HomeMy WebLinkAbout1630 w 11th st - Building ELECTRICAL PERMIT P "& '!�
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CITY OF PORT ANGELES ti
360-417-4735 N
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Application Number . . . . 19-00001123 Date 7/29/19
Appliction pin number . . . 409850 REPI)R '".$` ATE SALES TAX
-" Propertay Address . . . . . 1630 W 11TH S1' on yourkdso tax fWln j
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5915-0000-
Application
6-30-00-0-3-5915-0000 Application type description ELECTRICAL ONLY to the City Of Port AngeleS
Subdivision Name
Property Use . . . RRSIDENTAL SF 7000 (LoCalffon Code 0502)
Property Zoning . . . RS7 RESMrm SINGES FAMILY
Application valuation o
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Apglication desc
Temp service
Owner Contractor
ELSTROM JR, ARLAND NORTH PENINSULA ELECTRIC
PO BOX 1402 761 FREMATER PARR RD
PORT ANGELES WA 48362 PORT ANGELES ' WA 98363
(360) 477-1764
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Permit . . . . ELECTRICAL TEMPORARY SERVICE
Additional desc .
Permit Fee 93.00 Plan Check Fee .00
Issue Date . . . 7/29/19 valuation 0
Expiration Date 1/25/20
Qty Unit Charge Per Extension
1.00 93.0000 E61 XL-TEMP SRV 0-200 SRV FDR 93.00
Fee summary , Charged Paid cCredited Due'
Permit Fee Total 93.00 93.00 00 .00-
Plan Check
bDPlan:Check Total .00 .00 .00 .00
Grand Total 93.00 93.00 .06 00
INSPECTION TYPE DATE RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
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COA+IIviENTS:
PERM t tLLEJ aE SIX j6)16tt3ms FROM LAST.[ smrrK)N
Signature of owner or Electrical Contractor X Date:
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I - 2 SINGLE-FAMILY Jit
ELECTRICAL PERMIT APPLICATION
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LW Street. Port��nccl.es, Mfl-`93,6) >
360.417.4735 i \Y4;,Nv.chyofpa.us elecuic-ainctn;lT<<CL!city0i'Pa.us A
Project Address: 1630 W 11 th Street
Project Description: Finamp temporary power pole
X Single-f=amily Residential ❑ Duplex IARU Building Square footage
Name Arland Elstrom Email:
Mailing Address:`PO Box 1402 Port Angeles WA 98362 Phone.-
Name:
hone:Name: North Peninsula Electric License: n
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orth
Mailing Address: 760 Freshwater Park Expiration Date:
Email: no hpenonsulaelectric&yahoo_com Phone: 360 477-1764
1t�Il Unit Charae Quantity Tofat(Quantity x Unit Charge)
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 1 $ 93.00
Temp.Service/Feeder 241-400 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/Hat Tub $110.00 $
TOTAL $ 93.00
Owner as defined by RCW.19.28.26 1:(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-1
am making 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 Electrical Permit Applications.
July 25, 2019 Kimberly Rae Walker k wrbei-t Rae Walkel-
Date Print Name Signaturre)o Owner❑ Electrical Contractor/Administrator)
{Electrical Permit Applications may be submitted to City Hall or electricalpermitsQcityofpa.us or faxed to 360.417.4711)