( 6
City:ilate: \, \ 110 t 6j.G 3
Ph a -1 ax
Licerse # / Ex
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 40'1 -600 Amp
Service/Feeder 601 -1 000 Amp.
ServiceJFeeder over 1000 Amp.
Branch Circuit W Service Feed
Branch Circuit WO Seruice Feeder
Each Additional Branch Circuit
Branch Circuits 14 0nly
Temp. Serl/ice/ Feeder 200 Amp.
Ternp. ServicelFeeder 201400 Amp.
Temp. Service/Feeder 401{00 Amp.
Temp. Service/Feeder 601J000 Amp .
Portal to Portal Houdy
Signal CircuiU Ljmited Energy -'l & 2 Famity owelling
Man i,'factu red Home Connection
Renewable Electrical Energy - sKVA System or Less
Thermostat
Note:$5.00 for each addruonal Tstat
NEW CTIOT{ ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each outbuilding or Detached carage
Each Swimming Pool or Hot Tub
Contractor lnformation
Narne: O.$rr e-(-
Nlailing Address:
-.-.-City Slate:
-
Zp: --ax
Unit Charqe
$ 120,00
$ 146.00
$ 205.00
$ 262.00
$ 373.00$ 5.00
$ 63.00$ s.00
$ 75.00
$ 93.00
$ 110.00
$ 149.00
$ 168.00
$ 96.00
$ 64.00
$ 120.00
$ 102.00
$ 56.00
$ 120.00
$ 40.00
$ 74.00
$ 110.00
Phone
Lieense # /
@ Totai Multiolied bv Charoe)
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Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy fl'te sfucture for two years after this electrical permit is finalized. (2) Owner is required
io hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months oflast inspection.
After reading the above statement, I hereby cedii/ that I am the owner ofthe above named property or a licensed e{ectrical contractor. I am making
the electical installation or alteratjon in compliance with the electicai laws, N.E C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of por1"
Angeles Municipal Code, and Utility Specifications and PAIV1C 14.05.050 regarding Electrical iermit Applications.
Signature ofowner, electrical contractor Qr electrical administrator: E cash E check
Li +2-.
\eo- n(eo'Y zBl
02ti6t2012
CT:[Y OT' PON A.r'VCTT,ES PER}fiT A-PPLICATION
Building Division/Electrical Inspections
32L East Fifth Street - Port A geles Washington, 98352
Ph:. (360) 417-4735 Fax: (360) 417-4711
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