HomeMy WebLinkAbout1037 W 11th St (3)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t1-4735
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Applicalion Number
Application pin number
Propert.y Address
ASSESSOR PARCEL NUMBER:
Appllcat.ion t)'pe descliptio
Subdivision Name ...
Property Use
Property ZoniAg
AppLication vafuation . . .
19- 00001712 Date
457456
1037 W 11TH ST
05 -3 0 - 00- 0 -3 - 1844 - 0000-
ETECTRICAI ONLY
RS7 RESDNTL SINGLE EAMILY
o
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
r!/os /79
ApplicaLion desc
Bath / Laundry remodel
Owner ContracEor
BRYAN P }ND ASII"ON R IIARP
1037 W ItTIt ST
PORT ANGELES 9]A 983637208
AI,ASKAN ELECTRIC
237 ROBERSON RD
PORT ANGEIES
\35A) ae2-3A74
FIA 983 52
Permit
AdditionaL
Permit Fee
lssue Date
a.""ELECTRICAIJ AITER RESIDENTIAL
1-4 CIRCUITS
75.00 PLan Check Eee
tt/os/L9 valuat ion
s/03 /2oExpiration Date
Qty Unit Charge
00
0
Per
BASE FEE
Extension
?5.00
Fee summary Charged Paid Credited Due
Permit Fee Total
PIan Check Totsa1
crand ToEal
75 .00
.00
?5.00
.00
.00
. oo
00
00
00
PERMM WILL D(PTRE SIX (6) MONTHS FROM LAST INSPECTTON
INSPECTOR:DATE:RESULTS:INSPECTION TYPE
DITCH
SERVICE ffirulttl fr stsROUGH-IN
FINAL
{^4COMMENTS:
Signa ture of owner or El€ctrical Contractor X Date:
75.00
.00
75. O0
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
.....D|TCH......
BOUGH IN/COVER .
....SERV|CE.....
.....F|NAL......
o
APPROVED
tr
tr
D
tr
>.-.tr
.tr
J
D I
DATE:o -/\ I
PE
OWNEF
AODFESS
-7
CORRECTIONS NEEDED:
2or t-D)hr-L,ar,bE-
. .}IOTIFY iliSPEETOR TYHET CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
_ DO NOT REMOVE_
x+&
t i.l )\
ELE CI RIC AL PE RM ITAP PLIC ATION
BA(.
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ID
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N1037E- 11thProject Address
Project Description:Bathroom/Laund ry remodel wiri ng
0 Single-Famity Residential n Duplex / ARU Building Square footage 2078
Name Bryan and Ashton H Email
Mailing Address 1037 N11th PA. WA 98362 ph6ns. 571-230-0556
Name. Alaskan Electricat SVS License. ALASKES94TDO
Expiration 9s1s 03-2020
phone. 360-582-3874
Mailing Address:
Email:
Item Unlt chsrge
9120.00
$'146.00
s205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.m
$149"00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
Totai (Quantity x Unit CharEe)
$
$
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$
0075
468, rhe %L
,////,
TOTAL
Owner as defihed by RCw'1g.28.26t: (1) Owner wil, occu py the structure for two yea.s afler this electrical permil is finalized (2iOwner isrequired to hire an eleclrical contrador if above said property is for sale, rent or lease. permat exptres after six months of tasl inspectrion
After readang the above statemeni. I hereby certily lhat I am the ovwrer of the above named property or a licensed electrical contractor. Iam making the eleclncal instaltaton or alteration in compliance w'th the e lectrical laws, N.E.C., RCW. Chapter 19.28. WAC.Chapter 296-
c 14.0s.050 Electrical Permit Applic€tions
Date Priot Name Signature (D Owner Electrical Contractor / Administrator)
IElectrical Permit Appl ications may be submitted to city Ha[ or erectricaipermits@cityofpa.us or faxed to 360.4.1 7.4711]
,I - 2 SIhIGLE-FAMILY
l--..-..-.----.--..:OWNER INFORMATION
ELECTR}CP .L CONIRACTOR INFORMATIbN
t PROJECT DETAILS
Service/Feeder 200 Arr,rp
Servrce/Feede. 201+00 Amp
Servrce/Feeder 40t-600 Amp.
Servjce/Feeder 601-1000 Amp.
Service,/Feeder over 1 000 An]p
Branch Ci.cuit W/ Service Feeder
Branch Circuil VV/'O Service Feeder
Each Additional Branch Circuit
Branch Citcuits 1-a
Temp. ServicdFeeder 200 Amp
Temp ServicdFeeder 20j-400 Amp
Temp ServicdFeeder 401-600 Amp.
Temp Setuice/Feeder 601- 1000 Amp.
Portal to Portat Hourty
Srgnal Cllcuiulimited Energy 1&2 DU.
lranuiactured Hon]e Con ection
Renewable Elec Energy: 5KVA System or less
The.rnostat (Note g5 for each additionat)
First 1300 Square Feet
Each Additionat 5@ square Feet.
Each Outbuitding / Delached Garage
Ouanlitv
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