HomeMy WebLinkAbout618 S Peabody St Ste H - Building03/25/2015 WED 17:01 FAX 360 683 3971 Air Flo Heating Co.
CITY OF PORT ANGELES PERMIT APPLICATION -EAR 2 6 2015
Building Division /Electrical Inspections
321 East Fifth Street -- P.O. Box 11501 Port Angeles Washington, 98362 UCTRICAL
Ph: (360) 417 -4735 Fax: (360) 417 -4711 IN Z-OTIONS
Date: ?-25- t�
Multi - Family or Commercial*
1&001 /002
* Plan Review May Be Reg u. ed, Please Complete Electrical Plan Review Information Sheet
Job Address:
o
Building Square Footage:
Description of above
INC-oku,
Owner I If
Name: o ti
Contractor Information
0
Name, t'0
Mailin Ad ress: !
A-
City: $1-�3�z State: l& ZI
Mailin Addr ss: 2
City: WB VIM State: JA Zip:
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Phone: ax:
Phone: 0G*.--4Q4 —Fax:
License xP•
License #! Exp.
Item
Unit Charge
ON Total Multiplied by Unit Charge]
Service/Feeder 200 Amp.
$132.00
$
Service /Feeder 201 -400 Amp.
$160.00
$
ServioelFeeder 401.600 Amp
$ 225.00
$
Service /Feeder 601 -1000 Amp.
$ 288.00
$
Service/Feeder over 1000 Amp.
$ 410.00
$
Branch Circuit W1 Service Feeder
$ 5.00
$
Branch Circuit W o Service Feeder
$ 74,00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 14
$ 85.00
$
Temp. Service! Feeder 200 Amp.
$102.00
$
Temp. Servic0eeder 201400 Amp.
$121.00
$
Temp. ServicelFeeder 401 -600 Amp.
$164.00
$
Temp. Service/Feeder 601 -1000 Amp,
$185.00
$
Portal to Portal Hourly
$ 96.00
$
Sign/Outline Lighting
$ 88.00
$
Signal Circuit/ Limited Energy - Multi - Family
$ 64.00
$
Signal Circuit! Limited Energy ! First 1500 sf - Commercial
$ 96.00
$
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - SKVA System or Less
$113.00
$
Thermostat
$ 56.00
-
$ .15 ice. 19
Note: $5.00 for each additional T -Stat
$ 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, KE.C., RCW, Chapter 19.28, WAC. Chapter 29 6-4613, 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: 11 Cash ❑ check
/L 11 11 Credit Card # PA- k, t 42 r- l.D_
X a dated; ?"ZS—'t S.- 0110112012
�0
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . .
15- 00000299
Date 3/27/15
Application pin number . , .
032291
DITCH
Property Address
618 S PEABODY ST H
ASSESSOR PARCEL NUMBER;
06-30-00-6-8- 0000 -3080-
Application type description
ELECTRICAL ONLY
Subdivision Name
41C �
7 �;
Property Use
COMMENTS:
Property Zoning , . . . . , ,
UNKNOWN
Application valuation . .
0
Application desc
3TON HP CIRCUIT
---- --__ °_- - -_.___-_.._..___°_-°-------------------------------------------
Owner
Contractor
------------------ - - - - --
ANDERSON, RICK L
------------------------
AIR FLO HEATING
CO INC
581 HARBOR VIEW DR
221 W. CEDAR
PORT ANGELES WA 9B3639404
SEQUIM
WA 98382
(360) 683 --3901
-
! j
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Permit . . . , . . ELECTRICAL
ALTER COMMERCIAL
Additional desc , .
Permit Fee 56.00
Plan Check Pee
00
Issue Date . . , . 3/27/15
Valuation . ,
, . 0
Expiration Date . , 9/23/15
Qty Unit Charge Per
Extension
1,00 $6.0000 ECH 'EL-1,VT-
THERMOSTAT
56.00
Special Notes and Comments
March 26, 2015,11;22;I4 AM tamiot.
REPLACLNG LIKE .FOR .LIKE
.Fee summary Charged
Paid Credited
Due
----------- - - - - -- ---- - - - - --
Permit Fee Total 56,00
---- - - - - -- -- -- - - - - I -
56.00 .00
--------
.00
Plan Check Total 00
DO ..00
.00
Grand Total 56,00
56.00 00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTIONTYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -1N
FINAL
41C �
7 �;
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST WSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING