HomeMy WebLinkAbout1203 CAMPBELL AVE - Building (3) MW
Fax
Ci'I'Y ' AI+NGMES
-7-4735
W
Application Number . . . . . 19-00001316 Date 8/21/19 �-
Application pin number 642020 REPORT STATE SALES TAX
Property Address . . . . . 1203 CAMPBELL AVE
onour excise tax form
ASSESSOR PARCEL NUMBER:' 06-30-14-5-3-0344-0000- y
Application type description- ELECTRICAL ONLY - to dw City of Pod Angeles
Subdivision-Name (LOcadon Code 0502)
Property Use . . .
Property Zoning . . . . RESIDENTIAL HIGH DENSITY
Application valuation . 0
------
Application desc
Underground services for allbuildings
----------------------------------- -- --- - ----------------------------
Owner
------- ---- --------Owner Contractor
DON NIVENS UPPEWUPT ELECTRIC LLC
PO BOX 212 1306 AMR Mt
SEQUIN. WA 98382 PORT ANGELES WA 98362
(360) 461-7720
Permit . . ELECTRICAL NEW-RESIDENTIAL
Additional desc .
Permit Fee 96.00 Plan Check Fee .00
Issue Date 8/27/19 Valuation . . 0
Expiration Date 2/23/20
Oty Unit Change Per Extension
1.00 96.0000 BCH BL-TRIP FEE-INSPECT EX. INSTAL 96.00 ,
Fee summary Charged Paid Credited Due
Permit Fee Total 96.00 96.00 .00 :00
Plan Check Total 00 .00 .00 .00
Grand Total 96.00 96.00 .00 -.00
INSPECTIONTYPE - DATE: RESULTS: INSPECTOR
DTTC#i
SERVICE
ROUGH-IN
FINAL
COMM"NO`S:
Pw,(rr WILL EXPIRE Sic(6)Momma FRG1M'LAST mpwmN
Signature of owner or Electrical Contractor X Date:
'YAW " .
y
1 - 2 SINGLE-FAMILY CD
aELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department 4(j� r EC.
321 E. 5th Street, Port Angeles, WA 983621 ?011
360.417.4735 ' www.cityofpa.us electricalpermits@cityofpa.us
Project Address: (2-0 7Z�l C (✓v.nc-1 , ` `gyp
Project Description: C c, ,c)l C.R(0 Lk SCf V e- S
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage.-
OWNER
ootage:• ' INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR • - •
Name: UW2C LCw E C C y License:
Mailing Address: CG e e Q Expiration Date:
Email: CQL& 1 ov Phone:
PROJECT DETAILS
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 $
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 '1 $ "l 4 G C9
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 $ gill
o
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.
L Date Print Nameigner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]