HomeMy WebLinkAbout1128 W 17th Street - Building ELECTRICAL PERMIT - -�` 2
CITY OF PORT ANGELES
360-417-4735 -Jr
Application Number 17-00000074 Date 1/24/17
Application pin number . . 478886
Property Address 1128 1/2 W 17TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-5130-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0
Application desc
Heater circuits
Owner Contractor
FRANA BLAYLOCK KIRSCH ELECTRIC INC.
P 0 BOX 1479 P. 0. BOX 3396
PORT. ANGELES WA 98362 SEQUIM WA 98382
(360) 683-6819
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc . 1-4 CIRCUITS
Permit Fee . . 75.00 Plan Check Fee . . .00
Issue Date . . . . 1/24/17 Valuation . . . . 0
Expiration Date . . 7/23/17
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
•
ROUGH-IN jL 17 -'
FINAL /4.11-7 - 14p.
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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• CITY OF PORT ANGELES PERMIT APPLICATION1 ` '� i'it; ''. n
Building Division/Electrical Inspections #`.. ,$ 1, t k,4
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 , t i -�-.. '."
Pb:(360)417-4735 Fax: (360)417-4711
Date:i' . 11 _ V 1&2 Single Family Dwelling � i I-`•. t,'h
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*Plan Review May Be‘Ftluired,_Please C mplete Electrical Plan Review Information ''h:-t
Job Address: t t 2 it IV VI. 5} cA W4 A !) '
Building Square Footage: V ''f It '
Description of above r : a - (' *+r. h • 'r•.• Y —1_,, 4. a
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Owner I •rmation Contra .,.,1 .rmation
Name: ' . .. . �..— Name: 16, - t ^ C
Malli Address:t - MFAll— M'e. . Mi' " •.y''` : •
City: 'lie 'R s a .-a.- tater Zip: `II.%.:-' City: '''1_`: a State: ► t Zip." kyr a.
Phone: . --, 1- Fax: Phone w�6liga'.: Fax: ' w • ii.t:
License#t Exp. License#1;I VA.Mc1'tin', W
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Item Unit Charge 21Yj •Total(Qty Multiplled by Unit Charge)
Service/Feeder 200 Amp. . $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $ .
ServiceJFeeder 601.1000 Amp. S 262.00 . $
Service/Feeder over 1000 Amp. 5 373.00 I $
Drench Circuit WI Service Feeder $ 5.00 5_
Branch Circuit W/O Service Feeder $ 63.00 Ii $
Each Additional Branch Circuit $ 5.00 ! $
Branch Circuits 1-4 $ 75.00 ff $ 75,cit)
Temp.Service/Feeder 200 Amp. $ 93.00 , $
Temp.Service/Feeder 201-400 Amp. $110.00 1 $
Temp.Service/Feeder 401-600 Amp. 5149.00 5
Temp.Service/Feeder 601-1000 Amp. $168.00 , ' $
Portal to Portal Hourly $ 96.00 :J $
Signal Circuit/Limited Energy-1&2 Family Belling $ 64.00 �1 , $
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Manufactured Home Connection $120,00 . . $
Renevfabre Electrical Energy-5KVA System or Less $102.00 f $
Thermostat 5 56.00 $
Note:$5.00 for each additional T-Stat •
NEW CONSTRUCTION ONLY:
First 1300 Square Ft g 120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 I I $
Each Outbuilding or Detached Garage $ 74.00 ' , S
Each Swimming Pool or Hot Tub $110.00 $
I $ 'ZS..CooTotal
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after 'i ,,ectdcal permit is finalized.(2)Owner is required
to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires .i-r ix months of last inspection.
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After reading the above statement,I hereby certify that 1 am the owner of the above named p .• . or a licensed electrical contractor.lam making
the electrical installation or atteration in compliance with the electrical laws,N.E.C.,RCW.Ch : 09.28,WAC.Chapter 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical — it Applications.
Signature of owner,electrical contractor or electrical administrator: El �I p chair ifs
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X V.e,./.. g°J r/% Dated , 1 + ` `l MI011 2
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