HomeMy WebLinkAbout1033 Glenwood StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDI\ITL SfNGIE EAIVIILY
0
REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
\fl
-s.s
Applicatsion Number
Appfication pin number
Propert.y Address
ASSESSOR PARCEL NI]MBER :
Applicatsion type descripEion
Subdivislon Nane
Propertsy Use
Proper.ty Zoning
Application valuation
19-00001401 DaLe 9 /1-6 /19
235511
]"033 GI,ENWOOD ST
05 - 3 0 -08 -5 - 8 - 13 s0- 0000 -
EI,ECTRICAL ONIY
Application desc
Ser-vice
Contractsor
US BAN( NATIONAL ASSOCIATION
154 80 I,AGT]NA CANYON RD
SUITE 1OO
IRVIM CA 926A2
NORTTi PENINSULA ELECTRIC
761 FRESHWATER PARK RD
PORT ANGELES WA 9A353
1360) 477 -1764
Permit
AddlEional desc
vermaE !'ee
fssue Date
Expiration DaEe
120.00
e /16/Le
3/L4/za
ELECTRTCAI ALTER RESfDENTIAI
Plan Check Fee
Valuation
00
0
QEy Unit Charge Per
1.00 120_0000 Ecit EL-0-200 sRV FEEDER
Extension
120.00
Charged Paid Credited Due
720
t20
.00
.00
- 00
. o0
.00
.00
120
120
00
00
00
00
00
00
PERMIT WILL E)OIRE SIX (6) MONTHS FROM I-A.ST INSPECTTON
INSPECTION TYPE INSPECTOR:
DITCH
SERVICE xln)n {P Yh
ROUGH-IN ,ol,b1h R %P
FINAL nlm ln &4
COMMENTS
I"T*>^'Tzves
Signature of owner or Electrical Conkactor X Date
Permit Eee Total
Plan Check Total
crand Totaf
DATE:RESIJLTS:
PoBl ELECTRICAL INSPECTION
WIRING REPORT
417-4735
APPROVED N
DITCH
,COHRECIONS NEEDED: a-otn€f7. I-rt;s lLC- Tlfr+'t-
4o oltat'-- C ffiovL Laoos)D q
a
LEI9TFiLL- Z-ov-eZ--3)-FtfE9 orJ 64-
ffir).,f-5
NONFY II{SPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
-DO NOT REMOVE-
D
tr
tr
0
tr
D
D
tr
tr
#'/*1,C*.@e'raev
INSPECTOBcr
05 ArrfrDrjat- ?.tutL:,<.
oWN&
CONTFACTOF
lO33 Cr-*jJ l.s6Dfu +\-
ADDRESS
. . ..... BOUGH IN/COVER
. , . SERVICE
.. .. FINAL
Q eop**az V,+*t"" w' .rv fl
1-2SING E-FAIUILY
PERMIT APPLICATIO
P'.rbiic \iio rks ar-,.ri I ; ir i i lits i )cparln:cn I
-i2 I l.r, 5rh $trect. Pon:^'ngelcs. il.r,- 933ii2
i6C.417.47-1-i r r,'rv.r:ii):r:i'pa.us leleciiicaipclrn;tsialrcill'oha.us
1033 W Glenwood
f,f'fi;ff
*
1l
f
*
6
5\
.\b/-i'llrg
ProjectAddress:
'l-200amp altered serviceProject Description:
X sjngle Family R
.':.
Name Mdik rousre Email
(railino Address PO Box 1372 Port Anqe les WA 98362 hon
Mailing Address 76O Fraehrruatar Pa Expiration Date
Email:northpeninsulaelectric@vahoo.com Phone:360 477-1764
Item Unit Charqe Qugotltv IqlA! (Ouantlty x Unit Charge)
servicslFeeder 200 Amp. $120.00 1 $ 120-00
Servic€/F8eder 201-400Amp. $146.00 $-
Se.vice/Feeder 401€00 Amp. $205.00 S-
Service/Feeder 601-1000 Amp. $262.00 $-
P
Service/Feeder oler 1000 Amp.
Branch Circuit W/ SeMce Feeder
Branch Circuit WO Service Feeder
Each Additional Brench Circuft
Branch Cirqrits 1-4
Temp. ServioelFeeder 200 Arfip.
Temp. Servioe/Feeder 201-400 Amp.
Temp. Service/Feeder 401 {00 Amp.
Temp. Se.vice/FeedeI 60'l-f 000 Amp
Portal to Portal Hourly
SignalCirc1lii4-imited Energy - 1&2 OU.
n anufuctured Home Conneclioo
Renewable Elec Energy: sKVA System o. less
Thermostat (Note: $5 for each additional)
first 1300 SquarE Feet
E6oh Additional 500 square feef'
. Each Outbuilding / Detached GaEge
Each Swimming Pool / Hot Tub
$373.00
$5.00
$63.00
$5.00
$75 00
$93.00
$110.00
s149.00
$168.00
$s6.00
$64.00
$120.00
$'102.00
$56.00
sl20.00
s40.00
s74.00
$110.00
$
$
$_
$-.-
$_
$-----=-s_
$_
$_
$--
$--
$---
$_-.-
$_
$_
$_
$_
9--
$_
120.OOTOTAL
Owne. as defined by RCW 1 9.28.261: (1) Owner will occupy the structure for llvo years after this electrical permit is finalized. (2) Owner is
required to hire an electncal contractor if above said p.operty is lorsale, ,efit or lease. Permit s\pires aftersix monihs of last insp€ction
After reading the above siatenEnt, I hereby ceftii/ thal I am lhe owner oithe above named property or a licensed eleckical contBctor I
am making the electrical inslaliation or alteration ifi compliance,ryith the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
488, The City of PodAngeles Municipal Code, end Utility Specifications and PAMC 14.05-050 regarding Etectncal Permit Applications.
Se tember 12 2019 Kimbe Rae Walker Kitub
Oate Print Name Signature 1ff Owner I Conlractor / Adminlstrator)
IEIeol.ical Perr.it Applications may be submitteri to City HEll or eleotricalpermits@cityofpa us or ,axed to 360 417.47111