HomeMy WebLinkAbout1203 Campbell Ave HELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4r7-4735
RESIDENTIAL I{IGI{ DENSITY
0
l.)s
)
t)
Applicatsion Number
ApplicaEion pin number
Property Address
ASSESSOR PARCEL NUI'IBER:
Application type deEcriptsion
subdivision Name
Property Use
Propertsy Zoni.g
ApplicaEion valuaEion
20-000010?4
8',72',730
1203 CA]VIPBE],! A\-E H
05 - 3 0-14 - 5-3 - 034 0- 0000 -
ELECTRICAI ONI,Y
ApplicaEion desc
New Home
DON N]VENS
PO BOX 212
SEQUIM wA 98382
UPPER LEFT ELECTR]C L],C
1305 ROOK DR
PORT ANGELES WA 98352
1350) 46L-172A
Permil
Additional desc
Permit Fee
Issue DaEe
Expiratlon Date
120.00
10 /OA /2A4/06/2t
ELECTRICAL NEI] RESIDENTIAL
Plan Check Eee
valuation
00
0
Qry
1.00
unit Charqe Per
120.0000 EcH E),-R-soFT FrRsT 1300 120.00
charged
PERMIT WILL EXPIRE Slx (6) MONTHS FROM LAST INSPECTION
120.00
.00
120.00
124
)-20
.00
.00
.00
.00
.00
.00
Paid crediEed Due
00
00
00
F,ER0R/E6.TATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E RESULTS:
DITCH
SERVICE t/- J3 - Zo *f /1"rO
ROUGH.IN f t-_r? -,o ,4f ,+t<At
FINAL ilrt lzr &w
COMMENTS
Signature ofowner or Electrical Contractor X Date
Plan Check
"otalGrand Totsa1
DATE:INSPECTOR:
I
-I
ioBi
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
4174735
DITCH
. . BOUGH IN/COVER . .
......SERV|CE......
FINAL
tr
tr
tr
D
D
tr
tr
CORREC,ONSNEEDED: /Nh1\ €O=E_ dN- T>H?
DATE
1
INSPECTOB
CONIBACTOF
)La)
ADDRESS
APPRON
A d 0
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED wlTHIN 15 DAYS
- DO NOT REMOVE-
ELECTRICAL PERIV IT APPLI CATION
Fublie \Vorks and Utilities Departrnent
3: I ll. ,5th Street, Port Angeles, \{i{ 98-162
360.4 I 7.47-15 | u.w,w.cit_vofpa.us i elecricalpemits@cityofpa.us
1lo
3
+t
NID
-t-tJ!u
Project Address 1203 Campbell ave Unit H
Project Descrip 1;en. 550 sq ft one bedroom unit
D Single-Family Residential Duplex / ARU Building Square footag e. 550
112ms Don Nivens Email
Mailing Address Phone
Name upper lefl electric License
Mailing Address Expiration Date
Phone:Email upperleft electric@gmail.com
Item
Service/Feeder 200 Amp
Service/Feeder 201-4OO Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-10O0 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Seryic€ Feeder
Branch Circuit WlO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601- 1000 Amp.
Po.talto Portal Hourly
Signal Circuivlimited Energy - '1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Unit Charoe
$120.00
$146 OO
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$7s.00
$93.00
$110.00
s'149.00
s168 00
s96.00
$64.00
x Unit Charge)
$
$
$
$
$120.00
$102.00
Thermostat (Note; $5 for each additiona $56.00
TOTAL
Date Print Name Signature (E Owner I Electrical Contractor / Administrator)
owner as defined by RcW.19.28.26'l: (1) owner will occupy the structure for two years after this electrical permit is finalized. (2) owner isrequired to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires afte; 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. Iam making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.2g, WAC. Chapter 296-
468' The City of PortAngeles Municipal code, and Utility Specifications and PAMC 14.05.050 regarding Electrical permit Applications.
81312020 chace botero
1 - 2 SINGLE-FAIMILY
E{EETRICAL'EONTRACTO R.iINFOR MATIO*I
$_
q
q
q
$_
$_(
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711)