HomeMy WebLinkAbout3509 OLD MILL RP - Building ELECTRICAL PERMIT -T
CITY OF'PORT ANGELES
360-417-4735
Application Number . . . . . 19-00000157 Date 1/28/19
Application pin number . . . 497738 REPORT STATE SALES TAX
Property Address . . . . . . 3509 OLD MILL.RD
ASSESSOR PARCEL NUMBER: 06-30-15-6-1-0200-0000- on your excise tax fwn
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . . .
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . UNKNOWN -
Application valuation . . . . 0
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Application desc
Service repair
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Owner Contractor
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BOYD JEFFREY C ELECTRIC SERVICE
3509 OLD MILL RD 503 RHODES RD
PORT ANGELES WA 983623727 PORT ANGELES WA 98362
(360) 452-6424
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue Date . . . . 1/28/19 Valuation . . . . 0
Expiration Date 7/27/19
Oty 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
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Permit Fee Total 120.00 120.00 .00 .00,
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR.
DUCH
SERVICE
V
ROUGH-W
FINAL
CON04ENTS:
PERmrr wiLL ExPiRE six(6)moNTHs FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department RECEIVED
321 E. Sth Street, Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.u.s 1 electricalperrnits@cityof�axs JAN 25 2019
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Project Address:—
Project Description: 3 ax V/Lt' itie,
tA Single-Family Residential Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Email:
. *-2, 'S-3 0 S�F
Mailing Address Phone; 0 -
ELECTRICAL CONTRACTOR INFORMAI-iON
Name.- P r V),C.40-0 T&C- License: I-VC 2:113 Z 212
Mailing Address: Rhi dtA--,- k J- plk- 11 Expiration Date: V
Email:--hAn
(- CO�* Phone: '-S(.0 ?!k
PROJECT �ETAILS
ousaft Igid(Quantity x unit Charge)
Service/Feeder 200 Amp, $120.00 $ oe
Service/Feeder 201-400 Amp. $146.00 $
ServicefFeeder 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 $83.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75-00 $
Temp.Servioe/Feeder 200 Amp- $93.00 $
Temp,Service/Feeder 201-400 Amp. $110.00 $
Temp,Service/Feedar4OIAW Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp. $168,00 $
Portal to Portal Hourly $96.00 $
Signal CircudRjmftd 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 $
F
4
.00
4f
-F
TOTAL
Owner as defined by RCW.19,26,261:(1)Owner will occupy the structure for two years after thi, ctri r,alp P rmit is finailized.�2)Owner is
required to hire an electrical contractor if above said property is for sale,rent or kase.Permit exph-as 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.,ROW.Chapter 19.28,WAC.Chapter 29&
468,The City of Port Angeles Municipal Code,and Utility Specifications and BkMC 14.05.050 regarding Electrical Pennit Applications.
fL*1)2
Date — Print Name ([J- Owner W Electrical Contractor/Administrator)
(Electrical Permit Applicadons may be submitted to City Hall or epen-nftsocityofpa.us or faxed to 360.417.47111
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