HomeMy WebLinkAbout1102 W 12TH ST - Building (2) ELECIRTCAL PERMIT `
1
CTTY QP PORT ANGELES
3604174735
Application Number . . . . . 18-00001254 Date 8/13/18
Application pin number . . . 058648 --y- ----
Property Address . . . . . . 1102 W 12TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-6900-0000 " i
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Hot tub
----------------------------------------------------------------------------
Owner Contractor
JUSTIN E ELLIS ANGELES ELECTRIC
115 E RAILROAD AVE STE 301 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(217) 418-3875 (360) 452-9264
----------------------------------------------------------------------------
Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . 75.00 Plan Check Fee .00
Issue Date . . . 8/23/18 Valuation 0
Expiration Date 2/09/19
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
COMMENTS:
AA-
PERMrr WILL EXPIRE SIX(6)MON INS FROM LAST-INSPECTION
Signature of owner or Electrical Contractor X Date:
08/09/2018 17:00 FAX 360 452 9265 Angeles Electric Q 0001/0001
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION �:
Public storks and,Utilities Department
321 E. 5th Street, Port Angeles,WA 98362
360.417.4735 1 wunv.ci.tyofpa.us I etectrica[pemiits eityofpa.us
r � t .
Project Address:
Project Description: MtL42 AffJ7 7-Mi'/
[l Single-Family Residential 0 Duplex/ARU Building Square footage:
OWNER INFORMATION
Name; fiUZ17A) Email: —
Mailing Address: Z- Phone:�n-T ee
ELECTRICAL CONTRACTOR INFORMATION
Name: ANGELES ELECTRIC, INC. License:ANGELE146ORS
Mailing Address:524 E.FIRST.STREET, PORT ANGELES WA 98362 Expiration Date:02/18/2019
Email:ksimpson@olyrlt $xn Phone:360.452-9264
..L:
PROJECT DETAILS
Mill 4� - 3��L;tCit�LTC• .(quantity x Urtlt Charge}
Service/Feeder 200 Amp. $Eft!QO $
Service/Feeder 201-400 Amp. $146.0� $
Service/Feeder 401-600 Amp. $205.00 " $ „_,
Service/Feeder 601-1000 Amp. $262.'00 $
Service/Feeder over 1000 Amp. W'3 '0 $
Branch Circuit W/Service Feeder i$5.00, $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $ „
Branch Circuits 1-4 TV --��- $--� r�-c-a--
Temp.Service/Feeder 200 Amp, $93:00 $
Temp.Service/Feeder 201-400 Amp. $110:00 $
Temp,Service/Feectq f3? �Amp!,-*.:*"��:;-, *"w
Temp,Service/Feed oo,Amp. -
Portal to Portal
Signal CircuittUmited En -
ManufacturedHomeConn
Renewable Elec.Energy:5KV *
Thermostat(Note:$5 for each ad
4 !
TOTAL. $
Owner as defined by RCW.19.28.261:(1)Owner will occupy the struicture 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,Th City f Port Angeles Mynicipal Code,and Utility Specifications and C 14.05. 50_regardingpElectrical Permit Applications.
Date Print Name �V Signature(❑ Owner 12"'Electricill Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111