HomeMy WebLinkAbout1207 W 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4'735
l
s
I\D-t-
AppLication Number
Applica!ion pin number
Property Addle66
ASSESSOR PARCEI, NU BER:
Application tl.pe description
subdivision Name .....
ProperEy Use
Property zoDj.ng
application valuaiion
22 -000Q0094 Date
836338
1207 W 5TIt ST
06 - 3 0 - 0 0'o - 1- 15 60 - 00 0 0
ELECTRICAI ONLY
t/2'7 /22
RS? RESDNTL SINGLE FAM]LY
0
application deac
Hot Eub / Service
DONELLA K AND .'EFF CIARK JTWR
120? l| STH ST
PORT ANGEI,ES WA 98363
SI-IIERGY ELECIRICAI CONTRNG LlC
910 W 10TIt ST
PORT ANGELES WA 98353
(350) 461-39s4
Permil
Additional, desc
Permil Fee .
lBsue Daie .
Expiration Date
EI,ECTRICAI AITER RESIDENTIA],
1-4 CIRCUITS
195.00 Plan check Eee
1/21/22 valudL.ion
'1/26/22
Qty Unit charge Per
1.00 120.0000 ECH
BASE EEE
EL O.2OO SRV FEEDER
Exlension
75.00
120.00
00
0
charqed Paid crediEed Due
Permit Fee Total
Plan Check Tota]
Grand ?o!a1
195.00
.00
195 _ 00
195
195
.00
.00
.00
.00
.00
.00
00
00
00
PERMIT WILL EXPIRE SIX (6) MON'THS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE +lr4lzz-*W
ROUGH-IN
FINAL al"olr-:z-*p :#
COMMENTS:
Signature ofou,ner or Electrical Contractor X
GIEXCHANGE\BUILDINC
Date:
I
1 - 2 SINGL E-FAMILY
E LE C TRIC AL PERMITAPPLICATION
PLrblr,: r'k:ar;d [.Lilil.icr I)u'p;rrilrcnr
ill lr jth Strcct. Irort,\n;i:Jrr. 98161
l6(l .l l? ,l7lr \\ w\\,.crtloill"r u. .:leutrru.Llltcrnriis:2r r.irr olp;t.trs
1207 W sth, Port Angeles, WA 98363
-9
q
1if
F'
I
IDl{
Project Address:
Project Oescription
EI Single-Family Residential ! Duptex / ARU Building Square footage
Name JefF Clark
Mailing Address 1207 W 5th St, Port Anqeles phone. 360-808-4864
Name: Syne!'gy Electrical Contracting, LLC .License SYNERECE29QN,l
- Exp iration Date: 1 1 I 1 412022Mailing Address PO Box 1544 Port Anqeles
SVN E rqvel ectricalcontractino@o mail.com Phone: 360{61-3954
U]rir charge
$120.oo
$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
s120.00
540.00
$74.00
$110.00
Ouaolily Iqtal (Ouantily r Unit Cha.ge)
120.001
1
$
$
$
$
s
$
$
$
s
s
$
$
$
$
$
$
s
$
s
$
t
I
$
0075
TOTAL 195.00
Owner as defined by RCW.19.28.261 : (1) 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. Pern I expires after six anonths of last inspection.
After reading the above statement, I hereby cedify that I am the owner of the above named prope.ty or a licensed electrical contractor- I
am making the electrical installation or a teration in compliance with the electncal laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utitity S ions and PAN4C 14.05.050 re garding Electrical Permit Applicatjons
Jan 25 2022 Tracy Critchfield
Print Name sis (! Owner ffi Electrical Contractor / Administrator)Date
lElectrical Permit Applications may be submitted to City Hall or electricalpermlts@cityofpa.usl
charEe our 200 aMP seto,ce, add crcul tor hot rub
Email synergyelectricalcontract na@qmart.com
Enr a il
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -'l 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Brarch Circuit
Branch Circuits 1-4
Iemp, Servjce/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-,l000 Amp.
Portal to Portal Hourly
Signal CircuiULimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energyt sKVA Syslem or less
Thermostat (Note: $5 for each additional)
First 1300 Squars Faet
Eacrr Additional 500 square feet '
Each Outbuilding / Detatu G$age
EBd! Su,immlng Pool,/ Hot Tub