HomeMy WebLinkAbout3210 McDougal St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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ApplicaEion Nurnlcer
Application pln number
ProperEy Address
ASSESSOR PARCEL NUMBER :
Applicatsio4 ty'pe description
Subdivision Name
Propert.y Use
Proper:tsy zoning
ApplicaEion waluatsion
18 - 00001681 Date 10/30/18
159950
3210 MCDOUGAIJ ST
06-30-15-6-5-0400-0000-
EIECTRICAIJ ONIJY
UI.II{NOWN
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
0
Application desc
Ductless heaE pump
Owner contractsor
MARI,A ,] GARR
3210 MCDoUGA! ST
PORT ANGELES
BI,ACK DIAMOND EI,ECTRICAI CONTR
502 BLACI( DIA]IIOND X.D
PORT ANGELES IiA 98363
(350) s6s - 103 s
Permits
Additsional desc
Permit Fee
fssue Date
Ex?iration DaEe
63.00
70 /3o / lB
4 /2e/!9
ELECISICAL A],TER RESIDENTIAI
Plan Check Fee
valuaEion
00
0
Qtsy UniE Charge Per
1.OO 63,0000 ECH EL-R- BRANC1I ClR WO/ SER FEED
Extension
63 .00
Fee summary Charged Paid Credited Due
Permlt !ee
"Lotsa1Plan Check Tot.a1
Grand Total
53.00
_ 00
53 ,00
53 .00
.00
63 .00
.00
.00
.00
00
00
00
INSPECTION T\?E DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
EL
PERMTT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrioal Contractor X Date
wA 983525738
COMMENTS:
T
ELl-2 sF frEOE,tlED
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.47 35 I www.cityofpa.us I electricalpermits@cityofpa.us
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Project Address
Project Description D,,:r:?v-&t
! Single-Family Residential ! Duplex / ARU Building Square footage
OWNER INFORMATION
Name
lvlailing Address
Email
Phone: s3?- c"t - 973?
ELECTRICAL CONTRACTOR INFORMATION
License:
Expiration Date: _
pnon" b-n6l'3qdzNilailing Address
Email:
PROJECT DETAILS
Item
Service/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
8.anch Circuit WO Servic€ Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Houriy
Srgnal C,rcuitllimited Energy - 1&2 Du.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
ldt-C!ilse
$120.00
$146.00
$205.00
$262.00
9373.00
$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 fghl(Quantity x Unit Charge)
TOTAL
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-----,/'-63-
Owner as defined by RCW 19.28.261r ('1) Owner will occupy the structure for two 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. Permit 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 contractot I
am making the electrical installation or alteration in compliance electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
468 The City of Port les M icipal Code,tility cat,ons and PAMC 14.05.050 regarding Electncal Permit Applications
a
Date Print Name Signature Owner ! Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .4711)
1 - 2 SINGLE-FAMILY
Name: