HomeMy WebLinkAbout1034 W 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18 00000331 Date 3/L4/18
686875
1034 W sTH ST
06-30-00 0 1 0838 0000-
E],ECTRICAI, ONLY
RS7 RESDNTI, SINGLE FA}IILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Number
Application pir number
Property Address
ASSESSOR PARCEI, NUIV1BER :
ApplicaEion twe descriptsion
subdivision Name
Property use
Property zoning
ApplicaEior valuation
Application desc
cal:age circuil
Conlractsor
NORMA A W]GGINS
1011 WEST 5TLl ST
PORT ANGEIES
(50s)
EXTRA MILE TECH & ELECT
4]8 N, RACE ST,
PORT ANGELES WA
1350) 45',t-5222
, LLC
98362wA 98363
PermlE
AddiLional desc
Permit Eee
Issue Datse
Expiration Date
Qty Unit Charge
1.00 63.0000
ELECTRICAL AITER RES]DENT]AI]
63.00
3 /14 /aB
9 /ta /18
Plan Check Eee
Valuation
00
0
Per:
ECH EL'R' BRANCH CIR WO/ SER FEED
Extension
53.00
Fee summary Charged Pai.d Credited Due
PermiE Fee Totaf
Plan Check Total
Grand Total
53 .00
.00
53 .00
53 .00
.00
63 .00
00
00
00
00
00
00
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:A-4L
PERMIT WILL EXPIRE SIX (6) MONTHS FROM L{ST INSPECTION
Signature ofowfler or Electrical Contractor X Date
RESULTS:
ELECTRICAL PER MITAPPLICATION
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Project Address:
Public Works and lJtilities I)cpartment
321 I1. 5th Strect, Pon Angeles, WA 98362
360.41 7.4735 i wwrv.cityofpa.us I electricalpermitsliz)cityotla.us
t63cl U<sl tPL th-e+
Projecl Descriptionl hJ . ...,c q i<. c -,..- t *rt 6 c-\q-i <
1n Single.Family Residential D DuplexlARU Building Square footage:
Name:
Mailing Address
i!at4 r\^
3 Ll t/)fLtt
Email:
TOTAL
{fr-1
("Name:
Mailing Address.
Email:
IED
ServicdFeede. 200 Amp-
Service/Feeder 201-400 Amp,
SeMce/Feeda 4O'1600 Amp
Service/Feeder 60 1-1000 Amp.
Service.lFeeder o/er 1000 Amp.
Branch Circuit W, Servi€e Fesder
Branch Circuit W/O Seryice Feede.
Each Additional Srancir Circuit
Branch Circuib 1-4
Temp. Servioe/Feeder 200 Amp.
Temp Se.vicdFeeder 201-400 Amp.
Temp. Seryic€y'Feede.,rc1s00 Amp.
Temp. Sewice/Fe€der 601 -1 000 Arnp
Portal to Podal Houdy
Signal Circ{itl-imited Energy - 182 OU.
Manufaclued Horne Connection
Renewable Elec. Energy: 5K/A System or less
Thermostat (Nob: SS fo. ea.$ additionsl)
FsBt 1300 SquaE Feet
Eadr Additional 50O squee ftet-'
. Each Orbu ding / Detached Garage
Eedr Swinmhg Pool / Hot Tub
r.2-r
Phone:
License:
Expiration Date:
Phone: ;Q.l -.1b l -(3?{
Quanlitv lghl{QueD6'ty r Unit Charge}lrnil Charre
t120.m
fi4A.00
$205-00
$a62.m
$73.m
s5.00
$63.00
95-00
$75 00
$s3 00
st10.00
s149.00
8r68.00
$s6.00
s4.00
$120.fl)
$192.00
$s6.00
t1$.00
t40.00
f74.00
9110.00
$
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$
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Ou,ner as defined by RCtr 19-28261: (1) Owrer will oc. py the strudure for t\ro years after this eledfcal permit is fnalizsd. (2) On ner is
required to hire an electdcal confacior if above said propetty is tror sab, lenl or lease- Permit expires after six monthE ot lasl inspec{ion.
After reading the above stabnEnt, , hereby certiry that I am the owner ofthe above nanEd prope.ty or a Iicensed electrjcal onlractor. I
am making the eleclrical insbllation or alteration in complia nce with the elecirical lau/s, N.E C. , RC1l,/. Chapler 1 9.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and utility and 14.05.050 regarding Electrical Pemit Applications.
Date Print Name Signature (fl Owner Electrical Contractor,/ Administrator)
lElectrical Permit Applicatrbns may be submitted to City Hall or electicalpermits@cityofpa ss or faxed lo 360.417.47111
E 1 - 2 SINGLE-FAMILY
ELECTRICAL COTTERAg{AR I NFORI{fAFfON
PRO.IECT DETAILS
..r$*e-"T'EY
q\ii-l^.,%V,,.s
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT
ROUGH IN/COVER . .tr
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SERVICE
FINAL
APPROVED
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) cor*r*o*s *EEDED: f)E-c$NilE1,f--. 3.f.-a-o-1-crz-P-
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NOTIFY IT{SPECTOR WHEN CORRECTIONS
ARE COUPLETED wlTHIN
'5
DAYS
- OO NOT REIITOVE -
DATE:
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CONTBACTOR
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