HomeMy WebLinkAbout217 S Laurel StELECTRICAL PERMIT N
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 22-00000325 Date 3/22/22
Application pin number . . . 848475
Property Address . . . . . . 217 S LAUREL ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-5435-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR
Application valuation . . . . 0
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Application desc
Service and circuits
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Owner Contractor
------------------------ ------------------------
SHELDON AND E A KOEHLER SYNERGY ELECTRICAL
CONTRNG LLC
217 S LAUREL ST 910 W 10TH ST
PORT ANGELES WA 98362 PORT ANGELES
WA 98363
(360) 461-3954
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 195.00 Plan Check Fee
.00
Issue Date . . . . 3/22/22 Valuation . . .
. 0
Expiration Date . . 9/18/22
Qty Unit Charge Per
Extension
BASE FEE
75.00
1.00 120.0000 ECH EL-0-200 SRV FEEDER
120.00
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Fee summary Charged Paid Credited
------------------------------
Due
---------------------------
Permit Fee Total 195.00 195.00 .00
.00
Plan Check Total .00 .00 .00
.00
Grand Total 195.00 195.00 .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
z
ROUGH -IN
FINAL
COMMENTS:
P
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECIION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDING
_ 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
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Projecddress: 217 S Laurel St.
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change out 200 amp service, add 2 circuits
Project Description:
❑✓ Single -Family Residential ❑ Duplex / ARU Building Square footage: ___________
Name: Sheldon and Elizabeth Koehler — Email: synergyelectricalcontracting@gmail.com
Mailing Address: 217 S Laurel St Phone: 360-670-4799
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Name: Synergy Electrical Contracting, LLC License: SYNEREC829QM
Mailing Address: PO Box 1544, Port Angeles WA 98362 _ Expiration Date: 11/14/2022
Email: svnergVelectrlcalcontractincia)gmail.com Phone: 360-461-3954
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Item llnitCLa ff —Q ►uady jQjilj (Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 1 $ 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 MO Service Feeder
$63.00
$
Each Additional Branch Circuit
$5.00
$
Branch Circuits 1-4
$75.00 1
$ 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
$
Signal CircuiULimited 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
$ 195.00
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.
03-18-2022 Tracy Critchfield
Date Print Name Signatu
❑✓ Electrical Contractor / Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]