HomeMy WebLinkAbout1613 E 5th StApplication Nudber
Application pin number
Property Address
ASSESSOR PARCET NUMBER:
Application E).pe descriplion
subdivision Name
Property Use
Property Zoning
Application valua!ion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18-00000135 DaEe 7/31/78
545360
1613 E 5TH ST
06-30 00-0- 1-8350- 0000-
ELECTRICAL ON]JY
RS7 RESDNTL SINGLE FAI{ I I]Y
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
;\
U\
\
Application desc
Room addition
R KRI'M AND GALE I,AWRENCE (RI]M
PO BOX 115
PORT ANGELES WA 98362
NORTII PEN]NSUIJA EI'ECTRIC
761 !'RESEWATER PARK RD
PORT ANGEI,ES WA 98353
/,3601 47',| -!754
Permit
AddiLional
Issue Dat.e
ExpiraEion
aie Ec
oate
58.00
t /3L /!8
7 /3a /t8
ELECTRICAL AI.TER RESIDENTIA],
Plan Check Fee
ValuaLion
00
Qty UniL Charge Per
1. 00 5 . 0000 ECH
1.00 53.0000 ECH
EL ACH ADDNT BFN-iJCII CIRCL]]T
EL R !rd!_CE CIR WO/ SER FEED
Extension
5. 00
63.00
Fee summary Charged Paid Creditsed Due
Permit Fee Totaf
Plan Check Totsal
crand Tot.al
58.00
.00
58.00
58.00
.00
58. 00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
ROUGH-IN
FINAI
COMMENTS fr.u
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signahrre ofowaer or Electrical Contractor X
0
SERVICE
Date:
lfosfyrD
GJ
\A(NCirv or Poxr ANGELEs PERMTT Appr,rcAlloN
Building Division/Electrical Inspections
.]21 East Fiflh Street - P.0. Box 1150 / Fort Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
oate:i' ?;-18
-11&?singteFamityDwelling
,,:I:iJf,H*
t PIan Review May Be
Job Address:
Building Square Foolage:
Plan Review lnfomration Sheet
Descriptiof of €bove
Owner
Name:
I'I c
City:
Name:
lUailirg
\<-
[,lailing Address:Y{\Cityi State:l.rJL Api
fci--Y*,
Stale:zip:q
Total {Qtv Muttiplied by unit Charqe)
Phons ._ Fax:
[cB
SerYicelFeeder 200 Amp,
ServicelFeeder 201400 Amp,
Service/Feeder 401 600 Amp
Service/Feeder 601 -1 000 Amp.
ServicelFeeder over 1000 Amp.
Branch Ckcuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additionai Branch Circuil
Braflch Circuits 1-4
Temp. Sef,,ice/ Feeder 200 Arnp.
Temp. Service/Feeder 201400 AInp.
Temp. Selica/Feeder 401{00 Amp.
Temp. ServicelFeeder 601-1000 Amp .
Poftal to Potul Hourly
Signai Circui Limiled Energy - 1 & 2 Family Dwelling
Maoufactured Home Conneclion
Renewabie gectrical Energy - 51flA System or Less
The.mostal
Note: $5.00 for each additionsl T-Stat
I'IEW CoNSTRUCTIO OttLY:
First 1300 Square Fl.
Each Additio0al500 Square Ft. or Por on oi
Each outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
License #/
Unit Charse
$ 1 20.00
$ 146,00
$ 205.00
$ 262.00
$ 373.00$ 5.00
$ 63.00$ 5.00
$ 75.00
$ s3.00
$ 110.00
$ 149.00
$ 168.00
$ 96.00
$ 64.00
$ 120.00
$ 102,00
$ 56.00
$__
$
$_
$__
$ 120.00
$ 40.00
$ 74.00
$ 110.00
otal
owner as defned by RCW.19.28,261r (1) owner will occupy the stucture for tuo years afler this elecfical permit is linallzed. (2) owner is required
to hire an electrical contractor if above said ploperty is for sale, rent or lease. Permit expires after six months ot last inspecton.
After reading &e above stalement, I hereby cedify that I am the owner of the above named property or a licensed electrical coniraclor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter '19.28, WAC. Chaptei 296-468, The City of Port
Angeles Municipal Code, afld Utility Speciticatiofls and PAMC 14-05,050 regarding Elecfical Permit ApplicaUons.
Signaturo of elGetrical contractor or electrical administratorl lf cash I
-];ffiltcad
Lcense*/ Exp. -
$-
{___-.L
3
$_
$_
$_
s
{
-..#5s""T'EY
9.\-l-lI!/%V.cs
3u* ?oo>-Arz-EA.-
a
'Tl,l ,*PEFMIi ita-175-INSPECTOB
OWNER
CONTRACTOF
o L L(,
ADDRESS
/6t=E--<
APPROVED NOTAPPROVED
.. .. . DTTCH
F-P,rno,( -.. ROUGH IN/CoVER
tr
D
tr
tr
)CQRBECTIONS NEEDED:
6
1 ?*2r^ rf tJrL.- Az-td;rxt aY I(V ,
Br)t r -.:zr tll :l>*x' t *b'f)< FraI>
NOTIFY IT,ISPECTOR WHEN CORRECTIONS
ARE COMPLETED WTTHIN 15 DAYS
- DO NOT REMOVE.
ELECTRICAL INSPECTION
WIRING REPORT
417-473E,
T