HomeMy WebLinkAbout1115 W 15th ST - Building AL PT
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CITY Of PORT ANGELES
360417-4735
Application Number . . . 21-00000424 Date 4/07/21
Application pin number 032448
Property Address . 1115 W 15TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-1250-0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use . .
Property Zoning . . . . RS7 RESDNTI� SINGLE FAMILY
Application valuation . . . 0
- - __
Application desc
Meter repair
Owner Contractor
REBECKA M BLORE ANGELES ELECTRIC
1115 W`15TH ST 524 E. 1ST ST.
PORT ANGELES WA 98363 PORT ANRELES WA 98362
(360) 452-9264
----------- -a---- -- -- --------------- -- -- -------------------------
Permit . ELECTRICAL ALTER R$SIDENTIAL
Additional desc
Permit Pee . 120.00 Plan Check Fee .00
Issue Date . . . . 4/07/21 valuation 0
Expiration Date . 10/04/21
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRv`-gEEDSR 120.00
Fee summary Charged Paid Credited Due
Permit lee 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 Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE �
ROUGH-IN
FINAL
COMMENTS:
PERMIT`WILL EXPIRE SIX(6)14i+(7AiTFTS FROM LAST INSPI:GTTQN -
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEIBTIILI3ING
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilitics Departn>ent
3211 F. 5th Street, Port Angeles, OVA 98362
360.417.4735 I WWW.C1fY0t'1N1.ns I caeCtl ic�IlhC3Itiits(ic City01'pti.us
Project Address:
7�L=-
Project Description:
Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name` 4 Email:
Mailing Address- Phone: f«—• SZaS�`
ELECTRICAL CONTRACTOR INFORMATION
Name. Angeles Electric, Inc. License:ANGELE1460RS
Mailing Address:524 E. First Street Expiration Date:3/31/22
Email: ksimpson@olympus.net Phone:360-452-9264
PROJECT DETAILS
Item Unit GharaeQuantlik (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 $63.00 $
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 $96.00 $
Signal Circuit/Limited Energy-1&2 DU. $6400- $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional) $56.OQ $
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, he City of Port Angeles Municipal Code,and Utility Specificat'`ns and PAMC 14.05.050 regarding Electrical Permit Applications.
Ken Simpson `
to- Print Name Signature(C].Own r V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]