HomeMy WebLinkAbout428 Orcas Ave (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -473s
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
..\
s-N
-tr
Application Number
Applicatsion pin numlcer
Property Address
ASSESSOR PARCEI, NUMBER :
Application ts)'pe description
subdivision Name
Property Use
Property zoning
AppficaEion valuatiolr
19- 00001624 Date tO /1-'7 /1-9
880816
428 ORCAS A]IE
06 - 3 0 - 10 - 5 - 0 - 1708- 0000 -
ELECTRICAL ONLY
Permit
Additional desc
Permit F'ee
Issue Date .
Expiration Datse
gty u its Charge
1.00 95.0000
95.00
to / 1'7 /t9
4 /14 /20
ELECTRTCAI ALTER RESIDENTIAL
Plan Check Fee
Valuat.i on
00
0
Per
EC!{EIJ-TRTP FEE- INSPECT EX. INSTAL
Extsension
95.00
Charged Paid Credited Due
PermrE !ee 10ta1
Plan Check Totsa1
Grand Total
96.00
.00
96.00
.00
.00
.00
00
o0
00
INSPECTION T}?E DATE:RESULTS:INSPECTOR:
DITCH
SF,RVICE
ROUGH.IN
FINAI,ro)nl9 Sr'--d
COMMENTS:
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
Signa ture of owner or Electdcal Contractor X Date
RS? RESDNTL STNGI,E FAMIT,Y
0
Application desc
Owner tsrim out from rough permit 18 1210
RUGGED RENOVATION LLC OWNER
4502 S MT ANGEI,ES RN
PORT ANGELES tJA 98362
:t: ti::
96. 00
.00
96.00
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
3 6A.4 I 7 .47 3 5 wwrv.cityofpa. us electricalpermits@cityofpa.us
ni ..
orr,i'iii
1lo
3
$
\\
VN
I
Project Address 2126 frus Auon
POect Description F,nis6 61,._jr., - L th,.., aJ
d Single-Family Residential E Duplex / ARU Building Square footage
Name:
Mailing Address t-
Name:h
Email
phone: 36d -,t/Z-34oti
License:
Expiration DateMailing Address 5
Email -\crlar'-d !)^rm" t>t ;,r,,-- - r a Phone 3do'qr2 - .3 40q
ELECTRICAL CONTRACTOR I NFORMATION
Item
Service/Feeder 200 Amp.
Service/Feeder 20'l -400 Amp.
Service/Feeder 401$00 Amp.
Service/Feeder 60'l -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'l-400 Amp.
Temp. Service/Feeder 40'l$00 Amp.
Temp. Service/Feeder 601-1 000 Amp.
Portal to Portal Hourly
Signal Circuiylimited Energy - 1&2 DU.
Manufactured Home Connec{ion
Renewable Elec. Energy: 5l(/A System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Ouantitv IqEl(Quantity x Unit Charge)
nP:9'
LJnit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
--Zi;-aO-t l?'I
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as detined 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. Pemit 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. Chapter 296-
46B, The City of PortAngeles MunicipalCode, and Utility Specifications and PAMC '14.05.050 regarding Electrical Permit Applications.
i0 Lot\
Date
r(
Print Name Signature (Owner I Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY
OWNER INFORMATTON
PROJECT DETAILS