HomeMy WebLinkAbout110 E 13th StELEMRICALPERMIT
CTTY OF PORT ANGELES
36M17-4735
RS? RESDNTL SINGLE FAMIITY
0
REPORr STATE SALES Tff
on your exalse tax form
to the Clty of Port Angclaa
(Locetlon Gode 0C02)
|.$o
No.t$
Application Nunrber
Application pin number
Propertsy Address
ASSESSOR PARCE], NUIVIBER:
Appl icatlon , E!.pe description
Subdiwision Name ...
Property Use
ProperEy Zoning
Application valuaEion . . .
20-00000209 Date 2/a4/20
5 54 615
110 E 13TH ST
o6 -30 ' 00- 0 - 3 - 8525 - 0000-
EI,ECTRfCAI, ON],Y
ApplicaEion desc
DHP
David Maron
110 E 13TH ST
PORT ANGEIES
l52O) 27a 061A
SYNERGY ELECTR.ICAL COIVERNG LLC
910 W 10TH ST
PORT ANGELES WA 98353
(360) 461- 3 9s4
wA 98352
PermiE
Additsional desc
Permit Fee
Issue Datse
Expiration Date
ETECTRICAL ALTER RESfDENTIA],
1-4 CIRCUITS
75.00 Pfan Check Fee
2/ L4/ Zr VarUaElOn
8/t2/20
00
o
oty Unit Charge Per
BASE EEE
Extsension
75.00
Charged Paid Credited Due
PermiE Fee Total
Plan Check ToEal
Grand ToEal
75.00
.00
75.00
00
00
00
.00
.00
.00
75 .00
75
0
0
o
0
PERMTT WIL EXPIRE SIX (5) r,mm$ FIOM L6$T EWrIo $
IN$PBOTOR:INSPECIION TYPE DATE-BE$ULTS:
DITCII
SERVICE
zln )ro iv ^FAFROUGH-IN
FINAL H hr\ZI S -SR.4,/
@MMENTS:
IIII
TI
SigDatute ofo!f,s orEldbloomcrorX E&:
1 - 2 SINGLE-FAIVILY
ELEC TRICAL PERM IT APPLICATION
Pr.rblic Works and Utilities Depal'tment
321 [. ,sth Street. Port Angeles, \[A 98.162
360.417.47 3 5 | wrvw.cityofpa.us I electricalpennits@cityofla.us
I.LB
Proj ectAddress: 110 E 13th Street
Project Descrip s;on. hook up a mini split and added receptacle outside
E Single-Family Residential I Duptex / ARU Buitding Square footage
Name David Maron Email
Mailing Address p6eng.520-271-0618
Expiratio
SYNERECS29QM
6 P21s. 10/3'1/20
Phone 360-461-3954
Mailing Address PO Box 15214 Port Anqeles, WA 98362
Email ergyelectricalcontracting@gmail.comsyn
Item
Servlce/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401S00 Amp.
ServicelFeeder 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{
Temp. Service/Feeder 200 Amp
Temp. Service/Feeder 20'1-400 Amp.
Temp Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-'1 000 Amp.
Portal to Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
Unit Charoe
s'120.00
s146 00
s205 00
$262.00
s373.00
55 00
s63 00
$5 00
$75 00
$93.00
$110 00
$149 00
$168 00
$96.00
$64 00
$'120.00
$102 00
$56.00
$120.00
$40.00
$74.00
$'110.00
Ouantitv Iotal (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0075
TOTAL $ 75.
Owner as defined by RCW.19.28.26'l: (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 saad 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 Chapte|19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC'14.05.050 regarding Electrical Permit Apptications.
2111120 Renee Adams
Date Print Name Signature (fl Owner 7 Electrical Contractor / Administrator)
[Electrical Permlt Applications may be submitted to City Hall or eleckicalpermits@cityofpa. us or faxed to 360.417 .471i]
REtl;:, r -o
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$
Is:lo
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I i 20t0
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name Synergy Electric€l License.
PROJECT DETAILS
First '1300 Square Feet
Each Addrtional 500 square feet'
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
a