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HomeMy WebLinkAbout - Building (92) 1 ELETIUCAL PERMIT' CITY -PORT ANGELES 317-4735 Application Number . . . . . 19-00000163 Date 1/28/19 Application pin number . . . 070205 REPORT STATE SALES.TAX Property Address . . . . . 1505 W 12TH ST on your excise tax f(�l"171 ASSS9SOR PARCEL NUMBER: 06-30-00-0-3-5892-0000- J"" Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . (Location Code©. � Property Use . . . . . . Property Zoning . . . , . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------- ------- ---------- ------------ --- ------------------- Application desc 1-4 Circuits 8-- -n-,-.-� Owner Contractor JEFPREY M & JEAN E LILLEY SEOUIM VALLEY ELECTRIC { 1938 11 LONE EAGLE LANE AUMOAE ST SEQUIN WA 98382 HONOLULU HI 96817 (360) 681-3330 I _(808) 271-9926 i .Permit . . ELECTRICAL ALTER RESIDENTIAL Additional desC 1-4 CIRCUITS Permit Fee . . . 75.00 Plan Check Fee .00 Issue Date 1/28/19 Valuation . . . 0 Expiration Date 7/27/19 Qty Unit Charge Per Extension BASE FEE 75.00 ----------------------------------------------- ----_----------------- Fee summary Charged Paid Credited Due ----------- ------ -- ------ ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 75:00 75.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS PERmrr WILL EXPIRE Six(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: ��,�:� _ � t 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION 3 Public Works and Utilities Department RECEIVED N 25 2019 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 1 www.cityofpa.us ( electrical perm its(a)/cityofpa.us Project Address: 1505 W 12th St. Project Description: ALT CKT 0-4 ❑ Single-Family Residential ❑ Duplex/ARU Building Square footage: OWNER INFORMATION Name: BLUE SAGE PROP MNG Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: Sequim Valley Electric, Inc. License: SEOUIVE9011-3 Mailing Address: 11 Lor-W.fagie Lane,Sequim,WA 98382 Expiration Date: 06/21/2020 Email: ahanova332... Phone: 360-681-3330 PROJECTDETAILS m 9 x n Char ) e Service/Feeder 200 $ Service/Feeder 2t31-400 Amp. $146.00.f, $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 6014000 Amp. $262.00 Service/Feeder over 1000Amp. $373.00 $ Branch Circuit W/Service Feeder Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $500 $ Branch Circuits 1-4 $75.00 1 $ 75.00 Temp. Service/Feeder 200 Amp. $93.00 $ Temp.Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 01 Temp.Service/Feeder0,1 1000 Amp Portal to Portal Hourly Signal Circuit/Limited Manufactured Home ConneotY � — Renewable Elec. Energy: 51cvA Thermostat(Note:$5 for each ad r r & 0 i 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. 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 an�� 14.05 0 regarding Electrical Permit Applications. 01-25-2019 MARTIN HANA Date Print Name Signature(❑ Owner V Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]