HomeMy WebLinkAbout2603 S LINCOLN ST - Building EL L f ERMIT
CITY t ` `ANGELES ,
3 . 7-4735
Application Number . . 20-00000284 Date 3/04/20
Application pin number . . 774484 REPORT STATE SALES TAX
Property Address . . . . . 2603 S LINCOLN ST on your excise tax fora]
ASSESSOR PARCEL NUMBER:. 06-30-10-5-0-6428-0000-
Application type description- ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . (Location Code'0502)
Property Use . . .
Property Zoning . . . . . RS7 RESDNTL SINGLE -FAMILY
Application valuation . . 0
Application-desc
House rewire
Owner Contractor
Sean & Morgan Worthington UPPER LEFT ELECTRIC LLC
1624 S Golf Course Road : 1306 ROOK DR
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) '797-3698 (360) 461-7120-
Permit ELECTRICAL ALTER RESIDENTIAL '
Additional desc
Permit Fee . . . 220.00 Plan Check Fee .00
Issue Date 3/04/20 Valuation 0
. .
Expiration Date 8/31/24
Qty unit Charge Per . Extension
20.00 5.0000 BCH EL-ECH ADANT BRANCH CIRCUIT- 100.00
1.00 120.0000 LVH EL-0-200 5RV FEEDER 120.00
Fee summary Charged Paid -Credited Due
-Permit Fee Total 220.00 220.00 .00. .00
Plan Check Total .00 .00 .00 .00
Grand Total 220.00 220.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH,
SERVICE
ROUGH-IN.
.FINAL
COMMENTS:
PERhtrr wn L ExPnRE sac(6)morrms FRom LAST trtsmcrtor(
Signature of owner or Electrical Contractor X Date:
SPI
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pORTELECTRICAL PERMIT APPLICATION
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Project Address:
Project Description:
O Single-Family Residential O Ouplex/ARU Building Square footage:
OWNER INFORMATION
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Mailing Address: Expiration Date:
PROJECT DETAILS
Unit Charue Quaptity IqW(Quantity x Unit Charge)
zo
Service/Feeder 200 Amp. $120.00
Service/Feeder 2Q14UUAmp. $146.00 ___---- $--_-____--
Service/Feeder 4V1-600Amp. $205.00 a_____
Service/Feeder 6O1-1OOOAmp. $262.00 $_____---_
Service/Feeder over 1UOOAmp. $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 2VOAmp. $93.00 $_-__-----_
Temp.Service/Feeder 2D1-4OOAmp. $110.00 $_____-----
Temp. Service/Feeder 4n1-6onAmp. o149.00 $____-----_
Temp. Service/Feeder 8O1-1OOOAmp. $188.00 $____----_
Portal m Portal Hourly *96.00 $____----_
Signal Circuit/Limited Energy-1&2DU. $64.00 $_____---_
Manufactured Home Connection $120.00 $________
Renewable Elec. Energy:5KVA System orless $102.00 $______---_
Thermostat(Notn:m6 for each additional) $56.00 $_--___--_
First 1300 Square Feet $120.00 $________.
Each Additional 5O0 square fLae'' $40.00 $-----------
Each Outbuilding/Detached Garage $74.00 $__-__-----
Each Swimming Pool/Hot Tub $110.00 o
TOTAL $_�������_
Owner ao defined byRCW1g.2W.281:(1)Owner will occupy the structure fbrmvoyearoefte,th(nolect,ica|pennhio0nm|izad.(2)[xwneris
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 UtilityA,6665 tio PAMC 14,05.050 regarding Electrical Permit Applications.
Date Print�ame Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]