HomeMy WebLinkAbout131 E 12th ST - Building (3) 3
EL.EC PERMIT
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Application Number . . 21•=00000522 Date 4/30/21
Application pin number . . 714144
Property Address 131 E 12TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4392-0000-
Applicaton type description ELECTRICAL ONLY
Subdivision Name
Property Use . . . .
Property Zoning . . R87 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Car charger
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Owner Contractor
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ALEX J AND SYDNEY RUBIN ANGELES ELECTRIC
131 E 12TH ST 524 E. 18T ST.
PORT ANGELES WA 983627,811 PORT ANGELS WA 98362
(360) 660-5930 (360) 02-9264
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Permit . . . ELECTRICAL ALTER COMMERCIAL
Additional desC 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee .00
Issue Date 4/30/21 Valuation . 0
Expiration Date 10/27/21
Qty Unit Charge Per Extension
SASE FEE 86.00
Fee summary Charged Paid Credited Due
Permit Fee Total 86,00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
G
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE
ROUGH-IN
FINAL
FINAL
COMMENTS:
PERMIT WILL EXPIRE SII{(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAFXCHANGE%UILDING
4 '
MULTIFAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Departme7it N
32.I. E, 5th Street, Port Angeles,WA 98362 �y
360.4:17.4735 1 www.cityofpa.us I electricl-ttpermits(c�cityofpa.us
Project Address:
Project Description: — i &Ac
O Multi-Family Residential Commercial/Industrial/Public Bt.Wdinq Square footage:
Name: Email:
Mailing Address: Phone:
A i �rs • y
Name: Angeles Electric, Inc License: ANGELE146ORS
Mailing Address: 524 E, First Street, Port Angeles,WA 96362 Expiration Date: 2/1/2020
Email: ksimpson@olympus.net Phone: 360-452-9264
Item unit Charge Quantity Tote!(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201400 Amp, $160.00 $
Service/Feeder 401-600 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $6.00 $
Branch Circuits 1-4 $86.00 _ $--J
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feeder 401-600 Amp. $164.00 $
Temp,Servlce/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88'00 $
Signal Cireuit/Llmited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96:00 $
(Note:$5.00 for each additional 1500 sf)
Renewable Elec.Energy:5KVA System or less $113:00 $
Thermostat(Note:$5 for each additional) $56.00 $
$RZti0
V �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,WAG.Chapter 296-
46B,The City of Port Angeles Municipal Code,and Utility Specifications and:PAMC 14.05.050 regarding Electrical Permit Applications.
Ken Simpson '
to I Print Name Signature(❑ 0WnJrV Electrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111