HomeMy WebLinkAbout619 S Albert StELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
ITESTDENTIAL HIGH DENSITY
0
REPORT STATE SAIES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
>s
C
(,^)
v\J
Application Nunber
Application pi.n numbe!
Property Address
ASSESSOR PARCEIT NUMBER:
Application t!,pe description
Subdivision Name -
Property Use .
Property zoning
Applicat j.on valuatiorr
20- 000013 57 Date Lt/30/20
5 411198
519 S AI,BERT ST
05-3 0-00- 0 - 2 - 053 5 - 0000 -
ELECIRICAL ONLY
Applicalion desc
Panel Change
ConLraclor
Mark }( and Lea.Lanl J srJrndts
444 Tavlor Ranch Rd
SEQUTM WA 98382
ROCHE EI,ECTRIC & CNSLTNG INC
688 oAX WOOD DR
SEQUIM WA 983 82
l42s) 293 -2357
Permit
Additional
Issue Date
Expiration
desc
Date
120.00
aL/3A/20
5 /29 /2t
ELECTRICAL AITER RESIDENTIAI
Plan Check Eee
Valuation
00
0
Oty Unit Charge Per
1_00 120.0000 EcIl E!-0-200 sRv FEEDER
Extensioo
120 .00
Fee summary Charged Paid Credited Due
Permrc !ee I oEa -L
Plan check Totsal
Grand Total
120. 00
,00
120.00
724
120
00
00
00
00
00
00
.00
.00
.00
PERMIT WILL EXPIRE SIX(6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE eJe)zo s -6F
ROUGH-IN
FINAI Ele)?o F )#
COMMENTS:o
Signature of owner or Electrical Contractor X Date
\
DATE:
ELECTRICAL INSPECTION
WIRING REPORT
417-4736
APPROVED
t CoRRECTIONS NEEDE): k D 1Ar'Lq Pre,v \ 11-Yj) , .S
D
tr
tr
tr
tr
tr
D
tr
DATE
)z-5-z_D 2b-)7t1 wINSPECTOfI
CONTFACTOR v-
Ll1 < at*e:{
ADDFESS
,l'ahcyl rsf #- ti.a$ v V1-x-ra<t-rrz.*D *rz-
NOTIFY INSPECTOR WHEN CORBEGT]ONS
ARE COMPLETED WITHIN 15 DAYS
- OO NOT REMOVE_
.Lq=_
loe *\o,- Alec- t)O. l. Ja-,
ar.\rilf'' Ll'tL ,t{ ?Drx5, t-- ^lEZ.- ZfO€
a.5) creeon Arz-n erlroR.1 lzaeotee-D
1-2SING LE-FAI\4ILY
ELE CT RICAL PERIVIT A PPLICATION
l;lili; Xr:is lrl Ultl:ite,r iiepenn..ul
-1-tl !_. illt .-.ii:-it:. ! r:.! .i:.::cies_ \,!,4
'l:a::61.,:l i :.:11:5 l rr'..r,,-;.;it.,,;ip:. Ll l ;k;rlirtll:i-il,i j:'./ rit:, o ii:r.irs
Project Address 619 S Albert St
Project Descriptior:Panel Change
E Single-Family Residential D Duplex / ARU Building Square footage:
113n-is. l\rark Sundt
l\4 ailing {ddrg5s same
;12619. Roche Electric & Consultin lnc
Nlailing Address '15 Kaft Ct Sequim WA 98382
Email orlandosr@rocheelectrlc.com
Item
SeftlcelFeeder 200 Amp.
Service/Feeder 201-400 Amp.
ServicelFeeder 401-600 Amp,
ServicelFeeder 601 -'1 000 Amo.
Seryice/Feeder over 1000 Amp.
Branch Clrcuit W/ Service Feeder
Branch Circuit W/O Service Feedef
Each Additional Branch Circuit
B,anch Circuits 1-4
l-emp. ServicelFeeCer 200 Amp.
-Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
l-emp. ServicetFeeder 601-j 000 Arnp.
Poftal ro Portai Houriy
Signal Circuivlimited Energy - 1&2 DU.
l,4a-Llf actu'ed Horre Co.necl.or
Renewable Elec. Energy: SKVA System or less
TherTnostat (Note: $5 for each add
_com
- 360-7754299
CENSE:EEC831JO
Exp irc1i6n gv1s. 04-20-2021
phone' 425-293-2357
(Quantity x Unit Charge)
$_
$_
$.-
$5.00
$63.00
$120.00
$146.00
$205.00
120.00
$_-_-.--
Owner as deflned by RCw.19.28.261: (1) owner will occupy the structurc for two years after this electrical permit is finatized. (2) owner isrequired to hire an elect.ical contraclor if above said p.operty is for sale, rent or lease. Permit expires afler six months of last' inspection.
After reading the above slalement, I hereby certi{y that I am the owner oi the above named property or a licensed electrical contractor. Iam making the eleckical installaiion or alteration in compliance wilh the elect.ical C., RCW. Chapte.19.2B, WAC. Chapier296-
468, The City of PonAngeles Municipa, Code, and Utility Speciicatio.s 6 .d 1 050 regading ElecAicai Pe.mit Applications
t i -zs-za2a Orlando Roche
Date Print Name Signature (r I Electrical Contractor / Administrato0
[Electrical Permit Applications may be submitted to City Hall or eiectrical!e.mits@cityot:].us or faxed to 360.411.47,t11
.,
{Di
$
a-D
t:l(,
lCl.J
ilATION
Fni:ll'
I*ROJECT DETA1LS
s
$_
$_
$---
t$;j:l:ittit:-,$..:,1,:..''il
$'"--'-.--
q
l
l
ttlqp!.1::,.'r . '' '',. -.. ... --,-
TOTAL
