HomeMy WebLinkAbout1516 S PINE ST - Building (2) r ,
ELECTRICAL PERMIT
CITY OE PORT ANGELES
3.( -4I7-4735
Application Number . . . . . 19-00001739 Date 11/07/19
Application pin number . 960912 REPORT STATE SALES TAX
Property Address . . . . . . 1516 S PINE ST on y0U!'excise tax f0l"l1?
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-2595-0000-
Applicat*on 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 . . . . O
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Application desc
Washer J Dryer
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Owner' Contractor
BRIAN KELLY - ANGELES ELECTRIC
512 E 11TH ST 524 E. ,1ST ST.
PORT ANGELES WA 983627936 PORT ANGELES WA 98362
(360) 452-9264
- --Permit . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . 75.00 Plan Check Fee .00
Issue Date 11/07/19 valuation 0
Expiration Date SJOS/20
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 Tdtal .00 .00 .00_ .00
Grand Total 75.00 75.00 .00 .00
h7
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DrFCIi
SERVICE
ROUGH-IN t2
FINAL
MMENTS:
PERMir WILL EXPIRE SIX(6)MONTHS FROM LAST 01SPECnON
Signature of owner or Electrical Contractor X Date:
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11/05/2019 12:32 FAX 360 452 9265 Angeles Electric 100001/0001
2 SINGLE-FAMILY V
I
ELECTRICAL PERMIT APPLICATION X:
Public Works and Utilities Department
321 E. 5th Street, Poil Angeles,WA 98362 *V
360.417.4735 1 WWW.cityofpa.us I e1ectricalper3-nits@cityofpa.Lis
ProjectAddress:
OF
PProject Description:
SC - 0 or r
ingle-Family Residential 0 Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: mail
Mailing Address: 4199 Phone: AD
ELECTRICAL CONTRACTOR INFORMATION
Name: Angeles Electric, Inc. License:ANGELEI460RS
Mailing Address:524.E. First Street Port Angeles,WA 98362 Expiration Date:2JI120
Email:ksimpson@olympus.net Phone:360-452-9264
PROJECT DETAILS
HAM IgN(Quantity x Urdt Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Servloe/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
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 $
Tamp.Service/Feeder 200 Amp. $93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp,Service/Feeder-401-600 Amp. $11.49-00
Temp.Service/Feedor-6-01-1000 Amp.
Portal to Portal Hourly
Signal Circult/Umited Energy-1&2' DU.
Manufactured Home Connection.
Renewable Elec.Energy:5KVA System nor
.
Thermostat(Note:$5 for each addiffonaQ
TOTAL W7
Owner as defined by RCW.19.28261:(1)Owner will occupy the structure for two years after this etech ical 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 elect teal contractor, I
am making the electrical installation or alteration in compliance with the electrical lam.N.E.C.,RCK Chapter 19.28,WAC.Chapter 296-
46B The City of Port Angeles Municipal Code,and Utility Specification and PAMC 14.06.1050 re prding Electrical Permit Applications.
Ken Simpson
6ate Print Name Signature(E] 0%vner&a Vrectrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City
Hall or electricalpermitsocityofpsims or faxed to 360.417.47111