HomeMy WebLinkAbout1431 W 11TH ST - Building ELECTRICAL PERMIT _ Gd
CITY OF PORT ANGELES
360-417-4735l`�
Application Number . . . . . 18-00001953 Date 1/07/19
Application pin number . . 142990 REPORT STATE SALES TAX
Property Address . . . 1431 W 11TH ST or► our excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-1445-0000- y
Application type description ELECTRICAL ONLY to the City of Polt Angeles
Subdivision.Name . . . . (Location Code 0502)
Property Use . . . . .
Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
DAVIDSON, BRYAN J ELECTRIC SERVICE
268 BLACK DIAMOND RD 503 RHODES RD
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 452-6424
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Permit . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional des: .
Permit Fee 120.00 Plan Check Fee .00
.Issue Date . . . . 1/07/19 Valuation , . . . 0
Expiration Date 7/06/19
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- -------
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total 00 .00 0 .00 .00
Grand Total 120.00 120.00 .00 .00
I
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE A42
ROUGH-IN
FINAL
COh*IENTS:
PERMrr WILL EXPIRE SIX(6)moNTEIS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
FROM FAX NO. Dec. 28 2018 2: 19PM P1
1 -_2 SINGLE-FAMILY _
m
ELECTRICAL PERMITAPPLICATICIC�;
. Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.47351 www.city0fpa.us I electrics1permits@cityofpa.uSE[ECTRICA[
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Project Address: I W
Project Description. Vi C
Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER �NFORMATICN
Name: Email:
Mailing Address._ Phone: ; } A 81 ' 7 :?Zq
ELECTRICAL CONTRACTOR INFORMATION
Name: t. c Y r License:F L Er1:5I 13 2�iA?
Mailing Address: O'3 P Expiration Date. - i --Z1 -,��9
Email: Ift ay' Phone:___:.Grit}-'Vfp 92. 1!t�?9
Unit ChaMn Qontltv Tota1(Quantity x unit Charge)
Service/Feeder 200 Amp. $120.00 ( $ QQ
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 X00 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 $------_
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Owner as defined by RCW,1928.261:(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 time electrical laws,N.E.0-,,ROW Chapter 19.28,WAC.Chapter 296-
466,The City of Port Angeles Mun- -pal Code,and Utility Specific atio PAMC 50 ardding Electrical Permit Applications.
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Date Print Name Signature Q Owner[J' Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermitsQCAyofpa.us or faxed to 360,417.47111