HomeMy WebLinkAbout210 W 13TH ST - Building (2) ELEC* AL:PERMIT
z
CITY OF T ANGELES
36(I=d 7-4735 CIO
Application Number 19-00001399 Date 12/05/19
Application pin number 103582 REPORT STAM$ALES '"(`
Property Address . . . . 210 W 13TH ST onUI"eXCISe Mix fEarflT
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8818-0000
Application type description ELECTRICAL ONLY t0 the City Of Port Angeles
Subdivision Name Property Use. (Location Code OW2)
. .
Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . 0
Application desc
DHPX2
Owner Contractor
B G EDWARDS & L A EDWARDS OWNER
210 W 13TH ST
PORT ANGELES WA 981627720
Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIR:
Permit Fee . . . 75.00 Plan Check Fee -.00
Issue Date . . . . 12/65/19 Valuation . . . . 0
Expiration Date 6/02/20
4ty 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 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
CONNIV TS:
PERMrr WILL EXPME SIX(6)MOMMS FROM LAST INSPECrION
Signature of owner or Electrical Contractor X Date:
a
i
f
_.
�t
� _
�, _� '+
. ,
RErAV�R ~_~
ELECTRICAL PERMIT APPLICATION
SEAl YOW
�
Public and Utilities Department — - ^~'° ~�
321 B. 5dhStreet, Port Angeles, WAV0]h2 ~«
360.4174735 | *nwv/ui1yofha.us | c|ccUiou|pecmhs&�ci oFho.uo .
`
Project Address: "
Project Description:
P.-Single-Family Residential [] Oupleu/ARU Building Square footage:
OWNER INFORMATION
Name: llr� -Email:
yNai|inQAddnyoa: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Dom Unit Charae Quantily 12W(Quantity x Unit Charge)
Service/Feeder 20Amp. $120.00 $______
Service/Feeder 2O1-4O0Amp. $14600 $__________
Service/Feeder 4O1'O0OAmp. $205.00 $-_________
Service/Feeder G01'1OOOAmp. $262.00 *_________
Service/Feeder over 10OUAmp. *373.00 $_________
Branch Circuit mK Service Feeder $5.00 $_________
Branch Circuit W/O Service Feeder $63.00 $_________
Each Additional Branch Circuit $5.00 $
BnanchQmuUo1-4 $75�OO ��Q���� $
Temp.Service/Feeder 2OOAmp. $99,00 $_________
Temp. Service/Feeder 2V14DOAmp. $110.00 $_____---_
Temp. Service/Feeder*U1-808Amp. u149.00 $
Temp,Service/Feeder OO1-1ODOAmp. *168.00 $-________
Portal to Portal Hourly $96.00 $_________
Signal Circuit/Limited Energy-1&2DU $64.00 $
Manufactured Home Connection $120.00 $_________
Renewable Elec.Enen0y��Kl�`Syo�mor�oo �1V200 $� -----'
Thermostat(Note:*5 for each eddit ��w
additional) $5��OO *-_____--_ ---
First 13O0 Square Feet $120.00 *_________
Each Additional 5O0 square feet" $40.00 $-______-_
Each Outbuilding/Detached Garage *74.00 $______--_
Each Swimming Pool/Hot Tub $110.00 $
TOTAL * - O
Owner as defined by RCW.1 9.2&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-
. P i Applications.
46B,The City of Port Angeles Municipal Code,and Utility Specifications an MC 14.05.050 rega ng El rical F__fi�
1��
Owner n Flectr C o
bate Print Name Signature( ical `nfr�a_c_tor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711