HomeMy WebLinkAbout1720 WOODHAVEN LN - Building (2)i e
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
i
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
Application Number . . . . .
18-00000408 Date 3/23/18
Application pin number . . .
656488
Property Address . . . . . .
1720 WOODHAVEN IN
ASSESSOR PARCEL NUMBER:
06 -30 -14 -1 -4 -9140 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
RS9 RESDNTL SINGLE FAMILY
Application valuation
0
----------------------------------------------------------------------------
Application desc
Meter repair
----------------------------------------------------------------------------
Owner
Contractor
------------------------
MARK K OHMAN AND DEBRA A HUNT
------------------------
ELECTRIC SERVICE
1720 WOODHAVEN
503 RHODES RD
PORT ANGELES WA 98362
PORT ANGELES WA 98362
(360) 452-6424
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 96.00
Plan Check Fee 00
Issue Date . . . . 3/23/18
Valuation . . . . 0
Expiration Date 9/19/18
Qty Unit Charge Per
Extension
1.00 96.0000 ECH EL -TRIP FEE -INSPECT EX. INSTAL 96.00
Fee summary Charged
-
Paid. Credited Due
Permit Fee Total 96.00
96.00
Plan Check Total .00
.00 .00 .00
Grand Total 96.00
96.00 .00 .00
i e
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
i
.Signature of owner or Electrical Contractor X Date:
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR
- DITCH
SERVICE
31:.-71
1'
ROUGH -IN
FINAL
j 12:7 I
Y
COMMENTS:
w°
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
.Signature of owner or Electrical Contractor X Date:
1 - 2SINGLE-FAMILY RECEIVED
ELECTRICAL PERMIT APPLICATIQN, .t } , ,;
Pudic Works and litilitics I)epartrnertt
321 E. 5th Street, Port Angeles, IWA 98362 INSPECTIONS
360.417,4735 1 wwvv.cityofpa.us 1 electricalperrnitsii �cityofpa.us
Project Address:
Project Description:
❑ Single -Family Residential
J iT 2 t: E.
L17t;r�t�
❑ Duplex t ARU Building Square footage:
Mailing Address: U-2 o t= ,
v , L,7
5 ci J
Name:
Mailing Address
Email: rn a y
roc. fir. rYj* i_ -
�c
License: w" LE CL `� I) 3.2. c r21
Expiration Date:
Phone: `7`, 2p 5!
I=
tiny Charoe Quantity
JQW (Quantity x Unit Charge)
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201-400 Amp.
$146.00
$
Service/Feeder 401-600 Amp
$205.00
$
Service/Feeder 601-1000 Amp.
$262.00
$
Service/Feeder over 1000 Amp.
$373.00
$
Branch Circuit W/ Service Feeder
$5.00
$
Branch Circuit W/O Service Feeder
$63.00
$
Each Additional Branch Circuit
$5.00
$
Branch Circuits 1-4
$75.00
$
Temp. Service/Feeder 200 Anil.
$9300
$
Temp Service/Feeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder 401-600 Amp.
$149.00
$
Temp. Service/Feeder 601-1000 Amp.
$168.00
$
Portal to Portal Hourly
$96.00
'
$ pk G
Signal Circuit/Limited Energy -182 DU.
$64.00
$
Manufactured Home Connection
$120.00
$
Renewable Elec. Energy: 5KVA System or less
$102.00
$
Thermostat (Note: $5 for each additional)
$56.00
$
First 130,0 Square Feet
$120.00
$
Each Additional 500 square feet'"
$40.00
Each Outbuilding / Ntached.Garage
$74.00
i
Each Swimming Pool! Hot Tub
$110.00 _
$
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 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 contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications.
Date Print Name Signature (j l Owner ❑ Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47 11]