HomeMy WebLinkAbout1622 N 11th Street - Building PMVHT
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36 -4735
Application Number . . . . 21-00000654 Data 6/00/21
Application pin number 913382
Property Address 1622 W 11TH ST,
ASSESSOR PARCEL NUMBER: 06'-30-00-0-3-5911-0000-
Application type description ELECTRICAL ONLY
Subdivision Name .
Property Use . RESIDENTAL SF 7000
Property Zoning . . . . . R07 RSSDNTL SINGLE FAMILY
Application valuation . 0
-Application desc
New home
Owner Contractor
------- --------- --- -------------
REALTRUST 1RA ALTERNATIVES LLC UPPER LEFT ELECTRIC MC
P O BOX 498 1306 ROOK DR
PORT ANGELES WA 98362 PORT ANGELES WA 98362`
(360) 461-7720 ------------
Permit . ELECTRICAL NEW RESIDENTIAL
Additionildesc
Permit Fee 160.00 Plan Check Fee .00
Issue Date 6/09/21 Valuation 0
Expiration Date 12/06/21
Qty 'Unit Charge Per Extension
1.00 .120.0000 ECK Eb-R-SQFT.FIRST 1300 120.00
1.00 40.0000 E011 EL-R-SQFT ADDITIONAL 500 40.00
-`--`------------`---------`--------=---^------- -'-------^------
Fee sumMary Charged Paid Credited Due
-------`------- ---------- ---------- - -
Permit Fee Total< 160.00 16000 00 100,
Plan Check Total .00 .00 .00 .00
Grand Total 160.00 160..00 .00 .00
R'EP400T SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICI<
ROUGH-IN
FINAL
COMMENTS:,"
PERMff WH,L EXg'IRE SIX(6)MON1 FLS FROM LAST MSPI CMN
Signature of owner or ElectcUal Contractor X Date:
GAEXCHANGOBUILDING
1 - 2 SINGLE-FAMILY -
1
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, W,-.98362 �
360.417.4735 1 v<-wA,-.cityofpa.us electricalpermits(�cityofpa.us �
Project Address: 1622 w 11 th
Project Description: 1400 sq new home
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Taylor Built Email:
Mailing Address: Phone:
CONTRACTOR O. •
Name: Upper Left Electric License
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
1'tgm Unit Charae Quantb 7QW(Quantity x Unit Charge)
Service/Feeder200 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/Feeder401-600Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $1,68.00 $
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.Q0 $
_ <a
TOTAL $ 1
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,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
6/1/21 chace Botero
Date Print Name Signature(❑ Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electrical permits@cityofpa.us or faxed to 360.417.47111