HomeMy WebLinkAbout2201 W 18th St D15ELECTRICAL PERMIT
CTTY OF PORT ANGELES
360-417-4735
RES]DENTIAL MEDIUM DENSTY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
5
^tN
Applj.catj.on Nu[ber
Application pin numlcer
Property Address
ASSESSOR PARCEI. NUI.IBER:
Appl icaEion type description
Subdivision Name .
Property Use
Property Zooiltg
AppLication valuation
19-00001721 DaEe n/O1 /!9
710399
2201 W 18AE ST D15
o6-3 0- 99 - 1- 1- 0310 - 0000 -
EI,ECIRICAL ONIY
Application desc
Rewire afEer fire
SERENITY HOUSE OP CLALI,A!4
PO BOX 404?
PORT ANGELES WA 983 62
il50 ) 452-1439
DOT'BLE D EI,ECTRICAI,
PO BOX 957
PORT IIADLOCK
(350) 385-1L30
wA 98339
Permi E
Additional desc
Permit Fee
Issue Date .
Expiration DaEe
218 .00
ta/05 /t9
5/04/20
ELECTRICAI ALTER RESIDENAIAI,
.00
0
Qlv
7.00
L.00
1. 00
EL BRANCH CIRCUIT W/FEEDER
i1.-O-2OO SRV FEEDER
EL-R- BRANCI{ CIR WO/ SER FEED
Extension
35.00
120 . O0
63.00
Unit Charge Per
5 .0000 ECH
120 .0000 Ecl{
6t .0000 EcH
Charged Paid Credited Due
Plan check Total
Grand Total
218 _ 00
_ 00
218.00
278
2LA
00
00
00
.00
.00
.00
.00
.00
.00
PERMTT WILL EXPIRE Slx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN tt le (rr 40 :RP
FINAL ,lrrlzo J)(w
COMMENTS:
t
T
T
Signature of owner or Electrical Cortractor X Date:
Plan check Fee
valuati,on
Trent Peppard
From:
Sent:
To:
Subject:
Double D Electrical <office@ddelectrical.com>
Wednesday, November 06, 2019 10:50 AM
Trent Peppard
Serenity House Feeders
Hello Trent, reminder to add t eeders to the two permits for The Serenity House ond I will poy
immediotely.
Thonk you,
Thereso Edelen
E lectricol Schaduler
Double D Eleclrical
olf ice@ddelectrical.com
360- 3 85- 1130
1
*EXT.ERNAL EMAIL*
Nov 04 2019 12:36PM Do'rble D Electrical 36038557613603855761 page 2
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMITAP PL CAT toN
f'ublic Work.s and t..lLiIitic,r Dcpaltrrcnt
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To
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ProjectAddres s. 22Ol W 18TH STREET #D15, PORT ANGELES, WA 98363
5
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Project Descriptio N' COMPLETE REWIRING OF UNIT OUE TO FIRE
f{6mg SERENITY HOUSE
Mailing Aodress- 2203 W 18TH STR=ET, PORT ANGELES, WA 98363
Emajl NoNE
p6eps NONE
fl3rng DOUBLE D ELECTRICAL, INC DOUBLDE9S2PD
Mailing Address PO BOX 957, PORT HAOLOCK. WA 98339
Email OFFIC ELECT .coi\r
Expiralion Date
Phone
Item
ServiceJFeeder 200 Amp. r
Service/Feeder 20'1-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -1 000 Amp
Seryice/Feeder oYer 1000 Amp
Branch Circuit Wl Service Feeder
Branch Circuit W/O Service Feeder
Eacj] Additional Branch Circuit
Branch Circuils 1-4
Temp. Servioe/Feeder 200 Amp,
Temp. Seryice/Feeder 201-400 Amp
Temp. Service/Feeder 401€00 Amp
Temp. Service/Feeder 601.-1000 Amp.
Por:al to Portal Hourly
Signal Circu ylimiled Ene€y - 1&2 DU.
Maaufactured Home Colnestron
Renewablo Elec. Energy: sn/A Sysl€m or less
Tl'ermostat (Ngte; $5 fo. each additioFsl)
Uttit Cherog Ouar iw
)
12_
:
odty x "*'r2oZ
DOD
s120.00
$146.00
$205.00
$262.00
6373.00
$5.00
$63.00
55.00
$7s.00
s€3.00
s110.00
$149.00
$ 168.00
$96.00
$64 00
$120.m
si02.00
$56.00
$
!
$
$
$
$
$
$
5
$
$
$
s
$
$
$
$
D
2Zr"15sid6--
Owner as defined by RCW 19.28.261: (1) Owner will ocoupy the struclure for two yeaF after this el€ctrical pemit is f:nalized. (2) O,, neris
requir€d to hire ao eleclrical aontractor if abova said property is fgr sgle, rent or lease. Pemil expires aftersix months ot lasl inspeqlion.
Afler reading the above statement, I hereby cartify that I am the owner ofthe above named property or a licensed electlcal contractor. I
arn naking the eleclrical nstallalion or alteration in complianc€ with the electrical laws, N.E.C., RCW. Chapter'19.28, WAC Chapter296-
468, The City of PonAngeles Municipal Code, and Utilily Sp€ci ications and 05 050 re tn lecl.ic€l Permit A pplicaiions.
1114t19 Theresa Edelen I |ttOate Print Name Signature (E Owner E Electrical Contractor / Administrator)
[Elecfical Permit Applications may be submitted to City Hall or electricalperm its@cityofpa.us or faxed to 360.4'17.471r]
E Singte-Famity Residenrial gl Duplex /ARU Buitding Square footage: UNIT lS UNDER 1000SQ FI
360-38t1130
TOTAL
