HomeMy WebLinkAbout - Building (6) ELEACMIS PERMIT `
CITY(*6RT ANGELES
317-4735
Application Number 19-00002003 Date 12/18/19
Application pin number 522953 REPORT,STATE SALES TAX
Property Address . . . . 2332 W 12TH ST on your excise tax form
ASSESSOR PARCEL'NUMBER: 06-30-01-5-8-0220-0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . .
Property Use . {LOCa#io!? Code 05t?2)
Property Zoning . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application desc
Garage feeder and circuits
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Owner Contractor
TROPLE, JASON OWNER
1106 W 16TH ST
PORT ANGELES WA 98363
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . 170.00 Plan Check Fee , .00
Issue Date . 12/18/19 Valuation . . . . 0
Expiration Date 6/15/20
Qty Unit Charge Per Extension
10.00 5.0000'ECH EL-BRANCH CIRCUIT W/FEEDER 50.00
1.00 120,0000 BCH EL-0-200 SRV'FEEDER 120.00
-_ Fee summary ----- Charged T- Paid Credited Due
- T Permit Fee Total 170.00 170.00 .00 .00
Plan Check Total 1 .00 .00 .00 .00
Grand Total 170.00 170.00 .00 : .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH 1Z
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMTP WILL E OME SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY ' CD
ELECTRICAL PERMIT APPLICATION RE�;i_;yu 3
Public Works and Utilities Department DEC 1 ' 1019
321 E. 5th Street, Port Angeles, WA 98362 [V
360.417.4735 ! www.cityofpa.us I electricalpermits@cityofpa.us d
Project Address:
Project Description:
'1:�'Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: T (e Email:
Mailing Address: 7. J /Z 5 I Phone: 1A 'i:5 Yyc S
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECTDETAILS
Iir Unit Charae Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 _L $ lap
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 $ im
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 $
Each Additional 500 square feet' $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $
TOTAL s
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.
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Date Print Nanie Signature�0ovner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]