HomeMy WebLinkAbout231 W 4th StApplication Nudber
Appl-ication pin number
Property Address
ASSESSOR PARCEL NI'MBER:
ApplicaEion tsl.pe description
Subdivision Name .
Property Use
Property Zoning
Application valuaEion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'.l-4735
RESIDENTIAL HIGH DENSITY
0
L?-00001650 DaLe 17/05/L'7
657550
231 W 4TH ST
06 - 30 - 00 - 0 - 0 - ?150 - 0000 -
EI,ECTRICAI, ONI,Y
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application desc
Kitchen a.rd Iiving circuits
ZACHARY N SI,OTA
211 W 4TH ST
PORT ANGELES
\350) 417 -1454
OhNER
\:tA 983622A07
Permi!
Additional desc
Permit Fee
Issue Dale
Expiration Da!e
ELECTRICA-IJ AI'TER RESIDENTIAI'
1-4 CIRCUITS
75.00 P1a! Check Fee
11/A8/t't va.Lua!i on
s/a1/18
00
0
Qly Unil Charge Per
BASE FEE
Extens ion
75. 00
Charged Paid Crediled Due
PermiE Fee TotaI
PIan Check Total .00
75.00
75.00
.00
?5. 00
.00
.00
.00
00
00
00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN ,rlglw,&\E,P
FlNAL
COMMENTS:7
PERMN WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date
APPROVED
ELECTBICAL INSPECTION
WIRING REPORT
417-4755
DITCH
ROUGH IN/COVER
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SERVICE
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tr. . FINAL .
NEEDED:-I-t.i Dkt r-Ll ao, N
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NOIIFY IITISPECTOR WHEN CORBECTIONS
ARE COIIPLETED WTHIN 15 DAYS
- OO NOT REMOVE-
DATE lNl
CONTFACTOF
ADDN
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CTTY OT,PORT A"\GELES Pf,R}IIT APPLICATIoN
guil{iing Division /Electrical Inspections
321 East Fifth Street - Port Aogeles Washington, 93362
Ph: (360) 477 -4735 Ftx:. {360) 417 -4771
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Date il L l1
. Plan Rev
Job Address:
iew NIay Be Required,\J --l
Please- Complete Electrical Plan Review lnformation Sheet
Building Square Footage:q.
Description of above (hen li hl
Owner lnforrnation Contmctor lnformation
Name: r,.!\\aJ-
l\4ailing Address
Crty:Siate; _ Zp
Phone a\:
License # / Exp._
Total I Multiolied bv LJn Charqe)
Name:Z.a-cha cw -51 o l^xg\
Ap:
License # / Ex
Item
ServicdFeeder 200 Amp.
Servicstreeder 201 400 Amp .
Service/Feeder 40'l -600 Amp
Service/Feeder 601 -1 000 Amp.
ServicdFeeder over 1000 Amp.
Branch Circuit W Service Feed
Branch Circuit WO Seryice Feeder
Each Additioaal Branch Circuit
Branch Circuits 14 Only
Temp. Service/ Feeder 200 Amp.
Temp. ServicelFeeder 201-400 Amp.
Temp. ServicdFeeder 401 {00 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portai to Portal Hourly
Signal CircuiU Limited Energy - 1 & 2 Famity Dwe ing
lvlan ufaclured Home Connection
Renewable Electical Energy - sKVA System or Less
Thermostat
Note: $5.00 for each additionat T-Stat
IiEW COI{STRUCTIOTT OTTLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or podon of
Each Oulbuilding or Detached Garage
Each Swinrming Pool or Hot Tub
Unit Charoe
$ 120.00
$ 146.00
$ 20s.00
$ 262.00
$ 373.00$ 5.00
$ 63.00s 5.00
$ 75.00
$ 93.00
$ 110.00
$ 149 00
$ 168.00
$ 96.00
$ e.00
$ 120.00
$ 102.00
$ 56.00
$
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$
$
$
$
$
$
$
$
$ 120.00
$ 40.00
$ 74.00
$ 110.00
$
$
$g_ Total
Owner as defined by RCW.19.28.261: (1) owner will occupy the structure lor two years after fris electical permit is finalized. (2) Owner is requiredto hire an electrical confactor if above said prope(y is for sale, rent or lease. Permit expires after six months of last inspection. '
After reading fre above statement, I hereby certii/ ttrat I am the owner ofthe abovenamed propedy or a licensed electical confactor. I am makingthe electrical installatlon 0r alteration in complianc€ with tTe elecmcallaws, N.E.C., RCW Chapteri9.2g, WAC. Chapter 296468, Ihe City ofporiAngeles Municipal Code, and Utility Specificatons and PAI\/IC 14.05.050 regarding Electical iermit fuplications.
Signature ofowner, electrical contractor or electrical administrator: E cash E chock
x L azaq2012
6
!1
_I & 2 Single Family Dwelling
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