HomeMy WebLinkAbout1215 W Hwy 101 #23 - Building
Sep 19 05 07:20a
Current Electrical Cont
3604571873
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/'i!1!';lallatinn description
Job wiyt!d by o Electrical Contractor DOwner 0 COOlmcrci:\J ja'ltcsidcntiul
Electrical contractor name License ntlmbcr Date E.\rir~'s
Cv~E.=NT G.LEc..-Ct~"'--G...;"T_ L ...:r'..~E-Gc '1'" I P') o New o Altercd/Addition
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Telephone numb..::r FAX number NiM)
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Premises owner's name <,,/.: ...~
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.F"ars II/h',. Ihi.\ dl.x(r;ClIJ /l<-rmir i.' fiJ/llfi:l'd. (:!) QlIlll'/' is n'/II/ired to hire all efecr'i;.:at
COl/trl1,tor if ahon- .mid properly i.~ jiJr .wk I'/'II( 01" lell.I'". o Cash o Check ff
Arler rcading the :\ho\"l~ ~tatC'men\, I hereby certify that] am Ihe owner or the ab(wc
n:ulIeJ proper! y or a licensed ckctrical contr:1CIOr. J :lnl nlakin!; the ckctrical ;ns\al. o CrcdilCanJ Visa Mastercard Discover
I:Hion or :lheration in compli:lncc with the electrical laws, :-.l.E.C., RO\'. Chaplcr
IlJ.2S. W..\C. Chapter 296-46B. The City (Jr PMI An!,:eles Municipal Code, ;\nl! Card # - - -
lltilily Spccifl:atiolls. ---------. ------------
I/Sil.:,~cctdcal contraclor 01'" electrical admini..tl'".llor Expiration Date (~nsPc(::IIc'~~c (It:
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Elec.,.(cal Load Ad_qttions and or subtractlo...D~ $e.Lyice_'m9...rmation
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ELECTRICAL WORK PERMIT APPLICATIQ,N
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...wrNO LOAD CHANGES
o Baseboard KW
Cl Furnace KW
o Heat Pump Ton
o Fan-Wall KW
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..B"'tverhead Service l'
o Temp Service
o Underground Service
Voltage _...__..
Phase a , :J 3
Service Size:
~el';!der Size:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-473S
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FINAL DITCH FELIJf:R
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Inspcclinn Arcil, Building or Fquip1llcnt Inspcctctl I\clioll Electr;cal
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Application Number . . . . . 23-00000869 Date 8/15/23
Application pin number . . . 140671
Property Address . . . . . . 1215 W HWY 101 MSTR 3
ASSESSOR PARCEL NUMBER: 06-30-08-5-1-0200-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RESIDENTIAL TRAILER PARK
Application valuation . . . . 0
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Application desc
Meter repair
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Owner Contractor
------------------------ ------------------------
ROYAL FIELDS INC COHO CUSTOM ELECTRICAL INC
C/O SUSAN KIM 162 KAISER PLACE
19827 8TH AVE NW SEQUIM WA 98382
SHORELINE WA 981772555 (360) 461-5402
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee . . .00
Issue Date . . . . 8/15/23 Valuation . . . . 0
Expiration Date . . 2/11/24
Qty Unit Charge Per Extension
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 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------â–¡Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (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 $
Signal CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare 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-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD
PREPARED 8/14/23, 7:53:09 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
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APPLICATION NUMBER:23-00000869 1215 W HWY 101 MSTR 3
FEE DESCRIPTION AMOUNT DUE
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ELECTRICAL ALTER RESIDENTIAL 120.00
TOTAL DUE 120.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
8/15/2023 23-869 TAP
OWNER
CONTRACTOR
Coho Custom Electric
PROJECT ADDRESS
1215 W HWY 101