HomeMy WebLinkAbout1033 Glenwood Street - Building _ 1
f PPORT A 'GELES
360-4.174735 I
Application Number . . . . 20-00000437 D&REPORPSTATE SALES TAX
Application pin number . . 898269 your excise tax form
Property-Address On. 1033 GLENWOOD ST y
ASSESSOR PARCEL NUMBER: 0fi-30-08-5-8-1350-0000- to the City y Of Port Angeles
Application type description ELECTRICAL ONLY
Subdivision Name . . . ;. . (Location Code 0502)
Property Use . . . . . .
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
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Application desc
2'circuits / Smoke det.
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Owner Contractor
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CAL$B J AND HEIDI A COPKO SYNERGY ELECTRICAL CONTRNG LLC
600 SE 177TH AVE #224 910 W-10TH ST
VANCOUVER WA 98683 PORT ANGELES WA 98363
(503), 915-6844 1360) 461-3954
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional deac .
Permit Fee . . . . 68.00 ,Plan Check Fee .00
Issue Date . . . . 4/21/20_ Valuation 0
Expiration-Date 10/21/20
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL,ECH ADONT BRANCH CIRCUIT 5.00
1.06 63.0000 BCH EL-R- BRANCH CIR NO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
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Permit fee Total68.00 68,00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand'Total 68-.00 68.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL Z
COMMENTS:
PERmff WILL EXPIRE SIX(6)MONTHS FROm LAST INSPfMON
Signature of owner or Electrical Contractor X Date:
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ELECIRICAL PERMIT APPLICATION
Public `k`orks and utilities Dcpartment
32 1 E:. nth Street, fort AnLcic s. NA 98362
360,417.473� I kckk\c.cit\otpa.its i elect ricaIpermIts,'dcit\ofp<1.ta
Project Addron- 1033 Glennwood
project Oaacriptictn: Adding 2 circuits and smoke detectors
In SinWamify Re i 6 0 Oupftx/AIRU buiiding Sgware fbcft e:
OWNER INFORMATION
Name: Co ko,Caleb 1jr61ii calebjcopko@gmail.com
Mailing Addiress: phone: 503-915-6844
ELECTRICAL
y CONTRACTOR
r y #r INFORMATION
Name: §y rX Electrical Contracting, Liconse: SYNEREC829QM
Mailing Address: PO Box 1544 Expiration Date:
Email: s ne electricalcontractin mail.com Phone: 360-565-1163
PROJECT DETAILS
( {� U11111ILGIIIIAM gusuft JOW(Quantity x Unit charge)
Service/Feeder 2170 Amp. $120.00 $
Service/Feeder 201.4W Amp. $146.00 $
Service/Feeder 401-OW Amp. $205.00 $
Service/Feeder W1-1000 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 2 $ 75.00
Temp.Service/Foodor 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 $
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 $
Find t3DO Swarw Foot $120.00 $
each Addltionmf SW wwwo tile" $+1t). $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Mat Tub $110.00 $
TOTAL $ 75.00
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-
46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
4/17/20 Renee Adams
Date Print Name Signature([] Owner;ff Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]