HomeMy WebLinkAbout514 Lopez AveApplication Nuidcer
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicatlon tl,pe description
Subdivision Name
Froperty Use
ProperEY Zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGI,E FAMILY
0
18 00001491 Date 9/21/\E
'719228
514 LOPEZ AVE
06 30 10 5 0 1106-0000
ELECTRICAL ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicatsion desc
DHP
Owne r Contractor
ANDERSON, I,UKE & MEAD, JADE
P.O- BOX 3052
PORT ANGELES, WA.
PORT ANGELES WA 98362
EXTRA MIIE TECI]
418 N, RACE ST,
PORT ANGELES
1360) 151 5222
& ELECT., LI]C
wa 983 62
Permit
AddiLiooaf desc
Permit Eee
Issue DaLe
Expiration Date
58.00
e /21/18
3/26/19
Qty Uni! Charge Per
1.00 s.0000 ECH
1.00 63.0000 ECE
ELECTRICAL AITER RESIDENTIAIJ
Plan check Fee
Valuation
00
0
EL-ECH ADDNT BR-ANCH C]RCUIT
EL R. BRANCH CIR WO/ SER FEED
Extsension
5. 00
53.00
Charged Pa id Credited Due
PermiE Fee Total
Plan Check Total
Grand Totsal
68.00
.00
58_00
00
00
00
00
00
00
68.00
.00
68.00
PERMTT WILL EXPIRE SIx (6) MONT}IS FROM LAST INSPECTION
INSPECTION TYPE RESULTS:INSPECTOR:
DlTCH
SERVICE
ROUGH-IN +Lz ln M :ga
FINAL 4Jn'Jla "R SF
COMMENTS:
,
Signature of o'*rrer or Electrical Contractor X Date:
DATE:
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1 .2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public trlrbrks and Utiiities Department
321 !1. 5th Street, Polt Angeles, WA 98352
36A.417.4735 | wwrv.cityofpa.us I eiectricalpermits@ci1yofta.us
Projecl Addre$:
Proiect Description:
I i'a 'Dr.r. t l,1s' ( try.<'l,i-p * t )q,n,t d. 6fl
ffiingle-Family Residential D Duplex ,1ARU Burding Square footage:
v J
Name:
Mailing Address 5
Email:
Phone:zLd -vot- 5 5o
N2vns; 6{Ucense:FXTP,+NT?7?RL
Maili6g Address:e* 3,fg bL Exptration Da!e:/2-a6 - 20t I
Email:Phone'. 7Go -'lAl - t3g e
iela
ServicelFeeder 200 Amp-
Servicei Feeder 201-400 Anp.
Service./Feeder 40 1S00 AInp
SeMce/Feeder 60l -1 000,q,.np.
Service/Feeder over 1000 An p
Branch Circuit W, Se.vice Feedet
Bmn6h circuit wo Seavice Feeder
Each Additional Bl-anch Cir6uit
Branch Circuib 1-4
Temp. Service/Feeder 200 Amp.
Temp Service/Feeder 201-400 Amp.
Temp, Selvl-€,Feeder 401600 Amp.
Temp, SeNicerFeeder 5011000 Anrp
Psrtal to Po*al ltourly
Signat CircuiuLimabd Energy - 'l &2 OU.
Manufac,turcd Home Connecliol
Rene\,yBble Elec. EneEI sKVA System or less
Thermostat (Note: $5 lor each addilional)
Frst 13q, Square Fet
Ea{h Ad{fitional 500 squae Eef'
Each Oublilding / Detr*ed Garage
Eadr Si,irllllling Paol i Hot Tub
Qurntltu Total Chsrge)
TOTAL -a?7
Owner as defsei by RCW- 1324:61: (1) Ownerwill ocdrpy lhe struc&.re fo. two years 3ffer this elechical permit is finalzed. (2) Owner iE
r€quircd io hire ar! eledrical confactor if above said proFrty is for sale, rent or lease- Pemitexpires affer six montns of last irlspection-
Affer readhg the sbgve slatement, I hereby cediry that I 6m the owne. ofthe above named property or a licensed electrica, conlradg.. I
am making the eleotrioal installation or aiteration in compfiance wi*l the eEcaical laws, N-E.C-, RGW. Cfiapter 19.26, wAC. Chapter 296-
468, The Port Mun,€ipal and Specficatons and PAMC 14.05.050 regarding Elecfi:al Perrnit Applic€tiors.
Unit Charge
$120.00
$146-00
$262.00
$373.00
$5_00
$63.00
$5.00
$75 00
$93 00
$110.00
$149.00
s168.00
s6.00
$64.00
$120.00
$102.00
$56.00
$120.00
040.00
sr4.00
$1.10.00
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Daie Print Name Signature ([ Owner Aectical Contractor / Administsahor)
lElectrical PeimitApdications may be submitted to City Hall or electrica]permits@cityofpa ss or laxed !o 360 417.47111