HomeMy WebLinkAbout1803 Nancy LnApplication Nurnber
Application pj.!r number
ProperEy Address
ASSESSOR PARCEL NUMBER:
Application t)'pe descrlplioa
subdivi.sion Name
Properl.y Use
Property Zoning
Applicat.ion valuat.ioo . . .
2 0 - 000002s0 Date 2/24/20
73 9184
1803 NANCY I,N
05 -3 0 - 11- 5- 5- 0700- 0000-
EI,ECTRICAI, ONI,Y
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
RS7 RESDNTL SINGLE FAI.'ILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
AppLicatj,oo desc
!'urnace and heat pump
ConEracLor
LONG GLEN J/DEBR} J
1803 NANCY PL
PORT AI{GELES
CASCADE EIJECTRIC & VAC INC
PO BOX 369
PORT IIADLOCK liA 98339
(350) 379-s347
wA 943624944
PermiE
Additional desc
PermiE Fee .
Issue Date
Expiration Date
EIECTRICAL ALTER RESIDENTIAI
1.4 CIRCUITS
?5.00 Plan Check Fee
2/24/2A Valuation
B/22/2a
00
0
Qty Unit Charge Per
BASE FEE
Exlension
75.00
Eee gunmary Charged CrediEed
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST INSPECTION
Due
Permit Fee Total
Plan Check ?otal
GraDd Total
?5 .00
.00
75 .00
75.00
.00
75.00
.00
.00
.00
00
00
00
INSPECTION T\?E DATE:RESULTS:
DITCH
SERVICE
ROUGH-IN zlzrJzo M sry
FINAL zls)m &:maF
COMMENTS:
Signature ofowner or Electrical Contractor X Date:
INSPECTOR:
1 - 2 SINGLE-FAIMILY
ELECTRICAL PERM IT APPLICATION
Public Works and {.Jtilities Depaltment
321 E. ,sth Street, Port Angeles. WA 98.162
360.417.4715 I vr,lw,.citvotpa.us lelcctricalperrnitsiiirtcityofira.us
1lo
=
s
N
\n
d0Project Address: 1803 E Nancy Ln
Prolect Descriptio n. Change out furnace and heat pum p
tr Single-Family Residential E Duplex / ARU Buitding Square footage N/A
Name Glen Lonq Email
Mailing Address 1803 E Nancy Ln Phone 360 808 1336
Name Cascade Electirc & Vac lnc License cascaev934dm
Mailing Address. PO Box 369 Hadlock Wa 98339 Exp ;r"1;on 9216 1/23
phone. 360 531 0385Emailblacktailelite@yahoo.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 40'l€00 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Podal Hourly
Signal CircuiVLimited Energy - 1&2 OU.
Manufactured Home Connection
Renewable Elec. Energy sKVA System or less
Thermostat (Note: $5 for each additional)
LJnlt Charoe
$120.00
$146 00
$205 00
$262.00
$373.00
$s.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
Ouantitv Iolal (Quanrity x Unit Charge)
1
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
75 00
$74.00
$110.00 rorAL $ 75.00
Owner as defined by RCW 19.28.261: (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 properly 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 electrjcal contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N. E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
220,20 Robed Nordberg
Date Print Name Signature (fl Owner F Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 960.417.471jl
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
First '1300 Square Feet
Each Additional 500 square feet '
Each Outbuiiding / Detached carage
Each Swimming Poot / Hot Tub