HomeMy WebLinkAbout1823 W 5th Street - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
v. . .. 360-4174735
Application Number . . . , . 21-00001265 Date 10/01/21
Application pin number . . . 098100
Property Address . . . . . . 1823 W 5TH ST A
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-4475-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use . . . . . .
Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . , . . 0
-------------------------------------------------------------------------
Application desc
Service
----------------------------------------------------------------------------
Owner Contractor
----- ----- --- - -
HATCHER WALTER/CAROLYN KIRSCH ELECTRIC INC.
15749 WALLINGFORD AVE N P. 0. BOX 3396
SHORELINE WA 981330011' SEQUIM WA 98382
(360) 683-6819
Permit''- . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit'Fee . . . . 120.00 Plan Check Fee O0
Issue Date . . . . 10/01/21 Valuation . . . . 0
Expiration Date_. 3/30/22>
4tY Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------- ------------------------- -- -- --
Fee summary Charged Paid Credited Due
Permit Fee 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 f"UtE SIX(6)MONTHS FROM LAST INSI'WMN
Signature Of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING
i
.`
--._.
;t'
_ -, �. ry
�
'
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
� 200 r� exterior QfbU�dii
Project Description: /
[] Single-Family Residential 91 Duplex/ARB Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address:15749 Wallingford Ave, N-Shorelline,VV898133-W011 phone;36O-G83-4875
ELECTRICAL CONTRACTOR INFORMATION
Name: Kirsch Electric License:f(irsce1032JW
Mailing Expiration Date:
Email: Phone:360-683-6819
PROJECT DETAILS
bm Unit Charge Quaaft IqW(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 I $ 120.0�_
Service/Feeder 201~4V0 Amp. $146.00 $_________
Service/Feeder 401-600Amp. $205.00 *_____
Service/Feeder 601-1OOOAmp. $382.00 $_________
Service/Feeder over 1OO8Amp. %373.00 $_________
Branch Circuit Vm 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 200Amp. $93.00 $__--___---
Temp.Service/Feeder 2O14V0Amp. *110.00 $_________
Temp.Service/Feeder 4Ot-OOOAmp. $149.00 m
Temp.Service/Feeder RV1-10VVAmp. $16100 $________
Portal vo Portal Hourly $96-00 ______ $________'
Signal Circuit/Limited Energy-1&2DUi $64.00 _ *_----_-___
Manufactured Home Connection *120.00 $
Renewable Elec.Energy:5hVA System orless $182o0 $-,Thermostat(Note:$5 for each additionao __________
$56.00 $
TOTAL $
0wneras defined by RCW.19.28.261:(1)Ownerv*A||occupy8he structure for two years afterthis electrical permit iwfinalized.p4Ownerio
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 etectrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,
ElectricalPe Applications.
9/27/21 Terri Kirsch az xli)m lf,'
Date Print Name Signature(JZ Oi4ner [�-Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]