HomeMy WebLinkAbout431 E 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
Appfication Number
Application pin numlcer
ProperEy Address
ASSESSOR PARCEL NUMBER:
ApplicaEion ts)?e description
Sultrdivision Name
Property Use
Property Zoning
Application valuatsion
19-00001539 Dare 10/30/19
907319
431 E 511r ST
0 5 - 3 0 - 00 - 0 - 1- 7175 - 0000 -
ETECTRICAL ONLY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
Application desc
Heat pump
RANDALL & DEANA VOI]I(ER
431 E 5TH ST
PORT ANGELES I'A 983 62
1619) 884 -45 99
OWNER
PermiE
Additional
Permit Fee
Issue Date
desc
ELECTRICAI ALTER RESIDENTIAII
1-4 CIRCUITS
75.00 Plan Check Fee
Io/30/t9 valuaciofl
4 /27 /zoExpiraEion Date
Qty Unit charge
00
0
BASE EEE
Extension
75 .00
Charged Paid Credited Due
PermiE Fee Total
Plan Check Total
Grand Total
75.OO
.00
75 .00
75. O0
. o0
75. 00
.00
.00
.00
00
00
00
pERMrr wtLL EX?IRE StX (6) MONTHS FROM [-A.ST INSPECTTON
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN n lulr*+p AE}7
FINAL to:,)zlx9 4V \E
Signa ture ofowner or Electrical Contractor X Date
COMMENTS:
1 - 2 SINGLE-FAMILY REC
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
32 I E,. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
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Project Address:
Project Description ZoA qRhvCH 4 DlScc:ttttd* fdQ .6w 14r'A'f PU^P
F- Single-Family Residential E Duplex / ARU Building Square footage
Email
Mailing Address Phone
err t14
Name <-a ,^ a -.6 License
Mailing Address
Email:
) rl,vte rT> tTbuv,-Expiration Date
Phone:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401$00 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 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 40'1600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuivlimited Energy - 1&2 DLJ.
Manufactured Home Conneclion
Renewable Elec. Energy: sKVA 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
)o A Vaa
LJnit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$7s.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$'120.00
$'r 02.00
$56.00
$120.00
$40.00
$74.00
$110.00
Ouantitv lqla! (quantity x Unit Charge)
'7I
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Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years afrer 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 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 Municipal Code, and Utility Specifi 05.050 regarding Electrical PermitApplications
Date Print Name Signature (El Owner ! Electrical Contractor / Administratoo
IElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa. us or faxed to 360.417 .47111
OWNER INFORMATION
Name:
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS