HomeMy WebLinkAbout436 Lopez AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RESDNTL SINGLE FA.T{ILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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$
Appfication Nuilcer -
Applicatj"on pin numlcer
Propertsy Address
ASSESSOR PARCEL NtIMBER I
Appl j.cation t!'pe description
Subdivision Name - -
Property Use
Property Zoning
Application valuatiorr
19- 00001102 Date '7 /24/t9
?90440
435 IJOPEZ AVE
05-30- 10- 5 - 0,1210 - 0000-
EI,ECTRICAI ON'Y
Atr4)lication desc
Einal for erpired permit 16 1512
Contractor
CHRISTOPIiER & IGISTEN COI]E
1460 21ST AIENUE
SEAELE WA 98!22
OWNER
Permi t
Additional desc
Permit Fee
Issue Date
Expir:atsion DaEe
63.00
7 /24 /19
1-/20/za
ELECTRICAI ALTER RESTDENTTAT,
Plan Check Fee
valuation
.00
0
Qty UniE Charge Per
1.OO 63.0000 ECH EL-R- BRANCH CTR WO/ SER EEED
Extension
53_00
Fee summary Charged Paid Credited Due
Permit Fee Totsa1
PIan Check Total
Grand Total
63.00
.00
53.00
53 .00
.00
63 .00
00
o0
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
s[vln *r
COMMENTS:
PERMTT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECIION
Signature ofowner or Electrical Contractor X Date:
FINAI
ELECTRICAL PERM IT APPLICATION
Public Works and Lltitities Departmeut
3: I E. -sth Strcct, Port Angcles. \lA 98i62
160.-1 I 7.-+7,r5 | wrvw.citvol'pa.us I electlicalperrnits@cit1,ofpa.us
RECEIVED
JUL7.2 2019
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*t
Project Address 436 Lopez Ave., Port Angeles, WA
t
5
N
Project Description New permit for final inspection of expired permit permit '16-000015'12
E Single-Family Residential n Duplex / ARU Building Square footage 1000
Mailing Address 1460 21 st Ave. Seattle, WA 98122 p66ns 917-539-4047
Name Owner License:
Mailing Address
Email:
Expiration Date
Phone:
Item
Servlce/Feeder 200 Amp.
Service/Feeder 201-400 Amp
Service/Feeder 401-600 Amp
Serv ce/Feeder 601,1000 Amp.
Service/Feeder over 1000 Amp.
Branch Crrcuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Servace/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 6_q1-1000 Amp
Portal to Portal Hourly -':' llil
Signal Circuivlimited Energy - 'l&2 DU
Manufactured Home Con
Ouantitv ntity x L.Jnit Charge)
$120.00
$146 00
$205 00
$262.00
$373.00
$s.00
$63 00
$5.00
$75 00
$93.00
$110 00
$149.00
$168.00
$96.00
$64 00
$
$
$
$-4
r
Renewable Elec. Energy
nection
sKVA System or less $102.00
Thermostat (Note: $5 for each additional)
Each
Outbuilding / Detached Garage
Swimming Pool / Hot Tub $110.00
TOTAL
Owner as deflned 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 six months of last anspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed eleclrical 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-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
7l1gl2}1g Chris Cole r2 - t-
Date Print Name Signature (Z Owner ! Electrical Contractor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417 .47111
1 - 2 SINGLE-FAMILY
OIAA]ER INFORMATION
frlgmg Chris Cole Email: goosemanjack@gmait.com
ELECTRICAL CONTRACTOR INFORMATION
.PROJECT DETAILS
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ELECTRICAL INSPECTION
WIRING REPORT
4174735
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NOTIFY INSPECTOR WHEH COARECTIONS
ARE COMFLETED wlTHIN 15 DAYS
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