HomeMy WebLinkAbout - Building (13) � EI�tT
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Application Number .- 2I=00000533 Date 5/04/21
Application pin number 825687
BrCzrty Address 1324 CST
ASS-iigO2 PAIL WJMER: Os-30-00-0-3-9690-000@-
Application type description 9t9CTRICAL OW4
+UtJdivisiOsi Name . .. . .
��'S?Fertyr"[fie
0kcsperty ZQning . . . . . COM409CIAL NEIGHBORHOOD
Application valuation . 0
iApplicaation deac
" Service i
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Owner Contractor i
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GUSSMAI,. ,�TOHDi. JOHNSON ELEMIC COMPANY
PO BOX,443 163 MCCARVER RI?
MEDINA WA 98039 PORT AIGELES WA 983`62
(360) 128-4327
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Permit ELEMICAL AXXTER RESIDENTIAL
'Addit sonit des .
Permit;Pee 120.00 Plan Check Pee .00
38aue 'Vate . . . 5/04/21 Valuation 0
E4jration Date . 10/31/21
Qty Unit Charge Per Ute ion
l Ab 120.0000 ecs EL-0-200 SRV PEBDBR lio.00
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Fee summary Charged;, Paid Cr#d'ted Due
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fermit I`ee 'total 120;00 �120.00 .00 �.00
Plan G3iect� Total .00' .00 .00 .00
Grand'Total 120.00 M.00 .00 .00
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i
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Cade 02)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-N
FINAL
COMMENTS: I
Pamir WILL EXPIRE SIX(6)MONTHS FROM LAST TNSMMON
SignaWw of our or Electrical Contractor X Date:
QIXCHANGE LDING
< j
- 1
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department �N
321 E. 5th Street, Port Angeles, �V%A 98362
360.417.4735 1 www.eityofpa.us I electricalpennits(cz cityofpa.us
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Project Address: 1324 S. C St. Port Angeles, Wa 98362 W
Project Description: Replace 200 amp service
Single-Family Residential El Duplex/ARU Building Square footage:
Name: John Gussman Email: igussman@dcproductions.com
Mailing Address: 1324 S C St. Port Angeles,Wa 98362 Phone: 360.808.6406
Name: Johnson Electric Company License:.JOHNSEC817K4
Mailing Address:3129 S Regent Port Angeles,WA 98362 Expiration Date:05/31/2021
Email:Wayne@johnsonel, 6tdc360:com. Phone: 360.728.4327
. . • _-_CT DETAILS
H&M Unit Charae „ Ouantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 1 $ 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. $149R00
Temp. Service/Feeder 601-1000 Amp. $1.68.00 7777
$,
Portal to Portal Hourly $96.00
Signal Circuit/Limited Energy-%266. $64. �$ `
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $i62.00
Thermostat(Note: $5 for each additional) $56.00
fW
TOTAL $ 120.00
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.
Digitallysigned bywayne hnson5/2/2021 Wayne Johnson wa nejOhnSon Dt :202 .05.02 13:28:14
-0T00'
Date Print Name Signature(❑ Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]