HomeMy WebLinkAbout1619 E 5TH ST - Building (3) r"
ELECTIUCAL PERMIT
CI'I'y�' T - , GELES
31'7-4735
Application Number . . . . . 19-00001580 Date 10/09/19
Application pin number 365940 REPORT STATE SALES TAX
Property Address . . . . . . 1619 E STH ST onour excise tax form
ASSESSOR PARCEL, NUMBER: 06-30-00-0-1-8370-0000- y
Application type description ELECTRICAL ONLY to the City of Port Angeles.
Subdivision Name . . . . . (Location Code.0502)
Property Use . . . .
Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Misc. wiring
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Owner Contractor
MATTHEW DOTLICH AND LAURA LEA ANGELES ELECTRIC
1619 E 5TH ST 524 E. _IST`ST.
-PORT ANGELES WA 983624809 PORT ANGELES WA 98362
(360) 452-9264
'
PermitELECTRICAL ALTER RESIDENTIAL
Additional desC 1-4 CIRCUITS
Permit Fee 125.00 Plan Check Fee .00
Issue Date 10/09/19 Valuation 0
Expiration Date 4/06/20
Qty Unit Charge Per Extension
BASE FEE 75.00
10.00 5.0000 BCH EL-ECH ADDNT BRANCH CIRCUIT : 50.00
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Fee, summary Charged Paid Credited Due
----------------- "---------- ---------- ---------- ---------
Permit Fee Total 125.00 125.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 125.00 125.00 .00 .00
INSPECTION TYPE ' DATE: RESULTS: INSPECTOR
DITCH,
SERVICE
ROUGH-IN
FINAL
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X . s Date:
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10/08/2019 07:42 FAX 360 452 9265 Angeles Electric Q0001/0001
1 - 2--SINGLE-FAMILY '
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. Sth Street, Port Angeles,WA 98362 --
360.417.4735 t www.cityofpa.us I electricalperrnitsCcityofpa.us
Project Address: ! �'
j
Project Description: wfl .S
R';5ngle-Family Residential ❑ Duplex/ARU i3 Una Square footage:
OWNER INFORIATION
Name: Email:
Mailing Address: r Phone: —A33 Z
ELECTRICAL CONTRACTOR INFORMATION
Name: Angeles Electric, Inc. License:ANGELE1460RS
Mailing Address:524 E. First Street, Port Angeles,WA 98362 Expiration Date:2/1/20
Email:ksimpsoneolymeus.net Phone.360-452-9264
PROJECT DETAILS
1= Knit Charas QuanSily J2W(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 Amp. $93.00 $
Temp.Service/Feeder 201400 Amp. $110.00 $
Temp.Service/Feeder>401-600 Amp.
Temp.Service/Feeder$01-1000 Amp. $1;68:00 $
Portal to Portal Hourly $96:00. $ w
Signal Circuit/Limited Energy-132 DU $fi4 D0 $
Manufactured Home Connection. $1-20.00: $
Renewable Elec.Energy:5KVA System or less'
Thermostat(Note:$5 for each additional).
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 l 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-
46 The City of Port Angeles Municipal Code,and Utility Specifics ns and P6MC 14.05. regarding Electrical Permit Applications..
Ken Simpson
ate Print Name Signature(❑ Owns Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@dtyofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE: PERMIT 4 INSPECTOR
115-)
OWN
CONTRACTOR
ADDRESS
- 14/�
APPROVED NOT APPROVED
E3 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . 13
ROUGH IN/COVER . . . . . . . . . . . . . . . 13
E3. . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED: WACAS
V rr-tz-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- 00 NOT REMOVE-