HomeMy WebLinkAbout529 E 12th StAppficatsioa Number
Application pin durflber
Propertsy Address
ASSESSOR PARCEI, NUMBER:
Applicatlon t),pe descri.ption
Subdivision Name -
Property Use
Property zoning
Apptication valuation
2 o - ooooo25o Date 2/2t/2o
008{ 80
529 E 12T'tt ST
05-3 0- 00 - 0 - 3 - 3 992 - 0000 -
EI,ECTRICAL ONIY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNT! SINGIE FA]VITLY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicatsion desc
Parle1 repfacement
Contractsor
YT'NHANG CHEN AND JING LIANG
2OO COIONIAL HOMES DR
APT 102
ATLANTA GA 30339
BI.ACK DIA]VIOND EIECTRICAL CONTR
502 BI.ACK DIA}4OND RD
PORT ANGELES WA 983 63
(350) 565-103s
Permits
Additional desc
Permit I'ee
Issue Date
Ex?iration DaLe
120.00
2 /2r/20
I /a9 /20
ELECTRICA], ALTER RESIDENTIAL
Qty Unlt Charge Per
1.00 120.0000 EcH EI.-O-2OO SRV FEEDER
Plan Check Fee
valuatsion
.00
0
Extenslon
120.00
charged Paid Credited
Permit Fee Total
PIan Check Total
Grand Total
724
!24
00
00
00
t20
t2a
.00
.00
.00
o0
00
o0
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTTON
INSPECTION TYPE DATE:R-ESULTS:INSPECTOR:
DITCH
zlz-tlzo &-BP
ROUGH.IN
FINAL zla,)ao -D w
COMMENTS:
Signature of owner or Electrical Contractor X Date
Due
.00
.00
.00
SERVICE
E LECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.citvofpa.us eiectricalpermits@cityofpa.us
ffff,*
!o
=i+
Ne
*s-,C,
ProJect Address:5z q t, IZT+
Description Pltt .<.^rA-P
Name:
lvlailing Address
Email:
Phone ffi1
ELECTRICAL CONTRACTOR INFORMATION
Name:
l\ilailing Address
Email:
License
Expirati
Phone:
Date
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1400 Amp.
Service/Feeder 401S00 Amp.
Service/Feeder 601-1000 Amp
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 6011000 Amp.
Portal to Portal Hourly
Signal CircuiuLimited 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 carage
Each Swimming Pool / Hot Tub
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$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
Cluantitv Total (x LJnit Charue)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
-2-n-
TOTAL
Owner as defined by RCW 19.28.261r (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 said 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 propedy or a licensed electrical contractor I
am making the electrical installation or alteration in compliance with electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port untct Code, and Utility and PAMC 14.05.050 regarding Electrical Permit Applications.o
-2o -
Date nt Name ature Owner ! Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or electri permits@cityofpa.us or faxed to 360.4'17.47 111
ELl-2 s
1 - 2 SINGLE-FAMILY
Single-Family Residential n Duplex / ARU Buitding Square footage: _
o!INFORMATION:'I!
PROJECT DETAILS