HomeMy WebLinkAbout1103 S VALLEY ST - Building (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
Application Number . . . . . 18-00001200 Date 8/01/18
Application pin number . . . 422400
Property Address . . . . . . 1103 S VALLEY ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -4640 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . . . 0
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Application desc
Circuit water heater
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Owner Contractor
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GREGORY & MICHELLE KAPITAN OWNER
1103 S VALLEY
PORT ANGELES WA 98362
(801) 205-1955
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 8/01/18 Valuation 0
Expiration Date 1/28/19
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 63.00 63.00 .00 .00
Pian Check Total 00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
F r
REPORT STATE SALES T
on your excise tax form
to the City of Port Angeles
(Location Code 0302)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR--
NSPECTORDITCH
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION'`
Public Works and Utilities Department /, k �J.f
3Vl21 E. 5th Street, Port Angeles, A 983 A
62
360.417.4735 www.cityofpa.us ; e ectricalpermits@cityofpa.us Q9
Project Address: H (93 '/ 4 MG`
r
Proje Description:Q�W f✓STa
o❑ ingle-Family Residential ❑ Duplex /ARU
6�0% �✓ tilt �' ,yeo-��c /�
Building Square footage:
3
Name: C.9'/ � /`t a�/fiQ/`� Email: C?6) 4 -t -J 4YC/
(i�/YLci�G c ae
Mailing Address: �—JIIOJ `1Q 11aZ1oX OP IU�KJ4/one: / oI "— a'a.r 1.RS.r
Name: S�6��
Mailing Address:Email:
License:
Expiration Date:
Phone:
)tem Unit Charae Quantity Total (Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 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 W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $� 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. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy - 1&2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool / Hot Tub $110.00 $
TOTAL $ K'_3
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 above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compli!ty
with th el trical N EE.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of PorttAAngr9�
unicipal C e, anVtilityificati nd M 14.0 re ectrical Permit Applications.
_'��744 Date Print N e .gn ur ( ner Electrical Contractor/Administrator,� o >
[Electrical Permit Applications may be submitted ore er its@cityofpa.us or faxed to 36
[Electrical ]