HomeMy WebLinkAbout627 W 10TE ST - Building ELECTRICAL PERMIT
CI'T'Y OF PORT ANGELES
30"17-4735
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Application Number . . . . . 19-00001613 Date 10/16/19
Application pin number . . 547495 REPORT STATE SALES TAX
Property Address . . . . . 627 W 10TH ST
ASSESSOR PARCEL; NUMBER: 06-30-00-0-2-9755- on your excise tax form0000- y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . (Location Code 0502)Property Use
Property Zoning , , . . .
Application valuation . . . . 0
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Application desc
Garage and soffit outlets
Owner Contractor
LISA & RYAN HAINSTOCR OWNER
627 W 10TH,ST
PORT ANGELES WA 983627306
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date . . . . 10/16/19 Valuation . . . . 0
Expiration Date 4/13/20
Qty Unit Charge Per • Extension
BASE FEE 75.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75,00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH INS.
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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Public Works and Utilities Department
321 E. 5th Street, Pott Angeles, 4A 98362
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Project Address:627 W 10th St, Port Angeles, WA 98362
Project Description:wiring of garage extension and soffit outlets on house
�I Single-Family Residential ❑ Duplex/ARU Building Square footage:
Name: Ryan Hainstock Email:bowtie1 Qolyl2en.com
Mailing Address:381 Hidden Valley Rd Phone:360-460-2407
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Name: Self-Home Owner License:
Mailing Address: Expiration Date:
Email: Phone:
Item 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 1 $75.
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201400 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 $
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TOTAL $75.00
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 Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
10/14/2019 Ryan Hainstock ,rya„
Date Print Name Signature(14 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]