HomeMy WebLinkAbout1806 W 15th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7 -4735
RS7 RESDN J SINGLE F'AI4TLY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
3
II
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NI]MBER:
Application tsl'pe desclipE j.on
Subdivision Name
Property Use
Propertsy Zoaing
Application valuaEion ,
19 - 0o00o77L Date 5/23/t9
309214
1805 W 15TH ST
05-30-00- 0-4 -3a05- 0000-
ELECTRICAIJ ONLY
Application desc
Ductless heat pump
Owner Contractor
SUSAN BEITL
1806 W 15rh ST
PORT ANGELES(360) 721-5488
BI,ACK DIA.I.,OND EI,ECTRICAI CONTR
502 BI"AC( DIAMOND RD
PORT AIIIGELES WA 98353(360) s55 - 103 s
wA 98363
Permit
Addi t ional
PermlE Fee
fssue Date
Expiration
desc
Datse
53 .00
5 /23 /19
Lr/ 19 /19
ELEC:TRICAL AI?ER RESIDENTIAIJ
Plan Check Fee
valuation
00
0
Qty Unit Charge Per
1.oo 53.oOoO EcH EL-R- BRANCH cIR wol sER FEED
Extenrion
53.00
Fee summary Cbarged Paid Credited Due
PermiE Fee Total
vlan unecK 't'ota1
Grand Tot,al
63 .00
.00
63 .00
63 .00
.00
63 .00
00
00
o0
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUCH.IN ol n ltt #]FP
FINAL t )nl tz dP
COMMENTS:
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contmctor X Date ;
%V
ELr-2 sF 1-2SING E-FAMILY !o
3
Project Address /801 t /Sra
Project Description D)or-?Ed.)
Name
Single-Family Residential ! Duplex / ARU Building Square footage
ctt-Email
Mailing Address pnone: 7lo -7Ll - 9486
O\^NER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Namel License
Mailing Address:
Emaill
Expiration Date. _
enon. ]Ao4i7).7i.rz
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 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 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp ServicelFeeder 60'11000 Amp.
Portalto Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energyr 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 / Hol Tub
Quantitv f_q!a! (Quantity x Unit Charge)
TOTAL
Owner as defined by RCW19.28.261: (1) Ownerwill occupy the structure for two yea.s after this elec{rical permit is finalazed. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permat expires after six months of last inspection.
After reading the above statement I hereby certi{y that I am the of the above named property or a lacensed electrical contractor. I
am making the electrical installation or alteration in compliance e electrical laws, N.E.C , RCW Chapter 19.28, WAC. Chapter 296-
ns and PAMC '14.05.050 regarding Electrical Permit Applications.468, The City of Port Code and Uti
5--23-fr
Date Print Name ignature Owner ! Electrical Contractor / Administrator)
Unit Charoe
$120.00
$146.00
s205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$55.00
$120.00
$40.00
$74.00
$110.00
x-
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$
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[Electrical Permit Applications may be subm to City Hall or epermits@cityofpa us or faxed to 360.417.47111
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