HomeMy WebLinkAbout503 E 7th StApplication Nuniber
Application pin nunber
Property Address
ASSESSOR PARCEI, NLIUBER I
Application type descriptio!
Subdlvi6ion Name .
Property use
Property zoning
ApplicaEior vafuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18-OO0OO345 Datse 3/75/la
81'7350
503 E 7TH ST
06-30 00 0-2-04ss-0000
EIECTRICAL ONI]Y
RESIDENTIAL HIGH DENS ITY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
o\
I
\Nq
Application desc
Overhead ro underground service
Ownel Contractor
RlCHARDS INVESTMENTS
Po Box 188
BIG BEAR CITY
UPPER IEFT EI,ECTRIC
13 06 ROOK DR
PORT ANGELES
i.360) 46L 7720
LIJC
wa 983 52
LLC
cA 92314
Permit
Additional desc
Permit Fee
lssue Date
ExplraEion Da!e
120.00
3 /ts /aB
9 /At/ta
ELECTRICAL ALTER RESIDENTTAT,
PLan Check Fee
valua!ion
00
0
oLy Uni! Charge Per
1.00 120.0000 EcH EL-0-200 sRV FEEDER
ExEension
120.00
Fee summary Charged Paid Credited
PERMIT WILL D(PIRE SIx (6) MONTHS FROM LAST INSPECTION
Due
PermiL Fee ToEal
Plan check Tolal
Grand'rolal
00
00
00
120.00
.00
120.00
00
00
00
120
120
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH slnlte dY :gP
SERVICE
ROUGH-IN
FINAL
COMMENTS:c\ai LrU E*? r16f y'tAbn lN L
Signatue of owner or Electdcal Contractor X Date:
,00
.00
.00
ELECTRICAL PERM IT APPLICATI ON
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 i www.cityofpa.us I electricalpermits@cityofpa.us
=\r\)
I\
_{_q
I
ion: L)let W
ea tt"Project Address
Project Descript
tr-Single-Family Residential E Duplex / ARU Building Square footage
-n a C ) v^\4
Email
Mailing Address 1oj (11r..Phone
ttame: rrPot,\e{ \ 1\€cit;C
lMailing Address t\oc (Lc<* O I i \./ e Expiration Date
Phone: 4L r.:
License
Email
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401S00 Amp.
Service/Feeder 601-1 000 Amp
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
B.anch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp.
Temp Service/Feeder 401600 Amp
Temp Service/Feeder 601-1000 Amp
Porta to Portal Hourly
Signal Circuivlimrted Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec. Energy. 5KVA System or less
Thermostat (Noter $5 for each additional)
Firsl 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
e, \€-d f C- <> '-'v'-\qc ( -'l -t ?_6
unit Charqe
s120 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
s64 00
$120 00
$102.00
$56 00
$120.00
$40.00
$74.00
$1'r 0.00
Quantitv
I
TOTAL
fglEl {Quantity r Unit Charge)$ lz(.
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
s
$
$
$170
Owner as defined by RCW19.28.261: (1) Owner will occupy the structure fortwo 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 inspeclion.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed elec{rjcal contraclor I
am making the electrical installation or alteration in compliance with the electrical laws, N.E C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
\ed a
ate Print Name Signature (fFowner DI Electrical Contractor / Administrator)
&
[Electrical Permit Applications may be submitted to City Hall or electncalpermrts@cityofpa. us or faxed to 360.417.471'11
1-2
,-t
-
1 - 2 SINGLE-FAMILY !
t.
+
O\A/NER INFORMATION
Name:
ELEGTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS