HomeMy WebLinkAbout - Building (65) ELF' (.PERMIT
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Application Number 20.-10000423 *E STATE SALES>TAX
k Application yin number . . 499146. on Our 4xviSe tax form
Property,Address . _ . 2019 W 18TH ST y
As ESSOR PARCEL N[@IBER: 46-,�o-60-1-1-0520-ofloo- to the Gl'ty of Port AngeleS
Application type description ELECTRICAL ONLY /�
Subdivision Name . . . . (Locadon (.ode 0502)
Property Use . . .
Property Zoning . . . RESIDENTIAL MEDIM DEN3T8
Application valuation 0 -
----- ------}-- - - ---------------------- ------- ----- ------
Application desc
service
Owner Contractgr
4LL'P AND 141CHBWA L lumaR OWNER
138 CMAW HOLLOW DR
Pf3RT A V==s 'WA 90362
Permit,' - ----- -. . L ELECTRICA ALTER RESIDENTIAL
Additional desc
Permit_F*e 120.00 Plan Check-Fee .00
Ts 'D�te- . . . 4/21/2O Valuation 0
fixpir4,_on Date 10I14/20
-Qt)+ Unit Charge Per Extension
1.00 120.0000 ECH EL-0-440 SRV FEEDER '120.00
_00 56.00,00 EC'H EL-LVT-THERMOSTAT .00
Fee wimatory 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
INSPECTION TYPE DATE: RESULT'S: INSPECTOR
DITCH
Ikk A
g
CATS
PERMrr WILL EXPIRE SIX'(6)MWMS FROM LAST INSPEC MN
Signature of owner or Electricl Contractor X Date:
1 - 2 SINGLE-FAMILY - CD
ELECTRICAL PERMIT APPLICATION
Public tV(irk5 <mci Ucpirtm,:nt
32 1 f. 5th Street, rloi I Ariuelcs' QN302
160.4 1 7_4?., co,,,oIPtI u, k:CIrICd III enII It,'a k:11y fpa u' 1
Project Address: 2019 W 18TH
Project Description: update existing service
i I Single-Family Residential ❑ Duplex/ARU Building Square footage: 1300
OWNER INFORMATION
Name: Randall Raber Email:rmcl5repair@gmail.com
Mailing Address: 138 Cedar Hollow Dr Port Angeles Phone:360-301-1443
ELECTRICALCONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Chase Quantity jQW(Quantity x Unit Charge)
Service/Feeder200 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. $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 $
it
TOTAL $ 12d.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.C4, RCW.Chapter 19.28,WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Sgeekca d P C 4. 5.0 0 regarding Electrical Permit Applications.
tions
4/15i202o Randall Raber �I
Date Print Name Signature(&? Owner ❑ Electra ractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]