HomeMy WebLinkAbout216 W 14th ST - Building (2) s
ELCAL PERK
CTf Y OF,FORT ANGELES
360-41'7-4 735
Application Number 21-00000229 Date 2/24/21
Application pin number 621722
Property Address . . . . 216 W 14TH ST
ASSESSOR PARCEL NUMBER; 05-30-00'-0-4-2115-0000-
Applicationn type description ELECTRICAL ONLY
Subdivision Name . . .''
Property Use . . . . .
Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc -
DHP
Owner Contractor
THEODOtE W & BEVERLY SULLIVAN APS ELECTRIC
226 WHIDBY AVE 546 BENSON RD.
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 452-5172 (360) 452-6153
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permits Fee . 68.00 Plan Check Fee 00
Issue Date 2/24/21 ' Valuation 0
Expiration Date 8/23/21
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary Charged Paid Credited .Due
-Permit Fee Total - 68.00 68.00 .00 .00
Plan Check Total .00 00 .00 .00
Grand Total 68.00 68.00 .`00 .00-
REPORT SALES TAX
on your excise fax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGE\BUIL SING
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1 - 2 INGLE-EAMI�Y
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
- 321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www,cityofpa.us I electricalpermits@cityofpa.us 1
Project Address: f `
Project Description: b�•-c f t 1 t . F e'" A Ix f-a
1� Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER tKFOR •
Name: Law iL 6 i,115 A Gt Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: Wcense: S I<L
Mailing Address: z Expiration Date: 'Y" /G '
Email: fJ Phone: �' �` ' `153 "4-22 S-3
PROJECT
M• DETAILS
D Unit Charae Ouantfty IgW(Quantity x Unit Charge)
ServicetFeeder 200 Amp. $120.00 $
ServkWFeeder 201-400Amp. $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 401-6W 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 $
Eris#1300"Sq+uixrB F.eef $120:00 $
Iv ach Additional 500 square feet' $40.00 $'
Each W"Ildin'"/'bet*ched Garage $74.00 $—
EachS>kfrrtcriiiig Pool I 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.C.,RCW.Chapter 19.28,WAC.Chapter 296-
468,The City of Port Angeles Municipal Code,and Utility Specification and PAMC 4,05.050 regarding Electrical Permit Applications.
S h e.� � (O'ce P"--Q.4- --r,1-2'6 eQA
Date Prin ame Signature(❑ r ❑ Electrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hail or electricalpermits@cityofpa.us or faxed to 360.417.47111