HomeMy WebLinkAbout1721 W 11th St.J
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Application Numb,er
Application pin number
Property Address
ASSESSOR PARCEL NUI{BER I
Applicatio lype description
Subdivision Name .
Property Use
Property zoning
Application valuation
19 - O0OOO74 9 Date 5/22/19
506897
1721 W 11T11 ST
05-3 0 - 00 - 0- 3 - 1175 - 0000 -
ELECTRICAI ON],Y
ELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
RS? RESD}ITT, SING],E FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
ApplicatsioIr desc
Remodel ,H
(A?IE L JAMIESON
10 RALEIGH RD
PORT ANGELES
154t) 244-8214
SEOUIM VAI,I,EY ELECTRIC
11 LONE EAGTE I,ANE
SEQUIM WA 98382
(360) 581-3330
wA 983 63
Permit
Additional desc
Issue Date
Expiration Date
ELECTRICAT ALTER RES IDENTIA],
1-4 CIRCUITS
85. o0 PIan Check Fee
s/22/t9 valuaEion.t-L/18/!9
00
0
Qty Unit charge Per
2.00 5 .0000 ECH
L{Lension
75 .00
10 .00
BASE FEE
EL ECH ADDNT BRANCH CIRCUIT
Fee summary charged Paid Credited Due
PermlE !'ee l'ota l
Plan Check Total
Grand ToEal
85 .00
.00
85.00
85 .00
.00
85 .00
00
00
00
00
00
o0
PERMIT WILL EXPIRE Stx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN rln-l R--E
FINAL z lzr-' hz N %p
COMMENTS
Dat€
DATE:
Signature of owner or Electrical Contractor X_
RECE\VED
1 - 2
'INGLE-FAMILY
"1A\ ?', lri$
ELECTRICAL PERM IT APPLICATION
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Project Address 1721 W 11th St.
Proiect Description
n Single-Family Residential D Duplex /ARU Buitding Square footage
Name. Katie Jamieson Email:
Mailing Address:Phone:541-244-8247
Name Sequim Valley Electric. lnc.License SEOUlVE90lL3
Expiration pg1g. 06i/2'12020
Phone:350-581-3330
Mailing Address:11 Lon€ Eagle Lane,Sequim, WA 98382
Email ahanova33@msn.com
hem
ServicdFeeder 200 Arnp.
SeMce/Feeder 201 -4@ Amp.
Service/Feeder 401-600 Amp.
Servicer'Feeder 601-1 0O0 Amp.
Service/Feeder over 1m0 Amp.
Branch Circuit w/ Service Feeder
Branch Circuit W/O SeMce Fe€der
Each Additional Branch Cirotit
Branch Circuits 1-4
Temp. ServiceJFeeder 2@ Amp.
Temp. Servicer'Feeder 201-400 Amp.
Temp. Service/teeder 401{00 Arnp.
Temp. Service/Feeder 601-'1000 Amp.
Portal to Porlal Hourly
Signal CirqriuLimited Energy - 1&2 DU.
Manufact Jred Home Connection
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
Firsl 13@ Square Fset
Each Additional 5OO squsre feet"
Eadr oljb:ilding / Datached Garage
Each gwimming Pool / Hc[ Tub
Udtcfiilca
s120.m
$146.@
$20s.m
t262.00
$373.@
$5.@
s63.00
$s.@
s75.00
$93.00
E110.@
s149.m
s168.00
s96.00
$et.00
s120.00
$102.@
s58.00
0120.00
$40.00
$74.00
$fi0.@
Ouan0tv LQlal (Ousntlty x Unlt Charge)
000
00.,E2
1
$
$
s
$
$
$
s
$
$
)
$
$
$
$
$
s
s
$
s
a
1
TOTAL 85.00
Owner as defined by RCW 19.28.261: (1) Owner will occ{py the strudure for two years aner this electrical permit i6 finalized. {2) Owner is
required lo hire an eleclical contractor if above said property is for sale, renl or lease. Permit expires afts six months of lastjnspection.
Afler reading the above statement, I hereby certify that I am the owner of the above named property or a licensed eleclrical contraclor I
am making the elecFical installation or alte,ation in compliance with the electrical laws, N.E.C., RCW. Chepter .19.2g, WAC. Chapter 29&
468, The City of Port Angeles Municipal Code, and Utility Specllications and PAMC 14.05.050 regarding Et€ctrical permit Applications.
05-20-2019 ANDREA HANA **_k
Date Print Name Signatur. (E Owner p Electrical Contra6lor /Administrato0
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa us or faxed to 360.417.47111
Remodel
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
l
I
APPROVED
ROUGHITVCOVER....
SEFTVICE
.....FINAL
,CORRECTIONS NEEDEO:E s! ure -:- gAD
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
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ARE COMPLETED WTHIN 15 OAYS
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