HomeMy WebLinkAbout - Building (85) I;LECA,L PERMIT
CITY WPM T ANGELES
10417- 7
Application Number . . 21-00000332 Date 3f19/21
Application pin number 412972
Property Address . . . . 207 E 9TH ST
ASSESSOR PARCEL NUM13ER: 06-30-00-0-2-6948-0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation .`. 0
Application desc
Service
.Owner -contractor
------------------------ ------------------------
JAKE PURVIS UPPER LEFT ELECTRIC LLC
4200 S CEDAR MILL'RD 1306 ROOK DR
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461-7720
----------- ----------------------------
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit.Fee` . . 120.00 Plan Check Fee 00
Issue Date _. . . 3/19J21' Valuation . . 0
Expiration Date 9/15/21. ,
oty Unit Charge Per Extension
1.00 120.0000 ECH' M-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 Cade 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL'
COMMENTS:
n
PERMrr wu L EXPIRE SIX(6)MONT M FROM LA INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGEIBUILDING
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION �.
Public NVorks and Utilities Department
3)21 E. 5th Street, Port Angeles, WA 98362 �
360.417.4735 1 www.cityofpa.us j electricalperrnits.L&cityofpa..us crl
CA1
Project Address:207 e 9th N
Project Description: Panel/ meter upgrade
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
Name: .lake Purvis Email
Mailing Address: Phone:
Name: upper left electric License:i
Mailing Address: Expiration Date:
Email: upperleftelectric@gmalLcom Phone:
�gm Un€t°Charge. Quantity TcstaF(Quantity x Unit Charge)
Service/Feeder20t1Amp. $120.00 1. $ 120
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/Serviice 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 $06.00 $
Signal Circuit/Limited Energy-1&2'-bU. $64.06
Manufactured Home Connection _ a 4120 00 $
Renewable Elec. Energy: 5KVA System or Less $102 00 - +
Thermostat(Note: $5 for each additional) $56.00 $
t
3 �
- 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.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.
3/17/21 chace botero
Date Print Name Signature(;6 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]