HomeMy WebLinkAbout1310 O ST - Building ELECTRICAL PERMIT p(
CITY OF PORT ANGELES
360-417-4733
Application Number . . . . 21-00000873 Date 7/20/21
Application pin number . 608984
Property Address 1310 O ST
ASSESSOR PARCEL NUMBER: 06-30-01-7-9-0040-0000-
Application type description ELECTRICAL ONLY -
Subdivision Name . .
Property Use . . .
Property Zoning . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Temp service
Owner Contractor
------------------------
JOEL AND TAMARA ELLIOTT UPPER LEFT ELECTRIC LLC
PO BOX 2051 1306 400K DR
PORT ANGELES WA 98362 PORT ANGELES WA 99362
(360) 461-2145 (360) 461-7720
- - Permit . . . . ELECTRICAL TEMPORARY SERVICE
Additional desc .
Permit Fee . . . . 93.00 Plan Check Fee .00
Issue Date . . . . 7/20/21 Valuation 0
Expiration Date 1/16/22
Oty Unit Charge Per Extension
1.00 93.0000 ECH EL-TEMP SRV 0-200 SRV FDR 93.00 -
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Fee summary Charged Paid Credited Due
_ ----------------- ---------- - -
Permit Fee Total 93.00 93.00 .00 .00
P1an..Check Total .00 .00 .00 p0
Grand Total 93.00 93.00' .00 00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Cade 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICEAW
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY CD
1
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department 1�
321 E. 5th Street, Port Angeles, NVA 98362
360.417.473.5 1 www.cityofpa.us I electricalpermits@citvofpa.tis �J
Project Address: 1310 0 St
Project Description:temp power
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Joel elliot homes Email:
Mailing Address: "Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: upper left electric License:.;
Mailing Address: Expiration Date:
Email: upperleftelectric@gmail.com Phone:
PROJECT DETAILS
&M Unit Charge Quantity Total(Quantity x Unit Charge)
Service/Feeder200 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 $500 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch;Circuit $5.00 $
Branch Circuits 14 $75.00 $
Temp. Service/Feeder 200 Amp. $93.00 1 $ 93
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder401-600Amp. $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: 5KVASystem or less $1400 $
Thermostat(Note: $5 for each additional) $56.00 $
TOTAL $
3
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.
7/12/21 Chace botero
Date Print Name Signature([:] Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]