HomeMy WebLinkAbout1121 ST - Building 1 l
��
ELECTRICAL PERMIT �-
my OF PORT ANGEtES
360-417-4735
Application Number . . . . . 20-00000057 Date 1/16/20
Application pin number 686222 REPORT SLAT- E SALtt,
Property Address . . . . . . 1121 HAZEL ST on your eXCfse tax form
ASSESSOR PARCEL NUMBER: 06-30-08-5-8-0860-0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . (Location Code 0502)
Property Use . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation,. 0
Application desc
Fan circuit
----------------------------------------------------------------------------
Owner Contractor
FLOYD & SARAH PARKER OWNER
1121_HAZEL ST
PORT ANGELES WA 983632302
(360) 808-3143
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 63.00 Plan Check Fee .00
Issue Date 1/16/20 valuation . . . . 0
Expiration Date 7/14/20
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 .00 .00
Plan Cheek Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE DATE. RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN t, -to
FINAL �J&t)
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
�.�� _
! ,��� _-
_, ,� _ �:,
_,..
� ':� �,.
,�,
�F
F=
I
ELI
CD
1 - 2SlNGLE-FAMILY RECEIVED
AN l 3
202[� .
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.us electricalpermits@cityofpa.us I
Project Address:
Project Description:
—T�- Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: v ' Email:
Mailing Address: .2 Q o& W jf 9- e:
ELECTRICAL CONTRACTOR ! • !
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
POJECT DETAILS
R
M Unit Charae Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $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. $ j 6
Each Additional Branch Circuit $
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 $ .
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. ,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Munici I Code, an Utility Speci bcatio s and PA C 14.05. g ruing Electrical Permit Applications.
�f l&t o rl o 2����� cn O�ti
Date Print Name Signature(❑ Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]