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Home My WebLink About226 W 12th StELECTRICAL PERMIT CITY OF PORT ANGELES 360-4r7-4735 RS7 RESDNTI SINGLE FA]V]ILY 0 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) E ) !8 \,J Applicatsion Number Applicatsion pin nufiiber Property Address ASSESSOR PARCEI, NUMBER: Application type descr:iption Subdivision Name Property Use Property Zoning Applicat.ion valuation 18 00000893 D:.Le 6ita/'8 80:55i 225 n !2TH S\ 06 :0 00 0 I 78i5 !00c ELECTRICAL CNLY ApplicaEion desc Remodel CHERYI, A / .]ON K BRONDYKE 25 990 S}IAKE RIDGE RD VOLCANO CA 95689 UPPER LEFT EIECTRIC ]]LC 13 06 ROOK DR PORT ANGELES WA 94362 136A) 461 7',72AOLt PermiL Additional I ssue Date EI,ECTR]CA], ALTER RESIDENT]AI] 1-4 CIRCUITS 155.00 Plan Check Eee 6/7J/tB valuation 12 /1a /taExpiration Date Qty Unit Charge 16.00 5.0000 ExEension 75. 00 80.00 desc 00 0 ECH BASE FEE EL BR.ANCH CIRCUIT W/EEEDER Charged Crediired Due PefiIllE Fee Total Plan check Total Grand Total 155 155 00 00 00 00 00 00 00 00 00 .00 .00 .00 155 155 INSPECTION TYPE DATE:RESULTS:INSPECTOR: DITCH SERVICE ROUGH-IN Ll4)r*P \6y FINAL COMMENTS:hx PERMIT WILL EXPIRE SLY (6) MONTHS FROM LAST INSPECTION Signature ofowner or Electrical Co[tractor X Date: <-1 '7 //- L- \--2 u,lZl^ !f!,u,w, trffsd'r ELE CTRICAL PERIVIITA PPLICATION Publie 1& orks anC Uiii::rrs Depaflmeni 32 i E. 5;i. Stj:ee:" Pcrt Ange;es, t1,A 98362 3 5C.4 1. 7 .,i1 3 5 r.u,.xw. c iry oipa" us electr:calpermits@c i ry o lpa. ;s -E o 3 Project Address CB -.-P \)l Project Description ngle-Family Residential E Duplex / ARU Building Square footage Mailing Address Name Mailing Address License Expiration Date Phone: Ouantitv lgtal (Quantity x Unit Charge) Email Phone Email Item Service/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401-600 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 Circuat Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 20'l-400 Amp. Temp. Service/Feeder 401€00 Amp. Temp. Service/Feeder 601-1000 Amp. Portalto Portal Hourly Signal Circuiylimited Energy - 1&2 DU. Manufactured Horne Connection Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) First 1300 Square Feet Each Additional 500 square feet ' Each Outbuilding I Detached carage Each Swimming Pool/ Hot Tub /t1 Cl I . ao 14 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 $110.00 C)-Ib I $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ! $ $ $ $ $TOTAL Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for hruo years after this electrical permit is finalized. (2) Owner is required to hire an electdcal contractor if above said prope(y is for sale, rent or lease. Permit expires after six months of last jlspection. After reading the above statement, I hereby certiF/ that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration rn compliance with the electrical laws, N.E.C., RCW. Chapter .19.28, WAC. Chapter 296- 468, The City of Port Angeles l,Iunicipal Code, and Utility Spe cifications and PAMC 14.05.050 regarding Electrical Permit Applications e Bcre,'c> Print Name hature 1p Owner ! Electrical Contractor /Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or fax ed to 360.417 .4711] 1 - 2 SINGLE-FAMILY Name: ELECTRICAL CONTRACTOR INFORfuIAT}ON PROJECT DETAILS .-#5(q"I'EY r lr- E-t/- %xtr6- APPROVED NOTAPPROVED DITCH CORRECNONS NEEDEDI tr D tr 0 0 tr D D DATE: C CONTFACTON 2-24, 1) l*7ADDFESS T- Z Net e Pt--n51€- x- o_-f,-A ,1,nots€- o NOTIFY INSPECTOR WHE'{ CORRECTIONS ARE COMPLETED W]THII{ 15 DAYS -OO NOT REMOVE- ELECTRICAL INSPECTION WIRING REPORT 417-4735 .......ROUGHIN/COVER . . . sEFil/tcE .... FINAL -t. '6 - /.N 1t\L*\-E 6AY {4oNr> ttJL COHRECTIONS NEEDED ,>k ELECTRICAL INSPECTION WIRING REPORT 417-4735 NOTAPPROVED DITCH '6 lN 4t)L**e,fk- 'ffir la- E-!I; %ffiue" APPROVED tr 0 tr n n tr tr n DATE:PEBI'/IT # CONTNACTOB C ADDRESS CL nIPr e Pt--nT€- K- o.-rA "L 4U. n oDE- O NOTIFY INSPECTOR WHEN CORRECTIONS ARE GIMPLETED WITHIN 15 DAYS _ DO NOT REMOVE- ....... ROUGH IN/COVER .. . sER\llcE .... FINAL