HomeMy WebLinkAbout1827 W 12th Street - Building r
ELECTRICAL PERMIT 1
CITY OF PORT ANGELES �1
360-417-4735 C!'1
Application Number 21-00000734 Date 6/24/21
Application pin number . . 913106 --
Property Address . . 1827 W 12TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-6165-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use . . . . .
Property Zoning . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Temp service
Owner Contractor
TIMOTHY LYNN JOHNSON JOHNSON ELECTRIC COMPANY
1322 WASHINGTON ST #1768 163 MCCARVER RD
PORT TOWNSEND WA 98368 PORT ANGELES WA 98362
(608) .602-4592 (360) 728-4327
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Permit . . ELECTRICAL TEMPORARY SERVICE
Additional desc .
Permit Fee 93.00 Plan Check Fee .00
Issue Date . . 6/15/21 Valuation 0
Expiration Date 12/12/21
Oty Unit Charge Per Extension
1.00 93.0000 BCH EL-TEMP SRV 0-200 SRV PDR 93.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 93.00 93.00 .00 .00
Plan Check Total 00 .00 .00 .00
GrAnd Total 93;00 _93.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE Z
ROUGH-IN
FINAL no&
I
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signat ';Of owner or Electrical Contractor X Date:
GAEXCHANG&BUILDING
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department �
321 E. 5th Street, Port Angeles, NN"A 98362
360.417.4735 1 www.cityoufpa.us I electricalpermits@cityof})a.us
Project Address: 1827 W 12th Street, Port Angeles, WA 98363
Project Description: New Construction
lO Single-Family Residential ❑ Duplex/ARU Building Square footage: 512
OWNER INFORMATION
Name: Timothy L. Johnson Email:TimothvLvnnJohnson@gmaii.com
Mailing Address: PO Box 1788, Port Townsend WA 98368 Phone:608-692-4592
E��qTRICAL CONTRACTOR INFORMATION
Name: License: )&W 54;GCM'7 K V
Mailing Address: Expiration Date:
Email: Phone:
PROJECT
&M Unit Chairae Quantity Tota1(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201400 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 $
Temp. Service/Feeder 200 Amp. $93.00 7 $ �
Temp. Service/Feeder 201400 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 $
Nli .s'' .
x
a 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.
06/14/21 Timothy Johnson
Date Print Name Signature(;6 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]