HomeMy WebLinkAbout509 E 4TH ST - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
Application Number . . . . . 19-00000426 Date 3/25/19
Application pin number . . . 821240 REPORT STATE SALES TAX
Property Address 509 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-2-6512-0000- on your excise tax form
Application,type description ELECTRICAL ONLY to the City of Poit Angeles
Subdivision Name . . . . . . (Location Code 0502)
Property Use . . . . . . . .
Property Zoning . . . .. . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Circuits
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Owner Contractor
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SMITH STUART T ANGELES ELECTRIC
4S24 S 'R&DDICK RD 524 S. IST ST.
PORT ANGELES WA 983638490 PORT ANGELES. WA 98362
(360) 4�2-9264
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 7S.00 Plan Check Fee .00
Issue Date . . . . 3/2 5/19 Valuation . . . . 0
Expiration Date 9/21/19
Oty Unit Charge Per Extension
BASE FEE 75.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- --------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSPECTION TYPE DATE* RESULTS: INSPECTOR:
DrrCH
SERVICE
ROUGH-IN
FINAL
Coblumm:
,PERMrr WILL EXPME SIX(6)MOMMS FROM LAST MMMON
Signature of owner orEledrical,Contractor X Date:
03/22/2019 07:55 FAX 360 452 9265 Angeles Electric Q0001/0001
F—- RE'C
E -2 SFI 22 JgIg 0
LI 1 -.2 SINOLE-FAMILY
ELECTRICAL PERMIT APPUCATION
Niblic Works and Utilities Department
M6— 321 E. 5th Street,Port Angeles,WA 98362
360.417.47351 www.cityofpa.us I eiectricalpemiits@,cityot��us
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Project Address: ---S-A�� A
Description: -Z�N A-V
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PG�$Viin,gle-Fami]yR--;,'--+i,aI DUDIOXIARU Building Square footage:
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OWNER INFORMATION
Name: Email:
Mailing Address:
ELECTRICAL CONTRACTOR INFORMATION
Name: -4+n 6 LeZ E-IP-r--f-Vi License:A 6��-
MailingAddress: Expiration Date:—j0Z---j2J ZD 2--0
Email: ESjnlp�m. t4S 10.0-4- Plhone:,�00- 4.f22q21P4
PROJECT DETAILS
�Ulq x: nit Charge)
Unit ChilkEge Quantity J, =.(Qu4n I:Y�
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-00 Amp. $146.00:
Service/Feeder 401-600 Amp. $205.DO S.
Service/Feeder 601-1000 Amp. szoioo $
Service/Feeder over-1000 Amp. $3-73.00.
Branch Circuit W1 Service Feeder
$
Branch Circuit WIO Service Feeder $63.00 $
Each Additional Branch Circuit $5100 $
Branch Circuits 1-4 srs-do
Temp.Service/Feeder 2DO Amp.
Temp.Service/Feeder,201400 Amp. 60, $
Temp.ServicefFe po" W—WIM. R Jm
Zp
Temp.Service/Feed WGArnp.
�ul Mir
Portal to Portal K NY
Signal Circuit/1-irnUVedyEn
Manufactured Home Conne"�t -77777 77 7
Renewable Slec.Energy.6
Thermostat(Note:$5 for as
New
Construction
only
TOTAL I
Ownerasdefined by RCW.19-28.261:(1)Owner will occupy the structure for tm years after this electrical permitisfinallited.(2)Owneris
required to hire an electrical contractor if above said property is for sale,rent or lease.Pam*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 oontractor.I
am maldng the electrical installation or alteration In compliance with the electrical laws.N.E.C.,RCW.Chapter 19.23,WAC.Chapter 2W
46B,Th City f Port Angeles Municipal Code,and Utility Specifications,"d PIAMC 14.0 rega- I Electdcall Permit Applications..
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Da7t Print Name Signature(C] Ownerli'fElecWcal Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or eIectrlcalpermits@cityofpa-us or faxed to 360.417.4711]