HomeMy WebLinkAbout509 W 10th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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ApplicaEion Nunrber
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
ApplicaEion E),pe descripEio.
subdivision Name
ProperEy Use
ProperEy zoning
Applicatioa valuation
22-AA0OO422 Datse
83 03 32
509 W 1OTH ST
05 -3 0' 00-0 - 2 - 9585 - 0000-
EIECTRICA! ONI]Y
4/L4/22
RS7 RESDNT! S]NGI]E FA},IILY
0
Applicalion desc
KiEchen r:emodel
ITARRY / LEVETTA I'RYIVI]RE OWNER
509 W 10TIl ST
PORT ANGELES wA 98352?304
PerrniE
Addili.onal desc
Issue Date
Expiratsio. DaEe
ELECTRICAL AITER RESIDENTIAL
1-4 CIRCUITS
75.00 Plan Check Fee
4 / 1a /22 va Iu.E i on
to /tt/22
00
0
oly Unit Charge Per
BASE FEE
Extension
75 .00
charged Faid Credi!ed
Pemit. Fee ToEal
Plan Check Tolal
Grand Total
75.00
.00
75 .00
75. 00
.00
75.00
.00
.00
.00
.00
.00
.00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECIION
REPORT SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
Signature of owner or Electical Contactor X
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN tl t lzz M B)
FINAI qilza{"rz-&-+E
COMMENTS:
G:\EXCHANGRBUILDING
Date:
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
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CONTNACTOA
AOORESS ID
APPROVED NOT APPROVED
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..SERV|CE......
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NOTIFY II{SPECTOR WHEN CORFECT]ONS
ARE COMPLETED WIT}IIN 15 DAYS
- DO NOT REMOVE-
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ELECTRICAL INSPECTION
WIRING REPORT
417473E
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APPROVED NOT APPROVED
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NOTTFY II{SPECTOR WHEN CORRECT]ONS
ARE COMPLETED W]THIN 15 DAYS
_ DO NOT REMOVE-
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Public Wurks and [Jtilities Departnrent
3l I t:. sth Stlcet. Prrrt Angr:lcs, Wr\ 9ll:16l
160.417 .4735 1 rvr.r'iv.citvo fla.us ] cleclrictlpcrru itsrZ.'cityo lpa. us
509 West 1oth Street, Port Angeles, WA 98362
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Project Address
Prolect Description
El Single-Family Residential ! Duplex / ARU Building Square footage
Name: lqe Frymire
Mailing Address 509 West 1oth Street, Port Angeles, WA 98362
Email. crawsnest'l @msn-com
Phone . G60\ 477-0235
Name:
Email
Mailing Address
L,cense:
Expiration Date
Phone:
iten
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 -600 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 40'l-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuiuLimited Enerqy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note; $5 for each additional)
First 1300 Square Feet
Ead| Additional 500 squarc feEl"
Each Oulbuilding / D€tached Garaga
Eadr Swimming Poc{ / Hot TUb
llnir Ch.rge
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
s63.00
$5.00
$7s.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
$120.00
t40.00
$74.00
$110.00
q!aa!$ IOlal (Quantity x Unit Charge)
$
$
$
$
s,r_
..5
t
$
$
$
$
$
s
$
$
$
$
$
s
$
I
e
s.
-7+
TOTAL 1E'2
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 it abov€ 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.
Print Name Signature ([ Owner E Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
Date
I 1 - 2 SINGLE-FAMILY
OWNERINFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
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