HomeMy WebLinkAbout1143 CAMPBELL AVE - Building (2) cny p PORT ANGELFS `
360-417-475_
Application Number. . . . . 19-00001369 . Data 9/20/19 V 1
Application Pin number 040983 R&ORT,STATE SALES TAX
Pr-9"rty Address . . . . . 1143 CAMPOLU AVE on your excise tax form
ASS $pR PARCEL NUMBER: 06-30-14-5-4-Q4'70-0000
Application type description ELECTRICAL ONLY to the City of Pod Angeles
Subdivision Name .. . . . . . (Location Conte 05 2)
Property Use . . .
Property Zoning . RS9 RESDNTL SINGLE FAMILY
Application valuation 0
_ _ _ --
Application desC
14 Circuits
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Owner Contractor
CALEB 7 AND HEIDI A COPKO SHAMP BLECTRZCAL.CONTRACTING
600 SE,`177TH AVE PO BOX 38
VANCOUVER WA 98682 PORT ANGELES WA 98362
(503) 915-6844 (36,0) 452-1689
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Permit . ELECTRICAL ALTER"RESIDENTIAL
Additional desc 1-4 CIRCUITS
Kermit Fee i25.00 Plan Check Fee .00
Issue Date . 9/10/19 Valuation 0
Expiration Date 3/08/20
¢ty Unit Charge Per Extension
BASE FEE 75.00
10.00 5.0000 BCH' EL-ECH ADONT BRANCH CIRCUIT 50.00
Fee summary Chargee"! Paid Credited . Due-
Permit Fee Total :,25.00 125.00 .00 .00
Plan Check Total ^.00 .00 .00' 00
Grand Total 125.00 125.00 _00' .00
i
INM- CTION TYPE DATE: RESULT'S: INSPECTOR:
Dt rI
SERVICE
ROUGH-IN
FINAL
CON ENTS: .
PER T u=I b) MMM 1An WSPBCt` N
S goO d owner or Etectricat Contractor X > Date:
� 3
2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION RE Ei1;Lu
SEP
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Project Address:
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f`'roJr~ct Description. C�... .' S...... .,
L7 Single-f=amily Residential Fl Duplex/ARU Building Square footage'.
Name. y 1_k �, �: Lq � f Email:
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Mailing Address 1 �. `�� t� t . hone:
i n
Name: tSA "J` Va t I' Lis._ — _ . .._ry. License: t1 "i
Ma ifing Address � ...__.,w_,.. —Expiration Date:
Emaslr.,-. _ Rhone: -36'() 4_l
14 t Y 7g i r
item Unit Ohara@ QjI j( 7aW(Quantity'x Unit Change)
Service/Feeder 200 Amp. $120:00 „„ $
Servi.�.WFeeder 201-400,1mp $146.00 $
Service:.—IF II 401-600 Arap, $205.00 $
5ervirk,'Feeder601-1000 Amp. $262.00 ___....,_ $
Service;Feeder over 1000 At>ip. $373.00 $r___._.�;..__
Brarich Gi+cuit W1 Service Feeder $5.00
Branch Circuit VW0 Service Feeder 583,00 $ ��
Each Additional Branch Circuit $5.00 S_.._.
Branch Circuits 14 575,00 _� _ Sa _ :-
Teanp Servrcr1l:ecder200Arnp. 593.00 $
Temp SerymeiF=eeder 20`400 Amp, S110.00 S
Teri p. 6emculf-eeder 4014300 Amp. S149:00 S_
lernp ServicerFeeder 601-1000 Amp. $168,00 $
Portal to Portal Hourly $96.00
Signal Circurtll_imited Energy-112 DU. $64.00 _.._._._ ._ $ _.
Manufactured Home C;onri eetion $120.00 $
Renewable,Flee Enemy:5KVA System or Inst; $102.00 $
hermostai(Note; $5 for each additional) $56.00 $,.._.
First I300 Sglsare l"eest
Each Addition01566squarh:teet`'
E®dt
+ 1 riaoh6d Garan 1704,
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ncitvdarttning ttir�1`f:Ttt ub
TOTAL $
Owner as dr.rrnetd by RCW.19.28.261:{1)Owner will riccerpy the structure for two years after this electrical permit is finalized t2)Owner is
required to herr?3n nl c%noal contractor it above said property is for sale,rent or lease.Permit expires after six months of last inspection..
After reading ng Ow ahoy 3tpt ment,I hereby certify that I am the owner of the above named properly or a licensed electrical contractor l
am making the electarcal installation or alteration in compliance with the electrical laws,N.L.C., RC1.Chapter 19.28,WAC.Chapter 296-
4W,The t arty of Port Angeles Municipal Gude,and Utility ippctf inions and P �C4.0.050 regarding Electrical Perm t Applications.
Date Forint Name Signature{ Owner
Electrical Contractor i Administrator)
i
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417,4711 j