HomeMy WebLinkAbout1724 W 14th StApplication Number
AppLicaEion pin nuiber
Propertsy Address
ASSESSOR PARCEL NUMBER:
Application t)?e description
Sr.rbdivisioa Name ...
Property Use
Property zodng
Applj.caEion valuaEio[ . . .
19 -00000 551 Dare 4/t5/t9
85 817 9
1?24 W 14TH ST
05-3 0 - 00- 0-4 -0628 - 0000 -
EI,ECTRICAI, ON],Y
ELECTRICALPENT'TT
CXTTffiBOBIAITIGELES
ffi4174735
RS? RESDN1L SINGLE FAMILY
0
FEPIOETSIATESALf/STAX
onwrexci*tilfo(mtofrpWdPqtA@(LwtlottW050!
Application desc
T\rb circuit
Owner Contractsor
CRAIG & TERRI OSTERBERG
1724 W 141It ST
POR? ANGELES WA 9A3636810
(360) 808 - 7500
PRO. COM SERVTCES LLC
2033 6TH A\,'E STE 236
SEATTLE WA 98121
\800) 597-41'76
Permit
Additlorlal
Permit Fee
Issue Date
desc
ELECTRICAIJ ATTER RESIDENTIAIJ
1-4 CIRCUITS
75.00 Plan Check Fee
4/76/t9 va-Luarion
la /t3 / t9Expi.lation DaEe
Qty utit Charge
00
BASE FEE
Extension
75.00
charged Paid CrediEed Due
Permi! Fee Total
Plan Check ?oEal
Graod Total
75 .00
.00
75 .00
75 .00
.00
75 .00
00
00
00
00
00
00
PEf,tOT WILL E(?TRE SD( (6) rrort nrs FROi{ LAST lt{SpECrrON
INSPECIION TYPE DXIEi RESTJLTS:INSPECTOK
DITCI{
SERVTCE
ROUGII.IN qlruh dF 6tr
ENAL iln )n qp 'r-*F
@MMENTS:
II
TIII
Sigtrdnc ofow or El@trical Contractr X Daltr.
0
E LECTRICAL P MITAPPLIC toN
,9e
APtER
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 I www.cityofpa.us I electricalpermits@cityofpa.us
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Project Address l-lzri w05r /ql+
ELl-2 sF
Project Description (t\ z.*G(ot -wB Qtu,t(
g Single-Family Residential E Duplex / ARU Buitding Square footage
O\^NER INFORMATION
Name <P.hlG o l€AxE(L Email:
Mailing Address:l-?Lq wa( #1 lqt+Phone '\1. fu)Q 7br.,o
Name:
Mailing
Email:
Address 3
+o( k a,".\ 6)r?0., rn/1
Jr)1U
License ?r2Lo
Expiration Date:
Phone: lil, -a71 -n44
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401500 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuil WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201{00 Amp.
Temp. Service/Feeder 401$00 Amp.
Temp. Service/Feeder 601-1 000 Amp.
Portal to Portal Hourly
Signal CircuiuLimited Energy -'l&2 DU.
Manufaclured Home Conneclion
Renewable Elec. Energy: 5KVA 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
Itrirc[erse
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
s63.00
$s.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$'102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Quantitv IOE! (Quantity x Unit Charge)
D1
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
s
$
$
-T--
TOTAL --15,00
Owner as defined by RCW 19.28.26'1. (1) Owner will occupy the structure for two years afrer this eledrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease Permit expares after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the 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 Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electncal Permit Applications.
J t/tt ,s".
Date Print Name alure (I Owner $ Electrical Contraclor /Administrator)
5
lEleckical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY