HomeMy WebLinkAbout1418 E 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
(
N
-"(
Application Nuiber
Application pin number
Property Address
ASSESSOR PARCEI NUIIBER:
Application Eype descripli.on
subdivision Name
PropertY Use
Property Zoring
Applica!ion valuation
21-OOO0014I DaEe 2 /25 /21
o4 95 78
1418 E 4Tr{ Sr
05 -30 - 00- 0- 1- 8115- 0000-
ET,ECTRICAJ, ONI,Y
RS? RESDNTL STNGLE EAi4]LY
0
Applicalion desc
seruice disconnec!
PAT]IJ AND PAUI'A STJYII
PO BOX 3585
SEQUIM
(350 ) 581-2859
A1 ROCXHOIJD EI'ECTRIC INC
123 WADSWORTII DR
SEQUTM WA 98382
135O) 175-2L26
wA 98382
Permi E
AddiEional desc
Permit Fee
Issue DaCe
Expiration DaEe
120.00
2/2s/2t
I /24/2t
EIJECTRI CAI' ]IITER RESIDENTIAI
Plan check Fee
ValuaLion
00
0
ory UniE Charge Per
1.00 120.0000 Ectt E!-o-200 sRV FEEDER
Extsensioo
120-00
Charged Credited Due
Pehit Fee TolaI
Plan Check Total
Gra.d To!a1
120.00
,00
120. O0
120.00
.00
120.00
.00
.00
.00
.00
.00
.00
REPORT SALES TN(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE;RESULTS:INSPECTOR:
DITCTI
SERVICE iltlzt
ROUGH-IN t lt lu,{N
FINAL roltZlz t -tQ
COMMENTS:
PERMIT WILL EXPIRE SIX 16) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
C:\EXCHANGABUILDING
Date
I 2 SING E-FAIUILY
ELECTRI CAL PE RMIT APPLICATION
Public Works and Utilities Department
3l I Il. -sth Street. Port Ansele s. \\A 98-162
:]60.4 I 7..17,15 I urvr.r,.citvofpa.us j electricalpennitsi?cityofpa.us
!o
f
It
N
o
J
Project Address 1418 E 4th St P.A.
Project Descrip 1;6n. Add 200 amp disconnect
E Single-Family Residential 0 Duptex / ARU Building Square footag s. 800-900 sq.ft
frl6rns Paul Slyh Email
Rockhold Electric ( Ed Rockhotd )License A1ROCRE812OR
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 'l-4
Temp. Servic€/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder4o'l -600 Amp.
Temp Service/Feeder 601-'tOOO Amp
Portal to Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System
ljnlt Charoe Ouantitt f_Olal (Quanfity x Unit Charge)
120.00$
$
s
$
$
s
$
$
$
$
$
$
$
$
$
$
1
eor
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$1'10.00
9149.0!
$168.00
$96,00
$64.00
$120.00
$102.00
$56.00
-
TOTAL
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. Permit expires afte; 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 complianc€ with the electracat laws, N. E.C., RCVi'. Chapter 19.28, WAC. Chapter 296-
468, The city of Port Angeles Municipal code, and Utility Specifications and PAMc 14.05.050 regarding Electrical permit Applications.2-4-21 Ed Rockhold
Date Print Name Signature (D Owner p Eleckicat Contractor / Administrator)
[Electrical Permit Applicalions may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to g60.417.47111
OWNER INFORMATION
l\4ailing Address: 400 Reservoir Rd. Sequim Wa. 98382 p6666 360-460-5'150
Mailing Address; 123 Wadsworth Dr.Sequim Wa. 98382 Exparation ga1g..12-25-23
Emait. rockholdelectric@gmail.com phone. 360-775-2126
First 1300 Square Feet
Each.Additional 5OO square ftiet"
Each Outbuilding / Detached carage q
ELECTRICAL CONTRACTOR INFORMATION
PROJECTDETAILS