HomeMy WebLinkAbout413 Orcas AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
COMMERClA]- OFFICE
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
=\$
AppficaEion Number
Applicatsion pin number
Propertsy Address
ASSESSOR PARCEL NUMBER:
Application t)?e descriptior!
subdivision Name
Property Use
Property zoning
Application valuation
19- 00001918 Date L2 / 05 /1-9
520426
413 oRCAS A\rE
06- 3 0 -10 - s - o -2120 - 0000-
EI]ECTRICAL ONLY
ApplicaEion desc
Heat pump
BRAEDI BROi1'N
413 ORCAS ST
PORT ANGEI,ES
BI,ACK DIA]VION'D ELECIRTCAL CONfR
502 BI.ACK DIA}IOND RD
PORT ANGELES WA 983 53
(350) s5s-103s
wA 983525510
Permit
Addilional desc
Permit Fee
Issue Date -
Expiration Date
Qty Unit Charge
1.00 53 .0000
53 .00
a2/ a5/19
6/a2/2a
ELECTRICAL ALTER RESIDENTIA],
Plan Check Eee
Valuation
00
0
Per
ECI{EL-R- BRANCH crR wo/ sER FEED
Extension
63.00
Fee surnmary charged Paid Credited
PERMII WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECfION
Due
PermiE Eee Totsa1
Plan Check Total
Grand Total
53 .00
. o0
63.00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN ,zlo h7 ffi =#
FINAL n-)rc (t5 &ffi
u
Signature ofowner or Electrical Contractor X Date
63.O0
.00
53 .00
.00
.00
.00
COMMENTS:
Er l-2 sFLL
ICAL PERMITAPPLICATI
Public Works and Utilities Department
321 E. sth Street, Port Angeles, WA 98362
360.417.4735 www-cityofpa.us I electricalpermits@cityofpa.us
oQ-a,s
/1( lwow
46;.-oer"f,b
1'(Dl
=It
\[5t
F-:_-s
CD
Project Address 4n
Project Description
! Single-Family Residential n Duplex / ARU Building Square footage
O\^/NER INFORMATION
Name
[/ailing Address
Email
enone: )bal(tl '?frd-
ELECTRICAL CONTRACTOR I NFORMATION
Name:
lvlailang Address
Email:
License
Exoiration Date
Ptrone. 5 6'o :%r4r82
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -'1 000 Amp.
Service/Feeder over'1000 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 40'1-600 Amp.
Temp. Service/Feeder 60'1- 1000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - 1&2 OU.
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
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.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
Ouantitv lglEl(Quantity x Unit Charge)
$
$
$
$
!
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
sTOTAL
#....--b5
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 eleclrical 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 contraclor I
am making the electrical installation or alteration in complia the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
468, The City of Port Munr Code. and and PAMC'14.05.050 regarding Electrical Permit Applications
lL-L-t1
Date Print Name
[Electrical Permit Applications may be submi
gnature (Owner ! Electrical Contractor / Administrator)
to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY