HomeMy WebLinkAbout423 Hillcrest DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS9 RESDI{TI SINGIE FA]VIILY
0
REPORTSTATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
*s
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Application Nudcer
Applicatsion pin number
Propertsy Address
ASSESSOR PARCEL NUMBER:
Application ty'pe description
Subdivision Name
Property Use
Property zoning
Application valuaEion
19 - 000014 80 Date 9/24/1-9
729000
423 H]LLCREST DR
06-3 0 - 15 - s - 0 - 1s00- 0000 -
ELECTRICAL ONLY
Application desc
Remodel
NANCY ,J BELL
C/O .]AMES & ASSoC
11I1 CAROLINE
POR? ANGELES
/.360) 452-412't
SIIAMP EIECTRICAL CONTRACTING
PO BOX 3 83
PORT ANGEI]ES WA 983 62
(350) 452-1689wA 983 52
Permits
Additsionaf desc
Permit Fee
Issue Date
Expiration Date
E LEC:TRICAI- ALTER RESIDENTTAT,
1-4 CIRCUITS
155 - 0O Plan Check Fee
9/24/t9 valuaE i on
3 /22 /2A
00
0
Qty unit Charge Per
16 .00 s.0000 ECH EL-ECH ADDNT BRANCH CIRCU]T
ExEeosion
75.00
80.00
Charged Paid Credited Due
Permit Fee ToEal
Plan Check ToEal
Grand Total
155.00
- 00
155 - 00
155
155
00
00
00
.00
.00
.00
o0
00
00
PERMTT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERYICE
ROUGH-IN q b*ln "F *
FINAL ft lzul lh R 'f*
COMMENTS:
Signature ofowner or Electrical Coutractor X Date
RESULTS:
u
ELECTRI CA L PERMITAPPLICATION
Public Works and Utilities Department
3:l ir. 5th Street. Port Anccles. \t',4 98,162
160.4 I 7.4715 | u rvu,.ciry-ofpa.us I clcctricalpermitsiilcitl,ofpa.us
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=sProject Address: 423 Hillcrest Drive Port Angeles
Pro.iect Descript ;on Rewire/remodel
6 Single-Family Residential E Duptex / ARU Building Square footage
Name Bob Morgan Email
Mailing Address Phone
Name Shamp Eleclrical Contractor fiqsneg ECSHAMPEC023B3
Exp ;p6116n p2qg. 020320
Phone 360-452-1689
Mailing Address PO Box 383 Port Angeles WA 98362
Email shampel ec@o lypen.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Servic€/Feeder 401-600 Amp.
Service/Feeder 601- 1000 Amp.
Service/Feeder ove|l000 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'l -'1000 Amp.
Portal to Portal Hourly
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: sKVA System or tess
Thermostat (Note: $5 for each additional)
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
Ouantity fgE (Quantity x Unlt Charge)
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
$
$
$
80
75
Each O Garage
Each Swimming Pool/ Hot Tub I
TOTAL
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 six months of last inspection.
After reading the above statement, I hereby certify 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 19.2g, WAC. Chapter 296-
468' The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regardjng Electrical permit Applications.
0912412019 Renee Adams
Date Print Name Signature (E Owner F Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.471jj
1 - 2 SINGLE-FAMILY
O!\NER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
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