HomeMy WebLinkAbout428 Orcas AveELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
RS7 RESDNTL SINGLE FAr'I]LY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Nunrber
Application pin nufiiber
Property Address
ASSESSOR PARCEL NT]MEER:
Application t].pe descripEion
Subdivision Name
Property Use
Property zoning
Application valuaLion
18-00001210 Date e/02/t8
4 8 3110
428 ORCAS AVE
06 30-10-5-0-1708 0000
EI,ECfR]CAL ONJ,Y
Application desc
Rewire house
O\,mer
RUGGED RENOVATION L],C
4502 S l,lT ANGELES RD
PORT ANGELES WA 98362
(350) 912 340 9
UPPER LEET ELECTRIC LIJC
1306 ROOK DR
PORT ANGEITES WA 98362
/.360) 46t 7t2A
Permits
Additionaf desc
Permit Eee
Issue Date
Expiration Date
EIECTRICAL ALTER RESIDENTIAL
14 CIRCUITS
135.00 Plan Check Fee
8/02/)B ValuaEron
t/29/79
00
0
qty Unit Charge
12.00 5.0000 ECH
BASE FEE
EL ECII ADDNT BR.ANCH CTRCUIT
Extension
75. 00
60. 00
Eee summary Charged Fa id Credited Due
Permit Fee Totaf
Plan Check ToEal
Grand ToEal
135
135
135
135
00
00
00
00
00
00
00
00
00
PERMT| WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE RESULTS:INSPECTOR:
DITCH
SERVICE tt)(€lt+4<sb'
ROUGH-IN t lulis ffi \Bp
FINAL
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Signature ofowner or Electrical Contractor X Date:
.00
.00
.00
COMMENTS:
isxi ELECTRICAL INSPECTION
WIRING REPORT
417-4736
NOT APPROVED
DITGH
ROUGH IN/COVER D
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APPROVED
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-DO NOT REMOVE-
to
DATE:
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417-4735
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CORRECTIONS NEEDED:
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ARE COMPLETEO wlTHIN 15 OAYS
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ELECTRICAL INSPECTION
WIRING REPORT
4174735
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COBBEC'NONS NEEDED:
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WIRING REPORT
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us electricalpermits@cityofpa.us
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Project Description 0 e -rt),t e- \a,rr-I \P
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
Name
Mailing Address
Name
Mailing Addres
Email
.{{L2-c4 rC-
rlctC Look-
Email
Phone
License
firr,e--Expirataon Date
Phone:\<r{
Itom
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder ove|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. Service/Feede. 401€00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additaonal)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detachad Garage
Each Swimming Pool / Hot Tub
U[itlleIce
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
95.00
$75.00
s93.00
$1'10.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
!)b uu
$120.00
$40.00
$74.00
$110.00
Ouantitv fgllel(Quantity x Unit Charge)
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$
$
$
$
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$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 19.28.261. (1) Owner will occupy the structure for two years after this electncal 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.
Afier reading the above statement, I hereby certity 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. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Speciflcations and PAMC 14.05.050 regarding Electncal Permit Applications.
Cu,o<lare
Print Name Siqnature (f l Owner f,l Electrical Contractor / Administrator)<
PROJECT DETAILS
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[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed lo 360.417 .4711)
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