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HomeMy WebLinkAbout208 LOPEZ AVE s � ELECTRICAL PERMIT CITY Of PMT ANGELES W47-4735 ApplicationNumber . . . 19-00000393 Date 3/20/19 Application pin number 552236 REPORT STATE SALES TAX Property Address . . 208 LOPEZ AVE 012our excise tax form ASSESSOR PARCEL NUMBER: 06-30-10-5-0-14U-0000- y Application,type description ELECTRICAL ONLY to the City of Poli Angeles Subdivision Name . . . Property Use (Location Code 0502) Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application deac Electrical corrections ----------------------- ------------------------------------------ Owner -- ------ -------------- Owner Contractor MCDONALD, MARJORIE E ANGELES ELECTRIC 3000 S OAK ST 524 3- 1ST ST. PORT ANGELES - WA 98362 PORT ANGELES WA 98362 (360) 452-9264 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc'. 1-4 CIRCUITS Permit Fee . . . 7S.00 Plan Check Fee .00 Issue Date 3/20/19 Valuation . . 0 Expiration Date 9/16/19 Qty Unit Charge Per Extension BASE FEE 75.00 ----------------------------------------------------------------------------- Fee 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 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL h• COMMENTS: 9E' P9 WILLEI UtE SIX(6)MONS FROM LAST INSPECTION t+e of OW r Iii Electrical Contractor X Date: _. _ .. � ;� "�� *� �, � :.� s ti .., e. .;.. ,� � I �� ��, � ;, ,� ,; ,.. �� 03/18/2019 17:24 FAX 360 452 9265 Angeles Electric 90001/0001 1 - 2 SINGLE-FAMILY ELECT131CAL PERMIT APPLICATION REc"VE© ` Public Works and Utilities Department 321 E. 5th Street,Port Angeles,WA 98362 MAR l � � t 360.417.4735 ( www.cityofpa.us I electricalpermits@cityof)a.us Project Address: ;ZD 't°i SIZOP'- ;Single-Farrillyftsldential je Description: El Duplex/ARU Building Square footage: • TION Name: Email: Mailing Address: Phone: 71iD— Z— ,Z W ELECTRICAL CONTRACTOR INFORMATION Name: _ License:4¢/�(���� Mailing Address: r Expiration Date: elz–D/- ZD Z!J Email: SU 1GISM 0121fA123P&Z.Qf, � Phone: , 4aJ24�4 PROJECT DETAILS ARMUnit Charge Quantity UW�(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 5 Service/Feeder over 1000'Amp. 5373:00 . Branch Circuit W/Service Feeder 65.00' S Branch Circuit W/O Service Feeder $63.00 $ Each Additional_Branch Circuit $6.00 $ Branch Circuits 1-4 $75:00 s Temp.Service/Feeder 200.Amp. ;93:00 Temp.Service/Feeder 201400 Amp. S11tk�0 S Temp.Servlce/F Temp.Service/Feed Portal to Portal Hourly Signal Circuit/Limited En Manufactured HomeConn Renewable Elec.Energy:5KV Thermostat(Note:$5 for each ad 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.Penin expires after six months of last inspection. After reading the above statement,I hereby certify that I am the owner of the above narned 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,T e City of Port Angeles Mu icipal Code,and UUlity Specifications and P 14.05. 1 �Ele 11 s DatJ Print Name Signature(C] Owner Iectrical Contractor/Administrator) (Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111 �,��;;�" ELECTRICAL INSPECTION WIRING REPORT '� 417-4735 DATE: PERMIT# INSPECTOR 1 iL OW ER i"Ft b 1 CONTRACTOR ADDRESS Ay�- APPROVEDT�APPROV ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: yL64---. CY.D 46AI,!5�I Co�l�itt �-`t3L.Pr►.LkS I 3� A21 cy sL CAW X11.0 c-1 r► S&AI- �+rt, �-��e►n� � rc. +4 530� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS --DO NOT REMOVE---