HomeMy WebLinkAbout838 W 9TH ST - Building (3) EL �At. ERMTT .v
CTl"Y t3f AGELES
z
f� T 735
Application Number 19-00001268 Date 8/27/19
°Application pin number . . 829828 REPQRT S3'ATE SALES TAX
Property Address_ . . . . 838 W 9TH ST your excise tax form
PARCEL NUMBER: 06-30-00-0-279940-0000- on y
Application type description ELECTRICAL ONLY: to the City of Port Angeles
Subdivision Name . . (Location Code�502)
Property Use . . .
Property Zoning, , . . . . . . RS7 RESDNTL SINGLE,FAMILY
Application iralAiition '. . 0
---------------------
Application deac
New home
Owner Contractor
RICHARD J AND VISA 0 HO>FMAN' UPPER LEFT ELECTRIC LLC
340,20 SOTH AVE S 1306 ROOK DR
AUBURN WA 98001 PORT ANGILES WA 98362
(253) 797-1974 (360) 461-7720
------ ---------=--- ----
., Permit . . . . ELECTRICAL NEW RESIDENTIAL`
,p�dciitonal desc 1
' Permit Fee 120,00 Plan Check Fee .00
I$sue-Date 6/2Y/19 valuation 0
Expiration Date 2/23/20`
4ty Unit Charge 'Per - Extension
1.00 120.0000 ECH EL-R-SQFT,FIRST 1300 120.00
-----------------------------------------------------------------------
Fee summary Charged Paid credited Due
-
Permit Fee Total 120.00 120.00 .00 .00 '
Plan Check Total .00 .00 00 -00
Grand Total 120,00 120.00 .AO .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DUCH
SERVICE
ROUGH-IN
FINAL
CGMM '.�
PERMIT WILL WOlX SIX(6)MONTfIS FROM $T MSPHMOAI
Signature of owner or Electrical Contractor X Date:
i ..:..:.
i
i
i
P y
i
i
_�.
- ���.. A _
= 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, port Angeles, WA 98362
360.417.4735 www.cityofpa.us i electrical permits@cityofpa.us .N
Project Address:
J L ,
Project Description: ti,Co i-,,C�VQ--
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
Name: Email:
Mailing Address: Phone:
1 � .
Name: �� - C_ License:
Mailing Address: (CJ S F?e ire 'N Cie CieM Expiration Date:
Email tom' ip mi C_ I l Phone:
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 1-4 $75.00 $
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 C-6— $
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 Specifi i ns and PAMC 14.05.050 regarding Electrical Permit Applications.
Dle I Print Name ig Owner ectrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]