HomeMy WebLinkAbout%(Street Number) %(Direction TRIM) %(Street Name) %(Placement Token) - Building s 7 �9
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CITY M,-ANGELES jj4a
AppliCat.ionNumber 20-00000342 Oate 3/13/20"
Application pin number 383240 REPORT STATE SALES TAX �
Property Address . . 815 S CHASE ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-7058-6000- on your exdse tax form
Application type description ELECTRICAL ONLY tb file City'of Port AC#g@/@S
Subdivision Name (LOCafiO1f Gocte 0602)
Property Use
Property Zoning RS7 RESDNTL SINGLE :FAMILY
Application valuation . _0__
- ----------- ---------- ---------------
Application desc
Master bed / bath;remodel
Owner Contractor
---- -----------------
PAMELA R KLEIN ALASKAN ELECTRIC
815 S 'CHASE ST 237 ROBERSON RD
PORT ANGELES WA 983627803 PORT ANGELES: WA 98362
- (360 -582-3874
- -------------------------------- ---
Permit ELECTRICAL ALTER RESIDENTIAL
Additianal.desc 1-4 CIRCUITS
Permit Fee 75.A0 Plan Check Fee .00
IOsi�e"I)aat 3/13/20 valuation ' 0
Expiration Date 9/09/20.
Qt)i Unit Charge Per Extension
.SASS PEE` 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 75.60 75.00 -00' .00
INSPECTION TYPE DATE:' RESULTS: INSPECTOR
DrTCI
SERVICE
ROUGH-IN
FINAL;
COMMENTS:
P RIvfTt WILL EXPM SIX, MONTHS FROM LAST INSPECTION
�ignattue 6f OWiOriiE1e zt iContractor X
I
i
1 2 SINGLE-FAMILY
3
ELECTRICAL PERMIT APPLICATION I V C.
Public Works and Utilities Departntent k
321 E. nth ",treet, Port Angeles, WA 98362
360,417.4735 1 ww\v.eityofpa.us I electi-icalpermits(4),cityofpa.tis
Project Address. 815 S. Chase Port Angeles, WA
Project Description: Master bedroom and bath remodel
PI Single-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Pam Klein Small: pamrkleinGynhoo.com
Mailing Address: 815S, Chase Port Angeles,:WA 98362 P&9*Y 9-Tor-Aecer
PhQrte:
7
ELECTRICAL CONTRACTOR INFORMATION
Name; ALASKAN ELECTRtCAL SERVICES LLC ALASKES947DO
Mailing Address; PO.00X.3, 998 SEQUIM, WA 98382 Expiration Date: 03/2012022
Phone- 3602-582-M74
aksPa 2@qw�6
Email, *K0Jl1Rt:..
PROJECT DETAILS
Item ]WOWt Charge}
Service/Feeder M,
$erviceJFeeder;QI-400'Amp,
Servioe/Fooder 4011-6MAmp.
--
Service/Feeder ID01.4000;Amp. $?62.po $
Service/Feeder..over 1,OW Amp. .$373.00
Branch Circuit VYI-SiMce Feeder $
Branch Circuit W/O Service Feeder $63.flF1 $
Each Additional Branch Circuit $6-P0 $
Branch Circuits 1-4 $76 OD 1 $76
Temp. Service/Fesder200 Amp.
Temp, Service/Feeder 201-40DAmp_ . $11.0,00
Temp. Service/Feeder qe1-W0,Amp; :$149 W
",4
Temp, Service/Feeder4.01-1000 Amp.
Portal to Portal Hourly
11.:�' *.' ....U�' 7 7.
T&2:Signal CircuWUmfted Eneibyl*_ Z
Manufactured Home Conneopn ,
Renewable Elec.Energy,SWA 00 1066
Thermostat(Note,$5 for each addiWn*a
WK aq
TaTA
L $75
Owner as defined by RCW,19.28-261:(i)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is
required to hire an electrical contractor N 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,KE.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code,and Utility Specifications and AMC 14.05.050 regarding Electrical Permit Applications.
3-11-20 Mitch Blackburn 11!0P
Date Print Name Signature([J Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@c1tyofpa.us or faxed to 360.417A71 11
TO 39Vd SAS '10313 NVASV3V EEESZ5P09E OT:VT BOOZ/ET/60