HomeMy WebLinkAbout111 W 3rd StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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b,Applicatj.on Nurber
ApplicaLion pin number
Prope!Ey Address
ASSESSOR PARCEIJ NUMBER :
Applica!ion l}?e descriptiolr
Subdivision Name ...
ProperEy Use
Property zoning
Applicalion valualion .
2t - 00001505 DaLe a2/OA/21
1S3 0 82
111 W 3RD ST
05 -30-00-0 -0 -5358 -0000 -
EIJECTRICAI ONLY
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Appl.icaEion desc
I{VAC arrd panel
.IOI]NSON ELECTRIC COI{PANY
3129 S REGE}IT
PORT ANGEIES WA 98352
\3501 728-4321
Permit
AddiEional desc
Permit Fee
Issue DaEe . .
ExpiraEion Date
135.00
L2/a8/27
6/a6/22
EIECTRICAL ATTER RESIDENTIAL
Valualion
00
0
Qty Unit Charge Per
3.00 5.0000 EcH
1 . 00 120.0000 EcH
EL-BRANCH CIRCUIT W/FEEDER
EL- O.2OO SRV FEEDSR
Extension
15.00
120.00
Fee aummary charged Paid Creditsed Due
Permi! Fee fotal
Plan Check Tot.al
Crand TotaL
135.00
.00
135.00
135
135
00
00
00
00
00
00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
REPORTSALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCTI
SERVICE 5/alzz-&w
ROUCH-tN 5/a'lz-dJ w)
FINAL rhlp-7P #
COMMENTS:
Signahrre ofowner or Electrical Conractor X
CIEXCHANGRBUILDINC
Date
I
I
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Depafiment
321 E. -sth Street, Port Angeles, \114 98362
360.417.47 35 w*r;v.cityolpa.us I electricalpermits@cityofpa.us
P roje ctAddress: 1 11 W 3rd St. Port Angeles, WA 98362
Project Description New HVAC power and p anel chanqe
tr Single-Family Residential ! Duplex / ARU Building Square footage
113mg. Johnson Electric CompanV License JOHNSECSl TK4
Exp irslien P61g 05/3'l/2023
phone. 360.477.4594
l\,4ailing Address 3129 S Regent Port Angeles, WA 98362
Email wayne@johnsonelectric360.com
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 Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 'l-4
Temp Service/Feeder 200 Amp
Temp Service/Feeder 201 -400 Amp
Temp Service/Feeder 401-600 Amp
Temp Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewabie Elec. Energy; 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charoe
$120.00
$146 00
$205 00
$262.00
$373 00
$s.00
$63 00
$s.00
$75.00
s93.00
$110.00
$149.00
$168.00
s96.00
$64.00
$120.00
$102.00
$56.00
Iolal (Quantity x unit charge)
s't20.00
00A1
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Square Feet $120.00
$110.00
TOTAL
Owner as defined by RCW 19.28.261. ('1) Owner will occupy the structure for two years after this electrical permit is finaljzed. (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.
12t03t2021 Wayne Johnson Wayne Johnson B:',!:l'.;iff,:11'il1i,'_'#;3r
Date Print Name Signature (E Owner p Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.471'l)
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116mg; Rick Hoiser Email: RickHosiers6@yahoo.com
Mailing Address: 1 1 1 W 3rd St., Port Angles, WA 98362 p5eng. 805-588-3188
OWNER INFORMATION
ELECTRICAL'CONTRACTOR I NF.O*IIIATION
PROJECT DETAILS
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