HomeMy WebLinkAbout326 E 11th Street - Building WOW
CITY OF P `l _ F ALES
360-417-4735
Application Number 20-00001102 aiRE T2i6T14TE SALES TAX
Application pin number 262322 on yQUI eXC/S@ tax form
Address . . . . . 326 E 1TH ST
ASSESSOR PARCEL NUMBER: 06-30700-0-3-4110-0000- to the City of Port Angeles
Application type description ELECTRICAL ONLY (Location bode 0502)
Subdivision Name . . .
Property Use . . . . . .
Property Zoning . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . o
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Application"desc '
DHP
Owner Contractor
CAROLE SCHOLL AND LELA PREWITT SYNERGY ELECTRICAL CONTRNG LLC
326 EAST 11TH ST 910-W 10TH ST
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(619) 402-6922 (360) 461-3954
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Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 75.00 _Plan Check Fee _ .00 .
Issue Date . . . 9/28/20 Valuation . . 0
` Expiration Date 3/27/21
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 79.00 00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN l9 f40 20
FINAL
COMMENTS;
PERMIT WILL EXPIItE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362 t
360.417.4735 1 www.cityofpa.us I electricalperinits@,cityofpa.us
d
Project Address: 326 E 11 th Port Angeles �1
Project Description: Mini split for heat pump installation
n Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Lela Prewitt Email:
Mailing Address: Phone:619-402-6922
ELECTRICAL CONTRACTOR
d ! i INFORMATION
Name: Synergy Electrical License: SYNEREC829QM
Mailing Address: PO Box 1544 Expiration Date: 11/22
Email: synergyelectricalcontracting@gmail.com Phone:360-565-1163
PROJECT DETAILS
ltlaD] 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 W/O Service Feeder $6300 $
Each Additional Branch Circuit $500 $
Branch Circuits 1-4 $75.00 1 $ 75.00
Temp. Service/Feeder200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp'. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-100,0 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 $
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-
i
46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
9/24/2020 Renee Adams
Date Print Name Signature([-] Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]