HomeMy WebLinkAbout1823 W 15th Street - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES -
366=417-4°735
Application Number 17-00000954 Date 7/11/17
Application pin number . 045758
Property Address 1823 W 15TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-0570-0000-
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
Temp power
Owner Contractor
JEREMY AND DEBBIE KIRKLAND SEQUIN VALLEY ELECTRIC
1823 W 15TH ST 11 LONE EAGLE LANE
PORT ANGELES WA 98363 SEQUIN WA 98382
(360) 681-3330
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc .
Permit Fee . . . 93.00 Plan Check Fee . . .00
Issue Date . . . 7/11/17 Valuation . . . . 0
Expiration Date . 1/07/18
Qty Unit Charge Per Extension
1.00 93.0000 ECH EL-TEMP SRV 0-200 SRV FDR 93.00
Fee summary Charged Paid Credited Due
I
Permit Fee Total 93.00 93.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 93.00 93.00 .00 .00 •
•
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE 7115 if? 404i7 "41.?5k1P
ROUGH-IN
FINAL -a 11- •/ 447 0:4"
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
CITY OF PORT ANGELES PERMIT APPLICATION +.r.•- ,
Building Division/Electrical Inspections " ' A . ,&`
321 East Fifth Street— Port Angeles Washington,98362 �'' i . i ?;` -'�,N4 /
Ph: (360)417-4735 Fax: (360)417-4711 `` { �" t
ftNP
Date: }1(I I I _I &2 Single Family Dwelling
* Plan Review M {Ei Rtuiredease Cargfl to E_ al Plan Review Information Sheet
Job Address: `0
Building Square Footage:
Description of above -- --te/v‘ ( Pcie
•
Ownerformation Contractor Information
Name: re-4,,,'> N cut..moi No US//c/G Name:SEQ(j,77 V"-LLL� '7 '/c
Maili9A Address: 26'03 S F7f'f9A /sMailing Address: i/ La Wel-- e"-^/9-6-e4" C 47
City:! 'gi/CL' ' State:Lai/ Zip: 41d�s'6 2 City: SeQ /et State: L '4 p: ��-s'cPa
Phone: /f-S? 7C:3/ Fax: Phone:6 d9/..?.330 Fax: 6j'.? 4i 4 2-(,)
License#/Exp. License#/Exp. S&--.6Z U/ VE. q0/ L 3
Item Unit Charge Qty Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $ .
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feed $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 Only $ 75.00 $ •
Temp.Service/Feeder 200 Amp. $ 93.00 / $ 93. c.>
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp . $168.00 $
Portal to Portal Hourly $ 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 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $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 $
$ 93 L>o 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: ,.0 Cash 0 Check
/Q 7 / Credit Card# PZ-6 SE c L L �!�/Z Ai U 77/5A7(1
X Dated: 7 // /2 O/ r`7YJ 0210612012
Po p 17O6 /7/51e72„,