HomeMy WebLinkAbout1215 W Hwy 101 #12ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
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Application Number
Application pin number
Property Address
ASSESSOR PARCEI NUTIBER:
Application type description
Su.bdivision Name
Property use
Property Zoning
Applicatsiolr valuation
19 - 000013 93 Date
1338?4
1215 W HWY 101 #12
05- 3 0- 0I - 5 - 1- 0200- 0000 -
EI,ECTRICA], ONI,Y
9/t6/1-9
RESTDENTIAL TRAII,ER PARK
0
T]N CHIN lNC
8 817 WELLER R' SW
I,AT.EWOOD
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
1360) 452-9264
wA 98498 r,tA 98352
Permits
Additsional desc
Permit Fee
Issue DaLe
ExpiraEion Date
ELECTRICAI ALTER COMMERCIAI,
NEW RV SVC AND METER BASE
132.00 Plan Check Fee
9/!6/ti valuatron
3/14/20
0
Qty Unit Charge Per
1.OO 132.OOOO ECH EI],COM O 2OO SRV FEEDER
Extension
132. 00
Fee summary Charged Paid Credited Dde
Permit Fee lota1
Plan Check Totsa1
crand Tolal
o0
00
00
132
132
t32
732
00
00
00
00
00
o0
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE -AL-ftu- oi,r *^-\
ROUGH.IN
FINAL vl+ lrt $r =&COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM I.A,ST INSPECTION
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signa ture of owner or Electrical Contractor X Dat€:
. o0
09/72,/2019 07:40 FAX 360 452 9265
ProjectAddress:
Name:
Mailing Address:
Angeles Electric
tc
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, PortAngeles, WA 98362
360.417.4'735 | www.cityofoa.us I electricalpennits@cityofoa.us
*rz-
ential tr Commercial / lndustrial/ Public Building Square footage:
Email:
Phone
E o oo1/oo o r
RECEIVED
sfP 12 2019
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OWNER INFORI\,IAIION
ELECTRICAL CONTRACTOR INFORI\,,IATION
PROJF_CT DETAILS
Unlt Charoa
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
i74.00
$5.00
$6.00
$102.00
s121.00
Allr[litr-J-
Total (Quan8ty x Unlt Ch.rg.)g-JsB
sI
$
$
$
$
$
I
s
$
Signal Circuiulimited
Signal CircuiuLimited Energy/
(Note: $5,00 for each
Renewable Elec. Energy: sK\r'A Syste
Tharmostat (Note: $5 for each additonal)
t l?2oorct*
OwnEr as defined by RCW.19.28.261 : ('1 ) Owner will occupy lhe suucture for lwo years after this dsc{rical peEnit ie llnalksd. (2) Orvnsr h
required to hire an ilect ieal contrac.toiif above said property is for salg, rerf or lease. Permit expires afier six months of lest lnsp€dion,
Afier Bading the above statsm6nl I hereby certify that I am the owner of fle above nam€d proPerty or a lioensed slectlcal cohbacbr. I
am making 6e elsctrical installation or altoration in compliance wilh the electtlcal laws, N.E.C., RCW. Chapter tS.2E, WAC. Chapter 296'
468, The.Lity of PortAngetes Municipal Code, and Utility Sp€cifications and PAMC 14,05.050 regarding Electlical Petmit Apdications.
s_
s
Date Print Name Signature (n Owner Contractor /Admini3bator)
lElectrical Permit Applications may be submitted to City Hall or €l€c'tricalp€rmitB@cityoFa.us or faxad to 360 .417 .47111
Name: Angeles Electric, lnc License: @E!@S---
Mailing Address: 524 Fi First Etreet, Port Angeles, WA 98362 Expiration Date: W-
Emait: ksimpson@olyrnpu:;net phone: @!!2-9264 _
llem
SerYicelFeeder 200 Amp.
Servic€/Feeder'20'l -4@ Amp.
Service/Feeder 401 -600 Amp.
SoMce/Feeder 601-1 000 Amp.
Service/FeEder over 1 000 Amp,
Branch Circuit w/ Sewlce Feeder
Branch Circuit w/O Servic€ Feeder
Each Addilional Brandl Circuit
Branch CirdJits 14
Temp. Service/Fesder 200 Amp.
Temp, SeMcer'Feeder 201 40() Amp.
TEmp. Seruice/Feedqr*01600 Amp.
Temp. Service/Feedeni@1.1-O0O Amp.
Portal to Portal Houdy
Sign / Outline Lighting