HomeMy WebLinkAbout615 - Building (2) EL90 R]CAL PERMIT s
CITY 00`P4RT ANGELES
360-417-4735
Application Number 21-00000570 Date 5/14/21
Application pin number . . 827920
Property Address . . 615 W' 11TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-2280-0000-
Appplication type description ' ELECTRICAL ONLY
Subdivision Name . . .
Property Use . . . . .
Property Zoning . .
Application valuation . . . 0
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Application desc
Service
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Owner --`- Contractor {
----------------- ---------- 1
THOM" L WHZTTY OWNER
C/O DONNA GRALL
61 TYRE R1}
SEQUIM WA 98382
(360) 461-0184
--- ' . . .r-Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue Date . . . . 5/14/21 valuation 0
Expiration Date . . 11/10/21
Oty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRv FEEDER 120.00
- --Fee-summary - Charged Paid Credited Due
--------------- -------- --
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .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 G .#
ROUGH-IN
FINAL ,
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEC-11ON
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEWILDING
I
1 - 2SlNGLE-FAMILY m
A ELECTRICAL PERMIT APPLICATION
w Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.47351 www.cityofpa.us J electricaipermits@cityofpa.us
Pro661 LO ( (4�
ject Address:
Project Description. loo k PCO cask LL Ste} Err g U) 'M_ SSE f
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: TO U3 t-4(-rTi Ll Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR I'NFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT
■r DETAILS
IStFID Untt Charge Quantity Total(Qua x Unit Charge)
Service/Feeder 200 Amp. $120.00 $ Ma Q -
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 ( .n $
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. $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 $
Feat 1C30ti Squire FeI T �0 : y � x
1Ee'ehAddifoni"5)f� BFevAr
ln
Each Swine m"igooll�txFub S
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.
X 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.
Date Print Name Signature([�r Ow r Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricaipermits@cityofpa.us or faxed to 360.417.47111