HomeMy WebLinkAbout505 W 12th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'1-4735
RS? RESDNTL SINGIE FAMILY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
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-.SvApplication Nunber ,
Al4)lication pin undrer
Property Address
ASSESSOR PARCEL NUMBER:
Applicalion ty?e descriptioo
Suldivision Name .
Property Use
Property ZoningApplicationvaluation .
19- 00001490 Date 9 /25/19
113600
505 W 12TH ST
06- 30- 00- 0 -3 - 48 90- 0000 -
EI,ECTRICAI, ONLY
Applicatlon alesc
REPIACE IOIOB AND TUBE
Contractor
RIGG JOHN/LINDA
14I PA?RIOT WAY
SEQUIM
ANGELES EIECTRIC
524 E. 1ST ST.
POR? ANGEI,ES
l35OJ 452-9264
wA 983 A2 wA 99352
Permit
Addillona1 desc
PermiE Fee
Issue Dale
Expiration Dale
ELECTRTCAI AITER RES f,DEI{TIAI
125. O0 Plan Check Fee
9/25/L9 Valualion
3 /23 /20
00
0
Oty Unlt Charge Per
10.00 5.0000 EcH
BASE FEE
EL-ECH ADDNT BA.ANCH CIRCUIT
Extension
75 .00
50-00
charged Paid C!ediEed Due
PermiE Fee Total
PLan Check Totsal
Grand Totaf
12s. 00
.00
125 .00
12s, 00
.00
125.00
,00
.00
.00
.00
.00
.00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:u$
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Elecaical Contractor X Date:
09/24/2019 09:08 FAI 360 452 9265 Angeles Electric
1 .2 SINGLE,FAMILY
ELECTRICAL PER [/t T APPL CATION
Public Works and Utilities Department
321 E. 5ft Street, Port Angeles, WA 98362
360^417.4735 | t-ww.
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cityotpa.us I electricalpermits(i-lcityofpa.us
/,), l&Project Address:0
Project Description:4
E Single-Family Resid E Duplex / ARU Building Square footage:
e- t0r d-vt c%
Email:
Phone:
Name
Mailing Address:
1i16p6; Angeles Electric, lnc.Licanse:ANGELEI46ORS
Mailing Address ; 524 E. First Street. Port Angeles, WA 98362 Expiration Date:2hn0
Email ksimpson@olympus.net Phone:36&452.9264
lIeIE
Ssrvice/Feeder 200 Amp.
Servico/Feeder 201 -400 Amp.
SewbelFeeder 401 600 Amp-
seMcelFeeder 601 -1 000 Amp.
S€Mce/Feeder orrff 1000 Amp.
BEnch Circuit W Se ice Feeder
Branch Circuit w/O Service Feeder
Each Addiuonal Brandl Circuit
Branch Circuits t-4
Temp. Service/Feeder 200 Amp.
Temp. Servics/FEeder 201-400 Amp
Ternp, Servic€/Feeder,aol €Cro Amp,
Temp. Service/Feed6rr601 -l 0O0 Anrp.
Portal to Ponal Hourly
Signal CirqriuLlmited Eneqy -'f&2.DU,
Manufsc{qred Hom€ Connection
Urillhrtcr
E120.fi)
$1,+6.(}0
0205.@
$262.00
$373.00
$5.00
$63.00
$5.00
s75.00
$93.00
s110.00
$449S0
8rq;90
'$961{080+os .
:SX20S0l
grlrall$
/DI
r-
Idal (Ou3ntity x Unar Chrry.l
0-0-
$-0-5-
ss---:=*i-/#s-s-
$-.,,*
R€newable
Thermostat
EIec. Energy:
S5 for
owner as defin€d by RCW.19.28.261: (1) Owner will occupy ths struo'tur€ for two yeaIs aftor thF eloctrical Permlt is fnaltsed. (2) Own€r is
required fo hire an ebcfical conhactoiifabove said property is for eale, rent or leas€. Perm;t expirBs after 3k monlhs of laBt insp€ction.
After reading the above statement, I hereby certiry that I am thB ownsr of the above nam€d property
am making lhs electical installation or altBration in complianc€ wllh the electical laws' N.E.C.' RCVV.
468 The of PoriAngeles Municipal Code, and Utlity Spedfi and 14.05.0so
Ken Sim son
Pdnt Name Signature (E v ectrica I Contractor / Ad min igtrator)
or a licensed alscfuttal contaclor. I
chapter 1 926, WAC. Chspler 296-
lng Elect ical P€fmft APPllcatione.
lJitit-l--5lrlsrcY
. PROJECT DETAILS'
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'$--
TOTAL
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[Electical Permit Apptications may be submifted to City Hall or electrlcalpermits@cityoha.ue or faxod lD 3N.417 -47111
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
. DITCH
APPROVED
D n
n.. -. -.ROUGH IN/COVER . .
tr . . . FINAL tr
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3 To-rtDzt>Gtz- tt,,\ E**g<.-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED wlTHIN 15 DAYS
_ DO NOT REMOVE *
DATE
lt-
INSPECTOR
CONTFACTOB
z-ADDBESS
NOT APPR
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