HomeMy WebLinkAbout2015 W 16th ST - Building (2) ELECTRICAL PERMIT
CITY OF PORT ANGELES
3 50417-4735
Application Number 21-00000759 Date 6/22/21
Application pin number 868788
Property Address . . 2015 W 16TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-1-0-7600-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . _ . .
Property Use . . . . .. . .
Property Zoning . . . . . . RESIDENTIAL TRAILER PARK
Application valuation . . . 0
Application desc
Panel repair
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Owner Contractor
BAUBLITS, SHIRLEY J ANGELES ELECTRIC
PO BOX 1073 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-9264 ,
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Permit . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . 96.00 Plan Check Fee 00
Issue Date . . 6/22/21 Valuation . . . . 0
Expiration Date . . 12/19/21
Oty Unit Charge Per Extension
1.00 96.0000 ECH EL-TRIP FEE-INSPECT EX. INSTAL 96.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX(6)MONTHS FROM LA S I JNSPF,GTTON
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEIBUILDING
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department N
321 E. 5th Street, Port Angeles,WA 98362 1
360.417.4735 1 www.cityof'pa.us elect ricalpern:tits(i;cityoflia.us
Project Address. ' "
Project Description: LG.
❑ Single-Family Residential ❑ Duplex/ARtJ Building Square footage
•
Name Email: y
Mailing Address: /� Phone: fT
w � � ne s ® • es �
Name: Angeles Electric, Inca License:ANGELE1460RS
Mailing Address:524 E. First Street, Port Angeles,WA 98362 Expiration Date 2/3/2022
Email:ksimpson@olympus.net Phone: 360-452-9264
Item nit Charge QuantltY 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 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 $ dC�
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 $
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 electrical laws,N.E.C.,RCW,Chapter 19.28,WAC.Chapter 296-
466,T e City of Port Angeles Municipal Code,and Utility Specifications a d PAMC 14A5.050 regarding` Electrical Permit Applications.
&h6v Ken Simpson
Date Print Name Signatut��12ectrical Contractor/Administrator}
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]