HomeMy WebLinkAbout1203 Campbell Ave IELECTRICAL PERMIT CITY OF PORT ANGELES 360-4t7-4735 RESIDENTIAL HIGH DENSI?Y 0 REPORT STATE SALES TAX on your excise tax form to the City of Poft Angeles (Location Code 0502) sO I -$ N Application Number Application pin number Property Address ASSESSOR PA.RCE]. NUMBER: Application E,'pe description Suldivasion Name Property Use Propertsy Zoning Application valuation 19- 00001912 Date l2/a4/J-9 o48264 1203 CAMPBEI.I, AVE I 06,30-14-s-3-0340-0000- ELEC1'RTC.I\], ONIY Application desc DON NIVENS PA BaX 272 SEQUIM UPPER LEFT EIJECTR]C ILC 13 06 ROOK DR PORT ANGELES WA 983 52 135A) 461-7't20 wA 983 82 Addi.tional desc PermiL Fee Issue DaEe . Expination Date 120.00 72/A4/a9 6/A1/2A Plan Check Eee valuation 00 0 Qty Unit Charge Per 1.00 120.0000 ECH EL-R-SOFT FrRST 1300 ExEension 120.00 Charged Paid CrediLed Due Permit Eee Total Plan Check ToEal crand TotsaI L20 120 120.00 .00 120.00 .00 .00 .00 00 00 00 PERMIT WILL E)QIRE STX (6) MONTHS FROM LAST TNSPECTION INSPECTION TYPE DATE:INSPECTOR: DITCH SER\1CF,nlfi ln +p "@P ROUGH-IN )".h1'] fi N ffi FINAI ztu lii R w COMMENTS: Signature of ow[er or Electrical Conkactor X Date: ELECTRICAI NEW RESIDENTIAI .00 .00 .00 RESULTS: APPROVED ,COBRECTIONS NEEDED ELECTRICAL INSPECTION WIRING REPOHT 417-4736 .......D|TCH .. ROUGH IN/COVER . .... SERVICE - . , FINAL Q-u-vr zqr v 'Pa r--u.trtr; D tr tr tr tr OATE Z2 )1-Z_ ]NSPECTOFI OWN CONTBACTOB \) AOOAESS kt{e-ic-;l B+qs-H -r hr- eD **- I )r>.tz Z? {uc llO "9 L/4-fc-l ArrSTzd-orSPV-€ r{* zo€ L<-z NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WTTHIN 15 DAYS - OO NOT REMOVE_ ^tc9!lq^s*Z,(Ne-"/ttiY n ta- -_ rt6 %x=6-c' Y7_ t2 r>3 r AI-?Y-B ) )'r- ....... o ....... tr @-- ELl-2 sF 1 - 2 SINGLE-FAMILY EL E CTR ICAL PERM IT APPLICATION Public Works and Utilities Department 321 E. sth Street, Port Angeles, WA 98362 360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us 1'oj = 1+ .-0 tb N I PE ftt tafi Project Address: Project Description th q a.t- t+ Ne.rntw-"-^g- L-.1 Srngle-Famrly Resrdentral ! Duplex / ARU Building Square footage Name ,L, a .,/-e- Mailing Address Email: Phone OV1NER INFORMATION ELECTRICAL CONTRACTOR INFORMATION Name [/ailing Address Email: License Expiration Date: Phone: PROJECT DETAILS Item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401600 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 '14 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401600 Amp. Temp. Service/Feeder 60'1 -1 000 Amp. Portal to Portal Hourly Signal CircuivLimited Energy - 1&2 DU. Manufactured Home Conneclion Renewable Elec. Energyr sKVA System or less Thermostat (Note; $5 for each additional) First 1300 Square Feet Each Additional 500 square feel" Each Outbuilding / Detached Garage Each Swimming Pool / Hot Tub unit Charqe $120.00 $146.00 $205.00 $262.00 $373.00 $5.00 $63.00 $5.00 $75.00 $93.00 $110.00 $149.00 $168.00 $96.00 $64.00 $120.00 $102.00 $56.00 $120.00 $40.00 $74.00 $110.00 Ouantitv IqE! (Quantity x Unit Charge) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ WJ TOTAL ,ZX' Owner as defined by RCW 19.28.261 : (1 ) Owner will occupy the structure for two years after thas 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. Afte. reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contraclor 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 MunicipalCode, and Utility ons and PAMC 14.05.050 regarding Electrical Permil Applications. e 6o*e Date Print Name Signature 1[ Owner ! Electrical Contractor / Adminastrator) V [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]