HomeMy WebLinkAbout1105 E PARK AVE - Building (4) ELECTRICAL PERMIT
CITY OF PORT ANGELES
36Qw417-4735
Application Number . . . . 19-00002009 Date 12/18/19
Application pin number 150890 REPORT STATE SALES TAX
Property Address . . . . . . 1105 E PARK AVE our excise tax form
ASSESSOR PARCEL NUMBER: 06-30-11-5-1-0610-0000- On y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . .
Property Use . . . . (L4Ce3t14A Code 0502)
Property Zoning RESIDENTIAL MEDIUM DENSTY
Application valuation . . . 0
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Application desc
Remodel
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Owner Contractor
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MATTHEW AND RIBA ACKER UPPER LEFT ELECTRIC LLC
1105 E PARK AVE 1306 ROOK DR
PORT ANGELES WA 983622740 PORT ANGELES WA 98362
(360) 461-7720
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Permit ELECTRICAL ALTER RESIDENTIAL,
Additional desc .
Permit Fee . . . . 108.06 Plan Check Fee .00
Issue Date . . . . 12/18/19 valuation » . 0
Expiration Date 6/15/20
Qty Unit Charge Per Extension
9.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 45.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 108.00 108.00 .00 .00
Plan Check Total »00 .00 .00 .00
Grand Total 108.00 108.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY M
' ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
.321 E. Sth Street, Port Angeles, WA 98362 rrc
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3��17.4J3S www.cityotpa.us I electricalpermits@cityofpa.us
Project Address: �� C
Project Description: � c ��.L-----
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
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Name: L V'(., /' Email
Mailing Address: Phone:
MITName: ' .( (C,..- License:
Mailing Address: Expiration Date:
Email: I JjVI,;r na I a' x'i C_ 4'� Phone:
Item 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 $
Temp.Service/Feeder 201400 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/Hot Tub $110.00 $
TOTAL $_ JC2
Owner as defined by RCW.19.28.261:(1)Ownerwill 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.G.,RCW Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Code,and Utility Specifi i ns and PAMC 14.05.050 regarding Electrical Permit Applications.
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Date Print Name Signature(❑ Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]