HomeMy WebLinkAbout316 W 12TH ST - Building Ad_V
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dty OF�PORT AN ELES
Application Number 19-00001443 Date 9/19/19
Application pin number 008463 REPoRr sTATE sALEs rAx
Property Address . . . . . . 316 W 12TH ST on yourexcise tax Am.
ASSESSOR PARCEL; NUMBER: 06-30-00-D-3-7720-0000-
Application type description ELECTRICAL ONLY to ft City of Port ArlgeleS
Subdivision Name . . . . . .
(LoCation Code 0502)
Property Use . . . . . . . .
Property Zoning . . . . . . . RS? RESDNTL SIN"2 FAMILY
Application valuation . . . . 0
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Application desc
Service repair
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Owner Contractor
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HYNES, SUSAN M AJWBISS RUWTRIC
316 W,lZTH ST 5,24 E. 10�,�ST,
FORT ANdELES WA 98362 PORT ANGErM WA 98362
(360) 452-�9264
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Permit.. . . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 1201.00 Plan Check, Fee .00
IssueDate 9/14/19 valuation . . . . 0,
Expiration Date 3/17/20
Oty ,-Unit Charge Per Extension
1.00 120.0000 SCH EL-0-200 SRV FEEDER 120.00
-------------------------------- --------------- -----------------
Fee sum,"ry Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120.'00 120.00 .00 W
Plan Check Total .00 .60 00.� .00
Grand TOtal � 120.00 120.00 '06 .00
INSPECTION TWE DATR ROULTS: INSPF=M
DITCH
SERVICE
ala 01
'ROUGH-4N,
FOCAL
CON94"M
PERMff WRL E"ME SIX(6)MONTHS MOM 1ASr-1KSPWWN
Signature,of owner or Electrical Contractor X' Date:
09/18/2019 10:43 FAX 360 452 9265 Angeles Electric Q 0001/0001
C!A MILY
1 _ 2 -r-r% 'EIV E
-SINGLE RE(, L;
ELECTRICAL PERMIT APPLICATION X
Public Works and Utilities Department
32 1 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 wwrw.cityofpa.us I electiicalpen-nits@cityofpa.us
Project Address: 3 /247L '�TX&'f- KO
Project Description: se
pe"S"'ingle-Family Residential 0 Duplex ARU Building.. Square footage:
OWNER INFORMATION
Name: —Email:
Mailing Address: Phone:
�,L-7 --e
ELECTRICAL CONTRACTOR INFORMATION
Name: Angeles Electric, Inc. License:ANGELE146ORS
Mailing Address:524 E. First Street, Port Angeles,WA 98362 Expiration Date:2t1/20
Email:ksimpson@olympus.net Phone:360-452-9264
PROJECT DETAILS
KIM Unit Charge Quantity Charge)
Service/Feeder 200 Amp. $120.00 $
Servics/Feeder 201-400 Amp. $146.00 $
ServicelFeeder 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 $7&00 $
Temp.Service/Feeder 200 Amp, $93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 40t-600 Amp. 4149.100;
Temp.Service/Feeder-601-1000 Amp. $"8,00
Portal to Portal Hourly
Signal Circuit(Limited Energy-1&2 DU;
Manufactured Home Connection 4 .
Renewable Elec.Energy:5KVA System or less-
Thermostat(Note:$5 for each addiffonal)
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 malting the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 2W
46B.The City of Port Angeles Municipal Code,and Utility Speclik4tions and PANIC 14.05.050 regarding Electrical Permit Applications.
�jolltll� Ken Simpson e�'
Dite I Print Name Signature([J�Owner V glectrical Contractor I Administrator)
[Electrical Permit Applications may be submitted to City Hall or eIectricaIpermits4Dcityofpa.us;or faxed to 360.417,47111