HomeMy WebLinkAbout404 E AHLVERS ST- Building T
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3604i7-4735
�Application Number . . . . . 18-00001661 Date 10/24/18
AppliC,at in number . . . 328172 REPORT STATE SALES TAX
Ppoperty120,88 . . .. . . . 404 E AHLVERS RD,
ASSESSOR PARCEL NUMBER: 06-30-15-3-1-9060-0000- on your exdse tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
subdivision Name . . . . . . .
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . '. RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Generator stand by
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Owner Contractor
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JACK 'L/TERRI L HARMON GENTECH NORTHWEST LLC
404 EAHLVERS RD PO BOX 2195
PORT ANGELES WA 983623708 SEQUIM WA 98382
(360) 460-1217 (360) 808-6188
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 120.00 Plan Check Fee .00
issue Date . . . . 10/24/18 valuation . . . . 0
Expiration Date 4/�2/19
Qty Unit Charge Per Extension
1.00 120.0900 ECH EL-0-200 SRV FEEDER 120.00
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I
Fee summary Charged Paid Credited Due
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Pe rmit Fee Total 120.00 120.00 .00�
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOP-
DITCH
SERVICE
ROUGH-IN
FINAL
COMNIENTS:
PERMIT WIU EXPIRE SIX(6)MONTHS FROM LAST INSPECT10N
Signature of owner or Electrical Contractor X Date:
-2 SF
�ELI 1 - 2 SINGLE-FAMILY _0
cD
i3ORT 1., 3
1140 ELECTRICAL PERMIT APPLICATION ELECTRICAL
Public Works and Utilities Department INS71,71'ONS
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address:
Project Description:
,,a-Single-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: 7�-�Z C�L Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License: G Ed Tf-A)
;� -,)-
Mailing Address.: �I, il-4- - F1 �1-f X,5�� U-A Expiration Date: /L
Email: !�cA4 w� v,,,ey <LV �ia Aao- Phone:,
PROJECT DETAILS
item Unit Charae Quantity Total(Quantity x Unit Charge)
Z
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 201400 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 $
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(o Owner j2j�Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111