HomeMy WebLinkAbout428 ORCAS AVE - Building (2) 7,-
ELECMCAL PERMIT
0 7
CIrly OFTORT ANGELES
360-417-4735
Application Number . . . . . 19-00001624 Date 10/17/19
Application pin number . . . 880816 REPORT STATE SALES TAX
Property Address .. . . . . . 428 ORCAS AVE
on your excise tax form
ASSESSOR PARCEL; NUMBER: 96-30-10-5-0-1708-0000-
Application type description ELECTRICAL ONLY to the City of Poft Angeles
Subdivision Name . . . . . . (Location Code 0502)
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . -0
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Application desc
Owner trim out from rough permit 18-1210
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Owner Contractor
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RUGGED RENOVATION LLC OWNER
4502 S MT ANGELES RD
PORT ANGELES WA 9'8362
(360) 912-3409
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 96.00 Plan check Fee .00
Issue Date . . . . 10/17/19 valuation . . . . . . 0
Expiration Date 4/14/20
Oty Unit Charge Per Extension
i.00 96.0000 BCH EL-TRIP FEE-INSPECT,EX. INSTAL 96.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 96.'00 96.00 .100 .00 .
Plan Check Total .00 00 .00 .00
Grand Total 96.00 96.00 .00 .00
INSPF)CTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL )C7h
P"r
CONMENTS:
PERmrr wiLL EXPERE Six(6)MONTHS FROM LAST wspwrm
Signature of owner or Electrical Contractor X Date:
^ `
OCT /
ELECTRICAL PERMIT APPLICATION
Public ��}rk0and Utilities T�ep4Itz�eDt @vm
`"u'
321 E. 5th Street, Port Angeles, W&98]h2
3604174735 | pmvvv.ciiyofpo.uo | olectriculpcmoitmgoityofpu.us
Project Address:
Project Description: o,4-
&(Single-Family Residential El Duplex/ARU Building Square footage:
OVVNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Email: Phone: 360-11tZ-3LI09
Item Unit ChaEge Quantity JQW(Quantity x Unit Charge)
Service/Feeder 20OAmp. $120�00 $____---__
Service/Feeder 2014OOAmp. $146.00 ___---' o_____-----
Service/Feeder 4O1'VOUAmp. $205.00 $-___'----_
Service/Feeder VO1'1OO8Amp. $202.00 $_____----_
Service/Feeder over 1OOOAmp. *373.00 _-----_ $____---_-
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 -_--_-- *_____-----
Each Additional BronohCircuit o5.00 ____--- $____----_
Branch Circuits 14 $75.00 $_________
Temp.Service/Feeder 208Amp. $93.00 ___---- $_-_--__--_-
Temp.Service/Feeder 2014OUAmp. $11000 $-________
Temp. Service/Feeder 4O1-0OOAmp. s149.00 $
Temp. Service/Feeder 8D14O¢0Amp. *188.00 *
Portal toPortal Hourly $96D0 1__- $-_��z�_--_
Signal Circuit/Limited Energy-1&2DU. $64.00 ____--- $----_------
Manufactured Home Connection $120.00 $____---_-
Renewable Elec.Energy:5wVASystem orless $102.00 m_____--__
Thermostat(Note:$5for each additional) $5600 $_________ |
First 13OOSquare Feet $120.00 $_____-_-_ �
Each Additional 5OOsquare feet- s40.00 $_________
�
Each Outbuilding/Detached Garage $74,00 $---___---_ |
Each Swimming Pool/Hot Tub *110.00 $ !
TOTAL $
Owner eadefined byRCW 19.28.2O1:(1)Owner will occupy the structure for two years after this electrical permit/sfinalized.(2)Owner|o /
required to hire an electrical contractor if above said property is for sale, rent orlease. Permit expires after six months oflast inspection.
After reading the above statement, |hereby certify that|umthe owner nfthe above named property ormlicensed electrical contractor. |
am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW Chapter 19.28,WAC.Chapter 2S8'
46B.TheCityofPnrt Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name ,^ Signature([_I Owner Fl Electrical Contractor/Administrator) �
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]