HomeMy WebLinkAbout810 I ST - Building (2) ELEC 'CAI.PERMIT ,
CITY OF SRT ANGELES 1p
360417-4735 1
Application Number. . . . 19-00000327 Date 3/06/19
Application pin number 716418 REPORT.�iM11E SALES TAX to
Property Address . 810 I ST on your @XCIS@ tax form
PARCEL N[1MBER; _ 06-30-00-0-2-5200-0000 y
Application type description ELECTRICAL ONLY to the City Of Port Angeles
Subdivision Name . . . . .
Property use . . . . . . (Location Code 0502)
Property Zoning . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Owner Contractor
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TRACEY AND CYNTHIA ALMOND OWNER
PO BOX 1553
PORT ANGELES WA 98362 -
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Permit . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc DHP
Permit Fee . . . 63.00 Plan Check Fee .00
Issue Date . . . . 3/06/19 Valuation . . 0
Expiration Date 9/02/19
Qty .Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR Wo/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 00 00 .00
Grand Total 63.00 , 63.00 00 00
INSPECTION TYPE DATE: RESULTS: INSPECTOR
x DITCH
SERVICE
ROUGH-IN AV
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or EIecWW Contractor X Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION REC� Iv
Public Works and Utilities Department MAR 0 J 2019 Lv
1� 321 E. 5th Street, Port Angeles, WA 98362 N
360.417.4735 1, www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: S, 1 s t•
Project Description: ,T_,76tg j fed an4I J;s6yl)A6 for Y)eu) Ly,-AeSS ���af flmQ
EA Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: -r G Email: ; Co
Mailing Address: Po i3ox 1W Br�le,6 G>a f 30--0190 Phone: 30-Sen-A67
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT
Item Unit Charae Quantity Total(Quantity x 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 Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 �_ $ G 3
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 $ OJ
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.
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4 9 Zracey lrn n)
Date Print Name Signature( Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]