HomeMy WebLinkAbout1725 W 16th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTL STNGI,E FAMIIY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Pod Angeles
(Location Code 0502)
6
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NoApplicatsion Number
Application pin number
Property Address
ASSESSOR PARCEL NI]}4BER:
Applicatlon t)'pe description
Subdivision Name
ProperEy Use
Property zoning
Application valuation
18 - 00001320 Date t/24/19
100880
1725 W 16TI{ ST
06-30- 00 - 0 - 4- 376s - 0000 -
EI.ECTRICA], ONLY
Application desc
Ductsless heat pump
O\rner Contractor
HODGSON PAUL S
1725 W 16TH ST
PORT ANGEIES
BI]ACK DTAMOND ELECTRICAL CONTR
502 BI.ACK DIAMOND RD
PORT ANGELES WA 98353
(360) s5s - 1o3s
wA 983635871
Pel'1lrit
Additional desc
Permit Fee
Issue Date
Expiration Dat.e
ETECIEICAI ALTER RESIDENTIAI
63 .00
B / 2'7 /Ls
2/23/a9
Plan Check Fee
Valuation
00
0
Qry
1.00
u it Charge Per
53-ooo0 ECH EI-R- BRANCH CIR wo/ SER FEED
Extension
53.00
charged Pald Credited Due
Permit Eee ToEal
Plan Check Total
Grand Total
63.00
.00
53.00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SER\'ICE
ROUGH.IN
FINAL
COMMENTS:LV.,
PERMIT WILL EXPIRE SlX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date:
63 .00
.00
63 .00
.00
.00
.00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLI CATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 I www.cityofpa.us electricalpermits@cityofpa.us
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RECEIVED
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\)Project Address
Project Description
Name Dt-So Email
Mailing Address Phone 3ao-.('7'?-53s-1
ELECTRICAL CONTRACTOR INFORMATION
Name
Mailing Address
Email:
License
Expiration Date:
pnone:bGo *qe t- 31sa
PROJECT DETAILS
Item
Servic€/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 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 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Hourly
Signal CircuiULimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First '1 300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Ouantitv IqEl (Quantity x Unit Charge)
and PAMC 14.05.050 regarding Electrical Permit Applications
LJnit Gharoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$1'10.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$'r20.00
$40.00
$74,00
$110.00
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$
$
$
$
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Owner as defined by RCW 19.28.26'l: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an elec{rical 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 certity that I am the owner of the above named property or a licensed electrical contractor. 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 of Port Muni al Code, and Utility S
-xz -l tla
Date Print Name ature (Owner ! Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or epe ofpa.us or faxed to 360.4'17 .47111
!Single-FamilyReSidentialEouplex/ARUBuildingSquarefootage:-
O\A/NER INFORMATION
TOTAL