HomeMy WebLinkAbout1113 AVE - Building EL" :MCAI PERMIT � y
CITY OF )RT ANGELES
3004,174735 i M
Application Number . . . . . 19-00001755 Date 11/12/19
Application pin number . . . 637530 REPORT STATE SALES TAX
Property Address . . . . . 1113 HIGHLAND AVE on ywr excise tix form
ASSESSOR PARCEL NUMBER: 06-30-14-6-9-0080-0000-LE Application'type description ECTRICAL ONLY to the City Of Par Angeles
Subdivision Name . . (Location Code 0502)
Property Use .
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . 0
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Application dear
Generator
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Owner Contractor
EVA COSTA GENTECH NORTHWEST LLC
1113 HIGHLAND AVE 27660 WOODSIDE RD NE
PORT ANGELES WA 98362 KINGSTON WA 98346
(800) 554-0778
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Permit ELBC RICAL ALTER RESIDENTIAY,
Additional desc
Permit Fee . . . 120.00 Plan Check Fee . .00
Issue Date 11/12/19 '. Valuation . 0
Expiration Date 5/10/20
Oty Unit Charge Per Extension
1.00 120:0000 BCH EL-0-200 SRV FEEDER 120:.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 120.04 120.00 .00 .00'
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 fl0
INSPECTION.TwE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECITON
Signature ofvner or Electrical Contractor X Date:
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ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department NOVI
321 E. 5th Street, Port Angeles, WA 98362
Project Address: LJ
Single-Family Residential El Duplex/ARU Building Square footage:
4;,v K
OWNER INFORMATION
Name: Email:
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
1WM Unit Charge Quantity IQ.W(Quantity x Unit Charge)
Service/Feeder 4U1-60O Amp. $205.00 $__________
Service/Feeder 0U14OOVAmp. $26200 $
Service/Feeder over 1OOVAmp. $373.00 ___--_- *--__----__'
Branch Circuit VN Service Feeder $5.00 $____-_____
Branch Circuit W/O Service Feeder 10100 __---__ $-___---___
Each Additional Branch Circuit $5.00 $____-_____
Branch Circuits 1-4 $75.00 __---__ $-___---___
Temp.Service/Feeder 2OnAmp. o93.00 $___-______
Temp.Service/Feeder 2U1'4D0Amp. *110.00 *____--___'
Temp.Service/Feeder 4V1-SOUAmp. $143.00 $____-_____
Temp.Service/Feeder GO1-1DOVAmp. $168.00 *
Portal ho Portal Hourly $90.00 $--__---__-
Signal Circuit/Limited Energy'1&2 DU. $64.00 $-___---__'
Manufactured Home Connection $120.00 __---_- *-___-____
RenemableElen. Energy:bwVA System orless o102.00 $_____-___.
Thermostat(Note:*5 for each additional) $56.00 __---_' *-___-____'
First 13OO 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 $_��d�L-��
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 on electrical contractor if above said property is for sale, nemu 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,TheChyufPort Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name —Itii�g_nature([:] Owner FYIE:Iectrical Contractor/Administrator)
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[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711