HomeMy WebLinkAbout1206 DUTCH DR - Building (2) ELECTRICAL PERMIT -�
CITY OF PORT ANGELES
360-4 ,17-4735 ° ,u ..,..
-Application-Number . . . . . 19-00000011 Date 1/17/19
Application pin number . . . 893519 REPORT STATE SALES TAX
Property Address . . . . . 1206 DUTCH DR
. ASSESSOR PARCEL NUMBER: 06-30-01-8-0-0100-0000- on Your excise tax form
Application type description ELECTRICAL ONLY t0 the City of Port Angeles
Subdivision Name . .
Property Use (Location Code 0502)
I
Property Zoning . RS11 RESDNT SINGLE FAMILY
Application valuation 0
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Application desc
PV system
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Owner Contractor
ROBERT AND KIMBERLY HENSON SUNERGY SYSTEMS INC.
2275 OGDEN ST 4546 LEARY WAY NW
DENVER CO 80205 SEATTLE WA 98107 .
(206) 297-0086
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Permit . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . 120.00 Plan Check'Fee .00
Issue Date . . 1/17/19 Valuation . . . 0 .
Expiration Date 7/16/19
Oty Unit Charge Per Extension
1.00 120.0000 BCH EL-0-200 SRV FEEDER 120.00
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
ROUGH-IN
FINAL
ik4 11 f- I 42
COMMENTS:
PERMrr WILL EXPIRE sm(6)MONTHS FRom LAST WSPECTION
Signature of owner or Electrcal Contractor X Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION ;� 3
Public NVorks and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362 JM
FA F
360.417.4735 www.cttyofpa.us electricalpermits(li cit}-ofpa.us
Project Address: 1206 DUTCH DRIVE
Project Description: ROOFTOP PHOTOVOLTAIC
Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER i ' •
Name: ROBERT HENSON Email: ROBERTHENSON@YAHOO.COM
Mailing Address: 1206 DUTCH DR, PORT ANGELES WA 98363 Phone: 720-255-4134
ELECTRICAL CONTRACTOR i ' •
Name: SUNERGY SYSTEMS-JON LANGE License: SUNER&9051D4
Mailing Address: 4546 LEARY WAY NW,SEATTLE,WA,98107 Expiration Date: 4/19
Email: JONL@SUNERGYSYSTEMS.COM Phone: 206-571-4726
PROJECT DETAILS
bm Unit Charge Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 _ $ 1 zo
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 14 $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 2.6 $
Thermostat(Note:$5 for each additional) $56.00
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TOTAL 12U ,
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-
466,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
12/13/18 JON LANGE 9�— ,L �
Date Print Name Signature (❑ Owner W Elect al Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111