HomeMy WebLinkAbout1015 W 17th Street - Building EL EC' AL PE "I'
CT CY3F !QT ANGELES
3 6t"17-4735
Application Number . . . 21-00000254 Date 3/03/21
Application pin number . 150332
Property Address 1015 W 17TH ST A 101
ASSESSOR, PARCEL NUMBER: 06-30-99-0-4-4175-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . .
Property Use . . . . . . . RESIDENTIAL HIGH DENSITY
Property Zoning . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . 0
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Application desc
Temp,service
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Owner Contractor
LUXTON. STEPHEN F MEYER ELECTRIC
672 W ANDERSON RD 42 GEOLAINE WAY
SEQUIM WA 98382 SEQUIM WA 98382
(360) 477-2202
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Permit ELECTRICAL TEMPORARY SERVICE
Additional desc
Permit Fee . . 93.00 Plan Check Fee 00
Issue Date . . . 3/03/21 Valuation . . . 0
Expiration Date 8/30/21
Qty- Unit Charge Per Extension
1.00 93.0000 ECH . EL-TEMP SRV 0-200 SRV FUR 93.00
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Fee summary Charged Paid Credited Due
-Permit Fee Total 93.00 93.00 .00 .06
Plan Check Total .00 .00 .00 .00
Grand Total 93.00 93.00 .00 .00
i
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE 7-1
ROUGH-IN
FINALAA 12.1
COMMENTS:
PERMIT WILL EXPIRE?SIX(6)MONTHS FROM LAST 1NSPICMN
Signature of owner or Electrical Contractor X Date:
G:IEXCHANG"UffJ)M
- 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
1�s"�•-,.. I'Liblic Works and thilities Department N
321 E. >th Street. Port Angeles- OVA 9$162 N
300.417.=4735 -va.cit\-olpams electricalpermits'iccityolpa.Lis
Project Address: 10 ( S VJ
Project Description: QYn MW
,2 Single-Family Residential 0 Duplex/ARU Building Square footage:
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Name: e. Email: 5 vac 0N1 10 �� �
Mailing Address:j 9 fi4` S Phone: Wq VZ-
Name: QZ e - e IC License._AAC W F Z
Mailing Address: 147_ eo\ r-\e Expiration Date: ib Z-I
Email u 1Y►-S Q 112( 1W(-\•CsSY U-N Phone: _`5 r;0 �-
Q -1-1,-
iteII Unit Charge --- -._._..__ _.
Quantity Total(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 _J_— $
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 additionap $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 electnl laws,N.E.C.,R W.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code,and Utility Specifications nd �14.0 garding Electrical Permit Applications.
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Date Print Name Signature( Own'erA Electrical Contractor/Administrator)
(Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111