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HomeMy WebLinkAbout923 W 16TH ST - Building ELEC tA 'PERMIT = . CITY QP PQRT ANGELES Application Number . . . . . 19-00000424 Date 3/22/19 Application pin number . . . 353952 REPORT STATE SALES TAX Property Address- . . . . . 923 W 16TH ST On OUP eXC/Se tax form PARCEL NUMBER: 06-30-00-0-4-2915-0000- y Application,type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Location Code 0502 Property Use . . . . . J Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------- ----------------- Application desc` New Home ---------------------------------------------------------------------------- Owner Contractor REALTRUST IRA ALTERNATIVES LLC UPPER LEFT ELECTRIC LLC P O BOX-898 1306 ROOK DR PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 461-7720 ------------------------------------ PermitELECTRICAL NEW RESIDENTIAL Additional dese Permit Fee . . 160.00 Plan Check Fee .00 Issue Date 9/22/19 Valuation . . . 0 Expiration Date 9/18/19 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL-R-SQFT FIRST 1300 120.00 1.00 40.0000 ECH EL-R-SQFT ADDITIONAL 500 40.09 Fee summary Charged Paid Credited Due - --------- ---------- ----- ---- Permit Fee Total 160.00 160.00 .00 .00 Plan. Check Total .00 .00 .00 .00 Grand Total 160.00 160:00 .00 .00 i i i / I i i I i INSPECTION TYPE DATE. RESULTS: INSPEC'T'OR: DITCH ' SERVICE ROUGH-IN . COMMENTS: i PERMIT WILL,EXPIRE SIX(6)MONTHS FROM LAST INSPECTION v tgnature of owner or Electrical Contractor X Date: ,. ����4 { kn � � ;�� Y �. £�s ��.. f. .. '�.� .. ,.; � V,". �. -. a _f 8r'.. R}* �: "! �� �. .'�k. S,n ��� ._ ,, � ,.. .� � f,; a✓ " ,� torr � .� 1 - 2 SINGLE-FAMILY R�cn ELECTRICAL PERMIT APPLICATION lyq,f "ZO Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us N Project Address: Z , ric Project Description: � 0 4� � ❑ Single-Family Residential ❑ Duplex/ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR • ' • Name: �_L e C-d-tr E_ License: Mailing Address: Expiration Date: Email: r { +c- Phone: G "PROJECT 1WM Unit Charge 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 $ 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 / $ 17-0 Each Additional 500 square feet' $40.00 h $ `LG Each Outbuilding/Detached Garage $74.00 $ Each Swimming Pool/Hot Tub $110.00 $ TOTAL $ 6-C 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 SqmQifications and PAMC 14.05.050 regarding Electrical Permit Applications. 3/-Z,/ ( IIC �� Dat Print Name ignature(g^=wner ❑ Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] Orr ELECTRICAL INSPECTION u` WIRING REPORT � g 417-4735 DATE. PERMIT# INSPECTOR 7 Lb l OWNER CONTRACTOR L ADDRESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IWCOVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . l� CORRECTIONS NEEDED: bfc-I �SD C_T L-16, z) ��►.c'r-' �'©ext ��� .�_� �rt.� ��6 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE— �;r ELECTRICAL INSPECTION jWIRING REPORT 'W41 417-4735 DATE: PERMIT# INSPECTOR 2 Owan CONTRACTOR ADDRESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ y)CORRECTIONS NEEDED: ��'YeL� ALM _�t 1`2__ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE--