HomeMy WebLinkAbout1103 Caroline StCOMMERCIAL OFFICE
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REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
a
\rr
Na\Application Numbe. .
Application pin duniber
Propertsy Address
ASSESSOR PARCEI, NUUBER:
Application type descriptsion
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Battery back-up ins!allaEion
O!.rner Contrac!or
PA]"IEI,A i,I BURSON
110 3 CAROLINE ST
POR? ANGELES
1360) 912 - 155 9
POWER TRIP ENERGY CORP.
83 DENNY AVE
PORT ?OWNSEND WA 9835 8
(360) 643-3080
wA 983624203
Permit
Additional
Permit Fee
fssue Dalre
Expiration
120.00
8/28/18
2/24 / )"9
Plan Check Fee
Valuat ion
ELECTRICA]. ALTER RESIDENTIAL
desc
O"a.
a0
0
oty UBit charge Per
1 .00 120 .0000 EcH EI,-O-2OO SRV FEEDER
Extension
120.00
Fee summary Charged Paid Credited
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Due
Permi! Fee Totsaf
PlaIl check ToEal
t2a
120
00
00
00
120
724
00
00
00
- 00
.00
.00
00
00
00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN pl* fm R w
FINAL to h4JM p \w
COMMENTS U
Signature ofowner or Electrical Contractor X Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7-4735
18 00001325 Date 8/28/18
010525
1103 CAROLINE ST
05 30-00-5 3 0545-0000-
ELECTRICAL ONLY
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
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NOTIFY INSPECTOR WHEI{ CORRECNONS
ARE COMPLETED WITHIN 15 DAYS
-OO NOT REMOVE-
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INSPECTOB
CONTNACTOB
ADDRESS
I
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and lJtilities l)epartment
321 tr. 5th Street, Port Angeles, WA 98362
360.4 17.47 35 | www.cityofua.us I electricalpermils(r!cityoffa.us
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Project Address I 103 Caroline St. Port Angeles, WA 98362
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Project Descripti on. Battery back-up installation
6 Single-Family Residential ! Duplex / ARU Building Square footage
Name Pamela Burson
Mailing Address. 1'103 Caroline St Port Angeles WA 98362
Email N/A
Phone 360-912-1659
ELECTRICAL CONTRACTOR INFORMATION
Name. Power Trip Energy Corp License POWERTE964JN
Item
Service/Feeder 200 Amp
Service/Feeder 201-400 Amp.
Service/Feeder 40'l -600 Amp
Service/Feeder 601 -'1 000 Amp.
Serv ce/Feeder ove|j000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp Servrce/Feeder 201400 Amp
Temp Service/Feeder 401400 Amp.
Temp Service/Feeder 601 -'1 000 Amp.
Portalto Portal Hourly
Signal CircuiULimited Energy - '1&2 DU
Manufactured Home Connection
Renevvable Elec. Energy. 5KVA System or less
Thermostat (Note $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
LJnit Charoe
$120 00
$146.00
$205.00
$262 00
$373 00
$5.00
$63 00
$5.00
$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
TOTAL
Total(
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Quantity x UIit Charge)
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Owner as defined by RCW 19.28.261. ('1) Owner will occupy the structure for two yeaIs aner this electncal permit is finalized. (2) O,vner is
required to hire an eleclrical contractor if above said property is for sale, rent or lease. Permit expires afrer six months of last inspection.
After reading the above statement, I hereby certity 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 Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permil Applications.
8124118 Steve Carr
Date Print Name Signature (E Owner p Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.4'17.47111
t
OWNER INFORMATION
Mailing Address: 83 Denny Avenue Port Townsend WA 98368 Expiration Date: 4PI!]3919_
Email. shawn@powertripenergy.com ph96g. 360€43-3080
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PROJECT DETAILS