HomeMy WebLinkAbout1818 W 11TH ST - Building (2) 1 ELE 'IVUM PERMIT
CITY GE' t T ANGELES W
360-417-4735
Application Number ' 19-00000361 Date 3/18/19
Application pin number . . 671103 REPORT STATE SALES TAX
Property Address . . . . . 1818 W 11TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-6120-0000 on your @Xcisetax form
Application,type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . (LOCaIOII Code 0502)
PropertyUseRESIDENTAL SF 7000'
Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . 0
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Application desc
New home
Owner Contractor -
CHALEENA C SIMMONS SEQUIN VALLEY ELECTRIC
P 0 BOX 522 11 DONE EAGLE LANE .
PORT ANGELES WA ,98362 - SEQUIN WA 98382
(360) 681-3330
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Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit Fee . . . . 160.00 Plan Check Fee .00
Issue Date . . . . 3/18/19 Valuation . . 0
Expiration Date _ 9/14/19
Qty Unit Charge Per Extension
1.00 120.0000 BCH EL-R-SQFT FIRST 1300 120.00
1.00 40.0000 ECH EL-R-SQFT ADDITIONAL 500 40.00
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Fee
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Fee summary Charged Paid Credited Due
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Permit Fee.Total 160.00 160.00 00 .00
Plan.Check Total .00 .00 00 .00
Grand'Total 160.00 160.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DrrC H
SERVICE
ROUGH-IN '
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY RECE :,�
ELECTRICAL PERMIT APPLICATION
r Public Works and Utilities Department �
321 E. 5th Street, Fort Angeles,WA 98362 j
360.417.47351 wwvv.cityofpaxs ( elect.rical permits(acityofpa,iis
Project Address: 1818 W 11th St.
Project Description: New 1614 SF HOME
in Single-Family Residential Q Duplex/ARU Building Square footage: 1614
.,OWNER INFoRMATION
Name: Chaleens Simmons 1=mail:
Mailing Address: Phone:
ELECTRICAL •
Name: Sequim Valley Electric,Inc. License: SEAUNIE90113
Mailing Address: 11 Lone Eagle,Lane,Sequim,WA 98382 Expiration Date: 06/21/2020
Email: ahanova330msn.c4rd Phone: 360"881-3330
PROJECTDETAILS
MM umit QW . .Nwiw*x Unit Menlo)
Service/Feeder 200 Amp. $120.00 $ _
Servloe/FeWer 201400 Amp. $1M.00, $
ServicefFeeder 401-600 Amp_ $205.00 — $
Service/FeWer'601-1000 Amp_ X282.00 $
Service/Feeder over 1000.Amp_ $373.00 $
Branch Circuit W/Service Feeder
Branch Circuit W/C1 Service Feeder $63`b0" $
Each AdditionalBranch Circuit $5,00' $
Branch Circuits 1=4 $75,00'' $
Temp.ServicelFeeder 200 Amp. $ i
Temp, Serv€ce/Feeder 201400 Amp. $11.0.00 �—
Temp. Service/Feeder 401,600 Amp_ $1,49.00 $
Temp.Service/Feeder 601-1000 Amp, $188,00 . .
Portal to Portal Hourly ' $96.00 $
Signal CircuitlLimited Energy=1&2 DU. $64.00 $
Manufactured Home Connection .$120.00 . $�_--
Renewable Elec. Energy:5KVA System Qr less $.1 Q .01}' $,
Thermostat(N )`
(Note:$5 for each addtt€onal
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Owner as defined by RCVV.19,28.261,(1)Owner will occupy the structure for two years after is el rmk is finaltr ( or is
required to hire an electrical contractor if above said property is for sale, rent or lease.Perm 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 malting the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
468,The City of Port Angeles Municipal Code,,and Utility Specifications and PAMC 14,05.050 regarding Electr€cal Permit Applications.
0312-2019 ANDREA HANG
Date Print Name Signature(❑ Owner w Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]