HomeMy WebLinkAbout1506 W 15th Street - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . , . .
17-00000117 Date 2/02/17
Application pin number . . .
603478
Oroperty Address . . . . . ,
1506 W 15TH ST
ASSESSOR PARCEL NUMBER;
06 -30 -99 -0 -4 -3540 -0000 -
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
RS7.RESDNTL SINGLE FAMILY
Application valuation
0
---------------------7------------------------------------------------------
Application desc
Manu. home connect
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Owner
Contractor
------------------------
REYNOLDS TIMOTHY M AND CAROL M
------------------------
MEYER ELECTRIC
108 DAVIS ST
11 STONE RD
PORT ANGELES WA 98363
SEQUIM
WA 98382
(360) 477-2202
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00
Plan Check Fee
.00
Issue Date . . . . 2/02/17
Valuation
0
Expiration Date . , 8/01/17
Qty Unit Charge Per
Extension
1.00 120.0000 BCH EL-MANF
HOME SERVICE & FEEDER
120.00
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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
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
DATE: RESULTS:
153 /1-7 '
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT STATE SALES TAX
on your excise tax form
to the City of Pat Angeles
(Location Code 0502)
INSPECTOR:
Signature of owner or Electrical Contractor X Date:
t
RECEIVED - .
tit'0 pr)Ur 1% S
+ yip _
CITU OF PORT ANGELES PERMIT APPLICATION �` �!!'�..�►
Building Di%ision/Electrical Inspections L' -C �i;�,rt1 i �:�.►.
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (3611) 417-47735 Fax: (360) 4174711 �
late: 18 2 Single Family Dwelling
I
' Plan Review May Be R uited, Please Co�rtplet EtecOcal P� rReview Information Sheet
Job Address % a (S IA
1. '
Budding Square Footage / 41y nt"',
Gewaption of above /t.d, m ll . � t 0
Owner Information
Name 1�" ) u
Mad%Address I
Phone
Q td v e -- Fax 1.� . Zip 5 2'3 rl2.-
L
License # / Exp
Item
ServicelFeeder 200 Amp.
ServicelFeeder 2014100 Amp.
Service/Feadier 401-600 Amp
Service/Feeder 601-1000 Amp.
SeivicarFeeder over 1000 Amp.
Branch Circuit Wt Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Serwce/Feeder 401.600 Amp.
Temp ServicelFeeder 601-1000 Amp .
Paul to Portal Hourly
Signal Circuit/ Limited Energy -1 S 2 Family Dwelling
Manufactured Hone Connection
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
Fust 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Charas
S 120.00
$146.00
$205.00
S262.00
$ 373.00
$ 5.00
$ 63.00
$ 5.00
$ 750
$ 93.00
$ 110.00
$ 149.00
$16800
$ 96.00
$ 6400
$120.00
S 102.00
$ 56.00
Contractor t ation
Name #Vt rrrt4e s— �� Ci
Mad Address �� Q o a t r� tnla-tet
city V-4 i -n State dol Zip
Phone'`^��
License # / Exp -Ak EQy—e )F -
Ow Total (Qtv Multiolied by Unit Charge(
S
s
S
S
S
5
s
S
S
S
S
S
S
S
S Izo
a
S
$120.00 $
S 40.00 $
$ 74.00 $
$110-00 $
$�j _ 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 it above said property is for sate, rent or lease. Permit expires after six mouths 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 296-468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Sign its of er, el tricaI contractor or electrical administrator: 0 CN6 O erreett
Credk Cud 0
_
617x jf DOW i 01101=2
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