HomeMy WebLinkAbout840 W 6TH ST - Building (2) ELEC MCAL PERMIT -
CITY 00-rP4RT ANGELES
3604174735
Application Number 19-00000001 Date 1/03/19
Application pin number 073954 REPORT STATE SALES TACE
Property Address 840 W 6TH 'ST our @xCIS9 tax form.
ASSESSOR PARCEL NUMBER On 06-30-00-0-1-5845-0000- y
Application type description ELECTRICAL ONLY to the City of ftf AngefeS
Subdivision Harte . . . . . .
Property Us8 Location Code 0502
Property toning . . . . . RS7 RESDNTL SINGLE'FAMILY
Application valuation . . . . 0
Owner Contractor
------------------------
RIVERS MICHAEL/NANCY OWNER - - ---
PO BOX 4074
PORT ANGELES WA 983630997,
Permit " . . . . . ELECTRICAL ALTER RESIDENTIAL
4 Additional desc 1-240V &-1-120V CIR
Permit Fee 68.00 Plan Check Fee .00
Issue Date . . 1/03/19 Valuation . . 0
Expiration Date 7/02/19
Qty Unit Charge Per Extension '
1.00 5.0000 Mai EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 Edt EL-R- BRANCH CIR' WO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
----------------- -------- -------- - --- --- ----------
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR
-DITCI
SMICE
ROUGH-IN �
FINAL
COMMENTS:
PERMIT WILL MCPME SIX(6)�t`i1t FROM LAST 1NSPFCT10
Signature of owner or Eledtdcal Corif for X Date:
1 - 2 SINGLE-FAMILY RECEIVED CD .Q
ELECTRICAL PERMIT APPLICATION- ,
� o
Public Works and Utilities Department
100—1� 321 E. 5th Street, Port Angeles, WA 98362 ELECTRICAL p
IN$KCTIONS
360.417.4735 1, www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: ',)1 e bal l 121y cv) '/rte l Lk
Project Description: 4,00 l 1LZO w G+u ur / Ito 2 ,Jor.,�,
1-1
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: AAI ()X k_t r2�V W S Email: hyyr 0V W 5
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT
Item Unit Charge 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 $ 4 3
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 $ Q ��
TOTAL $�C�
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-
66,The City of Port Angeles Municipal Coded tlti'y Sp "cations and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature( Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]