HomeMy WebLinkAbout423 Hillcrest - Building IMP
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Application Number . . 19-00001480 Date 9/24/19
Application pin number . . 729000 REPORT STATE SALES TAX
Property Address . . . . 423 HILLCREST DR on l"excise tax form
PARCEL NUMBER: 06-30-15-5-0-1500-0000-,
Application type description ELECTRICAL ONLY to the'C.►dy Of Port Angeles
Subdivision Name . .
Property Use . (Location Code 0502}
Property Zoning . , RS9 RESDNTL SINGLE FAMILY;
Application valuation 0
Application desc ^
Remodel
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Owner Contractor
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NANCY J^BELL SHAMP ELECTRICAL CONTRACTING j
C/O JAMBS & ASSOC PO BOX 383
1111 C`.AROLINE PORT ANGELES WA 98362
PORT ANGELES WA 98362 (360) 4$2-1689
(360) 952-4127
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Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desC 1-4 CIRCUITS
Permit Fee . , . 155.40 Plan Check Fee .00
Issue Date . 9/24/19 Valuation 0
Expiration Date 3/22/20
Qty Unit Charge Per Extension
BASE FEE 95.00
16.00 5.0000 ECH EL-ECH ADDNT ERANC9 CIRCUIT 80.00
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Fee summary Charged' Paid Credited Due-
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Permit Fee Total 155.00 155.00 .00 .00 '
Plan Check Total .00 .00 .00 .00
Grand Total' 155.00 155.00' .00 .00
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INSPECTION TYPE DAfiE RESULT S: INSPECTOR
DUCH.
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ROUGR-IN
FINAL
COhM(ENTS:
PERMIT WILL EXI'"SIX{6)MONTHS FROM UST INSPEC110N
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Signature of own(*or.Electrical Contractor X Date
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f�,L'72 SF
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION R&1'&/
Public Works and Utilities Department I)EP
32 1 E. f th Street, Port Angeles, W"A 98362 �3 701<, Z
360.417.4735 1 NNAV .cityofpa.us electricalpertnits�ii.,cityofpa.us �G
Angeles
423 Hillcrest Drive Port An
Project Address. 9
Project Description: Rewire/remodel
L] Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER NFORMATION
Name: Bob Morgan Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR • ' ' ' •
Name: Shamp Electrical Contractor License. EC SHAMPECO23B3
Mailing Address: PO Box 383 Port Angeles WA 98362 Expiration Date: 020320
Email: shampelec@olypen.com " Phone: 360-452-1689
PROJECT DETAILS
Unit-Charae Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
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 16 $ 80
Branch Circuits 1-4 $75.00 1 $ 75
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder201-400Amp. $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 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note: $5 for each additional) $56.00 $
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TOTAL
� $ 155.00�
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 Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
09/24/2019 Renee Adams
Date Print Name Signature(❑ Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]