HomeMy WebLinkAbout3729 McDougal StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Apptication Nunber
Application pin nurnlcer
ProperEy Address
ASSESSOR PARCEI, N('IVIBER:
Applicatsion trce descripEj.on
Subdivision Name
ProperEy Use
Property zoning
AppLicaEion valuaEion
22 - 00000030 Date
942600
3729 MCDOUGAI, ST
05 - 30 - L4 - 3 - 2 - 9060 -3000 -
EI,ECTRICA', ONLY
t/t3 /22
RS9 RESDNTI, SINGI,E FAMILY
0
Application alesc
Con!rac!or
COLBY J AND GINGER ! ADA},IICH
810 CI{URCH AVE
PORT ANGEIJSS I]A 993626153
(360 ) !177-55{9
OWNER
Additional
Issue Datse
240.00
t/13/22
7 /L2/22
EIECTRICAL NEW RESTDENTIAL
PLan check Fee
Valuation
c0
0
Expiration Date
Oly UniL Charge Per
1,00 120.0000 EcH EL-R
3 .00 40.0000 ECE EL-R
SOFT EIRST 13OO
SQFA ADDITIONAL 5OO
Extension
120.00
120. O0
charged Paid Credited Due
Pernit Fee Total
Plan Check AotaL
Grand fotal
240.OO
.00
240.00
240 .00
,00
240 .00
.00
.00
.00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORTS.ALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:INSPECTOR
DITCH zle /e''-rs d_
SERVICE zttla-s %a
ROUGH-IN ,llBlzz 1A>\@_
FINAI eln)a-R
COMMENTS:
Signahrre ofowner or Electdcal Contractor X
C:\EXCHANCRBUILDINC
Date
R.ESULTS:
V
L IC P PLI AT
Public \\'*rks and Utilities Dcpartnrent
l2l E,. 5tlr StreeL. Port Angeles, 'L" 981(rl
)61J.117.4'735 l',r,wrv.cityoflra.us Ielecrrici.rlltctnrirsfr.cityotpa.Lrs
3729 McDougal St
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Project Address:
SINGLE FAI\4ILY RESIDENTIAL
Project Description:
E Single-Family Residential ! Duplex / ARU Building Square footage 2520 includinq qa rage
Name Colby J. and Ginqer L. Adamich Email : Ginqer.adamich@qmail.com
[/ailing Address 810 church Ave Phone 360-477 -5649
Name: Home owner License:
Email;Gingeradamich@gmail.com
Expiration Date:
Phone:
Mailing Address
lelq
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -1 000 Amp.
Seryice/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 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 60 1 -1 000 Amp.
Portalto Portal Houriy
Signal Circuiulimited Energy - '1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: SKVA System or less
Thermostat (Note; $5 for each additional)
Uhit qharqe Ouaulily
$120.00
s146.00
$205.00
$262.00
$37s.00
$5.00
$63.00
s5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102,00
$56.00
. S12O.O0 .i' -,: ':,'S4o.oo -3' :t r..'
$74.00 -:*.1$110:0O.r:, ': r';.
Iotal (Quantity x Unit Charge)
TOTAL
Owner as defined by RCW.19.28.261 : ('1) Owner will occupy the structure for two years after this electrical permit is linalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Speciflcations and PAMC 14.05.050 regarding Electrical Permit Applications.
1-11-22 Colby Adamich Colby Adamich
Print Name Signature (E Owner Electrical Contractor / Administrator)
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$
$
$
$
$
$
$
$
$
$
$
$
$
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$
$
$
Date
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
] - 2 SING_LE-FAMILY
-rFirst 1300 S:Quare Fe€t " -'-.
Each Addiumal 5OO square feel"
Each Outbuilding / Detac+Ed Garage
Eadr Swimming Pool / Hot ?ub
240.OO