HomeMy WebLinkAbout520 W 3rd St (2)Appfication Nudcer
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicatsio$ type description
subdivision Name
Pr.operEy Use
Proper:tsy Zoning
Application valuation
20 - 00000206 DaEe 2/t2/2o
469424
520 W 3RD ST
05- 30 - 00 - 0- 0- ?420-0000 -
EI,ECTRICAI, ON],Y
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -473s
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code A502)
Application desc
Kitchen remodel expired 18 - 555
ConEractor
JAMES .]ENNIEER MICIIALCZIK
2711 SW TITLEIST CIRC],E
CORVALLIS OR 973 33
(925 ) 585-4ls4
ANGELES ELECTRIC
524 E, 1ST S?.
PORT ANGELES
\350) 452 9254
wA 98352
Permit
Additional desc
Permit Fee
Issue DaEe
Expiration Datse
ELECTRICAL ALTER RESIDENTIAI
1-4 CIRCU]TS
75.00 Plan Cheek Eee
2/ 12/20 valuation
B/to/20
00
Qty Units Charge Per ExEeosion
75.00
Charged Pa id Credited Due
Permit Eee Total
Plan Check Total
75 .00
. o0
75 .00
75.00
.00
75.00
00
00
00
00
00
00
INSPECNONTYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL ilda,D -@
COMMENTS:
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
RS? RESDNTL SINGLE FA]VIILY
0
BASE FEE
0
02/71/2020 09:35 FAI 360 452 9265
Project Address:
Anaeles Electr ic
1 2 SING E.FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, PortAngeles, WA 98362
360.4 I 7 .47 3 5 | www.cityofoa.us I electricalpermits@cityofr a.us
52D fa
entlal E Duplex /ARU BulHing Squar. fuotrgs:
A ooo1/oool
FFC
€8
€rtCD {J.
It
'1..)(J
No
\l\
20t0
Name:
Mailing Address:
t11 Email:
Phono:,9't6-
Name:Angeles EIectric, lnc.Lic6nsa:ANGELE1460RS
Mailing Address:524 E. First Street, Port Angeles, WA 9E362 Explradon Oate:2t1120
Email:ksimpson@olympus.n6t Phon.:380-{52-9264
Item
SeMce/Feeder 200 Amp.
SeMcer'Feeder 201 -400 Amp.
Service/Feeder 401-600 Amp.
Ssrvice/Fe eder 601-1000 Arnp.
Service/Feeder over '1000 Amp.
Branch Circuit W SeMce Feede,
Branch Circuit WO Servica Feede,
Each Additional Branch Circuit
Branch Circuits 'l-4
TEmp, ServicdFeeder 200 Amp.
Temp. Service/FeedEr 201-d00 Amp.
Temp. Service/Feedpt {01{00 Amp.
Temp. ServicdFeeder'601-l 000 Amp.
Portal lo Portal Houdy
Signal CircuiuLimlted Energy - 1{l2 DU'
Manufactgred Home Connsc{on
Renewable Elec, Energy: sKVA SJatBra ol l€ss
Uollcnrlcr
E120.00
0148.00
s205.00
3262.00
5373.00
35.00
$63.00
35.00
375.00
303.00
t110.00
31,4*00
.fma'.oo .
.19€'00
'cd*,tb
Clllot&
I 4Ac)
Igtrl (QuantltY r Unlt Chargr)
t
t
tI
6
$tI
3
3
t
$...*
$ ,i.::
.
::::"'$----:-
$--
Sr-t
Thermostat ote: $5 for oach add
TOTAL
owner as detined by RCW.1928.281: (1 ) Own.r wlll occuPy th. to'llctlr. for tlro ya.ll rft r this .l.ctlcal P. nlt L frnaltssd. (2) OYYn.r l.
required to hiro 8n elec,trical contraclor if abova raid PtoP.tly ir for taL, rsnt or L!a..Pormlt lxpirea ri.r tlx monlha of led ln$ac{on.
Allgr reading the abov€ statemedq I hat€by csdtry that I am thc ownor of th. abov, named p.oP€rty or t llcsnred cl6dalaal afiracbr. I
am making the electrical installation or altEration in cornplianc. wllh lh. ll.drlaal law!, N'E.C.' RCW.ChrptGt 1 9.28, WAC. ChEPtlr 29&
468, The City of Port Angeles Munldpal Code, and Utf,ty rnd PAMC 4.05.O50 Eloctrloal P.mlt Appllcrtons.
Ken Sim son
Date Print Name Slgnatur. (E Owner ge cal Cont6ctor / Admi nlgtrator)
lEtoctfical Permit Applicadons may bs submittod to CiV Hell or electllcslp€rmit8@dtyo(Pe.us or f.)(.d io 3@'417'47111
INFORMAIION