HomeMy WebLinkAbout1109 W 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-411-4735
RS? RESDNTL SINGLE FAMILY
0
REPORT STATE SATES IAX
on your excise tax form
to the City of Poti Angeles
(Location Code 0502)
Appllcation Number
Application pin number
Property Address
ASSESSOR PARCET NUMBER:
ApplicaLion type descr.iptsion
Subdlvision Name
Property Use
Property Zoninq
Application valuation
2 o - oooooo57 Date t/22/20
0080{9
1109 W 51'lt ST
06-3 0 - 00 - 0- r.- r"26s - 0000 -
ELECTRICAI, ONLY
Application desc
Garage
Contractor
!iEBSTER, f"]E FFANK E
1109 W 5TH ST
PORT ANGELIS WA 9 83 532003
BI,ACK DIAIYIOND ELECTR]CAL CONTR
502 BI,ACX DIAMOND RD
PORT ANGELES WA 98363
1360) 555 - 1035
Permit
AddiEional
Permlts Fee
Issue Date
Expj.rat ion Datse
120 .00
L/22/20
7 /20 /20
EIJECTRICAL AI,IER RESTDENTIAL
Plan Check Fee
Vafuatioo
.00
0
OEy Unit Charge per
1.00 120.0000 EcH EL-O-200 SRV FEEDER
Ex!ension
120 ,00
Fee summary Charged Paid Credited Due
Permit Fee ToLal
Plan Check Toral
Grand Total
t20
L20
00
00
00
L20
t20
.00
.00
.00
00
00
0o
00
o0
00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
iNSPECTION T'I?E RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN t lzo/zo +F :E+
FINAI l7 zv / ttt te w
COMMENTS:I U
Signature ofowner or Electrical Contactor X Date
N
o
IN
-l
DATE:
APPROVED
CORRECTTONS NEEDED
ELECTRICAL INSPECTION
WIRING REPORT
417-4736
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INSPECTOFDATE
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Yt xcr Ytpi>a*?CONTFACTON
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APPB
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NOTIFY INSPECTOR WHEN CORRECTIOI{S
ARE COMPLETED WTHIN 15 DAYS
_ DO NOT REMOVE_
EL1-2 sF
1 - 2 SINGLE-FAMILY
ELECTRICAL PER MIT APPLICATION FEttErVt,,.
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us electricalpermits@cityofpa.us
lAtt I t 29211
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Project Address ilol l^t ya
Project Description:G*a-tJI t?^t
Single-Family Residential n Duplex / ARU Building Square footage
Name:
Nilailing Address
Email
Phone.
OWNER INFORMATION
ELECTRICAL CONTRACTOR I NFORMATION
Name
Mailing Address
Email:
License
Expiration Oate:
pnone: _3()o.-t/6( - )7f7
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Arnp.
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portalto Portal Hourly
Srgnal CircuiVLim(ed Energy - 1&2 DU
Manulactured Home Connection
Renewable Elec. Energy: sl(VA System or less
Thermostat (Note: $5 for each additional)
First '1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Unit Charoe
$120.00
$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
$120.00
$40.00
$74.00
$110.00
gtlr[liS(
--t-
Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Owner as defined by RCW 1 9.28.26'1 : (1 ) Owner will occupy the structure for two years afrer 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 inspectjon.
After reading the above statement, I hereby certify that I am the owner above named property or a licensed electrical contracto. I
cal laws, N E C , RCW Chapter '19.28, WAC Chapter 296-am making the electrical installation or alteration in compliance with t
468, The City of Port icipal and Utility and PAI,C 14.05.050 rega.ding Electrical Permit Applications.
- 2a -uLo
Date Print Name nature Owner E Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to C Hall or electricalpermits@cityofpa. us or faxed to 360.417.47.11I
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