HomeMy WebLinkAbout520 W 3RD ST - Building (2) ELECTRWAL PERMIT
CITY CIF PORT ANGELES
3f 1 -735
Application Number 18-00000666 Date 5/03/18
Application pin number . 956328
Property Address . . . . . 520 W 3RD ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-7420-,0000-
Application type description ELECTRICAL ONLY on your excise tcv form
Subdivision Name . . . . to the City of Port Angeles
Property Use . .
Property Zoning . . . . . .. RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
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Application des:_
Remodel laundry,and bath i
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Owner Contractor
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MICHALCZIK JOSEPH H ANGELES ELECTRIC
520 W 3RD ST 524 E. 1ST ST.
PORT ANGELES WA 983422217 PORT ANGELES WA 98362
(360) 452-9264
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 95.00 Plan Check Fee .00 I
Issue Date 5/63/18 Valuation 0
Expiration Date 10/30/18 1
Oty Unit Charge Per Extension
BASE FEE 75.00 f
4.00 5.0000 BCH EL-ECH ADDNT BRANCH CIRCUIT 20.00
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Fee summary Charged Paid Credited Due
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Fee Total Perm 5:60 95.00 .00 .00
K Pla*" eck 'Total .00 .00 .00 .00
Grarid` tal 95:II0 95.00 00 00
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INSP'ECIWNTYPE DATE: RESULTSs IIdSPECI"UIt:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:;
PERmrr WILL E'[RE SIX(6)MOrI'm FRDM LASS'RV'SPECtloN
Signature of ovvnw or Electrical Cont actor X Date:
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05/01/2018 14:32 FAX 360 452 9265 Angeles Electric Q0001/0001
-2 SF
EL' 1 - 2 M
-SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and. Utilities Department
321 E. 5th StTeet,Port Angeles,WA 98362
360.417.4735 1 w-Wxv.City0fpa.u.S I electricalpemifts@ cityofpa.us
Project Address: 15-X
Pproje,"Description: at-
I Single-Family Residential 0 Duplex ARU Building Square footage:
OWNER INFORMATION
Name: '77-imI Email:
Mailing Address: L�� t4j, 3 YL—9., .362 Phone:�— 39"I-ZY79"'
ELECTRICAL CONTRACTOR INFORMATION
Name: ANGELES ELECTRIC, INC. License:ANGELE1460RS
Mailing Address:524 E..FIRST STREET, PORT ANGELES WA 98362 Expiration Date:02/18/2019
Email:ksim son @o -9264
Phone:360452
PROJECT DETAILS
tia"x"P'n t.Charge)
Service/Feeder 200 Amp.
Service/Feeder.201-460 Amp. $146.00 $
Service/Feeder 401-600 Amp. -$205.00
Service/Feeder 601-1000 Amp. :$262 : $
Service/Feeder over 1000 Amp. 4373= $
Branch Circuit W1 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 201-400 Amp. $110.00 $
Temp.
Temp.Service/Feed 4li 10,
.O Amp.
Portal to Portal Hourly
I
Signal Circuit/Limited En
Manufactured Home Conn
Renewable Elec.Energy:5
Thermostat(Note:$5 for each ad
TOTAL $
Owner as defined byRCW.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 Cyy 1 Port Angeles Municipal Code,and Utility Specifications and PAMC 4.05.050 regarding Electrical Permit Applications.
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Date ' Print Name If Signature([] Owner ER,00be-ctrical ntractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityotpa.us or faxed to 360.417.47111