HomeMy WebLinkAbout4300 Old Mill RdAp!lication Numlcer
Applicat.ion pin number
Properly Address
ASSESSOR PARCEI, NUMBER I
Application type description
Subdivision Name ,
ProPerty Use
Property Zoning
Application valuacion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
1s-00001358 Datse 9/04/18
492516
43 OO O].D MII]IJ RD
06 3A 22 2 2 9060-0000
ELECTRICAL ON]]Y
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
0
Application desc
BRADIJEY, RICHARD G & EONNIE
43OO OLD MILL RD
PORT ANGEITES NA 9A3626244
TWETER ELECTR]C
423 BI,ACKTAWK LOOP
PORT ANGELES
(350) 417 - 1151
wA 98362
Permit
Additional desc
Permit Fee
Is sue Datse
Expiralion Date
200.00
e/a1/re
3/03/19
EI,ECTRICAL NEW RESIDENTIAL
Qty Unit Charge Per
1.00 120.0000 ECH
2.00 40.0000 ECr{
Plan Check Pee
valuation
EL R SOFT FIRST 1:OO
EL R SQET ADDIT]ONAI, 5OO
00
0
ExLension
120.00
80.00
Charged Credited
Permit Fee Total
Plan check Total
crand Total
200
240
00
00
00
00
00
00
.00
.00
.00
PERMTT WILL EXPIRE SlX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE RESULTS
DITCH ra /'',b lzt t?tl n +V *
SERVICE tilztr"4 .N TN2
ROUGH-IN rcrt,r,fia -K d
FINAL ,]l iith N *sR
COMMENTS
I I
Signahrre of owner or Electrical Contractor X Date
qi
$0-
CD
Due
200.00
.00
200.00
INSPECTOR:
EL{-2 sF
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Puhlic Works and Utilities Department ftrJ
321 E. 5th Street. Port Angeles. WA 98162 'UJ
360.417.4735 i www.cityofpa.us i electricalpermits@cityofpa.us
NJ
Project Address ,y'Soo <>rD nattl Rlb
Project Description
Single-Family Residential [-l Duplex / ARU Building Square footage
OWNER INFORMATION
Name
Mailing Address
Email
Phone
ELECTRICAL CONTRACTOR I NFORMATION
Name: -7-,r-,elZrl- EtZ< tN(-License
PROJECT DETAILS
Date
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over '1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Am p.
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 6011000 Amp.
Portal to Portal Hourly
Signal CircuiULimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy; sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
lllff-CnaIse
$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
$'r 20.00
$102.00
$s6.00
$120.00
$40.00
$74.00
$110.00
Ouantitv Igitr! (Quantity x Unit Charge)
- 1.'
$
$
$
$
b
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
)
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two 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 inspection.
After reading the above slatement, I hereby certify that I am the owner ofthe above named property or a licensed electrical contractor 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 ity Specifications and PAIVC 14.05.050 regarding Electrical Permit Applications.
-7-'--7 /)
Print Name Siqnature tM Owner Tl Electrical Contractor / Administrator)
[Electrical Permit Applications m submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711I
.t l !o
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Mailing Ad.f:ess: !27 73/./<,</1r/+zrf- Ly') Expiration Date;
-
Email: Phone 3 Qt:, q b/ O/ '\7
.'#5...s*"T'EY
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%EK.s'
ELECTRICAL INSPECTION
WIRING REPORT
417-4795
NOTAPPROVED
DITCH
SERVICE
APPROVED
E
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try- fitxn.*.<-....FINAL
CORREGTIONS NEEDED:f/
/,1fu z
NOTIFY INSPECTOR WHEN CORRECT]ONS
ARE COMPLETED WITHIN 15 DAYS
- OO NOT REMOVE-
DATE:
oo"31-
,
CONT
43<>o a.-D rzet L-1*
ADDBESS
.......ROUGHINICOVER