HomeMy WebLinkAbout1304 Forest Tr (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4L7-4735
18-00000555 Date 4/24/tB
'7193 65
1304 !'OREST TR
06-30 14 5 7 0230 0000
ELECTRICAL ONLY
UNI(NOWN
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
@
$
\
\Application Nuflrber .
Application pin number:
Propelty Address
ASSESSOR PARCEI] NUMBER.
Application E}?e descrlption
subdivision Name
Property use
Property zoning
Applicatsion valuation
ApplicaEion desc
ConEractor
GREEN CROT,I PROPERT]ES INC
PO BOX 2439
PORT ANGEIES \]A 9A3620312
UPPER I]EFT EI]ECTRIC
13 05 ROOK DR
PORT ANGELES
l36O) 451, 7't2A
LI]C
wA 983 52
Pernit
Addltional desc
Is sue Date
Expiration Date
160.00
4/24/\8
1o / 2t/tB
EI,ECTRICAIJ NEW RESIDENTIAI
Pfan check Fee
Valuation
00
0
Qty unit cha]:ge Per
1 .00 120 . 0000 ECH EL
1.00 40.0000 ECH EL
R-SQFT EIRST 13OO
R SQET A'DITIONAL 5OO
Extsension
120.00
40.00
Charged Paid Credi ted Due
00
00
00
160
150
160
160
00
00
00
00
00
00
00
00
00
DATE:INSPECTOR:
DITCH /,/tr/rs *P
SERVICE E,JZ'IB dP @
ROUGH-IN +/>
FINAL '-to1zo7tn t/-\.{4d2 tu
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Sigoature ofownor or Eleckical Contractor X
Permit Fee ToEal
Plan Check ToEal
Grand Tot.al
INSPECTION T\?E RESULTS:
AD
-6)
Date:
qoil
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
r
tr
D
D
ROUGH IN/COVER . ,
SEHVICE. .
NOT APPROVED
... ..... . .. tr
D
tr
FINAL I*=
3 )
0 VotttA 6yrg E:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIil 15 DAYS
_ OO NOT REMOVE-
DATE:
o I
INSP
CONTRACTOF c-
ADDRESS
OWNEE
)**"."r,or.NEEDED: o@d-
ou=-r--sF
DITCH
ELECTHICAL INSPECTION
WIRING REPORT
4't7-4735
APPROVED NOT APPROVED
DITCH tr
HOUGH INICOVER
SERVICE
FINAL ...'*-
.,.Z
tr
tr
tr
rl
)
tc--
6or \2<.-
NOTIFY INSPECTOR WHEN CORRECTIOT{S
ARE COMPLETED WTHIN 15 DAYS
- DO NOT REMOVE-
DATE:9.2*]B t8*5>-INSPECIOBw
OWNER
CONTRACTOF
ADDBESS
R
COBRECNONS NEEDEO: K 4O7-r * }^9*-L#9-YEELI
\Fnzz- La-6-
I T 1.2 SF
T ELECT RICAL PERMITAPPLIC
Public Works and Utilities Department
'I]
olATION
0tls
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Dt"
\PR
Project Address
)ll
360.417.473s
t3C-4l7,r.l to,re
E. 5rh Street. Pon Angeles. WA 98362 . ELECIRTCAIwwr,t.cityofoa.us I electricalpermits@ciryofua.R\iECIISNS
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Project Description A.iqlrj &/..-si J (, L 1 o,-\)cLot-
Single-Family Residential n Duplex / ARU Bualding Square footage
Name
Name
[/ailing Address
Email:
..t C-c-Al3oQ v o&- F)
{e Email
",r.Q
License:
Expiration Date
Phone:
O\[NER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over '1000 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 Service/Feeder 201-400 Amp.
Temp Service/Feeder 401600 Amp
Temp. Service/Feeder 60'1 -1 000 Amp.
Portalto Podal Houdy
Signal Circuiylimited Energy - 1&2 DU
lrlanufactured Home Connection
Renewable Elec Energy sKVA System or less
Thermostat (Note $5 for each additional)
Frrst 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool/ Hot Tub
Unit 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
$00
$120 00
$102 00
$56 00
$120.00
$40.00
$74.00
$110.00
Quantitv IOE! (Quantity x Unit Charge)
l-i i
i
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$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
b
$
$
$
U
$
$
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 contractor if above said property is for sale, rent or lease Permit expires after sjx months of last inspection.
After reading the above statement, I hereby cediry 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-
B The City of Port Angeles Municipal Code and Util
TOTAL
ity Specifications and PAMC 14.05.050 regarding Electrical Permit Applications46
v(a a
nature (E Owner I Electricat Contractor / Adminiskator)D
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
,I - 2 SINGLE.FAMILY
Mailing Address Phone: _
Print Name