HomeMy WebLinkAbout2906 Regent StApplication Nl.rhber
ApplicaLion pin nu$lcer
Property Address
ASSESSOR PARCEI] NUMBER:
Application ts)?e description
subd:ivision Name
ProperEy Use
Property zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18 00001321 DaEe 8/24/18
116',7 74
2906 REGENT ST
06 30 15 - 5 - 5 - 0 ? 0 0 - 0 0 0 0
EIECTRICAL ONLY
RS? RESDNTL SINGLE EA}I]I]Y
0
REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
ft
I
\^te
ApplicaEion desc
Remodel
DEBORAII K YOUNG
2905 S REGENT ST
PORT ANGELES
BI,ACK DIAMOND ELECTRICAL CONTR
502 BI,ACK DIA}IOND RD
PORT ANGEI,ES WA 98363
(360) s5s-1035
wa 983526948
Permit
Addit.ional desc
Permit Eee
Issue Date
ETJECTRICAI' ALTER RESIDENTIAL
1-4 CTRCUITS
75.00 Plan check Fee
8/24/18 valuation
2/20/1-9
00
0
Expiration Datse
Qty Unit Charge
BASE EEE 75. 00
Ree suftnary Charged Paid Creditsed Due
Permit Eee Tota1
Plan check Total
Grand Total
75.00
.00
75.00
75.00
.00
75.00
00
00
00
00
00
00
INSPECTION TYPE RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN s rL7ltfr s7 -vD
FINAI
COMMENTS:zv.,
PERMTT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
DATE:
Date:
EL1-2 sF
Project Address:
EL ECTRICAL PERM IT APPLICATION
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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Prolect Description REr,ooe t-
n Single-Family Residential E Ouplex / ARU Building Square footage
OWNER INFORIVIATION
Name ttu/\ l*?Email
Mailing Address Phone
ELECTRICAL CONTRACTOR I NFORMATION
Name
Mailing Address
Email:
L License
Expiration Date
Phone €(- ?f7
PROJECT DETAILS
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 W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Srgnal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energyt 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
am making the eiectrical installation or alteration in compli ce
468, The City of Port eles icipal Code, and Uti
'2t'lI
Date
Ouantitv IglEl (Quantity x Unit Charge)
of the above named property or a licensed electrical contractor I
electrical laws, N.E.C., RCW Chapter'19.28, WAC. Chapter296-
ns and PAMC 14.05.050 regarding Electrical Permit Applications.
lJnit Charoe
$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
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
$
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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 statement, I hereby certify that I am the own
Print Name ignatu Owner ! Electrical Contractor i Administrator)
IElectrical Permit Applications may be subm toC Hall or epermits@cityofpa.us or faxed to 360.417.471 1l
1 - 2 SINGLE-FAMILY 1'o
3
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ELECTHICAL INSPECTION
WIRING REPORT
417-4735
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4
NOTIFY INSPECTOR WHEN CORBECTIONS
ARE COT'PLETED W]THIN 15 DAYS
_ DO NOT REMOVE-
DATE I -ll
INSPECTOR
CONTFACTOF
ADDFESS
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