HomeMy WebLinkAbout1004 W 16th StELECTRICAL PERMIT
CIry OF PORT ANGELES
3604174735
COMI4ERC]AIJ NE]GHBORHOOD
0
Applicarion Nunber
Applicalioo pin nunber
Ploperty Address
ASSESSOR PARCEI NUMBER:
Applical j.on trype descripEion
subdivision Name .
Properly Use
Propertsy Zoning
Application valuation
20- OOOO1370 Date r2/o3/20
445560
1004 w r.6TH ST
05 - 30- 00-o-4 -4115 -0000-
ELEC'TRICAI, ONI.Y
Application desc
service and furnace
PENINSUIA BEI{AVIORAL HEAIJTI{
118 E 8?Il ST
PORT ANGELES WA 943525129
JOI{NSON EL.EC?RIC COMPANY
163 MCCARVER RD
PORT ANGELES WA 98352
l35O) 728-4327
Permit
Additional desc
Per:mit Fee
Issue Date
Expiration Date
147 .00
12/ 03 /20
6/ oL/2t
EI,ECTRI CA', ALTER COIIMERC]AL
Plan Check Eee
valuat ion
00
0
Qty Unil Charge Per
3 .00 5 . 0000 ECla
1. O0 132.0000 ECI{
ExEens i,on
15.00
132.00
EL-BRANCII CIRCUIT W/FEEDER
EL-COM O.2OO SRV FEEDER
charged
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Permit Fee Totsa1
Plan Check ?ota1
Grand ToEaI
)"4',7 .Aa
.00
L47. Q0
00
00
00
.00
.00
.00
00
00
00
Paid crediLed Due
74'.1
L4-l
Signature of owner or Electrical Contractor X
REPORT SALESTN(
on your excise tax form
tothe City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE i tzo) ta "@ * Ac onst)
ROUGH-IN
FINAL ,tr )x>)zo .D A t- Oyt-l€-],
COMMENTS
G:\EXCHANCRBUILDTNG
Date
I
APPROVED
tr
tr
ELECTRICAL INSPECTION
WIRING REPORT
4174735
NOT APPBOVED
*,Y-
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SERVICE
FINAL
COBBECTIONS NEEDED:E-etw?(-Jr"!n/,<l -
17 -.3D - Jo Przuez:;t.ntG Ae*INSPECTOR
sf fZ r ,-Ht_
J e*ry'5att E tE<{CONIXACTOR
ADDRESS /(oa,/tl4 sr
NOTIFY INSPECTOR WHEN CORREGTIONS
ARE COMPLETEDW|T}IIN 15 DAYS
- DO NOT REMOVE-
IVIULTI-FAIMILY /COtU[/ERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Deparlneat
32 i E. 5th Stre.t, Po.t Angeles, WA 98362
36A.117.4735 I u'*u,'.cityolpa.us I electricalpermits@)cityo$a.us
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{oProject Address 1004 W 16th st
Project Description New meter, riser, service panel, furnace circuit and dedicated outlet
n Multi-Family Residential E Commercial / lndustrial / Public Building Square footage:
Name: Patricia Dowell Emai | : bestfriendspetcarepa@gmail.com
Mailing Address:1004 W 16th St. port Angeles p6ens.208.598.5912
Name: Johnson Electric Co.
Mailing Address: 516 Lopez Ave Port Anqeles
Email Waynejeleckic@gmail.com
License: JOHNSEC817K4
Expi ration Date: 5/31/21
Phone 360 .728 .4327
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Servicei Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp.
Temp. Servicei Feeder 401-600 Amp.
Temp. Service/Feedei 60'1 - 1 000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal CircuiVLimited Energy - Multi-Family
Signal CircuiVLimited Energy/First '1500 sf - Commercial
(Note: $5.00 for each additional '1500 s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Noter $5 for each additional) '
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
tity x Unit Charge)
15.00
147.00 rorAL
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
Owner as delined 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 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 Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
1112412020 Wayne Johnson Wayne Johnson
Date Print Name Signature (E Owner Q Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa,us or faxed to 36Q.417.4711]
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ELECTRICAL CONTRACTO'NNF,ORMAfl ON
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