HomeMy WebLinkAbout830 Church AveApplicatlon Number
Application pin number
Propertsy Address
ASSESSOR PARCEL NIJ-IIBER :
Application tl?e description
Subdivrsion Name
Property Use
Property Zoning
ApplrcaEion valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS9 RESDIITL SINGI,E EA]VIfIY
0
21-00000657 Date 6/a3/21
7492L6
830 CHT}RCH AVE
06 l0-15 4-4-9010-0000
ELECTR]CAL ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Poti Angeles
(Location Code 0502)
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Applicatsion desc
COZI HOMES CONSTRUCTfON INC
324 E 9th ST
PORT ANGELES WA 983 627916(360) 4 50,003 6
A1 ROCKHOLD ELEC?RIC
123 WA.DSWORTH DR
SEQUIM
l36A)"775-2126
lNC
wA 983 82
Permit
Additlonal desc
PemiL Fee
Issue Date
Expirat.ion Date
200.00
5/A3/2a
tt/3a /21
ELECTRICAL NEW RTSIDENTIA]-
00
0
oty Unit Charge Per
1. 00 120 .0000 ECI.I
2.00 40.0000 EcH
EL-R-SQFT FIRST 13OO
EL.R.SQFT ADDITTONAL 5OO
120.00
80.00
Charged Paid Creditsed Due
Permia Fee Total
Plan Check Tot.a1
Grand ToEal
204
2AA
o0
00
00
00
00
00
00
00
00
PERMIT WILL EXPIRE Slx (6) MONTHS FROM LAST INSPECTION
DATE:RESULTS INSPECTOR
DITCH nlnlzt c /./ /zr &=FR
SER\'ICE tt.)l..rl zt N w
ROUGH-IN ,iluJ*-F -fi
FINAL i)s'li>k (\s
COMMENIS:elto/zz-/,..oafi- 11:*bT'-
Signature ofowner or Electrical Contractor X Date:
Ptan Check Fee
Valuatri on
200.00
.00
200.00
INSPECTION TYPE
T
I
1 - 2 SINGLE-FAMLIY
ELECTRICAL PERMITAPP ATI N
Pubtic l&brks and Utilities Department
321 E. 5th Street, Po$ Angeles, WA 98362
360.41 7.4735 | mvu,.cityofpa.us i electricalpennits@cit1,ofpa.us
830 Church Ave
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Project Address
Project Description New home construction
E Single-Family Residential E Duplex / ARU Building Square footage '1919 Sq Ft
Name: Ken Zeigler Email
Mailing 466rs5s 324 E. gth St Port Angeles, Wa.p6eps. 360-461-1275
Name: Ed Rockhold l-iggnsg AlROCRE8l2OR
Exp 1p21;en 921s. 12-25-23
Phone 360-775-2126
Mailing Address 123 Wadsworth Dr
Email. rockholdele
llem
Service/Feeder 200
ntity x Unit Charge)
$120.00
$146 00Service/Feeder201-400 Amp.
Service/Feeder 401 -600 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. Servjce/Feeder 20'1-400 Amp.
Temp. Servrce/Feeder 401 -600 Amp.
Temp. Service/Feeder 601 -'1 000 Amp.
Portalto Portal Houdy
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Connection
$205.00
$262.00
$373.00
$5.00
$6s 00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
. $96.00
$64.00
Renewable Elec. Energy: 5
Thermostat (Note: $5 for each add
TOTAL
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 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 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.
Ed Rockhold
Date Print Name Signature (E Owner ! Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalperm,ts@cityofpa. us or faxed to 360.417.4711]
:ELffTRlCAL CONTRACIOR INFORMAI.I&N
PROJECT DETAILS
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