HomeMy WebLinkAbout1111 1/2 W 17th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
36H.17473s
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Application Nuniber
Appli.calion pin Dumber
P.operEy Address
ASSESSOR PARCEI, NTJMBER:
ApplicaEion type descripEion
Sr;bdivision Name .,.
Property use
Proper!y zoning
Applicatj.on valuaLion
21-O0OOO38? Datse 3/30/21
83 5757
lLlr 1/2 W 17TI{ ST
05 -30 -00 -0-4 -4080- 0000-
EI,ECTRICAN ONI,Y
RS? RESDNT! SINGIE F'AMILY
0
Cont!actor
TO!'IMY & JOANN COOK LIVING TRST
II12 W 15TH ST
PORf ANGELES WA 98353
OITNER
PermiE
Addilionaf desc
Perldt !'ee
lssue Date
Expiratio! Date
95.00
3/30/2\
e /26/2r
EIECTRICAI NEW RESIDENTIA],
Plan Check Fee
ValuaEion
00
0
oEy uniL Charge Per
1.OO 96.0000 ECH EL-TRIP FEE-INSPECT EX. INSTAI'
ExEension
95.00
Charged credi!ed Due
Permit Fee Totsal
Plan check
"oEalGrald Total
96.00
. o0
95 .00
96.00
.00
95.00
00
00
00
.00
.00
.00
REPORT SALES TD(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL 4lso)zt f d1
COMMEN'TS
PERMIT WILL EXPIRE SIX (6) MOI.ITHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
G|\EXCHANCRBUIIDINC
Date:
Application desc
Final for EX L'7 -\827
l I
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APPHOVED
ELECTRICAL INSPECTION
WIRING REPORT
4174736
NOT APPROVED
.....D|TOH.....
ROUGH IN/COVER
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NOTIFY II{SPECTOR WHEN CORRECTIONS
AFE COMPLETED WTHIN 15 DAYS
- DO NOT REMOVE-
ELECTRI CAL PERMIT APPLICATION
Public Works and Utilities Department
3l I F-. 5th Stleet. Port Angeles. !t'A 98.162
l{r0.4 I 7.47-15 | mvwcitvofpa.us I elcctricalpennits(]rcityofpa.us
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Project Address 1111 112 17th Street PA
Project Description reference petmil 17 -1827 .
E Single-Family Residential E Duptex / ARU Buitding Square footage
Name Tommy D Cook
I\,4 ailing Address: 11 12 W. 16th St, Port Angetes WA 94363
Email t62cook@qmail.com
p1,on". 360 46'l 4012
Name: License
Mailing Address
Email:
Expiration Date
P hone:
It.m
Service/Feeder 200 Amp
Service/Feeder 201-400 Amp.
Service/Feeder 401 -600 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 '1{
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp Service/Feeder 401-600 Amp
Temp Servrce/Feeder 60't-'tOOO Amp
Portal to Portal Hourly
Slgnal CircuiuLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Detached Garage
Quantity f-Clal (Quantity x Unit Charge)!!itl[al!e
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63 00
$5.00
$7s.00
s93.00
$110.00
$149.00
$168.00
$96 00
$64.00
$120.00
$102.00
$56.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
7bp
TOTAL
$--
i-qze-
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 isrequired to hire an electrical contractor if abovo said property is for sale, rent or lease. Permat expires afrer six months of last inspection.
After reading the above statement, I hereby certiry that I am the owner of the above named property or a licensed electrical contractor. Iam making the electrical installation or alteration in compliance with the etectrical taws, N. E.C., RCr i Chapter i 9.28, WAC. Chapter 296-468, The city of PortAngeles l,Iunicipal code, and Utility Specifications and PAMc 14.05.0s0 regarding Electrical permit Applications.
Mar29,2021 TOmm y D Cook
Date Print Name Signature (E Owner ! Electrical Contractor /Administrator)
IElectrical Permit Applications may be submitted to city Hall or electricalpermits@cityofpa. us or faxed to 360.417.47.11]
-1 - 2 SINGLE-FAMILY
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Firstl300 Square Feet -
Each Additional 500 square feet '