HomeMy WebLinkAbout208 Lopez Ave (4)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4r7-4735
RS7 RESDNTL STNGLE FAMILY
0
REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
f
u\
--D\r
ApplicaEion Number
Application pin nwDer
Proper:ty Address
ASSESSOR PARCEL NUMBER:
ApplicaEion. L).pe descriptsion
Subdivision Name
Property use
Property zoning
AppficaEionvaluation .
19 - 000003 93 Date 3/20/19
5s2236
208 LOPEZ A\,IE
06-30-10-5-0-1424-0000-
ELECTRICAI ON],Y
Application desc
Electrical corrections
O!.rner
MCDONALD, IT4ARJORIE E
3OOO S ,OAK
ST
PORT ANGELES
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
l36A) 452-926A
r4A 983 62 wA 98362
Permi!
Additional desc
Permit Fee
Issue Date
Expiration Datse
ELECTRICAL AL?ER RESIDENTIAIJ
1-4 CIRCUTTS
?5.00 Plan Check Eee
3/2O/L9 Vdfuation
9 /16 /te
0
QEy Unit. Charge Per
BASE FEE
ExEension
75.00
Fee summary Charged Paid CrediEed
PermiE Eee ToEal
Plan Check ToEal
Grand Total
75.00
.00
?5.00
75 .00
.00
75 .00
00
00
00
00
00
00
PERMII WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN rhln ffi w
FINAL 4iln .R +
COMMENTS
Signature of owner or Electrical Contractor X Date
.00
Due
03/18/2019 17:24 FAX 360 452 9265
ProjoctAddress:
Name:
Mailing Address:
Name:
Mailing Address
Email:
Item
Service/Feeder 200 AmP.
Servic€/Feeder 20'1.400 Amp.
Servics/Fo€der 401 600 AmP.
Service/Feeder 601-1000 AmP.
Service/F€eder over 1 00O AmP'
aranch Circuit W Servica Feeder
Brancfi Circ.uit WO Sorvica Feeder
Each AddiUonal Eranch Cirerit
Sranch Circuits 14
Temp. SeMca/Feeder 200 AmP.
Temp. SeMct/Fe€dot 201-,100 AmP.
1 .2 SINGLE.FAMILY
ELECTRI CAL PERMIT APPLICATION
Public Wor*s and Utilities Department
3?1 E. 5th Street, Port Ang,eles, WA 98362
360.417.4735 | www.cityofpa.us I electricalpermits@cityo{:aus
tr Duplex ,ARU Building Squars toobge:
Emeil:
Phone:
An€ieles Electrlc @ oool/ooo1
R€CE/YFD
tlAf. t g i10N
!aI*b
(
\n-s(F
License:A t F L4lal)
Ch!rgo)
s
Exlitaio Oale: --&:9J-2U.prcn ,3uo' +5A2J-e *
Uhlt Ch.ro.
s120.00
0148.00
$205.00
E?02,00
3373.00
l5.oo
s63.00
S9'oo
allrllllY
00
00
-T-----viim
-e-,.l110:00
Tsmp.
Temp.
Portal
Signal
to Portal Hourly
circuiULimitad
Manufacturrd Home Con
Renswabl€ Elec. EneEy:
Afrer r3adino ths aboYa statsm€nt, I hersby coflify ttEt I am the owngr of lha aDwg nsrmd Fppalt or 8 lloorrad alsotlcal cofifaclor- I
am mrking tho olsclrical imlellauon or slterrtion Io complianca wl0i 0t. slocflcsl levvr, N.E.c., RCW.ChapterI 9,24, WAC. ChsPtlr 2S&
488,of Port Ang€bs I Code, 6nd Utillty snd P.rmit Appllcatonr.
ownsr as def,ned by RCW.1g.28.261: (1) Ornsf wifl ocanpy th3 studur. fcf ttllo yrar! .ft6r thb .Ld.lc.l P.nr t ls nn. z.d. (2) owmr b
req;ir.d io hip an isslrical aontractor r sbow said propl;h/ b for rale, nent or hgr. P.mIt expim3 afiar slx morhs of ld h.poaliotl'
I
PLint Name Signaturc (E Owner / Adminisr.tor)
a
PROJECT DETAILS
IElectrical permtt Apptications may be submiflsd to City Hall or .ladricalpermits@cityoha.us or hred to 360'417.47,ll]
0_
5
-----.-3 .-.,-
$
$ ------*-(
IOTAL
Llescn
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMAT]ON
New itii tl;.
i:l
'1i..i::,r.,:'i.t'; i. I
'':',
;Ii i
,^.#5Ks."/rts=Y
. \r- EJr 6%M-"
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE]INSPECTOF
thh
CONTHACTOF
AODEESS
@* t-epp_'z- AyF-
APPROVED APP
DITCH
ROUGH IN/COVEH
tr
D
0
n
SERVICE
tr
o
trFINAL
)COFIRECTIONS NEEDED:
? ?r-r^ou rZ- vrl u gE-U B-\,fa-ftt cAL- L\ trzE-<
t?
t.lrvc- ,-^.rb ,L , A r\\7o>-
,)?.*.-9r.--s<-r< Ds-*.l i- flo rtY \*
NONFY IMIPBCTOR WHEN CORFEGNONS
ARE COMPLETED UTHIN 15 DAYS
-OO NOT REMOVE-
CovE la- + BuprrrXg)