HomeMy WebLinkAbout304 Viewcrest AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
\
t
$th
Application Nuriber .
Application pin number
Property Address
ASSESSOR PARCEL NDIVEER:
Application t!?e description
Subdivision Name .
Property Use
Property zoning
Application valuation
19- 00000918 Date 6/21-/L9
708190
304 VIEWCREST AVE
06- 30 15 -2-3 - 9175 -0000-
E],ECTRICAI ONIY
Application desc
Lights and receptsicafs
Contsractor
IIGHT HOUSE CHRISTIAN CENTER
C/O CozI HoMES CoNSTRUCTIoN
324 E. 9TH ST.
PORT ANGEI]ES WA 98362'7916
(350) 452 - 8 909
OWNER
Permi L
Additionaf desc
Permit Fee
Issue Date
ELECTRICAI ALTER COMMERCIAL
1-4 CIRCUITS
86.00 Pfan Check Eee
6/21 / 19 valuaEi on
t2/\a/a9Expiration Date
QEy UniE
00
0
Chalge Per Extse sion
85.00
Fee summary Charged Paid CrediEed Ilue
Permits Eee Tolal
Grand Total
85. 00
.00
86-00
85 .00
.00
86.00
00
00
00
00
00
o0
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION Tl?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN l/* /,q )?)@-\
FINAL {rt,./ri H
I 7'
Signa ture of owner or Electdcal Conkactor X Date:
RS? RESDNI', SINGI,E FAMILY
0
BASE FEE
COMMENTS:
tVI U LTI-FAM I LY i COTVI M E RC IAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Polt Argeles, WA 98362
360.417.4735 ] www.cityofpa.us I electricalpermits@citvoflpa.us
i,f:Ii;ff
!o
=f
--5
I
._0
s0
Project Address: 304 Viewcrest Ave., Port Angeles, Wa. 98362
ProJect Description Remodel - removal of walls - addinq recepticals - re installin g lights in drop ceiling.
! Multi-Family Re6idential E Commercial / lndustrial / Public Building Square footage
Name: Andrew Kirsch
Mailing Address 304 Viewcrest Ave., Port Anqeles , Wa. 98362
Email: andv@liqhthouseoa.orq
Phone (360)-4s2-8909
ELECTRICAL CONTRACTOR INFORMATION
Name License
Mailing Address
Email:
Expiration Date
Phone:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/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 Circuits '1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Servicei Feeder 40'1-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuivlimited Energy - Multi-Family
Signal Circuit/Limited Energy/First '1500 sf - Commercjat
(Note: $5.00 for each additional 1500 sD
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Quantity Igbl (Quantity x Unit Charge)Unit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$18s.00
$96.00
$88.00
$88.00
$96.00
86 001
$
!
$
$
$
$
$
$
$
u
$
$
$
$
$
$
$
$
$113.00
$56.00
$ 86.00 rorer_
Owner as defined by RCW 19.28.261: (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 certiry 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. Cha pter 296-
468, The City of Port Angeles Municipal Code, and Utility Specificatio and PANIC '14.05.050 regarding Electrical Permit Applications
Date Print Name Signature (ner n Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cltyofpa. us or faxed to 360.417.4711]
ELcoM
OWNER,INFORMATION
6-12-1e Andrew Kirsch