HomeMy WebLinkAbout119 Orcas AveApplication Number
Applicatio! p j.n nunlcer
ProperEy Address
ASSESSOR PAXCEI NT]MBER:
Appficatsion type description
Subdivision Name .
Property Use
P.operty zoning
Application valuation . .
ELECTRICAL PERMIT
CTTY OF PORT ANGELES
360-417-4735
RS? R'SDNTI, SING],E FAMILY
0
19- 00000206 Dare 2/01/!9
22504A
119 oRCAS AVE
06- 3 0 - L0- 5 - 0 - 2454 - 0000 -
ETECTRICAL ONLY
REPORT STATE SAIES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
5
Ns
Application desc
Service change
Co[tractor
TIIANG HUNG LY AND OIN6 FANG ZI]
1839 W 15TI{
PORT ANGELES WA 983 6]
BI.ACK DIA]VIOND ELECIiR]CAL CONTR
5O2 BLACK DIAI"IOND RD
PORT ANGELES WA 98363(350) 555-103s
Permit
Addilional desc
PermIE !'ee
Issue Date
Expira!ion Date
120 .00
2/ o'7 / Le
8/A6/19
Plan Check Fee
Valua!ion
ELECTRICAL AITER RESIDENTIAI
00
0
Qty Uni! Charge
1.00 120.0000
Per
ECH EL. O'2 OO SRV FEEDER
Excension
120.00
Fee summaay Cha!ged Paid CrediEed Due
PermlE Eee ToEal
Plan Check To!a]
Grand ToEal
120.00
.00
120.00
120
120
00
00
00
.00
.00
.00
00
00
00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SER'V'ICE elqo ln &
ROUGH-IN t
FINAL qtq>7v <?
COMMENTS:
PERMTT WILL EXPTRE SD( (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date
cm>
)t"P
1-2SING E-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
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Project Address \\q Ort-LlU
ct Description l/,- f-7-€-\
Single-Family Residential E Duplex / ARU Building Square footage
Name Email
Mailing Address Phone 3l.o - ?-al-?qsf
Name
Mailing Address
Email:
License
Expiration Date
Phone .?&o46t ?ts 7
Item
Service/Feeder 200 Amp.
Service/Feeder 20 1 -400 Amp.
Service/Feeder 40 1 S00 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 401S00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Houdy
Signal CircuivLimited Energy - 'l&2 DU.
Manufactured Home Connec{ion
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
FiBt 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
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$1'r0.00
Ouantitvx fgtr! (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.261: ('1) Owner will occupy the structure for two years afier 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 inspection.
After reading the above
am making the electrical
468, The City of Port An
statement, I hereby certiFy that I am the owner of the named property or a licensed electrical contractor. I
instal n or alteration in compliance laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
nicipal Code,Utility Sp catio PAMC 14.05.050 regarding Electrical Permit Applications.
-|za-
ature Owner ! Electrical Contractor / Administrator)
c-l
Date Print Name
IElectrical Permit Applications may be submitted to City epermr cityofpa.us or faxed to 360.417.47'l 1l
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
l__
PROJECT DETAILS
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
.....D|TCH
ROUGH IN/COVER
APPROVED
CORRECTIONS NEEDED:
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......SERVICE......
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D. . FINAL
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE-
DAfE:NSPECTO
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