HomeMy WebLinkAbout427 Hillcrest Dr (2)Appficatj"oo Number
Applicalion pin number
Property Address
ASSESSOR PARCEI NUMBER:
Application tlpe description
subdivision Name
ProperEy Use
Propertsy Zonring
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
1? - 000 01910 Datre t/02/18
318570
427 HILLCREST DR
06-30-15 5 0 9080-0000-
EI,ECTRICAl, ONLY
REPORT STATE SALES TAX
on your excise tax form
b the Crty of Port Angeles
(Location Code 0502)
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Application desc
Electrical repairs
MARY AND BRITEN DORAN
427 I]ILLCREST DR
PORT ANGELES WA 98]62
OWNER
Permil
Addilional desc
Permit Fee
I ssue Date
Expiration Da!e
63.00
r/02/tB
1/0t/a8
Plan Check Fee
Valuation
ELECTRICAL AI,TER RESIDENTIAI,
BRcNCH crR I,,io/ sER FEED
00
0
qty Unit Charge Per
1 . 00 53 .0000 ECE EL R-53.00
Fee suirmary Charged Paid Credited
PERMIT WILL D(PIRE SIX (6) MONTHS FROM I.\ST INSPECTION
Due
Permit Fee Tot.af
PlaI1 Check Tolal
Grand ToEal
63.00
.00
63.00
53.00
.00
53.00
.00
.00
.00
00
00
00
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
Signa ture of owner or Electrical Contractor X Date:
RESULTS:
COMMENTS:
Crrv or Ponr ANcnms PrRMrr AppLrcATroN
Building Division/Electrical Inspections
321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362
Ph:. (360) 4114735 Fax: (360) 417-4711
oae:ll-- ZQ - rl $& 2 Single Family Dwelling
" Plan Review
Job Address:
Be Required,Co,,lp lete E I Plan Review lnformation Sheet
t:
Building Square
il
C,
Descl 0n above
o\,Yner lnformation
1+
l\ilaili
City:
ress:
Slale. i,r'4 Zip
Phone AX:
License # / Exp
Item
Service/Feeder 200 Amp.
Servic€/Feeder 201 400 Amp.
Service/Feeder 40'1 $00 Amp
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W0 Service Feeder
Each Additional Brarch Circuit
Branch Circuits 1-4
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. ServicdFeeder 401S00 Amp.
Ternp. SeryiceiFeeder 6011000 Amp .
Porlal to Portal Houriy
Signal Circuiu Limited Energy - 1 & 2 Family Dweliing
Manufactured Home Connection
Renewable Electrical Energy - sKVA System or Less
Thennostat
Note: $5.00 for each additional T-Stat
NEW COI{STRUCTION ONLY:
First'1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each outbuilding or oetached Garage
Each Swimming Poolor Hot Tub
Contraclor lnformatio
Name:
Mailino Addressl
Clty
Phone
License # i E
State:_Zip:
Fax:
Unit Charqe
$ 120.00
$ 146.00
$ 205.00
$ 262.00
$ 373.00
Total (Qtv Multiolied bv Unit Charse)
Cz - c'<:
$
$
$
$
$
$
$
s$ 5.00 _ffi
$ 110.00
$ 149.00
$ '168.00
$ 96.00
$ 64.00
$ 120.00
$ 102.00
$ 56.00
$s
$ 120.00
$ 40.00
$ 74.00
$ 110.00
$
$
$
s
$
$
$
$
$
$
$$_
$ l7.qTcart
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contraclor 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 cedfy that I am the owner of the above named property or a licensed electrical contractor. 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 l\4unicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or elecirical administrator:
l- E:lJ
Dated
Narne
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