HomeMy WebLinkAbout1107 HIGHLAND AVE - Building (2) CITY+QF�' A�+tGfELfiS
7-4935. ��..
Application Number . . . . . 19-00000611 Date 4/29/19
Application pin number 584386 REPORT STATE.SALES TAX
Property Address . . . . . . 1107 HIGHLAND AVE fin
ASSESSOR PARCEL NUMBER: 06-30-14-6-9-0070-0000- on�r
Application type description ELECTRICAL ONLY to ft of PW Ail
Subdivision Name . . . .
Property Use . . . . . (Lo"dOtt CO&0.502)
Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY
---Application valuation . 0
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Application desc
Generator install
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Owner Contractor
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HENRY AND LINDA VAIL GENTECH NORTHWEST LLC
1107 HIGHLAND AVE 27660 WOODSIDE RD NE
PORT ANGELES WA 38362KINGSTON WA 98346
*0) 554-0778.
Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 120.00 Plan Check Fee .00
Issue Date . . . . 4/29%19 Valuation . 0
Expiration Date 10/26/19
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
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1 - 2 SINGLE-FAMILY RECEIVED
ELECTRICAL PERMIT APPLICATION `'1 3
Public Works and Utilities Department -h
321 E. 5th Street, Port Angeles, WA 98362 t
360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address:
Project Description:
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Q a Email: CO,-L,
Mailing Address: 116 `/.' ( U Phone:
ELECTRICAL CONTRACTOR •' •
Name: License: 5P r,EN L
Mailing Address: CQCeo We}di N f~ Expiration DatWe 'a- OL
Email: Cs ' 0 wee.-S 4 � ka rc,--- Phone:_S I
PROJECT DETAILS
Item Up_it Charge QuartW Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. W0.00 $ °ry
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/Feeder601-1000 Amp. $118$.00
Portal to Portal Hourly $9600 $
Signal Circuit/Limited Energy-4&2 DU. $64.00 $
Manufactured Home Connection $120.0 $
Renewable Elec. Energy:5KVA"Systern'or less $' .00
Thermostat(Note:$5 for each additional)
TOTAL $
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.
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]