HomeMy WebLinkAbout1111 W 7th Street - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 17-00000033 Date 1/11/17
Application pin number . . . 779854
Property Address . . . . . . 1111 W 7TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-SS82.0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Penel replacement
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Owner Contractor
------------------------ ------------------------
COVENTON CHRIS J H BOTERO & SON ELECTRICAL
743 CAMERON RD 940 TAMARACK WAY
SEQUIM WA 983827506 PORT ANGELES WA 98362
(360) 452-4766
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . ,
Permit Fee . . . . 120.00 Plan Check Fee .00
Issue Date ... . . 1/11/17 Valuation . . . . 0
Expiration Date 7/10/17
Qty Unit Charge Per Extension
1.00 120.0000 BCH EL -0-200 SRV 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 .00 100 .00 .00
Grand Total 120.00 120.00 .00 .00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Cock 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
jt7
CONMENTS:
PERMrr WML EXPIRE SDC (6) MONTES FROM WT INSPECTION
Signature of owner or Electrical Contractor X Date:
4
CITY OF PORT ANGELES PERMIT APPLICATION'
Building Division/Electrical Inspections ,,
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711 t i n'ft it
Date:/— )Q) 1 & 2 Single Family Dwelling
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: ,'
Building Square Footage:
Description of above 1;7'�
Owner In�ation —
Name:
Mailing Address:
City: State: Zip:
Phone: Fax:
License # / Exp.
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feed
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4 Only
Temp, Service/ Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp,
Temp, Service/Feeder 401-600 Amp,
Temp, Service/Feeder 601-100 Amp .
Portal to Portal Hourly
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
r. y+t7KJ
$120.00 $
$ 40.00 $
$ 74.0 $
$110.0 $
$W&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 296-468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrica Contractor or electrical administrator:
x i ✓ / % v Dated:
0 Cash 0 Check,t
Credit Card # //hr'
v 11210612012
Contracto formli
Name:!�9 yi -'
Mailing Address: �? 6 ),- —)V)
City: e+sL State:lti.Zip:
Phone - Fax:
License ! Exp. Q_%b t o%n.
Unit Charge
(qty Total Multiod
oli d by Unit Charge)
$120.00
$_ v
$146.00
$
$ 205.00
$
$ 262.00
$
$ 373.0
$
$ 5.0
$
$ 63.00
$
$ 5.00
$
$ 75.00
$
$ 93.00
$
$110.00
$
$149.00
$
$168.0
$
$ 96.00
$
$ 64.00
$
$120.00
$
$102.00
$
$ 56.00
$
$120.00 $
$ 40.00 $
$ 74.0 $
$110.0 $
$W&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 296-468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrica Contractor or electrical administrator:
x i ✓ / % v Dated:
0 Cash 0 Check,t
Credit Card # //hr'
v 11210612012