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A11*ficAtion munber ig-00000gis . Date 6/21/19
ApplicatUm,pin,number . . . 708-190 REPORT STATE_SAE§�
Property A�Osa . . . . . . 304 VIEWCREST AVE
ASSESSOR PAR6ELNUNB8R: 06-30-15-2-3-91'75-0000- on your excise 6x fom
the City of Port Angeles
Applipation type description ELECTRICAL ONLY to
�- Suhdivisjon Navit . . . . .. .
(Location Code 0502)
P3Foperty Xse . . . . . . .
Zoning,. . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Lights and recepticals '
- ----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------ -
LIGHT HOUSE CHRISTIAN CENTER OWNER
C/O COZI MOWS CONSTRUCTION
324 E. 9TH ST.
PORT ANGELES WA 983627916
(360) 452 8,909
----------------- -------- -------------------------------------------
Pex*it . . . . . . ELECTRICAL,ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Per,_mit Fee . . . . Big.00 Plan Check Fee .00
Issue Date . . . . 6/21/19 Valuation 0
Expiration Date -12/.18/19
Qty Unit Charge Per Extension
_,BASE FEE $6.00
- -- ---------------------------------- --- ----------------------
F summary
ee' Charged Paid -Credited vue
- ---------------- ------- -----------
---------- ---------
Fee Total 86.00 86.00 .00 .00
*A.Check Total '.00' .00 oP6 .00
Total 86.00 86.00 .00 .00
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PECTiON TYPE: RESULTS:
INS DATE. INSPECFOR:
DUCH
s VI
FINAL
06
PERMrr WILL mntE LAST TN�TECTION
Signature of owner or Electrical Contractor X Date:-
MULTI-FAMILY / COMMERCIAL CD
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department
31-1 E. 5th Street, Port Angeles. WA 98362
360.417.4735 1 www.c1tyofpa.us I electric alpermits(T-,ci tyofpa.us
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Project Address: 304 Viewcrest Ave., Port Angeles, Wa. 98362
Project Description. Remodel - removal of walls - adding recepticals - re installing lights in drop ceiling.
El Multi-Family Residential El Commercial/ Industrial/ Public Building Square footage:
OWNER INFORMATION
Name: Andrew Kirsch Email: andyC&lighthousepa.org
Mailing Address: 304 Viewcrest Ave., Port Angeles, Wa. 98362 Phone: (360)-452-8909
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charae Quantity Total (Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 1 s 86.00
Temp. Service/Feeder 200 Amp. $102.00 $
Temp. Service/Feeder 201-400 Amp. $121.00 $
Temp. Service/Feeder 401-600 Amp. $164.00 $
Temp. Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note: $5.00 for each additional 1500 so
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat(Note: $5 for each additional) $56.00 $
$ 86.00 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-
46B,The City of Port Angeles Municipal Code, and Utility Spel/cificatio and PAMC 14.05.050 regarding Electrical Permit Applications.
6-12-19 Andrew Kirsch
Date Print Name Signature("nerF Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electrical permits@cityofpa.us or faxed to 360.417.4711