HomeMy WebLinkAbout923 W 16th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS7 RESDNT! SINGIE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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AppLication Nuiber
Applj.cati.on pin number
PloperEy Address
ASSESSOR PARCEI, NUMBER:
Application, t!'pe descriptiolr
Subdivi.sion Name . .
Propert.y Use
ProperEy zoni.ng
Appl j.caEion valuation
19-00000424 Date 3 /22 /!9
353952
923 W 16TH ST
05-30- 00 - 0-4 -2 9?5 - 0000-
ELECTRICA', ONI,Y
ApplicaEion desc
New Home
Contractor
REA.LII,UST IRA ALTERNATIVES LLC
P O BOX 898
PORT ANGELES WA 98352
UPPER ITEF? EI'ECTRIC I'LC
13 06 ROOK DR
PORT ANGEI]ES WA 98352
(360) 451-7720
Permit
Additsional desc
Permit Fee
Issue Date
Expj-ration Date
160 .00
3/22/L9
9/ta/L9
ELECTRICAL NEW A.ESIDENTIAI
Plan Check Fee
valuaEion
00
0
Qty Unit Charge Per
].00 120.0000 ECH EI-R-SQFT FIRST 1300
1.00 40.0000 EcH EL R-SoFT ADDITIONAL 500
Extension
120.00
40. 00
charged Paid Credited Due
PEIMIE ! EE 'IOE I
PIan Check Total
t"60
150
160
150
00
00
00
00
00
00
.00
.00
.00
00
00
00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
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COMMENTS
Signature of owner or Electrical Contractor X Date:
!
Owner
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ELEC T R ICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | wwwcityofpa.us I electricalpermits@cityofpa.us
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Project Address:7
Project Description
Name
Mailing Address
I e/-^) L+on*'-
Email
Phone
Name:
[/ailing
Email:
Address
t tec-
l(--
License
Expiration Date
Phone
(
1
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401S00 Amp.
Service/Feeder 601-'l 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. Service/Feeder 401$00 Amp.
Temp. Service/Feeder 601-1 000 Amp.
Portal to Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
Manutactured Home Connection
Renewable Elec. EneIgy: sKVA System or less
Thermostat (Note: $5 for each additional)
First '1300 Square Feet
Each Additional 500 square feet"
Each Outbuildang / Detached Garage
Each Swimming Pool / Hot Tub
Unit 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
$'r02.00
$56.00
$120.00
$40.00
$74.00
$110.00
Quantitv folb! (Quantity x Unit Charge)
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$
$
$
$
$
$
$
$
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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 certify 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 Municipal Code, and Utility S s and PAMC 14.05.050 regarding Electrical Permit Applications
Print Name gnature (EL-Owner E Electrical Contractor /Administrator)
ELECTRICAL CONTRACTOR INFORMATION
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[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 36 0.417 .4711)
1 - 2 SINGLE-FAMILY 1'(D
3
+
n Single-Family Residential n Duplex / ARU Building Square footage: _
O\^NER INFORMATION
IECT DETAILS
TOTAL
..#5&o"/,EY
%Vo"s
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
APPROVED NOT APPHOVED
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
_ OO NOT REMOVE_
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DATE
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INSPECTOF
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CONTRACTOR
ADDFESS
APPROVED
t CORBECTIONS NEEDEO:
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ELECTBICAL INSPECTION
WIRING REPORT
417-473E,
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NOTIFY INSPECTOR WHEN CORRECTIOI{S
ARE COMPLETEDwlTHIN 15 DAYS
- DO NOT REMOVE-
DATE:
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NOT APPROVED
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