HomeMy WebLinkAbout1626 W 11th StELECTRICAL PERMIT
CIry OFPORTANGELES
360-417-4735
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Applicatsion Number
Application pin number
Propertsy Ad&ress
ASSESSOR PARCEI NUMBER:
Application Lype description
subdivision Nane
Property Use
Property zoning
Application valuation
21- 00001610 DaLe t2 / 09 /2L
337180
1526 W 11TH ST
05 -30- 00 -0- 3 - s913 -0000-
E'JECTRIC}iL ONIJY
RESIDENTAI SF ?OOO
RS7 RESDNTL S]NGLE FA}4I],Y
0
Application desc
UPPER LEFT ETECTRIC LLC
1305 ROOK DR
PORT ANGEIES WA 98362
136AJ 461-7720
Permits
Additional desc
Permit Fee
Issue Datse
ExpiraLion Dale
150.00
t2 /09 /2t
6/07/22
ELECTRICAL NEW RES1DENTIA],
Plan Check Fee
valuat ion
00
0
Qty Unit charge Per
1_ 00 120 _ 0 000 Eclt
1.00 40.0000 Eclt
EL R'SQFT FIRST 13OO
E], R SOFT ADDITIONAT 5OO
Extens ion
120.00
40.00
Paid Creditsed Due
Permit Fee Total
Plan Check '!ota1
Grand ToEaf
150.00
.00
150.00
160
160
00
00
00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X
INSPECTION TYPE DATE:
DITCH
SERVICE ru)qlzt -6h/-*tr
ROUGH.IN vcln)dt *'-Fv
FINAI
COMMENTS:a)*..
C:\EXCTIANCE\BUILDING
Charged
RESULTS:INSPECTOR:
Date:
ELECTRICAL PERMI T APPLICATION
Public Works and Utilities Department
321 E. 5th Str€et, Port Angeles. WA 98362
-r60.rl I 7.-17,r5 I *"wu,.citvotpa.us j electricalperrnirs@cityofpa.us
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1626 w 11thProject Address:
Project Descripti on. new house
! Single-Family Residential D Duplex /ARU Buitding Square footage
Name taylor built Email
Mailing Address P hone
Name. upper left electric License:
Mailing Address
Email:
Expiration Date
P hone:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 60'1 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Crrcuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1*4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401,600 Amp.
Temp. Service/Feeder 601-1 000 Amp.
Portal to Portal Houdy
Signal CircuiyLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charqe
$120.00
$146.00
$205 00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$'120.00
$102.00
$56.00
Quantitv Igtal (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
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 propedy is for sale, rent or lease. Permal 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 etectrical 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 PortAngeles lilunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
1216121 chace botero
Date Print Name Signature (E Owner ! Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed lo 360.417.47111
1 - 2 SINGLE-FAMILY
.O!ryNER IN FORIVIATIO N
ELECTRICAL CONTRACTOR INFORfuIATION
$_
q
First 1300 Square Feet
..Each Additional 500 square feet '
Each Outbuilding / Detached Garage
1
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