HomeMy WebLinkAbout1606 W 5th St - Building08/21/2015 13:08 FAX 360 452 9265
CITY OF PORT ANGELES PERmrr A]
Building. Division/Electrical Inspections
321 East Fifth Street —1P.O. Box 1150 / Port
Ph: (: (360) 417-4711
Date: _
' Plan Review M ay Be Required, Please Complete
Building Square Fmtage:.
Description of above._
Owner In ati
Name:
Melling A
City, State; IA44- --7Jp:
Phan ®; Fax:
License t 1 Exp•
Nam
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp,
Service/Feeder 401.600 Amp
Servlce/Feeder 601 =1000 -Amp,
Service/Feeder over 1000 Amp.
Branch Circuit W1 Service Feeder
Branch Circuit W/O Service Feeder
Each Additfonai Branch Circuit
Branch Circuits 1-4
Temp. Service/ Feeder 200 Amp.
Temp. Servic0eeder 201 A00 Amp.
Temp. ServicelFeeder 40144 Amp.
Temp, ServicelFeeder 601.10CC Amp .
Portal to Portal Hourly
Signal Circuit] limited Energy -1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each additional T -Scat
NEW CONSTRU 10 LY:
First 1300Squaie Ft.
Each Additional 500 Square Ft or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Angeles Electric 100001 /0001
Vt
AUG 2
j 2015
4 URMICAL r
CATION
eles Washington, 98362
2 Single Family Dwelling
rical Plan Review Information Sheet
$120.017
$ 40.0i
s 74.06
$110.OQ
Owner as defined by RCW.19.28.261: (1) Osnmer will occupy
to hire an electrical contractor if above said property is for sa
After reading the above statement, I hereby certify that I am tl
the electrical installation or alteration in compliance with the e
Angeles Municipal Code, and Utility Specifications and PAIVIC
Signature of owner, electrical contractor or electrical adn
r
1
.Contractor Information •
Name:
Mailing Address:
Chy:. q` Mate' 4zdz Zip:
Phone.._Yrs"2.*R�� Fax.
License# 1 Exp.
9k Total ]Qty Multiplied by Unit-Change)
S
$
$
$
$�
$
$
a
S
S
;Total
a structure for two years after this electrical permit is finalized. (2) Owner Is required
rein] or lease, Permit expires after six months of last inspection.
owner of the above named property or a licensed electrical contractor. I am making
Arical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296 -469, The City of Port
4.05.050 regarding Electrical Permit Applications.
dstrator: ❑ cash ❑ cheek
mart Cara s �-
9 /,V /s WrW2e12
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number .
. . , 15- 00001067 Date
8/24/15
Application pin number
. . , 318518
DITCH
Property Address 1 1. .
. . . 1606 W 5TH ST
ASSESSOR PARCEL NUMBER:
06-30--00-0-1- 2805 -0000-
Application type de.scxiption ELECTRICAL ONLY
Subdivision Name . , ,
. .
Property Use
Property Zoning . , , .
. , . RS7 RESDNTL SINGLE FAMILY
Application valuation .
. , . 0
COMMENTS:
Application desc
puctless heat pump
Owner
Contractor
CEBELAK DAVID A
ANGELES ELECTRIC
2027 W 6TH ST
524 E. 1ST ST.
PORT ANCEDRS WA
983631611 PORT ANGELES
WA 98362
(360) 452 -9264
-- - Permit `Y -. . , . . ELECTRICAL
ALTER RESZOENTIAL
Additional desc 1 -4
CIRCUITS
Permit Fee
75.00 Alan Check Fee
,00
Issue Date
8/24/15 Valuation , . .
0
Expiration Date
2/20/16
Qty Unit Charge
Per
Extension
BASH FEE
75,00
fPee summary Charged
Paid Credited
Due
Permit Fee Total
75.00 75,00 .00
.00
Plan Check Total.
.00 .00 ,00
.00
Grand Total
75.00 75.00 .00
.00
REPORT SALES TALC
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
--------- P-E.RM1T WILL- D74PIRE -SIX (6) - M014THS- FROM-LAS-T-- NSP--ECTFO- N? - -- - -- —
Signature of owner or Electrical Contra_ ctor X
G:\EXCHANGETUILDING
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