HomeMy WebLinkAbout1830 Woodhaven LnELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
Applicatsion Numlcer
Appficatlon pin nunber
Properly Address
ASSESSOR PARCE], NUMBER:
Application type description
sr.rbdivision Name
Property Use
Property zoning
Application valualion
2C 0C00015s Date \/3a/20
t9 2214
l s I i:)
"iooDLAVEN
LN
06-10 14 1 4 9160 0000-
ELECTRICAL ONLY
RS9 RESDNTL SINGLE EA]T4ILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
BENSEN DEAI{ .A-
1830 E WOOD|iAVEII LN
PORT ANGELES
BI,ACK D]AJ{OND ELECTRICAL COII'IR
502 BLACK DfAIT4OND RD
PORT ANGELES WA 98353
(t60) 565 1035
wA 983629343
Permits
AddiLional desc
Permit Fee
lssue Date
Expiration Date
63 .00
t/31/20
1/2e/20
ELECTR]CA! ALTER RXSIDENTIAL
Plan Check Eee
Valuation
00
0
Qty Unit Charge Per
1.OO 63.0000 ECH EL-R- BRANCIi CIR Wo/ SER EEED 63.00
Charged Paid Credited Due
Permits Fee Total
PIan Check Tclal
Grand ToEal
63.00
.00
61.00
63 .00
_ 00
53-00
00
00
00
o0
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN t lr,t lz-o "R d
t'l,zilzo d Dtr
COMMENTS
It
Signature oforvner or Electrical Contractor X Date:
ApplicaLlon desc
Eeat pump system
FINAL
EL1-2 sF
foRl
1 - 2 SINGLE-FAMILY
ELECTRICAL P ERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles. \1.4. 98362
3 60.4 | 7.47 3 5 w'ww.c ityofpa.us electricalpermits@ciqvofpa.us
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N\
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\Project Address
Description:l+a Sve.+
o Email:Name
O\^/NER INFORMATION
f
ELECTRICAL CONTRACTOR INFORMATION
Name
Mailing Address
Email:
License
Expiration Date
Phone:16o -4L t-?1f,-t
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1 -400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 60'1 -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. Servic€/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 60'1 -1 000 Amp.
Portal to Portal Houdy
Signal CircuivLimited Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec. Energy. 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Addational 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
$s6.00
$120.00
$40.00
$74.00
$110.00
Ouantitv IOltal (Quantity x Unit Charge)
$
$
$
$
$
$
$
i
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.261 (1) Ownerwilloccupy the structure fortwo yealS afrerthis electrical permit is finalized. (2) Owner is
required to hire an electrical contraclor 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 the above named property or a licensed eleclrical contractor. I
am making the electrical installation or alteration in compliance with electrical laws, N.E.C , RCW Chapter 19.28, WAC Chapter296-
468, The City of Port Ang lCode, and Util s and PAMC 14.05.050 regardlng Electrical Permit Applications.
Date Print Name gnature Owner ! Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
l-to-2s
PawU Lul PZ*, f f rLraf'u'we !
Single-Family Residential D Duplex / ARU Building Square footage: _
Mailing Address: Phone:
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