HomeMy WebLinkAbout115 W 5TH ST - Building (2) - "a•'z' vi yes.-na
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did Ov,PORT ANGELES
360417-4735
Application Number .. 19-00001367 Date 9/06/19
Application_pin number 014ss3 REPORT STATE SALES TAX
Property Address lis W STH ST Ott your excise tax form
AS P�k NU14BER: 06-30-00-0-0-8870-0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name (Location Code X502)
Property Use . . . . . .
tt!!tion
Zoning . . . ,RESIDNTIAL HIGH DENSITY
valuation . . 0
Application dear
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Owner Contractor
SELINDA BAX{KHMS ANGELES ELECTRIC
ATTORNEY AT'LAW 5124 E 1ST ST.
PO BOX 3194., PORT ANGELES WA 98362
PORT ANGELES WA 98362 (360) 452-9264
(360) 775-5658
Permit . . . . EL ICAL ALTER RBSIDMTTAL'
Additional desc
Permit Fee 63:0`0 Plan Check Fee .00
Issue Date 9/06/19 Valuation : . 0
Expiration Date 3/04/20
Qty Unit Charge Per Extension
r 1.00 63.0000 ECH EL`-R- BRANCH CIR WO/ SER FEED 63.00
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Fee' summary Charged Paid Credited Due
Permit Fee 'Total 63.00 63.00 .00 00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63..00 .00 .00
INSPECTION TYPE s` ATE: RESULTS: INSPECTOR:
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Signal oaf owner-or Electrical Contractor X Date:
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09/05/2019 12:08 FAX 360 452 9265 Angeles Electric I&001/0001
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMITAPPLICATION
Public Works and Utilities Department SEP
321 E. 5th Street, Port Angeles,WA 98362 l
360.417.4735 1 wwrv.cityofpa.us ( electricalperrnits@cityofpa.us �
Project Address: Vl--
Project Description: 4bbAx &A.Tl6tA2de= je� )QOV AM
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage: .212
OWNER INFORMATION
Name: itlA4 l Email:
Mailing Address: lI S~W� Phone: 34,aO--77S--"
R CONTRACTOR INFORMATION
Name: Angeles Electric, Inc. License:ANGELE1460RS
Mailing Address:524 E. First Street, Port Angeles,WA 98362 Expiration Date:2/1/20
Email:ksimpson@olympus.net Phone:360-452-9264
PROJECTDETAILS
Rom Unit Charge 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 �_ $----tom--
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;QA $
Portal to Portal Hourly $96.00 $.
Signal Circuit/Limited Energy-1&2'DU.
Manufactured Home Connection 4420.00 $ _
Renewable Elec.Energy:5KVA System or less $1 i}2:tJO
Thermostat(Note:$5 for each additional) sm.w $
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TOTAL y i
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 1928,WAC.Chapter 296-
466,The City of Port Angeles Municipal Code,and Utility Specificatio and PAMC 14.05.050 regarding Electrical Permit Applications.
_71yl
Ken Simpson
Date Print Name Signature(❑ Owner JR Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermitsocityofpa.us or faxed to 360.417.4711]