HomeMy WebLinkAbout423 S Race Street - Building ELECTRICAL PERMIT
CITY t SRT ANGELES
360417-4735 —D
Application Number 17-00001249 Date 9/05/17 _
Application pin number . . 819435
ASSESSOR-PARCEL
Address 423 s RACE ST REPORT STATE SALES TAX
jos.- ASSESSOR PARCEL NUMBER: 06-30-00-0-1-7655-0000-
Application type description ELECTRICAL ONLY Olt your excise tax form
_ _ subdivision Name to the City of Pod Angeles IProperty Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . 0. •
Application desc
•
Ductless heat pump j
Owner Contractor
WILLIAM BODNAR UPPER LEFT ELECTRIC LLC
423 RACE ST 1306 ROOK DR
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 504-2849 (360) 461-7720
Pk. ::,.. ermit ELECTRICAL ALTER RESIDENTIAL
Additional desc . ' 1-4' CIRCUITS
Permit Fee . . . 75.00 Plan Check Fee . . .00
Issue Date . . . 9/05/17 Valuation . . . . 0 '
`,..' Expiration Date . 3/04/18
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Qty Unit Charge Per Extension ..
r,-": BASE FEE 75.00 •
Fee summary , Charged Paid Credited Due
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Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00 ,
Grand Total 75.00 75.00 .00 .00
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INSPECTION TYPE DATE: RESULTS:r `1SPECTOR:
DITCH
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SERVICE
ROUGH-IN 41.7- /7 'T7 4 /
FINAL I .
COMMENTS: ,:
PERMir WILL EXPIRE SIX(6)MONTHS FR. TINA' f
''= Signature of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION y �►�,.,,,•�► j
Building Division/Electrical Inspections
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321 East Fifth Street— Port Angeles Washington,98362 -. .
Ph: (360)417-4735 Fax: (360)417-4711 111111111111Pr
Date: &/ g 1 1 &2 Single Family Dwelling ^
*Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet
Job Address: q -2 3 ,y ca C_,".S.t
Building Square Footage:
Description of above
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Owner Information Contractor Information
Name: C ;k l l,ct,nn 3�v,CX Name: Upper k e l- E t C�' C - ( C
Mailing ddress: ( Z 3 p c;c c. S r- Mailing Address: t (3 6 C c
12 c. . (c. i)
City: VcA State: Zip: c(9I L, City: t eV— State: ` Zip: 2 .5 C 2--
Phone: Fax: Phone: Fax: �i
License#/Exp. License#/Exp. (2 P e c" I 6: 8 ,5C` e.
Item Unit Charge Total(Qty Multiplied by 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 Feed $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 Only $ 75.00 $7¶ civ
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 Circuit/Limited Energy-1 &2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or 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 296-46B,The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: 0 Cash 0 Check
82/1 //
' (/ Credit Card#
X �l Dated: (.� / 0210612012