HomeMy WebLinkAbout116 E 13th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS7 RESDNTL SINGTE FA!,IIIJY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
--0I
(,o
Application Numbe!
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicatsion E!?e description
Subdivision Name
Property Use
Property ZoniI1g
Application valuation . .
L9 - 0000113 0 Date 7 /29/L9
546560
116 E 13TH ST
05- 30 - 00 - 0- 3 - 8620 - 0000 -
ELECTRICAI ON'JY
Applicatsion desc
Panel and circuitss
ST MAT:ruEWS LUTH CHURCH OF P A
C/O TREASURER
PORT ANGEI,ES WA 98352
ANGELES ELEC'I TC
524 E. 1ST ST.
PORT ANGELES
1360) 452-9264
wa 98362
Pemits
Additional desc
Permat !ee
Issue Date
Expiration Date
170. 00
7/2e/t9
t/25 /2a
EI,ECTRICAL AI,TER RESIDENTfA!
valuation
00
0
Oty Uni! Charge Per
10 .00 5 .0000 ECH
1. 00 120 .0000 Ecn
EL-BRANCH CIRCUIE W/FEEDER
EI]. O.2OO SRV FEEDER
Extension
50 .00
120. 00
Charged Paid Credited
Permit Eee Total
PIan Check Total
l7a
170
00
00
00
.00
.00
.oo
00
00
00
o0
00
00
L70
170
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE ahln P 1w
ROUCII-IN s /2/n dP w
FINAL dsln 4P w
COMMENTS:
Signature ofowner or Electrical Contractor X Date:
Due
qonl ELECTRICAL INSPECTION
WIRING REPORT
417-4735
APPBOVED
DITCH
ROUGH IN/COVEN
SERVICE
\CORRECTIONS NEEDED: |L\DII4, 31fTr' '-F * }t.z,.*T€jY,
U
E
D
tr
..... u
n
ld
;l *Nlr^}' l-*j* t Y; {}-"\e 5 L r xJ f^
4 ?e-<r-<=e-er <v--,., ", c,*qae- ?r-r-,,t^--aa q+ t e-*t*
?nt'.n-rx L!*r- 2-qA,4 L Bo .17L 1{o
.f4a_*..!e {a
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED \IYITHIN 15 OAYS
_ DO NOT REMOVE-
DATE:
1,1 - t17b
INSPECTOB
OVr'NE
CON-IBACTOF
ADDFESS
NOT
.... FINAL
*),--l.tlg-q.ru *-".rIzEq €pllr F*
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
ROUGH IN/COVER
DITCH 0
tr
4..,..
trE...,.FINAL
COFTREC.I]ONS NEEDED:
(zAor'sx'-f)Ar-u :tr-a l \<oz,rp'S
NOTIFY INSPECTOF !,I'HEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
_ DO NOT REMOVE -
DATE INSPECTOR
OWNER
CONTBACTOR
ADDFESS
n
07/26/2019 13:56 FAI 360 452 9265 An8eles Electric
ELECTRICAL PERM IT APPLICATION
@ooo1/ooo1
To
I
=:tb
RECEIYED
JUL2OWg -DI
\|loqr"tProject Address:
Project Description:t14
E Single-Family Residential El Dupla< /ARU Building Square footage:
-
Name:Email:
Mailing Address:Phone
Na ms; Angeles Electric, lnc.License:ANGELEI46ORS
Item
SeMce/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
SBMceJFeeder 401{00 Amp.
Service/Feeder 60 1-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit w/O Ssrvice Feeder
Each Additional Branch Circuit
Branct Circuits 14
Ternp. SeMce/F6ader 200 Amp,
Temp. Service/Fseder 201-400 Amp.
Temp. Service/Feeder 401400 Amp.
Temp. Service/Feeder 60'l I 000 Amp.
Portal to Ponal Hourly
Signal CircuiuLimited Energy - 1'&2 DU.
Manufacturad Home Connection
Renewable Elec. Energy: sKVA Systsm or less
Thermosbt (Note: $5 for each
lllit-C[rlgr
$120.00
s146.00
$205.00
$262.00
0373.00
85.00
s63.00
$5.00
075.00
$93.00
s110.00
$14s80
,$108100
.,.igs.oo ,t:'-.$a*oo
Ollrnlitu
I
IOhl {Quantity x Unlt Cha?gc}/2A9$
$
$
$I
$
s
$
$
$
$
$
,$
/o
s-
TOTAL
Owner as derined by RCW.19 28.261 : (1) Owner will oceupy the struclure for two yeals ater thi8 €bcttical psrmit is linalts€d. (2) otfner is
required to hire an electrical contradoiiiaOove said propeity is for 8ale, rent or lsase. Permit expires after six months of last inspedion.
After reading the aboye statement, I hereby cenify that t am ths owner of he above namEd property or a licens€d glacfical contactor' I
am making the elecbical installation or alteration in complianc€ with the slecirical laws, N.E.C., RcW Chapter 1S.28, WAC. Chaptrr 29&
46B,of PortAngales Municipal Coda, and Utility SpecifroadonE PAMC ng Electrical Pemlt ApplicEtions.he
Ken Sim son
Print Name s ignature (tr g Contrac{or / Admin istrator)
1 - 2 STNGLE-FAMILY
Public Works and Utilities Departmeut
321 E. 5ft Street, Port Angeles, WA 98362
360.4 I 7 .4'1 3 5 | wwrv.cityofpa.us I electricalpermits@cityofpa.us
INFORMATION .' i,, ,. i , ,,, .. ' I '
Mailing Address: 524 E. First Street, Port Angeles, WA 98362 Expiration 9a612fi,20
c-.ir' ksimoson(Dolvmous.net ph^^.. 360-452-92tr
' :' PROJECT DETAILS
[Elect icat Pemit Applications may be submitted to City Hallor electicalpormitB@cityofta.us or faxed to 360.417.4711]