HomeMy WebLinkAbout2452 Samara DrELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
NNlN
:.D
Application Nurber
ApplicaEio pin number
Property address
ASSESSOR PARCE! NU!'1BER:
ApplicaLlon tsytr)e descripEion
subdivision Name
Propertsy Vse
Property Zoning
ApplicaLion valuaEion
22 -OOOOO129 DaCe 2/04/22
414525
2452 SAI.IARA DR
06-30- 01-5 -9-0120-0000 -
ELECTRICAJ, ONLY
RS9 RESDNII, SINGLE FAMILY
0
Application desc
DIlP
CARRIE I]EATON
2452 SA.I'4ARA DR
PORT ANGETES
(150 ) 670 4595
CASCADE ELECTRIC & VAC INC
PO BOX 369
PORT !{ADI,OCK WA 983]9
(350 ) 379-534?
wA 98363
Perndt
Additsional desc
Permit Fee
Issue Date , .
EI,ECTRI CAIJ ALTER RESIDEIITIAI'
1-4 CrRgrrrs
?5.00 Pfan Check Fee
2/04/22 valualion
8/03/22Expirarion Datse
Qty Unit Charge
00
0
Per
BASE FEE
Extsension
75.00
Charged Paid crediced Due
Permit Fee Totsa1
Plan Check ToEal
Grand Totsal
75.00
.00
75_00
?5.00
.00
75.00
.00
.00
.oo
.00
.00
.00
REPORTSALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DTTCH
SERVICE
ROTJGH-IN z)qlzz .fl ED
FINAL zlq\zZ N fl
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
Signature of owner or Electrical Contractor X Date:
GlEXCHANCE.BUILDING
ELECTRICAL PERTVI IT APPLI ATI N
Public Works and Utilities Department
321 E. 5th Stroet. Port Angelcs. \\A 98362
i60.-+ I 7.,17.15 | wmr,.cit-'rotpa.us i electlicalpelnits@cityolpa.us
2452 W Samara Dr
1'o
=
+
N
N"l
F-.S
Project Address
Project Descript ;on d uctless heat pump
tr Single-Family Residential E Duplex / ARU Building Square footage
Name Paul Collins Email
Mailing Address 2452 W Samara Dr p66ng. 360 670 4595
Name Cascade Electric & Vac License:cascaev934dm
Exp iration Date: 01 lO1 12023
phone. 360 53'l 0385
Mailing Address PO Box 369
Email. blacktailelite@yahoo.ocm
lJnit Charoe
$120.00
$146.00
$205 00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00 1
$93.00
$110.00
Ighl (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
75.00
$_
$_
TOTAL
Owner as defined by RCW 19.28.26'1: ('l ) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
46B, The City of PortAngeles lvlunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
710712021 Robert Nordberg
1 - 2 SINGLE-FAMILY
Service/Feeder 200Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 OOO Amp.
Portalto Portal Hourly
Signal Circurulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
IEEEIETflTET#I$
q
s
Date Print Name Signature (E Owner F Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or eleclricalpermits@catyofpa. us or faxed to 360.417.4711]