HomeMy WebLinkAbout1036. W 12TH ST - Building a - - -
�. tAL PE ++IIT - '�-
+ PORP ANGELES
- 7-4735
SA-
Alication pplication pinnumber . . 14360401444 Date 9/19/19 R PART STATE SALES'TAX
Property Address . . . . . . 1036- W 12TH ST Qnour excise tax formASSESSOR PARCEL NUMBER; 06-30-00-0-3-7045-0000- Y
Application type description ELECTRICAL ONLY . to the City Of Port Angeles
Subdivision Name
(Location Code 0502)
Property Use
Property Zoning . . _ RS7 RESDWTL SINGLE FAMILY
Application(valuation . 0
----------------------------------------------------------------------------
Application desc
Service change
Owner Contractor
FUSON:STE T B NORTHPENINSULA, ELECTRIC
1036 .W 12TH ST 751 FRESHWATER PARK RD
PORT'ANGELESWA 9836372-14 PORT ANGELES WA 98363
(160) `477-1764
Permit ELECTRICAL ALTER RESIDENTIAL
,n Additional desc
Permit Fee< . . . ,. 120.00 Plan Check Fee .00
Issue Date' 9/19/19 Valuation 0
Expiration Date 3/17/20
Qty Unit Charge Per Extension
-1.00 120.0000 ECW EL-0-200 SRV FEEDER 120.00
-----------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 120;00 120.00 .00 .00-
Plan Check
00•Plan`Check Total .00 ;00 .00 .00
Grand'Total 120.00 120.00 .00 00
INSPECTION TYPE T RESULTS: INSPECTOR.-
DITCH
NSPECTORDITCH
SERVICE
FINAL
COMMENTS:
PER.Mrr WVX EXPIRE SIX(6)MOM'E1.S}?'t[{}M€BAST:&SPIS&MN
Signature of 0"er or E1eMW-Contractor X Date:
� :,,� ;.
. ; ..
.:>.;, �
�'q-
- a
yw i.
' - 2 SINGLE-FAMILY (^ �� ��
ELECTRICAL PERMIT APPLICATION
Public Works and U:Lilides i. cpar(nicnt
f
;2; L:. 5th Street, Pot ��1lgeies, �h t'��1;1r'2 1
'* 3160.417A73 5 otpa.us 1 elects icalpern,its a'cityoi-pa.us �
Protect Ad1036 W 12th Street
dress:
Project Description: 1-200amp altered service
\0 Single-Family Residential ❑ Duplex/ARU Building Square footage:
Name. _ Debby Fuson Email:
Mailing Address 103.6,W 12th Street Phone:
E rr
Name: North Peninsula Electric License nQrthpe930mz
Mailing Address: ZQQ Freshwater Park Expiration Date:
Email: Phone: 360 477-1764
Item Unit Charge S uantttlt Tofal(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 _ $ 120.00
Service/Feeder 201-400 Amp. $145.00 $
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 $
Signal Circuit/Limited Energy-1&2 OU. $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~ S 120.QQ_-„
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 L itity Specifications and PAMC 14.05,050 regarding Electrical Permit Applications.
jSeptember 18, 2019 Kimberly Rae Walker ki)rbe`ly tae Watk&-
Date Print Dame Signature IV Owner Q Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermitsQcityofpa.us or faxed to 360.417.4711]