HomeMy WebLinkAbout1806 W 11th StELECTRICAL PERMTT
CITY OF PORT ANGELES
3604t7-4735
o$
{
es$
Application Number
Application pin number
Properly Address
ASS5SSOR PARCEL NI'MBER:
Applica! io& E)?e description
Subdivisron Name
ProperEy Use
Propercy Zoninq
Application valuatj-on
18 - 000017 g0 DaLe 71/2A/La
691660
1805 W L:.TH ST
06 -3 0 - 00 - 0-3 - 5105- 0000-
ELESIRICAL ONIJY
RESIDENTAL SF ?OOO
RS7 RESDNTIJ SINGLE FAM]LY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicat ion desc
Or,mer CoBEractor
BETSY M FULLERTON
532 w 4th st.reet.
PORT ANGELES
SEOUIM VALLEY ELEC"RIC
1], LONE EAGLE LANE
sEouIM wA 983 82
(350) 68r.- 3 33 0
wA 98152
Permit
Additional desc
Permi! Fee
Issue Date
Expiration Date
150.00
\L/20 /!8
s/19/19
ELECTRICAL NEW RESIDENTIAL
00
0
oty Unit Charge Per1.00 120.0000 ECH1.00 40.0000 EcH
Et -R-SoFT FIRSr 1300
EL-R-SQFT ADDITIONAL 5OO
ExLension
120.00
40.00
Charged Paid Credited Due
Permi! Fee Tota]
Plan Check Total
Grand Tola1
150.00
.00
150.00
160
150
00
00
00
.00
.00
.00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE nlzt lB N \d
ROUGH.IN rtlilltL d -F*P
FINAL b'L&")fr s'*
Signature of owner or Electrical Contractor X Date:
Plan check Fee
valuation
.00
. o0
.00
INSPECTOR:
COMMENTS:
EI {-2 SFLL
ELECTRICAL PERIVIIT PPL ATION
Public Works and Utilities Departnlerit
ll I L",. 5th Strcct, Po11 n nge le s. \\'A 91i36]
i60.4 I 7.47-15 | u.wrv.citvrffa.us I clcctricalpelnrits{t}cityotDa.Lts
AEOEIUED
0V t: 2C18
a[crRut
ll'tsP€ctl0ils
@
-1tr,|/
Proiect Address 1806W11TH ST
Project Description
n Single-Family Residential E Duplex /ARU Building Square footage:1588
OWNER INFORMATION
Name Betsy Fullerton Email
l\,laillng Address Phone:
Name Sequim Valley Electric, Inc License:SEOUIVE9OlL3
Expiration Date 06t21t2020
Phone 360-68'1-3330
Iilailing Address 11 Lone Lane, Sequim, WA 98382
Email ahan
Item
Serv
Serv
401-600Amp.
Charge)
ice/Feeder 200Amp.
ice/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
Branch Circuit w/O Service Feeder
Each Additional Branch Circuit
Branch C rcuils 1-4
Temp. SerVice/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Fe
$
$
$
$
$
$
$
$
$
S1
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
Temp. Service/Fe 00 Amp
Podalto Portal Houdy
Signal Clrc!iVLimited
l\,4anufactured Home Con
Renewable Elec. Energy:
Thermostat (Notei $5 for each ad
TOTAL
Owner as deflned by RCW19.28.261i (1) Owner will occupy the structure for lwo years after this electrical permit is finalized. (2) Owner is
required to hire an electrical conlractor ai above said property is for sale, rent or lease. Permit expires after six months of Iast inspection.
Afier reading the above slalement. I hereby certify that I am the owner of the above named property or a licensed electrical contraclor. I
am making the electrical ;nstallation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28 WAC. Chapter 296-
468,TheCityofPo Angeles Municipal Code, and Utility Specifications and PAMC'14.05.050 regarding Electrical Permit Applications.
'11-18-2018 Andrea Hana .-*4
Date Print Name Signature(i Ownerp Electrical Contractor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
PROJECT DETAILS
1 - 2 SINGLE-FAMILY r0
o
3
NEW HOME CONSITUCI|ON:1241 SF LIV + 347 SF GAR = 1588 SF TOTAL
ELECTRICAL CONTRACTOR INFORMATION