HomeMy WebLinkAbout1714 W 11TH ST - Building a ;r TIMOR
2:
ELEC' t'AL]PERMIT `t>
CITY ' T ANGELES E
17-4735
Application Number . . . . 20-00000195 Date 2/12/20
Application pin number . . 652640 REPORT STATE SALES TAX
Property Address . . . . . 1714 W 11TH ST On your ekClSe tax form
ASSESSOR PARCEL MOSR: 06-30-00-0-3-0620-0000-
Application type descript on ELECTRICAL ONLY to the City of Port Angeles.
Subdivision Name . . . (Location Code 0502)
Property use . . . RESIDBNTAL SF 7000
Property Zoning RS7 RBSDNTL SINGLE FAMILY
Application valuation 0
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Application desc
Temp service
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Owner Contractor
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Kayla Kennings & Galen Furfoid SEQUIM VALLEY ELECTRIC
4020 Newell Road 11 LONE EAGLE LANE
_ APT# 10 SEWIM° WA 98382
PORT ANGELES WA 98363 (360) 681-3330
(360) 461-6369
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc
Permit Fee . 93.00 Plan Check Fee .00
Issue Date . . 2/12/20 Valuation. . . . 0
Expiration Date 8/10/20
Qty Unit Charge Per Extension
1.00 93.0000 BCH' .EL-TEMP SRV 0-200 SRV FDR 93.00
Fee summary Charged Paid Credited Due
Permit Fee Total 93.00 93.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 93.00 0.00 .00 .00
INSPECTION TYPE DATE. RESULTS: INSPECTOR:
DITCH
SERVICE $ uzo
ROUGH-IN
FINAL Z,
COMMENT :
PERMIT WILL EXPME SIX(6)MONTHS FROM LAST.INSPWr*OAI
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY FRS %L� CD
FORT
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department 2(i ON
321 E. 5th Street, Port Angeles, WA 98362
360.417.47351 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: I
Project Description:
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage.--
OWNER INF• ' a •
Name: G A LEN f tJ2 Fp e Email:
Mailing Address: /` Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: -.. ear c//t1 yf}C�c7 �C.�«fc'/� License:S45Qe1b1 &'2G.3
Mailing Address: / Z_V /t/s E4�cC C <? S7�Q�' 9-A3<�,Z Expiration Date:
Email: 4, u,g A/C-)✓,4 33 v /7.5 1V/ C'O/`7 Phone:_-'�(ZO 6d)/
PROJECT
Item_ Unit Charge 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 $
Branch Circuits 14 $75.00 $
_77—
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 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 $
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 $
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.
Date Print Name Signature(❑ Owner'Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]