HomeMy WebLinkAbout1004 E Park Ave - BuildingEL,ECTRICAL, PERMIT
CITY" OF PORT ANGELES
360-417-4735
Application Number 15-00001357 Date 10/27/15
Application pin number . . , 451549
Property Address . , . . . 1004 E PARK AVE
ASSESSOR PARCEL NUMBER: 06 -30 -14 -5 -6 -0110 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use . . . ,
Property Zoning . . . UNKNOWN
Application valuation . 0
Application desc
Service change
Owner Contractor
LAWSON HARRIETT ANGELES ELECTRIC
1008 E PARK AVE 524 E, IST ST.
PORT ANGELES WA 983622739 PORT ANGELES WA 98362
(360) 452-9264
Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 120.00 Plan Check Fee 00
Issue Date 10/27/15 Valuation 0
Expiration Date , . 4/24/16
Qty Unit Charge Per Extension
1.00 120.0000 ECH -EL-0-200 SRV FEEDER 120.00
Fee summary Chaa:ged Paid Credited Due
Permit Fee Total 1.20,00 120.00 00 00
Plan Check Total .00 .00 .00 ,00
Grand Total 1.20.00 120.00 .00 00
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REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING
10/26/2015 10:32 FAX 360 452 9265
Angeles ,Elect r t
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CITY OF PORT ANGELESPLICA 11'!r'rI ilf3NS
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 99362
Ph: (360) 4174735 Fax: (360) 4174711
Date: ZI Single Family Dwelling
[A 0001/0001
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet 0D l
Job Address:
BuNag Square Footage:
Description of above
Owner Inform tion
Name:
Mailing Address,
City: _ _-
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License k I Exp.
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Item
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Service/Feeder 200 Amp.
$120.1
ServicelFeeder 201 400 Amp.
$146.00
Service/Feeder 401.600 Amp
$ 205.00
Service/Feeder 601-1000 Amp,
$ 262.00
Service/Feeder over 1000 Amp.
$ 373.00
Branch Circuit WI Service Feeder
$ 5.00
Branch Circuit WIO Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1.4
$ 75.00
Temp. Service/ Feeder 200 Amp.
$ 93.00
Temp. ServicelFeeder 201-000 Amp.
$110.00
Temp. ServicelFeeder 401-600 Amp.
$1492
Temp. Service/Feeder 601-1000 Amp.
$168.00
Portal to Portal Hourly
$ 96.00
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
$ 64.00
Manufactured Home Connection
$120.00
Renewable Electrical Energy - 5KVA System or Less
$102.00
Thermostat
$ 56.00
Note: $5.00 for each additional T-Stat
NEW C_QNSTRI ION g&y,
First 1300 Square Ft.
$120.00
Each Additional 500 Square FL or Portion of
$ 40.00
Each Outbuilding or Detached Garage
$ 74.00
Each Swimming Pool or Hot Tub
$110.00
Contractor Information
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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 Brat I am the owner of the above named property or a licensed slactrical contractor. I am making
the electrical installation or alteration in compliance with the aleolrical laws, N.E.C., RCW. Chapter 19,28, WAC, Chapter 296-46i3, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ Cwh 0 crock
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