HomeMy WebLinkAbout1615 OWEN AVE - Building (2) ELECTRICAL PERMIT
CITY OF PORT ANGELES
3614-4174735
Application Number . . . . . 18-00001917 Date 1/03/19
AppliciLtion pin number . . . 260001 REPORT STATE SALES TAX
Property Address . . . 1615 OWEN AVE
ASSESSOR PARCEL NUMBER: 06-30-99-0-1-0530-0000- On your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use . . . . . . . (Location Code 0502)
Property Zoning . RESIDENTIAL MEDIUM DENSTY
Application valuation 0
Application desc
Fire damage service
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Owner Contractor
LAUSCH JERRYL D/LINDA ELECTRIC AMERICA
1615 OWEN AVE PO BOX 3523
PORT ANGELES WA 983635113 SEQUIM WA 98382
(360) 912-5550,
Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 120.00 Plan Check Fee .00
Issue Date . . . . 1/03/19 Valuation . . 0
Expiration Date 7/62/19
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
-- - --- ----------
Fee summary Charged Paid Credited 11Due
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00'
Grand Total 120.00 120.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
1pbq h2 WPI
COMMENTS:
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PERMIT WELL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY -
ELECTRICAL PERMIT APPLICATIO
Public Works and Utilities Department
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AZ.- 321 E. 5th Street, Port Angeles, WA 98362
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360.417.47351 www.cityofpa.us I electricalpermits@cityofpa.ul ��,
Project Address: 1615 Owens Ave. PA
Project Description: Replace service fire damage
® Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Oay rown le Email:
Mailing Address: Same as above Phone: 360-460-5435
ELECTRICAL CONTRA INFORMAtibN
Name: eC riC merica License: Efeda!18
Mailing Address: P.O. ox 3523 Expiration Date:
Email: Phone:
PROJECT
Item Unit Charge Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 1 $ 120.00
Service/Feeder 201400 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 $
f=irst i4 Square;Feet $1'16 00 $
> IiAddifiona150Q square feet 0.00 `
1: 2fc Outbuilditrgl��tslctiedGarage $74 Ott
Each Svi+immrng Pobl/Hot Tub x`$110.00. S °
TOTAL $ 17(1 nn
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.C 19.28, AC.Chapter 296-
466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 re rding F,le is ermit Applications.
8 Dec18 Stuart Duff /
Date Print Name Signature(❑ Owner ® Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]