HomeMy WebLinkAbout1629 W 7TH ST - Building (2) ELECTRICAL PARMIT �' 1
CITY OF PORT ANGELES
3€0-417-4735 �
Application Number . . 17-00001048 Date 8/14/17
Application pin number . . . 755248 .
Property Address . . . . . 1629 W 7TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30-00-0-1-5065-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . to the City of Port Angeles
Property Use . . . . . . (Location Code 0502)
Property Zoning RS7 RBSDNTL SINGLE FAMILY
Application valuation . . 0
Owner Contractor
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NIBLOCK LEIGH A/MARLA J AIR PLO HEATING CO INC
1629 W 7TH ST 221 W CEDAR ST
PORT ANGELES WA 983635201 SEQUIM WA 98382
(360) 681-3901
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 56.00 Plan Check Fee .00
Issue Date . . 8/14/17 Valuation 0
Expiration Date . . 2/10/18
Qty Unit`Charge Per Extension
1.00 56.0000 BCH EL-LVT-THERMOSTAT 56.00
Fee summary Charged Paid Credited Due
----------------- ---- --- ---------- ----- -------
Permit Fee Total 56.00 56.00 .00 00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DUCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
07/27/2017 THU 13: 41 FAX 360 683 3971 Airflo Heating copier 14002/002
T -
CITY OF PORT ANGELES PERMIT APPLICATION
Building Bivision/Electrical.Inspections �f Q
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711
Date: '1 _NZ1 &2 Single Family Dwelling n
Pian Review May Be Required,Please Complete Electrical Plan Review information Sheet
,fob Address: /[i 7, W. �13
Building Square Footage:3400
Description of above
Owner Information Contractol Information
Name.m,ee.A& ll"I&LL Name:Aicl9 tg"'n ai,
Mail' Address:/to Address: t`� Mailing Address: 22 t W. r S f.
City: r4 IQs State:',]k zip:"X&I-I- City.5 aft state:-jj,* _zip: '9,7321
Phone: - ax: Phone: - o Fax:
License#/Exp. License#/Exp. �'R-�
i Item Unit Charne (31y Total 1t'1ty Multiplied by Unit Charge}
Service/Feeder 200 Amp. $120.00 $-
ServioelFeeder 201400 Amp. $146.00 $
Servioe/Feeder 401.600 Amp $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
ServicelFeeder over 1000 Amp. $373.00 $
Branch Circuit Wl Service Feeder $ 5.00 $
Branch Circuit W10 Servioe Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 14 $ 75.00 $
Temp.Service(Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 201400 Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 AMP. $168.00 $
Portal to Portal Houdy $ 96.00 $
Signal Circuit)Limited Energy-1&2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $ -
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 ' $ 510 00
Note:$5.00 for each additional T-Stat
i NEW CONSTRUCTION ONLY:
First 1300 Square R. $120.00 $
Each Additional 500 Square Ft or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming.Pool or Hot Tub $110.00
$, Total
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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.
i
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 296-4613,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: 0 cash El' c k i
0 credit card I
Dated: 7 I 011010112
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