HomeMy WebLinkAbout1215 W Hwy 101 - Building (2) C
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Application Number . . . 20=`00000735
Application pin number 5053#t
Pro
perrty Address 1215 IFHWY 101 .o
ASSESSOR PARCEL NUMBER: 06-30-08-5-1-0200-0000- pi
to the My of An, ,$
Application type descriptionELECTRICAL ONLY
Subdivision.Name . . . .
Property Use . .
Property Zoning . . RESIDENTIAL TRAILER PARK
Application valuation . . . . 0
- - - -
Application desc
Office remodel
.,Owner ... _ Contractor
- -- ------ --- --- -
ROY?44- FIELDS INC KIRSCH ELECTRIC INC.
C/O SUSAN um P. 0, BOX 3306
19827 '1'H AVE NW SEQUIN MA 48383
SHORZINX MA 981,772S55 (3'60) 683-6819
W !- -- -- ----Permit ELECTRICAL ALTER`RESIDENTIAL
Additional desc 1-4 CIRCUITS'
Permit:Fee . . . 76,.00 Plan--chock Fee .00.
Issue Date 7J13/20 Valuation 0
Expiration Date 1/091/11
oty Unit Charge Per Extension
BASE FEE 75_00
---=--------------------- ------------------------------_--------
Fee summary Charged Pahl Credited hie
--��------- -------- - -------- -
Permit Fie Total 75.04,. 75.00 '.00 00
Plan Check Total .00 .00 .00 .00
Grand;fiotal 75.00 7S.00 .00 .00
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tNSPEGTI?N TM, DATE: _ _RESULTS: IIdspwrOR:
DITCH
SERVICE
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FINAL
COMMENTS:
PERMrr wiLL EXP(Rlx SIX(6)MENTHE P r W
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY - CD
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department
32 1 E. 5th Street. Port An,eles. WA 98362
360. I7.4735 ! ti�,�k.cityofpa.us electri cal perm 1tsc citvofpa.us
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Project Address: 1215 Hwy 101
Project Description: 1-4 Circuits
El Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Emerald Mobile Home Park Email:
Mailing Address:same as above Phone:360-457-1553
ELECTRICAL CONTRACTOR i ' i
Name: KIRSCH ELECTRIC License: KIRSCE1032JW
Mailing Address: PO BOX 3396 Expiration Date:
Email: KIRSCHELECTRIC@GMAIL.COM Phone:360-683-6819
PROJECT b&AILS
to Unit Charge Quantity Total(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 $5.00
Branch Circuit WO-Service Feeder - - - —$G3.00 ---- - - $
Each Additional,Branch Circuit $5.00 - ---- --- $
Branch Circuits 11-4 $75.00; $ 75.00
Temp. Service/Feeder 200 Amp. $93.0a $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder A,01-600 Amp. $149.00 $
Temp. Service/Feeder 001-1000 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 $
First 13W ,� �
Eacm 'oiuw
TOTAL $ 75.60 "
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 PAM( 14.05.0,50 regarding Electrical Permit Applications.
JOESEPH KIRSCH i
Date Print Name _Signature(❑ Owner ❑ Electrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]