HomeMy WebLinkAbout1610 E 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4'735
RS7 RESDMTL SINGLE FAII,IIITY
0
Applicatlon Nunber
Application pin number
ProperLy Address
ASSESSOR PARCEL I\'UMBER
22 aaaoo229 Date 3/ A2/22
64552L
1610 E 4TH ST
05-30-00-0-1-8330 0000-
ELECTRICAL ONIYApplicaEion Eytr)e descripEion
Subdivision Name
Proper:Ey Use
Pr:operty zoning
Application valuaLion
ApplicaLion desc
MICHAEI, M GII,BERT TTE
1510 E 4TH ST
PORT ANGE],ES WA 983524808(360) 457-1504
ANGELES ELECTRIC
524 E. lST ST.
PORT ANGEIJES
\360) 4s2 9254
wA 98352
PermiE
Additional desc
Permii Fee
I ssue DaEe
Expirat.ion Date
120.00
3/02/22
8/29/22
ELECTR]CAL ALTER RESIDENTIAL
Plan Check Eee
valuation
00
Qty Unit Charge Per
1.00 120. 0000 EcH Er,-0-200 sRV FEEDER 120.00
Charged Paid Credited Due
Permit Fee ToLal
Plan Check Totsal
Grard Tolal
00
00
00
120.00
.00
120. Q0
.00
.00
.00
.00
.00
.00
L20
120
REPORTSALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESIJ'LTS INSPECTOR:
DITCH
SERVICE z)zln-R I =e0
ROUGH.IN
FINAL zlz)zz dv
COMMENTS:
T
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTTON
Signature ofowner or Electrical Conractor X
0
Date:
1 .2 SINGLE-FAIVIILY
ELECTRICAL PERIVIT APPLICATION
Public Wor-ks and Utilities Departurent
321 E. 5th Stlcet. Porl Augeles, WA 98362
360.417 .4135 l wwr.v.r:ityoiira. us i electrica lpclrlits(r4cityo fln. us
.0
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INN
ProjectAddress:
Project Descripiion
D Single-Family Residentia ! Duplex /ARU Bullding Square footage 6n
Name Email
Mailing Address
Name: Angeles Electric, lnc
Mailing 666rsss 524 E. First Skeet, Port Anqeles , wA 98362
License. ANGELE1460RS
Exp i7s1i6n fialg21312022
Ema l:ksimpson@olym pus.nel Phone: 360-452-9264
Item
Service/Feeder 200 Amp.
Servico/Feeder 201-400 Amp.
Sarvice/Feeder 401 -600 Amp.
Servlce/Feeder 601-'l 000 Amp.
Service/Feeder over 1000 Amp,
Branch Circult vv/ Service F6eder
Branch Circuit W/O Service Foeder
Each Additional Branch Circuil
Branch Ci.cL.rits 1-4
Temp, ServicelFeeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp, Service/Feeder 601-1000 Amp,
Porlal to Portal Hourly
Signal CircuiUlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: SKVA System or less
Thermoslat (Note: $5 for each addilional)
Firsl 1300 Square F6ot
. , .. ,r ;ir.r: Each Addltlonal 500 square feet"
I i,. Each Outbullding / Dstachecl Garage
. Ea6h Svrimming Pooi / Hol Tutl
Unlt Charqg
$120.00
$148.00
$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
$1.20.00
'$40.00
$74,00
$110,00
Quantlty lqlal (Quantlty x Unlt Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
sTOTAL
----;V t\ ,1-
Owner as defined by RCW.19.28.261 : (1) Owner will occupy the structure for iwo years after this electrical permit is finalized. (2) Owner is
roquired to hire an electrical contraclor if above said property is for sale, rent or lease. Permit 6xpir€s after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of th€ above named property ol a licensed eleckical conlractor. I
an] making the eleclrical installation or alteratlon in compliance with ihe electrical laws, N.E,C., RCW. Chapler 19.28, WAC. ChaptBr 296-
468,he Cit y of Port Angeles IViunicipal Code, and Utility Sp I li ar PAMC 14.05.050 regarding Electrical Permit Applications
Ken Sim son
Dat Print Name Sigoature ll El Electrical Contractor / Admlnistrator)
IElectrical Permit Applications may be submitted to City Hall or electdcalpermits@cityofpa. us or faxed to 360.41 7.47111
enone: 7|9-L?1-AL*4
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