HomeMy WebLinkAbout1105 W 15th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDMI'- SINGLE FA.I'4ILY
0
REfuR,DATATE SAI.ES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
s
)
N
-t
ApplicaLi.on Number -
Appl icat.iou pin number
Property Address
ASSESSOR PARCEI NI'MBER:
Appl ication tsype descriplior
su.bdivisi.on Name
Prope!tsy Use
Property zoning
Application valuatio!
20-o0000164
196400
1105 W 15TII ST
06-3 0 - 00 -0 -4 -1280 -0000-
EIECTR]CAt ONLY
ApplicaEion desc
Service, KiEchen and taundry
OI{ner
CIRISAOPEER / UNDSAY MURRAY
1105 W 15TIt ST
PORT ANGETES WA 983637037
1350\'77a-0446
UPPER LEEIT ELECARIC LI,C
1305 ROOI( DR
PORT ANCEIES WA 98352
1360) 45!-7120
PermiE
AddiEional desc
Perrni! Fee . .
lssue Date ,
Expiration Date
170.00
7/\5/20
1/tt / 2t
ELECTRICAL AITER RESlDENTIAI
Pla4 Check Fee
Valuation
00
0
Qty Unit Charge Pe!10.00 s.0000 ECH Et
1 .00 120 - 0000 ECH ET,
BRANCE CIRCOI? W/EEEDER
O.2OO SRV FEEDER
ExEension
50.00
120.00
Charged Paid Credit.ed Due
Permit Fee Total
Plan Check Total
Grand rotal
170.00
.00
170 .00
170.00
.00
170.00
00
00
00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE tlE hD a (w
ROUGH-IN t/s /zo R d
FINAI,
COMMENTS:DtL +1zr--
PERMM WILL EXPIRE SIX (6) MONTHS FROM I,A,ST TNSPECTION
Signature ofowner or Electrical Contractor X Date:
EL{-2 sF
ELECTRICAL P E RMIT APPLICATION
Public Works and Utilitics Department
32 | F.. 5th Strect. Pon Angeles. \\'A 98361
160.117.4735 luuu.citlolla.us electricalperm irs:.t- c ir) o lpa.us
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Project Address '1105w1sTH
OIANER INFORMATION
Name Email
lvlailing Address Phone
ELECTRICAL CONTRACTOR INFORMATION
Name. uppcr left alectric License
Mailing Address:Expiration Date
Phone:Email upper left e lectric@ gmail.com
PROJECT DETAILS
Item
Servic€/Fecder 200 Amp.
Service/Fcrdcr 201{00 Amp.
Service/Fccdcr 401600 Amp.
Service/Fecdcr 601-1 000 Amp.
Service/Foodcr ovell 000 Amp.
Branch Circuit W Servics Feeder
Brandr CirqJit W/O Servic€ Feeder
Each Additional Brand! Circuit
Branch Circuils 'l-1
Temp. Service/Feeder 200 Amp.
Temp. Servic€r'Feeder 201-400 Amp.
Temp. Service/Feede. 401€00 Amp.
Temp. Servace/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuruLrmited EneEy - 1&2 OU.
Manufaciured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Squara F6€t
Eadr Additional 500 square H''
Each Outbuilding / Deteched Garagc
Eacfi Swimming Pool / Hot Tub
lJnit Ch.ro.
$'120.00
$146.00
$205.00
$262.00
$373.00
$s.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$'120.00
$102.00
$s6.00
$120.@
$40.00
$74.00
$110.00
Otrtlltif trehl (Quantity r Unit Chargc)
120U
$
$
$
$
$
l
$
$
$
$
$
$
$
$
$
$
$
$
$
s
$
i
50
TOTAL
Date Print Name Signature 1p Owner I Electrical Contractor / Administrator)
70
lElectrical Permit Applications may be submitted to City Hall or electflcalpermits@cityofpa. us or faxed to 360.417.4711]
1 .2 SINGLE.FAMILY
project Dcscription. service upgrade and 10 circuits kitchen/ laundry remodel
6 Single-Family Residential n Duplex / ARU Building Square footage: _
I
10
Owner as defined by RCW 19.28.261: ('l) Owner will occupy the struqlure for two years after this electrical permit is finalized. (2) Owner is
required to hire an eleclrical contraclor if above said property is for sale, rent or lease. Permit expires after six months of last inspeclion.
Ater reading lhe above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I
am making the eleclrical 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 Specilications and PAMC 14.05.050 regarding Etectrical permit Apptications.
512812020 chace botero