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HomeMy WebLinkAbout 940 E LAURIDSEN BL - BuildingELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 18-00000051 Date 1/16/18 Application pin number . . . 839661 Property Address . . . . . . 940 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06 -30 -10 -5 -1 -0100 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Bathroom remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JUDY HAGGERTY OWNER 270 ELWHA BLUFFS SEQUIM WA 98382 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc : . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 1/16/18 Valuation . . . . 0 Expiration Date . . 7/15/18 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 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 18-00000051 Date 1/16/18 Application pin number . . . 839661 Property Address . . . . . . 940 E LAURIDSEN BLVD REPORT STATE SALES 7`AX ASSESSOR PARCEL NUMBER.: 06-30-10-5-1-0100-0000- Q/] our excise tax form y Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . (Location �.Ot 0502)Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY -Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Bathroom remodel ---------------------------------------------------------------------- — ---- Owner Contractor ------------------------ JUDY HAGGERTY ------------------------ OWNER 270 ELWHA BLUFFS SEQUIM WA 98382 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 1/16/18 valuation . . . . 0 Expiration Date 7/15/18 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 FINAL 2, COMMENTS: t PERMIT' WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections t;s< 321 East Fifth Street — P.O. Box 1150 /Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date::'`/G�/ / .Y 1 & 2 Single Family Dwelling * Plan Review May Be R quired, Please Complete Electrical Pla Review Information Sheet Job Address: Cl /lll f` a e d- , gni Building Square Footage: -91 ►3� 9/ / � C7 Description of above i3.rJ -f h P6 U M " Owner l ormation Contractor Information Name: _� `/ Name: �re.,, Mailing A cess: 9�p Li,¢i,�,e Mailing Address: City: ©a State: /4 Zip: City: State: Zip: Phone: h/5 % - /k2-iLFax: kf ,0,10e- Phone: Fax: License # / Exp. License # I Exr, Item Unit Charge QtV Total (Qtv 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 Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ fi.. t3 Branch Circuits 14 $ 75.00 3 $ Q Temp. Service/ Feeder 200 Amp. $ 93.00 IL $ 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 4KI $_l 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 $ $_ 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: X r� ! %' �..� ,� jam, Lf Dated; 1X