HomeMy WebLinkAbout1934 W 8th St (3)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTL SINGLE EAMIITY
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 nunber
Property Address
ASSESSOR PARCEI; NI'MBER:
Application t!'pe description
Subdivision Name
Propertsy Use
Propertsy Zonrng
Applicalion waluation
19 - 000 01702 DaLe L|/O4/L9
115096
1934 W 8T1i ST
o6 -3 0 - 00 - 9- 3 -105 0- 0000-
ELECTRfCA], ONI.Y
Application desc
New home
PARKTERO LLC
21 (RUSE FD
PORT ANGELES
(36A) 46a 172A
UPPER I,EFT EIECTRIC Ll,C
13 06 ROO( DR
PORT ANCELES WA 983 52
136O) 46a-7720
wA 983 62
PeIlnit
Additional desc
Issue Date
Expiratsion Date
160 .00
at/ 04 /a9
s/a2/2a
Plan Check Fee
Valuat.ion
ELECTRICAL NEW RESIDENTIAL
0
t oty Unit Charge Per
1.00 120.0000 ECH
1.00 40.0000 EcH
EL-R-SQFT FIRST 13OO
EL R'SQFT ADDTTIONAIT 50O
Extension
120.00
40.00
Charged Paid Credited
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Permit Fee Totaf
Plan Check Total
Grand Total
00
00
00
150
150
o0
00
00
00
00
00
160
160
Due
n INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE u)dn &a ffi
rti)mln "w ff
FINAL iinl*t -DP w
Signa ture ofowner or Electrical Contractor X Date
. o0
.00
.00
.00
ROUGH-IN
COMMENTS:
Er 1-2 SFL1-
ELECTRICAL P E R MIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
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NProject Address
Project Description t v-<-
O\(NER INFORMATION
Name:
lvlailing Address
Name:
Mailing Address
Email:
o Email
ELECTRICAL CONTRACTOR INFORMATION
Phone
License
Expiration Date:
Phone:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 40 1600 Amp.
Service/Feeder 601-1 000 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 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Srgnal CircuiVLrmited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA 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
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$e.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Ouantitv Iqbl (Quantity r Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0
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TOTAL
Owner as defined by RCW 19.28.261: (1) owner will occupy the structure for two years afier this eleclrical permit is finalized. (2) o/vner is
required to hire an electncal contraclor if above said property is for sale, rent or lease. Permit expires after six months of last inspeclion.
After reading the above statement, I hereby certaty that I am lhe owner of the above named prope(y or a licensed electrical contractor l
am making the electrical installation or alteration in complianc€ with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility and PAMC 14.05.050 regardrng Electncal Permtt Apphcations.
I J,u-rg
Print Name gnature (n Owner E Electrical Contractor /Administrator)
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IElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47 1|11
1 - 2 SINGLE-FAMILY
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ELECTRICAL INSPEGTION
WIRING REPORT
417-4735
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OATEI PEntvl T+NSPECTOR
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CONTFACTORt27We;
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APPROVED
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NOTIFY INSPECTOR WHEH CORFECTIONS
ARE COMPLETED WITHIN 15 DAYS
-DO NOT REMOVE-
APPROVE
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