HomeMy WebLinkAbout1810 W 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
1-2 /20 / 18
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
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Application Nuiber
Application pin nunr.ber
P.operty Address
ASSESSOR PARCEL NI]MBER :
Application type description
subdivision'Name
Propertsy use
Property zoning
Application valualion
18 - 00001908 Date
157800
1810 W 11TH ST
06- 3 0-00-o-3- 6110-0000-
ELECTRICAI, ONI,Y
FIS IDEI{IA], SF TOOO
RS? RESDNTL SINGLE FA]VIILY
0
Application desc
Ne,r home
FRANCISCO GLORIA
401 E 5TIT S? APT 118
PORT ANGELES
SEQUIM VA],LEY ELECTRIC
11 IONE EAGLB LANX
SEQUIM WA 983 82
(360) 581- 3 33 o
wA 983 52
Addi t ional
Issue Datse
desc
120 .00
12/20/t8
6 /18/L9
ELECTRICAL NEW RESIDENTIAI
Plan Check Eee
Va1uats ion
00
0
Expiration Date
QEy Unit Charge Per
1 .00 120 .0000 ECII EL,R-SoFT EIRST L300
Extension
120.00
Charged Pa id Crediled Due
PermiE Eee ToLal
Plan Check Total
Grand TotaI
120.00
.00
120.00
L20
L2A
.00
-00
.00
.00
.00
.00
00
00
00
PERMTT WILL E)(P[RE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION Tl?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE zlz{)9 4R .@tr
ROUGH.IN zl tEln w
FINAL e)2zlo :k'w
COMMENTS:
?
Signature of owner or Electrical Contactor X Date
i
Owoer
12/11 /2018 6..214M FAX 3606e34420 SEQUII{ VA LLE Y ELECTBIC @0001,/0001
CAL PERIVII T APP ICATION
REGEIUED
t
@
3
FELECTRI
Public Works and Utilities Deparrment
321 E. srh Srreet, Port Angeles, WA 98i62
360.41 7.4735 | www.cityofpa.us I etectricslpermits@cityofpa.us
UcL
ErtCIRICAt
rffsftrnoilsProjectAddress:1810 W 11TH ST
ProJeci Descripti qn. New Home Construction:88o SF
E Srngle-Family Residential E Duplex / ARU Building square footag8:880
OWNER INFORIUATION
Mailing AddresB;
Email. ahanova3
NamBl Francbco Glo0a Email;
Mailing Addressi - .. r:, : : pho;e
Name:im Eleclric, lnc-lisensg.SEQurvE90lu|
11 Lo wA 983E2 Expi raton Date: OA212O20
Ph66g1 360€81.3330
Item x Ch.rg€)
Servace/F€eder 200,,funp, l
Service/Feeder 201-4bO Amp.
Service/Feeder 40 1400 Amp.
Servic€r'Feeder 601-1 000 Amp.
Servic€/Feeder over lOOO Amp,
Branci Circuil w/ Sefvice Feeder
Branch Circuit w/O SeMce Feeder
Each Addltlonal BEnch Circuit
Branch Circuits i-4
Temp- Servica/Fs€ider ZOg nmp-
Temp. Service/FeederZOf -aOO.;lmp,,
,,;
120.00
Temp, Servica/F
Temp. Service/Fe
Portalto Portal Hourly
Signal CircuiULimited En
Manufactured Home Conn
Renewable El€c. Energyt 5
Thermostet Note: S5 fo. eadl
TOTAL
Date Print Name SignaturE (E Owner p Etectrical Contrador /Administrator)
$146:00:
s20s.00
's262.00
$373.00
s5.00
$63.0o
.. -95.00.
$
s
D
$
$
$
$
$
ov/ner 8s defined by RCW 1s.28-261: (1) orvner will ocqipy tha stucture for two yearE after this €l€ctrical peftiit is flnElized, (2) o^,ner isrequlrEd to hi.e an 6leclric^Bl cDntractor ifabove sald property is for sale, rent or liase. permit sxpires aftei.six months of lasiinspecUon.
Afrer readln! the Ebove statemeht, I herqby certify that I am the owner of lhe above named prope.ty or a lic€nBed eleclricsl contractor. Iammakingth€€lec{licalinstallationoralterationincompliancewiththeelectricellaws,Le.i,,icwcnag"r.tl-ia,rnac.ctrpt,zss-
46ts, The CIty ot Po(Angeles Municipal CodE, and Utlllty Specificaiions and PAMC 14-05.0S0 regarding Electrical permitApplications.
12-17-2018 Andrea Hana -*,"+E5
LElectrical Permil Applications may b€ submitted to City Hall or BIBctric€lpermits@cityofpa.us orfaxed to 360.4,17.17111
1 - 2 SINGLE.FAMILY-
PROJECT DETAILS
ET,ECTRICAL CONTRACTOR INFORMATION