HomeMy WebLinkAbout503 E 7TH ST - Building (3) ELELI..�� "I PERMrr
CITY Of ANGELES
36"- 17-4735
�Application Number . . . . . 18-00000345 Date 3/15/18
Application pin number 817350
Property Address . . . . . . 503 E 7TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-0455-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . .. . . . . . .
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY (Location Code 0502)
Application valuation . . . . 0
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Application desc
overhead to underground service
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Owner Contractor
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RICHARD$ INVESTMENTS LLC UPPER LEFT ELECTRIC LLC
Po Box 188 1306 ROOK DR
BIG BEAR CITY CA 92314 PORT ANGELES Wk 98362
(360) 46i-7720
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 120.00 Plan Check Fee
Issue Date . . . . 3/15/18 Valuation . . . . 0
Expiration Date 9/11/18
Oty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200'$RV FEEDER 120.00
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Fee summary Charged Paid Credited Due
----------------- -------- - ---------- ---------- ----------
Permit Fee Total 120.00 120.00 .00 100
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
1py
SERVICE
ROUGH-IN
FINAL
COMMENTS:
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PERMrr WILL EXPIRE SIX(6)MONTTIS FROM LAST VISPECTION
Signature of orpi or Electrical Contractor X Date:
1 — 2 SINGLE—FAMILY
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.47351 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address:
Project Description: O-C-f V\e-c�,A L � ),,4clf-!�
14
PtSingle-Family Residential 11 Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: Q �e- C k �� C- License:
Mailing Address:' i Coe- Of � ---e- i eA V-,,eLc-1' Expiration Date:
Email: C) j�) ce AC:A A-e-k e C t oG e,-L Ci' i C- _Phone: ti -7 2-C
PROJECT DETAILS
Item Unit Charae Quantity JQW(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $ 120
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 W1 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 $
a
0
TOTAL $ 1 y 0
Owner as defined by RCW19.28.261:(1)Ownerwill occupy the structure for two years afterthis 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.
2�1/�,il � ('-V k 4V to- &� e-,-& -6—
date / Print Name Signature(E3-owner [��' Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]