HomeMy WebLinkAbout1621 W 10TH ST - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES •� W
360-4174735
Application Number . . . 18-00001311 Date 8/24/18
Application pin number . . . 831816
Property Address . . . . . . 1621 W 10TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-0765-0000- On our excise tax form
Application type description ELECTRICAL ONLY y
Subdivision Name . . . . . `to the City of Port Angeles
Property Use . . . . . (Location Code 0502)
Property Zoning ,. RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
JUDITH K ELGAR RICHART FAMILY INC
1621 W 10TH ST 14600 NE 20TH AVE
PORT ANGELES WA 983635301 VANCOUVER WA 98686
(206) 259-0495 (360) 574-5859
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Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIR HOUSE FAN + SW
Permit Fee . . 75.00 Plan Check Fee .00
Issue Date 8/24/18 Valuation . . . . 0
Expiration Date 2/20/19
Qty, Unit Charge Per Extension
BASE FEE 75,.00
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Fee summary Charged Paid Credited Due
--------------- ---------- ---------- -- ------ ---------- ,.
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 100 .00
-Grand Total 75.00 75.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR;-
DITCH
NSPECTORDITCH
SERVICE
ROUGH-IN
FINALI 4R, I"
COMMENTS:
PERMTr WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEMON
Signature of owner or Electrical Contractor X Date:
3 1 - 2SINGLE-FAMILY ()�
m ELECTRICAL PERMIT APPLICATION
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Project Address:
Project Description: C4 —
kSingle-Family Residential ❑ Duplex/ARU Building Square footage:
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Name: Email
Mailing Address: 1' D G-i Phone: ) 2, J ~ JI 'S
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Name: License: � �— �
Mailing Address: xpiration Date:
Email: ✓ U/ hone: -
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Mal Unit Charas Quantl IQJW(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120,00 $
Service/Feeder 201A00 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 W10 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 $ -75 On
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-
46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature(❑ Owner Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hail or epermits@cityofpa.us or faxed to 360.417.4711]