HomeMy WebLinkAbout415 S Chambers StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -473s
RS7 RESDN?L SINGI,E E'AMILY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Appl:ication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application t),pe description
Subdivision Name
Property Use
Property zoning
Application valuation -
19 00001890 Date 1-2/O4/A9
028740
415 S CI{AMBERS ST
06 -3 0 - 00- 0- 1- 7850 - 0000-
ELECTRICA], ONI,Y
Application desc
DHP
ContracEor
will.iam & Paula Elder
415 S. Chambers Street
PORT ANGEIES WA 98362
1360) 46A 6679
OWNER
Permit
Additional desc
Permi! Pee
Issue Date
Expiratlon Date
53 .00
t2/ 04/19
6/oa/20
EIECTRTCAN AITER RXSIDENTIAI,
Pfan Check Fee
Valuation
00
0
Oty Unit Charge
1.00 53 .0000
Per
EClr E],-R- BRANCH crR wo/ sER FEED
ExEension
63.00
Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Total
53 .00
- 00
63 .00
63 .00
.00
53 .00
.00
.00
.00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTTON
INSPECTION TYPE DATE:RESLTLTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN tz-lt ln &"91p
FINAL b li; Jie a de
COMMENTS:r
Signa ture of owner or Electrical Contractor X Date:
s
t
tb
--s
sJ
.00
-00
.00
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
0tc -,'i'EO
5100
no
3
15-\so
Prolect Address 4r{,9
Project Description D, tt.a.s!.9 Lba;r fl,p iil 1r
7E Single-Family Residential E Duplex / ARU Building Square footage
Email
Mailing Address Phone
ELECTRICAL CONTRACTOR INFORMATION
lvlailing Address
Email:
License
Expiration Date
Phone:
PROJECT DETAILS
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$5.00
$7s.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
Quantitv IqE! (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
--?t
TOTAL
Owner as defined by RCW 19.28.261i (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 prope(y or a licensed electrical contractor I
am making the electrical installation or alteration in compliance the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter296-
46B, The City of PortAngeles Municipal Code, and ity Spe PAI,C 14.05.050 regarding Electrical Permit Applications
Print Name Signature (filowner E Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417 .4711]
ELl-2 sF
1 - 2 SINGLE-FAIVIILY
/ llLti 'I
.L-1
o IER INFORMATION[i!N
Name:tt (
<-5 ,1
Name:
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 Servic€ Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Conneciion
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
Date
