HomeMy WebLinkAbout12S OAKCREST AVE - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 17-00001084 Date 8/10/17
Application pin number . . . 089616
Property Address . . . . . . 125 OAKCREST AVE
ASSESSOR PARCEL NUMBER: 06 -30 -16 -5 -3 -0000 -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
Remodel
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Owner Contractor
TYLOR AND JAMIE S SIFAGALOA SHEPHARD ELECTRIC
125 OAKCREST AVE 71 E ROBERT PL
PORT ANGELES WA 98362 SEQUIN WA 98382
(360) 797-4016 (360) 477-1801
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date . . . . 8/10/17 valuation . . . . 0
Expiration Date - 2/06/18
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
---------------------------
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Permit Fee -Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSI'�ON TYPE-
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
DATE: RESULTS:
REPORT STATE SALES TAX_ "
on your excise tax form
to the City of Port Angeles .
(Location Code 0502)
ki
A
A , y0AT
ON
*0 ELECTRICAL INSPECTION
ul
WIRING REPORT
IF
417-4735
TK&Pl�
PERMIT # INSPECTP44-)
3 �j -2 J7 106"1
OWNER I
CONTRACTOR
54,gf
ADDRESS
APPROVED NOT
0 .................... DITCH ............. ....
0 ................ ROUGH IN/COVER ............... 0
[3 .................... SERVICE ................... 0
0 ..................... FINAL .................. P11 -
CORRECTIONS NEEDED: gAR,6--1 f7 50-1,9
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-- 00 NOT REMOVE --
��. POR r i off
CITY OF PORT ANGELES PERIMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362,;
Ph: (360) 417-4735 Fax: (360) 4174711
Date: % T 1 & 2 Single Family Dwelling
* Plan Review May Be Required, Plejase Complete Elecgical Plan Review Information Sheet
Job Address: /.-)(4 c P :7` v
Building Square Footage:
Description of above
Owner Information ,--
Name: ; ,,�e
Mailing Address: % 'T t.,j
City.
State: �� Zip:
Phon : Fax:
License # I 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 601-1000 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
Unit Charge
$120.00
$146.00
$ 205.00
$ 262.00
$ 373.00
$ 5.00
$ 63.00
$ 5.00
$ 75.00
$ 93.00
$110.00
$149.00
$168.00
$ 96.00
$ 64.00
$120.00
$102.00
$ 56.00
$120.00
$ 40.00
$ 74.00
$110.00
Contractor Information C "
Name: —kE q Z�.--J �� F
Mailing Address:. 7 I Z�- W - ti : /5
City: State: tA1 rj- Zip:
Phone: Z/ u - 4 n. / ?, VFax:
License#/Exp.
Qty Total (Qtv Multiplied by Unit Charge)
r $ s. �
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.
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check
❑ Credit Card#
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x (/ i Dated:" ` f r ' 1' / 0210612012