HomeMy WebLinkAbout1027 W 7th Street - Building ELEO`McAL PERMPf
CITY OPdRT ANGELES '`
3 =4 7-4735
Application Number . . . . . 21-00000561 Date 5/11/21
Aiiplieation pin number 033294
Property Address . . . . . . 1027 W 7TH ST
ASSESSOR PARCEL NUMBER: - 06-30-00-0-1-5664-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . .
Property Zoning . . . . . . RS7 RESDNTL SINGLE'FAMILY
Application valuation . . . 0
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Application dead
-----Remodel ---------------------------------------
owner Contractor
z-
CHAP-LES JOHNSON/N(ARY SCOFFIELD SYNERGY ELECTRICAL CONTRNG LLC
238 WILLIAMS RD 910 W 10TH ST
SEQUIN WA 98382 PORT ANGELES' - WA 98363
(206) '930-4804 (360) 461-3954
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4 Permit; . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
£erntft Fee 305:00 Plan Check Fee .00
Issue Aate 5/11/21 Valuation . . . . 0
Expiration Date 11/07/21
Qty Unit Charge Per Extension
s BASE FEE 75.00
6.00 5.0000 BCH EL-&CH ApDNT BRANCH CIRCUIT 30.00
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Fee summary. Charged Paid Credited Due
----------------- ---------- ---------- ------ -- ----------
Permit Fee Total 105.00 105.00 00 .00
Plan Check Total 00 .00 .00 .00
Grand Total 105.00 105.00 .00 .00
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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
CON04ENFS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGOBVIMING
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1 - 2 SINGLE-FAMILY CD
ELECTRICAL PERMIT APPLICATION 3
Public Works and utilities Department N
321 F. 5th Street, Part Angeles. W;l 98362
360.417.4735 1 www.cityofpa.us ' clectricalpermits�4)cityofpa.us
Project Address: 1027 West 7th St, Port Angeles
Project Description: Remodel 1/2 of building
n Single-Family Residential 0 Duplex/ARU Building Square footage: 2600
OWNER INFORMATION
Name: Ted Johnson Email:fly2c12yahoo.com
Mailing Address: Phone:206-930-4804
ELECTRICAL CONTRACTOR INFORMATION
Name: Synergy Electrical Contracting, LLC License:SYNEREC829QM
Mailing Address: PO Box 1544 Expiration Date: 11/14/22
Email:synergyelectricalcontracting@gmail.com Phone:360-461-3954
PROJECT DETAILS 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 WIO Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 6 $ 30.00"
Branch Circuits 1-4 $75.00 1 $ 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 $9600 $
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 $
a � 3
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, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
5/10/21 Tracy Critchfield
Date Print Name Signature(❑ Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]