HomeMy WebLinkAbout1515 H Sts
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
Applicatsion Nunber
Applicatsion pin number
Property Address
ASSESSOR PARCEL NOMBER:
Application t).pe descriplio!
Subdivisio. Name
ProperEy Use
Propertsy Zoning
Application valuation
21-OOOO1312 Date to /!3/21
399136
1515 H ST
05 -30 - 00 -0-4 -3450 -0000 -
ELECTRICAJ, ONI,Y
RS7 RESDNTT SINGLE FAMILY
0
Don Nivens
PO Box 212
SEOUIM
136Ol 460-2625
.]PE CORP
]55 I{ARMONY IIANE
PORT ANGELES
(360) ?31-8994
I4A 98382 wA 98352
Permit
AddiLional desc
Permit Fee
Issue Datse . -
Expiration DaEe
Qtsy unit cha.ge
1.00 120.0000
120.00
ro / L3 /2L
4/Lr/22
ELECTRICAI NEW RESIDENTIAI
Plan check Fee
valuaEion
00
0
Per
ECH Et -R-SOEA FrRST 1300
Extension
120.00
charged Paid CrediEed Due
Permit Fee Total
Plan Check Total
crand ToEaI
120.00
.00
120.00
120.00
.00
120.00
.00
.00
- 00
.00
.00
. o0
REPORT SALES TA,X
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DTTCH n lt* ) =,t k?\n+'>
rcl.nlzr &-=rP.--
ROUGH-IN z)*lot +P-
FINAL u'lJzz-&11l*)
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signanrre ofowner or Electrical Contractor X Date:
C:\EXCHANGRBUILDTNC
ApplicaEion desc
New home
COMMENTS:
SERVICE -dd
I
LP ITAPPLI o
Public Works and tlLilities l)epartnrcnt
l2l E. 5th SLlecl. Porl;\ngeles, \L{,98-162
I (r().rt I 7.473 5 i ,,i,u'rv.ciWoijra.us ] ulectrrciLlPcltr ritsrir c iL-l'o ipa. us
1515 H St, Port Angeles, WA 98362
5
g
f"
Project Address
New 1300SF Eslden@
Project Description:
E Single-Family Residential E Duplex /ARU Building Square footag e; 1300
Name: Don Nivens Email: buildtaller@qmail.com
Mailing Address PO Box 2'12, Sequim, WA 98382 Phone .360-460-2626
Name: JPE CorP
Mailing Address: PO Box 1022
Licenser JPECOC*800MC
Exp iration Date: 8-3-2022
Phone: 3607318984Email;buildtaller@qmail.com
leE
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -'l 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 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal lo Portal Hourly
Signal CircuiuLimited Energy - '1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note; $5 for each additional)
Unit Ch,rgA
$120,00
s146.00
s205.00
$262.00
$373.00
$5.00
$63.00
$5.00
s75.00
$93.00
$110.00
$149,00
$168.00
$96.00
$64,00
$120.00
$'r 02.00
$s6.00
.. $120.00'' $40.00
$74.00
$'l10.oo
OuaOlW l4la[ (Quantity x Unit Charge)
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$
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$
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$
$
$
$
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mingiPiiot I
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 property is for sale, rent or lease, Permit expires after six months of last inspection.
After reading the above statemenl, 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. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
s
10-11-2021 Jerry Peterson I
Date
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
Print Name Sfna-.ture 1! ownir Electrical Contractor / Administrator)
J - 2 SINGLE.FAMILY 1'
3
*
:olluNE R.tstFoRlt{!$iloN
.ELE.dTREAL CONTRACTOH INFORMATT€IN
'FR&JECT:BEIAILS
TOTAL
