HomeMy WebLinkAbout1421 $ OAK ST - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 t
a
Application Number . . . . . 18-00001909 Date 12/20/18
Application pin number . . . 250650 REPORT STATE SALES TAX �O
Property Address . . r1421 5 OAK ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-2278-0000_ - on your excise tax form
Application type description ELECTRICAL ONLY to the C/ty of Port Angeles
Property
Use
Name . . . (Location Code 0502)
Property Use .
Property Zoning . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Service Repairs
Owner Contractor
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BRIAN AND NATALIE FURFORD APS ELECTRIC
1421 S OAK STREET 546 BENSON RD.
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 452-6753
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Permit . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . 120.00 Plan Check Fee .00
Issue Date . . . . 12/20/18 Valuation . . 0
Expiration Date 6/18/19
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
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE I2 i V Otn o►��
ROUGH-IN
FINAL 111!°r be oM ±2±4
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION 3'
Utilities
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 9$362 �r,l� ='('1
360.417.4735 www.cityofpa.us electricalpermits@cityofpa.us
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Project Address:
Project Description: 0t \k C'. _ l� �n S c✓� LA-Uld A[; k V1 n I S iE- 1- 4�-u-'k-CE 6A,'_-V_f!<
Ingle-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: 1ce Eur Email: A V-wl_ , C-or,\
Mailing Address: CSS &_L) Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: ZW License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charae Quantity Total(Quantity xU git Charge)
Service/Feeder 200 Amp. $120.00 $ t ^ZQ
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 Circuit/Limited 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 $ L7_0
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 1,4.054�0Agarc,4mgElectrical Permit Applications.
Date Print Name Signature( er b Electrical Contractor/Administrator)
[Electrical Permit Applications
��may be submintted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
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