HomeMy WebLinkAbout1105 E Park AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18-00001633 Date 10/23l1e
548€81
110 5 E PARK AVE
0,5 30 11 5 I 0610 0000-
ELECTRICAL ONLY
RESIDENTIAL MEDIUM DENSTY
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\\ApplicaEion Number
Application pin ]1um.lcer
Property Address
ASSESSOR PARCEL NUMBER.
Appllcation L).pe descripLion
Subdiwision Name
P.oPerty Use
Property zoning
Application vafuation
Application desc
BasenenE remodel
MAT?HEW AND KIRA ACKER
]105 E PAR( AVE
PORT ANGELES WA 943522144
UPPER I,EFT ELECTRIC
13 06 ROOK DR
PORT ANGELES
\360) 461-7',72A
LLC
wA 983 62
00
0
Qty Unit Charge Per
EASE FEE 75.00
Fee summary Charged Pa id Credited Due
Permit Fee Total
Plan Check Total
Grand Tot.al
75.00
.00
75.00
75.00
.00
75.00
00
00
00
00
00
00
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTOR:
DITCH
SERVICE
ROUGH-IN D/z+)6 w 9P
FINAL
COMMENTS:fud,uroi-.- aW @
PERMTT WILLEXPIR.E SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date
PCTM.IL .ELECTRICAL ALTER RESIDENTTAL
Addrtional desc .' I4 CIRCUITS
Permil Fee , 75,00 Plan Check Fee
rssue DaEe \0/23/18 valuation
Expiration Datse 4/2a/19
INSPECTION TYPE DATE:RESULTS:
?o&r
APPROVED
c ...
NOT APPROVED
DITOH
6.E>rrt*t-....ROUGHIN/COVER.,
.......SEHV|CE.....,D
FINAL
COFIRECTIONS NEEDED:&k;E"t-<tc)a'T AYH 1-r
'nA
LA*:
CE-t /- 1 t- doQYZ-tZ-*#-P
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETEO WITHIN 15 DAYS
_ DO NOT REMOVE -
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DATE
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PER[1ITii TNSPEcT?.8\TB"
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ADDRESS
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ELECTBICAL INSPECTION
WIRING REPORT
41?-4735
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DATE]"'W- lb77 INSPECTOB
CONTFACTOR
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APPROVED NOT APPROVED
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CORRECIIONS NEEDED:
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HOTIFY INSPECTOH WHEI{ CORRECTIONS
ARE COMPLETED wlTHI}I t5 DAYS
- DO NOT REMOVE -
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
BOUGH IN/COVEB . ... .,
. . . sER/tcE
.^..FINAL
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Da*> 6,t'l fa,> ilt tzz-- N rz*tz-_
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CWNE
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
,....DITCH
F$fry.l. al-noueH I N/covER
D SERVICE.....,
FINAL
COERECTIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE-
o,f\u."i7ErY
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PROVE
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DAiE:7 INSPECT
OWNE
CONTBACTOR
ADDBESS
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ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
3 60.4 \ 7 .47 3 5 w-r.rw.cityofpa. us I electricalpermits@cityofpa-us
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Project Address )t ?o,t /:ve
Project Description
E Single-Family Residential E Duplex / ARU Building Square footage
C r(
OWNER INFORMATION
Name:
Mailing Address
Email
Phone
ELECTRICAL CONTRACTOR I NFORMATION
Name
Mailin
Email:
g Address (53G
License
Expiration Date
Phone:
Ouantitv IqB! (Quantity x Unit Charge)
c C:l
Item
Service/Feeder 200Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 40 1S00 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO SeNice Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40'1.600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Signal CircuiuLim ed Energy - 1&2 DU
Manufaclured Home Connec{ion
Renewable Elec. Energy: sl(VA System or less
Thermoslat (Note: $5 lor eadl additional)
FiISt 1300 Square Feet
Eacfi Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
lJnit Charoe
$120.00
s146.00
$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
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
b
$
$
$
$
1{,c C,z
TOTAL
Owner as defined by RCW 19.28.261: ('1) Owner will occupy the structure for two years aner this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Pe.mit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contracto. I
am making the electrical installation or alteration in compliance with the electrical laws, N. E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City ot PortAngeles Municipal Code, and utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
q " _1/\B -)
Print Name re 1[ Owner D Electrical Contractor i Administrator)
PROJECT DETAILS
lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY
60.5€ ,-1€l\ Y ep,oA-Q I 3
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