HomeMy WebLinkAbout131 E 12TH ST - Building (2) I
EL.�t� AL PERMIT -
CIT' ANGELES
Application Number 18-00002834 Date 12104/18
`Application pin number 377134 REPORT STATE SALES TAX
Property. Address . . . . 131 9 12TH ST
ASSESSOR PARCEL, NUMBER: 06-30-00-0-3-4392-0000- on your excise tax form
Application type description ELECTRICAL ONLY to the Cffy of Port Ancieles
Subdivision Name .
Property Use . . . . (Location Coate 0502) �
Property Zoning . . . RS7 RSSDNTL SINGLE FAMILY
Application valuation . . . 0
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Application desc
Fridge , Washer and Dryer .
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Owner Contractor`
ALEX J AND SYDNEY RUSIN ANGELES ELECTRIC
131 E 12TH ST 524 E. 1ST ST.
PORT ANGELES WA 983627811 PORT ANGELES WA 98362
(360) 660-5930 (360) 4S2-9264
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL'
Additional desc 1-4 CIRCUITS
Permit Fee . . . 75.00 Plan Cheek Fee . .00
Issue Date . . 12/04/18 Valuation . . . . 0
Expiration Date 6/02/19
Qty Unit Charge Per Extension
BASE FEE 7S.00
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Fee summary Charged Paid Credited 'Due
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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: fen
PERMIT WILI EXP€R 6MONTHS FROM t AST��N
Signature of owner or Electrical Contractor X Date:
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12/03/2018 10:17 FAX 360 452 9265 Angeles Electric Q 0001/0001
I 2 SINGLE-FATLY
ELECTRICAL PERMIT APPLICATION EC
EI
Public Works and Utilities Department
3.21 E. 5th Street,Port Angeles, WA 98362 �
360.417.47351 ww wxityofga.us(electricatgerniitts(a enyota.us ELECTRICAL
INSPECTIONS \A
Project Address-
Project
-1=
Project Description: AIM
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❑ Single-Family Residential fre Duplex/ARU Building Square lb6tage:
OWNER INFORMATION
Name: Entail:
" f
Mailing Address: Z;7* ' Phone: +tom JAL
ELECTRICAL CONTRACTOR INFORMATION
Name: ANGELES ELECTRIC, INC. License:ANGELE146ORS
Mailing Address:524 E ,NR$T,STREET, PORT ANGELES WA 98362 Expiration Date:02/18/2019
Email:ksimpsonQoljJjJ p- : :. :... Phone:360-452-9264
It$tIl '-bub :{Quantity x llrut Charge)
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp. $26200 $
Service/Feeder over 1000 Amp. $373;00
Branch Circuit W1 Service Feeder
Branch Circuit W/O Service Feeder $63Q0 $
Each Additional,Branch Circuit $5 00 $
Branch Circuits 1-4 $75:00 $---
Temp.Service/Feeder 200 Amp. $9300 $ .
Temp.Service/Feeder 201-400 Amp. $11000 $
Temp.Service/Fe t#!q6
Temp.Service/♦=eede - 00 Amp.
Portal to Portal Hourly
Signal Circuit/Umi a En
Manufactured Name Conn
Renewable Elec.Energy:5KV
Thermostat(Note:$5 for each ad
t► '
I
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 3810,rent or lease.Permit expires after six months of last inspection.
After reading the above statement,I hereby certify that 1 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 City of Port Angeles Municl al Code,and Utility Specifications and PAMC 1 .05.050 in Electrical Permft APPI"ians.
Date Print Name Signature([] Owner ElectncalConKctor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermitsQcltyofpa.us or faxed to 360.417.47111