HomeMy WebLinkAbout839 W 5th StELECTRICAL PERMIT
CTTY OF PORT ANGELES
360-417 -4735
19 00000475 Date 7 /03/19
411625
839 W sTH ST
o6 - 3 0 - 00 - 0 - 1- 02t5- 0000 -
ELECTRICAL ONI,Y
RS7 RESDNTIJ SINGLE FA]'4ILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-S)
I
J.l
Application Number
Application pin number
ProperEy Address
ASSESSOR PARCEL NUMBER:
Application Eype description
su.bdivision Name
Property Use
Property zoning
Applicatsion valuation -
ApplicaEion desc
5un room ,/ 1<_?l U o &-t(E=- -- -?q t L> t rJL- - Ao z{tgr-Ttc N 9 +
A+4+tEr7 1a k*?a-t'r>Le*L- *€-fv-v- Fc*L*t-
ERANCIS THIEMANN/K. P
839 W 5TH ST
PORT ANGEIJES
1360) 4s2-94s5
SANDERS
wA 94352
ANGEI,ES ELECTRfC
524 E. 1ST ST.
PORT ANGEIES
.360) 452-9264
Permlt
AddiEional desc
Permit Fee
Issue Datse
Expiration Date
ELECTRICAL AITEP RES IDE!{TIAL
1-4 CIRCT'ITS
75. O0 Plan Check I'ee
4/ot/t9 valuation
tt/t3/1-e
00
0
Qty Unit Charge Per
BASE FEE
Extension
75.00
Fee summary Charged Credited Due
Plan check Total
Grand Total
75.00
.00
75.00
?5 .00
.00
75 .00
00
00
o0
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION Tl?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN tlgltq xt
FINAL tlx')p ffi c b
COMMENTS
t
Signa ture ofowner or Electrical Contractor X Date
wA 983 52 LJ/_-
I -&-)
Application Number
Applicatlon pin number
Piope!Ey Addless
ASSESSOR PAX.CEL NUMBER:
Applicat ioo . Eype descriptsion
Su.bdi.vision Name .
Properly Use
Propert.y Zoning
ApplicaEion val.uation -
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE FAI'IILY
0
19 - 00000475 Date 4/oL/19
41L62S
839 W 5TH ST
06- 30 - 00 -0 - 1- 02 3 5 - 0000 -
ELECTRICAL ON],Y
REPORT STATE SAIES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
\
It..l
Application desc
Owner
FRANCIS THIEMANN/K. P
ConEraqtor
839 Vt STti ST
PORT ANGELES
1360) 4s2-9456
SANDERS
I{A 983 62
ANCELES ELECTRIC
524 E- 1ST ST.
PORT ANGELES
116A\ 4s2-9264
wa 98362
Permi t'
Addilional desc
Permit Fee
Issue Date .
ELECTRICAI AL'TER RESIDENUAIT
1-4 CIRCUITS
75-00 Plan Check Fee
4/Oa/ 19 valuat ion
9/2a/19Expiration Date
oty Uni! Chalge
00
0
BASE FEE
Extsension
75 .00
Fee summary Charged Paid Credited Due
Permi,t Fee ?ota1
Plao Check Total
Grand Total
75_00
.00
75. 00
75 .00
.00
75 .00
.00
.00
.00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS;INSPECTOR:
DITCH
SERVICE
ROUGH-IN q lsln I flF
FINAL qliln &VP
COMMENTS:
Signature ofowner or Electrical Contractor X Date:
I
03/29,/2019 08:25 FAX 360 452 9265
Mailing Address:
Name:
Mailing Address:
Email:
1 - 2 SINGLF:FAMILY
ELECTRT CAL PERM lT APPLTQATTON
Rrblic Works and Utilities Dspartment
321 E. sth Sheet, PotArgeles, WA 98362
16A.11'1.4735 | wwwcityofpa.us I electricalpermits@cityofuaus
Anaeles Electrlc @ 0001/o o o 1
f^;,fl!;f
t
T,**
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lil
Proj6ct Address:
Description:
Single-Family Residential El Duplex /ARU Building Squaro footage:
Email:
Phone:
tieanae: ANG+I F Labn Q,S
Expiration D ate: --&:2J-2.-U.en "",3uo- 4bHZt*
OWNER INFORIVIATION
ELECTRICAL CONTRACTOR lNFORT\,,IATION
a
I
Item
Service/Feeder 200 Amp.
Service/Feeder 20'l -400 Amp,
Service/Feedsr 40'l 600 Amp.
ServicelFeeder 60 1-1 000 Amg.
Servic€y'Feeder ovar 1000 Amp.
Branch Circuit W S€rvice Feeder
Branch Circuit WO SerYice F€eder
Each Additlonal Eranch Circuit
Branch Circuits 1-4
Temp. Ssryice/Fe6der 200 Amp.
Temp. Service/Feed er 201-400 AmP.
Unlt qhrro.
$120.00
$r46.00
$205-00
0262,00
$373:00
s5,oo
$63.00
$t.00
$25:oo
$s;i99...
$1i 0,00
r'Unlt Charge)
Plrmlt App cadsh6"
Ou!ntllv
$
0
Temp.
Temp.
Port8l
Sonal
to Ponal Hourly
CircuiuLimited
Manufacturod Hom6 con
RsnotYabls Elec, Enorgy;
TOTAL
46B,Clty of Port Ang€les Mun I Code,and Utllity Sp€ciliaatlons and PAMC
Owner as defined by RCW.19.2S.261 : (1) Ownsr wil occupy tho Etructura foa tlyo y€al! aftsr thh etectloal p.rmit l! finallzsd. (2) o1rnsr ls
rsquir€d io hire an Aec-trir:at mntraqor if abovo sald property i! fur sale, lgnt of lea3c, Psmit oxplrs3 rtur.ix,nonths of lad lnagoction.
Alter rBading the above statement, I he€by c€diry lhat I am th. owner of lhe aboyo narrod p(Dpeny or a llcaosod abctflcal 6fits8dor. I
am making Gc elechicat instBllation or alteralion in compliance wllh tho clectlcal l8ui, N.E.C., Rcllr. Chapf€r t t.26, WAC' Ch.ptsr 29+
4.05.05{'
Oate , . Print Name Signeture (E OYm6r I Admini8fator)
PROJECT DETA'LS
Name:
ss '754''':
. $ --;==;'i ' -''-'''
tnlt
lElectical permit Applicalons may be submitted to City Hall or eleoflcalpermits@dtyo&a. us or faxsd b 360 .417 .47 111
ELECTRICAL INSPECTION
WIRING REPOBT
4174735
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APPROVED
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NOTIFY INSPECTOH WHEl'l CORRECTTONS
ARE COMPLETED WTHIN 15 DAYS
- DO NOT REMOVE -
DATE:PERM[ ]T
Ar\Lt2t b 9 tfr.LE-€-
CONTRACTOR
€37 *ADDFESS
/-,:*
NOT APPROVED
.......HOUGHIN/COVER
. . . SERVICE
.... FINAL
I tNSPECToRle6r>
OWNER '/