HomeMy WebLinkAbout712 E 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 21-00000103 Date
1/29/21
Application pin number . . . 695618
Property Address . . . . . . 712 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-9530-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
DHP
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Owner Contractor
------------------------ ------------------------
BETHANY PENTECOSTAL CHURCH -PA ANGELES ELECTRIC
506 S FRANCIS ST 524 E. 1ST ST.
PORT ANGELES WA 983626431 PORT ANGELES
WA 98362
(360) 452-9264
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee
.00
Issue Date . . . . 1/29/21 Valuation . . . .
0
Expiration Date . . 7/28/21
Qty Unit Charge Per
Extension
BASE FEE
75.00
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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
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-lN
z
FINAL
COMMENTS:
rcmivu l w a L, cArllCt JiA to) lvlV1V i ri3 rmum LAJ i 11VJrtL, l 1L)N
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDtNG
r 3 SINGLE-FAMILY
E TIR, t PERMIT APPLICATION
.tom P l i Works and Utili ies Depai-twient
321 E 5th Street, Port Angel Wit 98362
W ;'r 360.417.4735 ; www.c1tye%a.us,1 electricalpermits+'cr;,cityolpa.us
Prcf Address:
tie
Projectscriptian:
ngle-Family Residential 0 DU14 / ARU Building Square footage;
Name:
Ema
Mailing Address: Phone: r S7 -
Name: Angeles Electric. Inc License: ANGELEI460RS
_
Mailing Address::524 E First Street__ _ Expiration Date: 2/3/2022
Emaih angelelec@clyrnpus.net Phone: 360-452-9264item
Unit Charne ua tIt
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 _ $- _.
ServicefFeeder over 1000 Amp. $373.00
'Branch Circuit W/Service Feeder $5.00
Branch Circuit W10 Service Feeder $63.00 ,
Each Additional Branch Circuit $5.00
Branch Circuits 1-4 $75.00-
T+ mp. Service/Feeder 200 Amp. $93.00 - $
Tamp, Service/Feeder 201-400 Amp. $110.00
Temp. Service/Feeder 401-600 Amp. $149.00 - $
Temp. Service/Feeder 601-1000 Amp. $16U0
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 F
Thermostat (dote: $5 for each noroitinn,�l) $56.00 1 __
First 1 C>t3 S iiarr Feet
t $i;10'00
.Each At difionai 500 square feet' 540,00 $
'. Each Outbuilding / Detached Garptic $7=1X0
S
Each Swimming Pool! Hot Tab $110, t0
TOTAL e
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-
4613, Tho City of Fort Angeles Municipal Code, and Utility 3fr i fi lions and r,40 14,05.050 regarding Electrical Permit Applications.
— ;ii_ ICii € I"I I -/
atr� Print Name Signature (❑: Owner Electrical Contractor/ Administrator) _
[Electrical Permit Applications may be submitted to City Nall or electricaIpermits@cityofpa,us or faxed to 360.417.4711]