HomeMy WebLinkAbout830 W 13th StApplication Num-ber
Application pin nunrber
Property Address
ASSESSOR PARCEL NUMBER:
Applicatlon t],?e descripEion
subdivislon Name
Pr:operty Use
Property zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
RS7 RESDNTI] SINGI,E FA]IIII,Y
0
18 00001186 Dale '7/30/!8
53252A
830 W }3TH ST
06 30 00 0 3 9.435 0000
ELECTRICAL ONI,Y
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
aq
I
@o'-
Cont.ractor
CORRELL CARYL A
830 W 13TH ST
PORT ANGEI,ES
BI,ACK DIA}1OND ELEC?R]CAL CONTR
502 BLACK DIA}]OND RD
PORT ANGELES WA 98363
(360) s6s 103s
wA 98353 7217
Permit
Additional desc
PermiE Fee
Issue Date
Expiration DaEe
53.00
i /3a/18
1/26/a9
E],ECTRICAL AI,TER RESIDENTIAI.
Plan check Fee
ValuaEion
00
Qly Unil Charge Per
].OO 53.OOOO ECH EL R- BRANCH CIR wo/ SER FEED
Extension
63.00
Charged Paid Credited Due
Permit Fee Total
Plan Check ToLal
Grand Tolal
53.00
.00
63.00
63.00
.00
63 .00
00
00
00
00
00
00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS fz"N
PERMTT WILL EXPIRE SIx (6) MONTHS FROM LAST NSPECTION
Signa ture ofowler or Eleetrical Contractor X Date:
Applicalion desc
Ductsle ss heats pump
0
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLIC
Public Works and Utilities Departmenf
1lo
3
77 Ted
Project Address
321 E.5th Street, Port Angeles, \tA 98362 <!- 't
.
360.417 .4735 I www.cityofpa.us electricalperm its@ffiys
690 U r3'ru- u4"'
Project Description b.rc:l-tL"f J
Name
Single-Family Residential E Duplex / ARU Building Square footage
C- o r\R- e- LL Email:
Mailing Address 8.?o tr 13 ru Phone {6o - 3Ef(
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name
Mailing Address
Email:
License
Expiration
Phone:lrz
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 20'l -400 Amp.
Service/Feeder 40'l 600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over'1 000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Themostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5 00
$63.00
$s.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
Ouantitv Iqtr! (Quantity x Unit Charge)
=
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.261: (1 ) Owner will occupy the structure for hrvo 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. Permjt 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 contractor I
am making the eleckical installation or alteration in compl electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
s and PAMC '14.05.050 regarding Electrical Permit Applications.468, The City of Port cipal Code, and Utility
-ttr
Date Print Name
[Electrical Permit Applications may be subm
gnature Owner ! Electrical Contractor / Administrator)
Hall or epermits@cityofpa.us or faxed to 360.417.47111