HomeMy WebLinkAbout811 W 15TH ST - Building (2) ErY
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Application Number . . 21-00000673 Date 6/03/21, S`
A pliCat on pin number 241146 EP T STATE S � -�
Property Address . . . . . . 811 W 15TH ST on your excise tax
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-1585-0000- tQ the elf Of Port Angeles,
Application type description ELECTRICAL ONLY to
subdivision Name . . (LOcaffon Code 0502)
Property Use
Property Zoning . . . . . -RS7 RESDNTL SINGLE FAMILY
Application valuation 0
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Application desc
Attic Fan
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Owner Contractor
Rogers, Glenn OWNER
811 W 15th
PORT'ANGELES WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00
Issue Date 6/03/21 Valuation 0
Expiration Date 11/30/21
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Qty Unit Charge Per " Extension
BASE FEE' 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 ;00
Plan Check Total .00 00 ;00 00
Grand Total 75.00 75.00 .00 .00.
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
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DITCH
SERVICE
ROUGHiIi� 41 j 1 .` .
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
F=LECTRICAL PERMIT APELICATION
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Project Address:811 W 15th. Street Port Angeles, Wa. 98363
Project Description:Attic Fan
C1 Single-Family Residential 91 Duplex/ARU Building Square footage:
1 777---- OWNER INFORMATION
Name: Glenn Rogers Email:g.rop-m.56@9mall.com
Mailing Address:811 W 1 6th Port Angeles,Wa. 98363 Phone:360-582-7360
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Name: Owner f License:
Mailing Address: Expiration Date:
Email: Phone:
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PROJECT DETAILS
bm U01111 Cttarae QuanJU rpW(duarift i Unk Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201400 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 W1 Service Feeder $6.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 1 $ 75.00
Temp.Service/Feeder 200 Amp. $93.00 $
Temp.ServicelFeeder 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. $84.00 $
Manufactured Home Connection $120.00 $
Renewable Elec.Energy:5KVA System or,less $102.00
Thermostat(Note:$5 for each $56.00
TOTAL
Owner as defined byRCWJ9.28.261:(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,WAG.Chapter 296-
46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
06/02/2021 Glenn Rogers
Date Print Name Signature(JZ Owner E] Electrical Contractor I Administrator)
[Electrical Permit Applications may be submitted to City Hall or efectricalpermits@cityofpa.us or faxed to 360.417.4711]