HomeMy WebLinkAbout1331 W 16th StELECTRICAL PERMIT
CITY OF'PORT ANGELES
360-417-4735
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Application Number
Applicacion pin number
Property AddresE
ASSESSOR PARCEL NUMBER:
applicalion E,.pe description
subdiwision Name
Property Use
Pr.operLy zoning
Applicatsion valr']aEion
22-ooooo325 Datse 3/23/22
918778
1331 W 16?I{ ST
05-30-00-0 -4 -3350- 0000 -
EIECTRICAL ONLY
RS7 RESDNTL S]NGLE FNVI]LY
0
Apptication desc
Panel repfacement
SIiAWN AND MISTY TACHE],I,
427 EAST 3RD STREET
PORT ANGEIES WA 98362
OWNER
PeI.Init
Additsional desc
PermaE tee
fssue Dale
ExpiraLion Date
125.00
1/23/22
9/a9/22
Plan Check Fee
Vafualion
.00
0
oty u.iL Chaxge Per
1.00 5.0000 ECq
1.00 120.0000 ECH
5.00
120.00
EL.BRANCII C]RCUIT W/FEEDER
EL O.2OO SRV F'EEDER
Charged Credited Due
PermiL Fee To!a1
Plan Check Total
Grand Total
'1,25
125
.00
.00
.00
.00
.00
.00
00
00
00
00
00
00
125
t25
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERM IT WILL EXPIRE St( (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
INSPECTION TYPE RESLTLTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAT
COMMENTS
C:\EXCHANGE\BUILDING
Date
ELECTR]CA], AI]TER RESIDENTIAL
DATE:
zluq/zc l-A "#
zfzt lr>ffi
tl
MULT I-FAMILY / COMMERCIAL
ELECTRI CAL PERMIT APPLICATION
Public Works and Utilitrcs Dcpaltnrent
-'l2l E. 5th Street. Porl r\ngeles. \\A 98-162
.160.417.;l735,,v,,.vr.v.cityol'pa.uslelecLricalpemrits(zr.cityofpa.us
!ot
-;
NIr
$
N$1331 W 'l6th st
Project Address
Project Description:replace Shop electric panel
E Mu[i-Family Residential I Commercial / lndustrial / Public Building Square footage :30x30
Name: Shawn Tachell Email shawntachell@yahoo com
Mailing Address:1331 W 16th st Phone: 360-477-6780
Name:Licensei
Expiration Date:
Phone:
Mailing Address
Email:
ltem
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1-600 Amp.
Service/Feeder 601-1 000 Amp,
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service F6eder
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 601-1000 Amp.
Portal to Porlal Houdy
Sign / OuUine Lighting
Signal CircuiULimited Energy - Multi-Family
Signal CircuiuLimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
ljnlt Charqe Ouantitv
$132.00
$160.00
$225.00
$288.00
s410.00
$5.00 1
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$e6.00
$88.00
$88.00
$96.00
IOtel (Ouantity x Unit Charge)
$132.00
$
$_
$-_-
5.00
$_
$_
$
$
$
$
$
$
$
$
$
s
$
$
$$113.00
$56.00
137.00 TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure fortwo 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 contmctor. I
am making the electricallnstallation oralteration in compliance wilh the electricallaws, N.E.C., RCW. Chapter'19.28, WAC. Chapter296-
468, The City of Port Angeles Municipal Code, and Utility Speciications and PAMC '14.05.050 regarding Electrical Permil Applications.
3-18-22 Shawn Tachell Shawn Tachell
$
Date Print Name Signature ([ Owner ! Electrical Contractor / Administrator)
IElectrical Permit Applications may be submifted to City Hall or electricalpermits@cityofpa.us]
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ELECTRICAL CONTRACTOR INFORI\'ATION