HomeMy WebLinkAbout311 W 12th StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
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ApplicaEion Number
ApplicaEion pin number
Property Address
ASSESSOR PARCEL NUMBER
22-00000419 DaEe 4/L4/22
5156L4
311 W 12TII ST
05-30-00-0-3-4685-0000-
ELECTR]CAL ONLYapplicaEion Lype description
subdivision Nane
Properiy Use
Properly zoning
Application valuation
RS7 RESDNTI SINGLE FA}4IIJY
0
ApplicaEiotr desc
service and 3 room rewire
CLAIR DUNLAP AND ELL]OTT TAD'N
11415 NE 1O4TH STREET
KIRKLAND WA 98033
JOHNSON ELECTRIC COMPANY
3129 S REGENT
PORT ANGELES WA 94362
\360) 12A-432',/
Pemi t
AddiEional desc
Permit Fee
Issue Date
Expiration Date
ELECTR]CAI AL?ER RESIDENTIAIJ
1-4 CTRCUTTS
200.00 Plan Check Fee
4 / 14 / 22 va]uaL ion
ta/tL/22
00
0
Qry Unit Charge Per
1.00
1.00
5.0000 ECH
120. 0000 ECi{
BASE FEE
EL-BRANCH CIRCUIT W/FEEDER
EL-O-2OO SRV FEEDER
Extension
75.00
5. 00
120.00
Char.ged Paid Cred:iEed
Per:mit Eee Total
Plan check loEal
Grand Total
200.00
.00
200.00
200
2A0
00
00
00
.00
.00
,00
.00
.00
.00
REPORT SALES TN(
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
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FINAI g,'la'J zz x
COMMENTS:
Signature ofowner or Electrical Contractor X Date:
C: EXCHANCE\BUtfDINc
SERVICE &
ELECT RICAL PE RIVI IT APPLI CATION
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P roje ct Address: 31 1 W. 1 2th Street, Port Angeles, WA 98362
Project Descripti on. Panel and meter upgrade, three room rewire.
OWNER INFORMATION
Name Elliot Tadanier
ftilailing Address. 311 W. 12th Skeet, Port Angeles, WA 98362
Email: 6lliot.tadani mail.com
phone. 303-653-8479
ELECTRICAL CONTRACTOR INFORMATION
Name: Johnson Electric Companv License: JOHNSEC817K4
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 40'1 -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 Circutt
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Servlce/Feeder 201-400 Amp.
Temp. Service/Feeder 401 -600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy; 5KVA System or Iess
Thermostat (Note: $5 for each additional
LJnit Charoe
$120.00
$146 00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
s110 00
$149.00
$168.00
$96.00
$@.00
$120.00
$102.00
$56.00
I
Ouantltv fOhl (Quantity x Unit Charge)
120.00
TOTAL
1
1
Owner as defined by RcW 19.28.261: (1) owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above sajd property is for sale, rent or lease. Permit expires afre; six months of last inspectjon.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCvi. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal code, and Utility Specifications and PAMC 14.05.050 regarding Electrical permit Applications.4112t22 Wayne Johnson Wayne Johnson Digitally sjoned by Wayne Johnson
Dale. 2021.10.20 09148:19 -07'00'
Print Name Signature (D Owner p Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or fa xed to 360.417.47111
1 - 2 SINGLE-FAIVIILY
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417 .47 35 | www.cityofpa.us I electricalpermits@cityofpa.us
trSingle-FamilyResidentialEDuplex/ARUBUildingSquarefootage:-
Mailing Address: 3129 S Regent Port Angeles, WA 98362 Expiration g61s. 0513112023
Email admin@ohnsonelectric3oo.com phone. 360.477.4594
First 1300 Square Feet
Each Additional 500 square feet '
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$ 5.00
s 75.00
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Date