HomeMy WebLinkAbout3907 - Building i
ELEC'MI CA.L PERMIT
CITY"004MT ANGELES
-417-4735
Application Number 18-00001900 Date 12/31/18
Application pin number 968000 REPORT STATE SALES TAX d
Property Address . . . 3907 FAIRMOUNT AVE on your QXGIS@ tax form
PARCEL NUMBER: 06-30-08-5-8-0510-0000-
Application type description ELECTRICAL ONLY to the City of Port-Angelw
Subdivision Name .' . . .
Property Use . . . . . . (Location Cade 0502)
Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . 0
Owner Contractor
---------- -- ------- ---- ----- --- ------- -
BALDUCCI, J. STEPHANIE ANGELES ELECTRIC
3907 FAIRMOUNT AVE'. 524 E. 1ST ST.
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 452-9264
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc MAST REPAIR
Permit Fee . . 120.00 Plan Check Fee 00
Issue Date 12/19/18 Valuation 0
Expiration Date 6/17/19
Qty Unit Charge Per, Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
---- --- ----- - --------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00" .00 .00 .00
Grand Total 120.00 120.00 .06 .00
• I
INSPECTION TYPE DATE. RESULTS INSPECTOR:
I?ITCH
SERVICE � !
ROUGH-If
-FIATAL *bjh
COMMENTS:
PERMrr WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECWN
Signature of owner or Electrical Contractor X Date:
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12/16/2018 12:23 FAX 360 452 9265 Angeles Electric 100002/0002
- 51--
1 - 2 SINGLE-FAMILY
9% 1
ELECTRICAL PERMIT APPLICATIO U
.. Public Wbrks and Utilities Department �� � `a
321 E. 5th Street,Port.fin..geles. WA 98362
360.417.47351 w-ww.city'afpa.tis i electricalperrnits(a cityoj.,a.us r
NOW 1WMS
Project Address: 1i�m! s'`f'Vk�:-
Project Description:
D plex❑ Single-Family Residential ❑ J ARU Building Square footage: l It
OWNER INFORMATION
Name: Email
Mailing Address: 111 j r`f1, 'Y ^� Ph�oyne: Z - ��
EL
Name: ANGELES ELECTRIC,INC. i 1• License:ANGELE1460RS
Mailing Address:5241rtl?ST,STREET, PORT ANGELES WA 98362 Expiration Date:0211812019
Entail:ksimpson@olyr ,Yu$etai ` , phone:360-452-9264
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PROJECT DETAIES
S�C1lhSiiB$:_ (Gtuari"#ity x:tlit Charge)
Service/Feeder 200.Amp. $12C1 AO T $
Service/Feeder 201400 Amp.
Service/Feeder 401-600 Amp. U05.00 $
Service/Feeder 601:4000Amp.
Service/Feeder-over 1000 Amp. $37 00
Branch Circuit Wi Service Feeder
Branch Circuit W/d Service Feeder $53 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.ServicelFeed"iF.i4{11�6t7()� _ .�.:�:.,.•-:�•;:. ,_�,•a. . ;�::� -•-- ,.• Vie,'. ...,..,.
Temp,Service/Feed 00 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Ene
.Manufactured Home Conned
Renewable Elec.Energy:5KV "r y` "J.
Thermostat(Note:$5 for each ad
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 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-
468,The City of P Angeles Municipal ode,.and Utility Specifications and PAMC 14. 5.050 regarding Electrical Permit Applications.
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Date Print Name Signature([] Owner Z Electrical C tractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111