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HomeMy WebLinkAbout1105 E PARK AVE - Building (2) ELECT74CAL PERMIT CITY OF�m ANGELES 31'7-4735 �, Application Number 18-00001633 Date 10/23/18 Application pin number 648881 REPORT STATE SALES TAX Property Address . , . . . . 1105 E PARK AVE on your excise fax forum ASSESSOR PARCEL NUMBER: 06-30-11-5-1-0610-0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . Property Use . . . (Location Code 0542 Property Zoning . . , . . RESIDENTIAL MEDIUM DENSTY Application valuation . . 0 ---------------------------------------------------------------------------- Application desc, Basement remodel ---------------------------------------------------------------------------- Owner Contractor MATTHEW AND KIRA ACKER UPPER LEFT ELECTRIC LLC 1105 E PARK AVE 1306 ROOK OR PORT ANGELES WA 983622740 PORT ANGELES WA 98362 (360) 461-7720 ----'Permit- .--- ------ - . . C—ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIRCUITS Permit Fee . . . 75,00 Plan Check Fee .00 Issue Date 10/23/18 Valuation 0 Expiration Date 4/21/19 Qty Unit Charge Per Extension BASE FEE 75.00 ------------------------------ --------------------------------------------- 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 .06 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOF DITCH SERVICE ROUGH-IN i Z ! FINAL COMMENTS: PERMIT WILL ExPmE six(6)MONTHS FROM LAS'tWSPECTiON Sigm tti m of owner or#Ji�cai Contactor X Date: .,� <: s � " 4 d ! ELECTRICAL INSPECTION ��c� WIRING REPORT 417-4735 RKS DATE: PERMIT# INSPECT -/vl-a I I A 13 s OWNER CONTRACTOR DRESS I It o 5-- APPROVED NOT APPROVED . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0 • .. . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 1:3 ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 13 CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - 00 NOT REMOVE- O*poar ELECTRICAL INSPECTION WIRING REPORT �4tiw,-s 417-4735 DATE: PE� RMIT# INSPECTOR — 163� 71;hp OWNE CONTRACTOR .��nn Ty7 r � D --I- ADDRESS yy�� ,V APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ Qz - - - - , . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 13 ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ L CORRECTIONS NEEDED: !`�T�-� (�- LA))TZ-1 hi L �o _ J?& N) Prz- kJ l aZ= oil"7Z- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 16 DAYS — DO NOT REMOVE-- I goat Of ELECTRICAL INSPECTION WIRING REPORT ss, 417-4735 lAj )J_ PERMIT A INSPECT 3/)T I OWNER' '6 CONTRACTOR q W.- ADDRESS PPROVE NOT APPROVED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0 ROUGH IN/COVER . . . . . . . . . . . . . . . 11 E3. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE— ~ ' ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 CEIVED [] Single-Family Residential [] Ouplex/ARU Building Square footage: OWNER INFORMATION Name: r Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Mailing Address: VC V�Ck- 33(, Expiration Date: PROJECT DETAILS item Unit ChaEge Quantity Total(Quantity x Unit Charge) Service/Feeder%OOAmp. $120.00 $_________ Service/Feeder 201400Amp. $140.00 $_________ Service/Feeder 4O1'8OOAmp. *205.00 $_________ Service/Feeder 001'1OOOAmp. $262.00 $_________ Service/Feeder over 1UOOAmp. $373.00 *________ Branch Circuit VW Service Feeder $5.00 $__________ Branch Circuit W/O Service Feeder m63.00 $_________ Each Additional Branch Circuit $5.00 $ Branch Circuits 1'4 $7500 � $_-Z 1,' Temp.Service/Feeder 2OOAmp. $9100 $__________ Temp. Service/Feeder 2D14OOAmp. *110.00 $ Temp. Service/Feeder 4U1-GOOAmp. $149.00 *________ Temp.Service/Feeder 601-1OOOAmp. $168.00 *_________ Portal hu Portal Hourly $96.00 * Signal Circuit/Limited Energy-1&2 DU. $6400 $ Manufactured Home Connection $120.00 *___—_—_--_ Renewable Elec. Energy:5MVA System orless $102.00 $—________ Thermostat(Note:$5 for each additional) $50.00 $ First 13OD Square Feet s120.00 $__________ Each Additional 50O square feet" *40.00 $_____---_ Each Outbuilding/Detached Garage n74.00 $_________ Each Swimming Pool/Hot Tub o110.00 $ TOTAL $__7�����- Owner esdefiinedbyRCVK18.28.261:(1)Own o,wiUoocupy the ounnmm«ur two yea rsaMord`iodecxn cal perm itio§nu|izmd.(o)Own eris required to him an e|emhua|contractor if above said property is for sale, rent or lease, Permit expires after six months of last inspection. After reading the above statement, | 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. batd Print Name SiVnature(E] Owner [-] Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]