HomeMy WebLinkAbout131 W 12th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
*
1
$\Nc\Applicatj.on Number . . . .
ApplicaEion pin number
Propertsy Address
ASSESSOR PARCEL NU}IBER:
Apptication type deBc!iP!ion
subdivision Name . .
Property Use
ProperEy zoning
AppLication valuation
21- oooo1o88 Datse
524704
t31 W 12TH ST
05-30- 00-0-3 -4468 -0000-
ELECrR]CAI ONI,Y
e/at/2L
RS? RESDNAL SINGLE FA]V1ILY
0
Applicatslon deac
Replace r\.nob and Tube
Permit
Addilional desc
Perrnits Fee
Issue Dale
ExpiraLion Date
Qty Unit
4 .00
BASE FEE
EIJ'ECH ADDNT BR'ANCH CIRCUIT
Ext.ension
75.00
20. 00
Charge Per
5. OO00 ECH
ELECTRICAL A]TTER RESIDENTIAI,
1-4 CIRCU]TS
9s. oo Plan Check Fee
9/ar/27 valuation -
.00
0
Permit Fee Total
Plan Check aoEal
Crand Aotal
95.00
.00
95.00
95.00
.oo
95.00
.00
.00
.00
.00
.00
.00
REPORT SALES Til(
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
INSPECTIONTr?E DATE:RESULTS:INSPECTOR
DITCH
SERVICE
ROUGHIN s)ulzz *_-EP
FINAL qlit lzz N/Z >ffi>
COMMENTS -:L--t'
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Sigaature of owner or Elecrical Contractor X_ Date :
CIEXCHANGRBUILDINC
ADA M WOODSON REV IN?R TRST .]OHIIISON EI'ECTRIC COMPANY
PO BOX 451 163 MCCARVER R.D
PORT ANGELES }IA 983520071 PORT ANGEI'ES WA 98352
1350) 72a-4327
chargeat Pa j-d creditsed Due
G
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
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COBRECTIONS NEEDED
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NOTIFY II{SPECTOR WHEN CORREGT]ONS
ARE COMPLETED W?HIN 15 DAYS
- DO NOT REMOVE-
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1-2 GLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utitities Department
l2l E. 5th Street, Port Angeles. trLA 98362
l(r0..1 I 7..f 715 w.wv.citvofpa.us I electricalpennits@cityofpa.us
13'1 West 12th Port Angeles, WA 98363
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Project Address
Project Descript ;on Replace knob and tube wiring
n Single-Family Residential E Duplex /ARU Building Square footage
OIVNER INFORMATION
\66s Rebecca and John Gilbert
Mailing 466rsss. 'l3l West 12th Port Angeles, WA 98363
Email
phone. 970-946-0663
PROJECT DETAILS
Item
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 C rcuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1{
Temp Service/Feeder 200 Amp
Temp Service/Feeder 20'1-400 Amp.
Temp Service/Feeder 401-600 Amp
Temp. Service/Feeder 601 -1 000 Amp.
Portalto Portal Hourly
Signal CjrcuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Lrnit Charoe Ouantitv fgbl(Quantity x Unit Charge)
$_
$_
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
s56.00
$
$_
$
$_
$
20.00$
$
$
$
$
$
$
$
$
$
s 75.00
20.00
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 af 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.
612712021 Wayne Johnson Wayne Johnson
Date Print Name Signature (D Owner p Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47i1]
Name Wayne Johnson License:
--
Mailing Address: 3129 South Regent Port Angeles, WA98632 Expiration g21s.812712021
Email wayne@johnsonelectric3oo,com phone. 360-4774594
First '1300 Square Feet
EachAdditional 500 square feet"
Orlk
^
$ -,_. :
INFORMATION
ELECTRICAL PERMIT
CIry OFPORT ANGELES
360-417-473s
Application br'umber
Applicatsio. pin number
Property Address
ASSESSOR PARCET NUMBER:
Applicatsion type descripEion
Subdivision Name .. -
Propertsy Use
Propertsy zooing
Application waluaEion
21-oooo1088 Date
a28704
131 Vt 12TIt ST
05 -3 0-00-0 -3 -4458 -0000-
EIECTRICAI ON'Y
e/oa/2!
RS7 RESDNTI, SINGLE EAMII,Y
0
Application desc
RepLace Knob axd Tubc
ADA M WOODSON REV INTR TRST
PO BOX 451
POR? ANGETES WA 983520071
iIOHNSON ELECTRIC COMPANY
153 MCCARVER RD
PORT ANGELES WA 9A362
l36A) 728-432't
PermiE
Addit ional desc
Permits Fee
Issue DaEe .
ELECTRICAL AITER RESIDE}.ITIAL
1.4 CIRCUI?S
95.00 Plao Check Eee
9/oL/2L valuat ion
2/28/22
.00
0
Expi.aEion Date
OEy Units Charge
4.00 5.0000
BASE !.EE
EI,-ECH ADDNT BRANCII CIRCUIT'
ExCension
75 .00
20.00
Permits Fee Total
Plan Check Tolal
Grand Total
95.00
.00
95.00
95 .00
.00
95 .00
.00
.00
.00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
DATE:RESULTS;INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAI
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Conkactor X
C:\EXCHANCRBUTLDING
Charged Paid crediEed Due
INSPECTION T\?E
I
I
COMMENTS:
Date:
3- eta
9otr
ELECTRICAL INSPECTION WIRING REPORT
COMMENTS:
Replace knob and tube
NOTIFY INSPECTOR at (3601 808-2513
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
PERMIT INSPECTOR
5t16t2022 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
APPROVED NOT A PPROVED
w
E
I
DITCH
ROUGH IN/COVER
SERVICE
FINAL
E
C
E
E
DATE
21-1088
131 W 12th St
E