HomeMy WebLinkAbout1017 E LAURIDSEN BLVD - BuildingINSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
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Signature of owner or Electrical Contractor X
Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3W417-4735
Application Number
17-00000761 Date 6/09/17
Application pin number . .
041562
Property Address . . . . . .
1017 E LAURIDSEN BLVD
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER:
06 -:30 -00 -0 -2 -6276 -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
(LoCat/on Code 0502)
Application valuation . .
0
Application dead
- -
Furnace
Owner
Contractor
GILBERT JACK
PENINSULA HEAT INC
1017 E BOULEVARD
782 KITCHEN -DICK RD
PORT ANGELES WA 983628034
SEQUIM WA 98.382
(360) 681-3333
Permit . . . . ELECTRICAL
ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . 56.00
Plan Check Fee .00
Issue Date 6/09/17
Valuation . . 0
'
Expiration Date'. 12/06/17
Qty Unit Charge Per
Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT
56.00
J.
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:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
rCKMIL wuA.,r"%rmn DLA to) mvr4tria rt%vm L.ADL uvJriy-trv►v
Signature of owner or Electrical Contractor X
Date:
R E
Contractor Information \�
t
CITY OF PORT ANGELES PERMIT APPLICATION
'►1.�►--
Mailing Address: _3 c =vQ
1J9
Mailing Address: O U 3
City:+' State: Zip: 3
Building Division/Electrical Inspections
City: f State: t -o A Zip: 9
M
Phone: l-3 Fax: c)8 ^ _
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
i
Item
Ph: (360) 417-4735 Fax: (360) 417-4711
P-ty Total (Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp.
$120.00
ID ^
Service/Feeder 201-400 Amp.
ON
$
Service/Feeder 401-600 Amp
Date:5— _ 1 & 2 Single Family Dwelling
$
Service/Feeder 601-1000 Amp.
$ 262.00
* Plan Review May 8 Required, Please Complete Electrical Plan Review Information Sheet
Service/Feeder over 1000 Amp.
$ 373.00
$
Job Address: l� l�
$ 5.00
$
Branch Circuit W/O Service Feeder
Building Square Footage: 1
$
Each Additional Branch Circuit
$ 5.00
Description of above
Branch Circuits 1-4
C�-
$
\ .
$ 93.00
$
Temp. Service/Feeder 201-400 Amp.
Owner Information\ _
�Q(�' �
Contractor Information \�
Name: ,
Name: PPP1in5 A r\el�_k_
Mailing Address: _3 c =vQ
1J9
Mailing Address: O U 3
City:+' State: Zip: 3
(a a
City: f State: t -o A Zip: 9
Phone: --±2.3Fax:
Phone: l-3 Fax: c)8 ^ _
License # / Exp.----
License # I Exp. P FN
Item
Unit Charge
P-ty 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 Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 75.00
$
Temp. Service/ Feeder 200 Amp.
$ 93.00
$
Temp. Service/Feeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder 401 -W -Amp.
$149.00
$
Temp. Service/Feeder 601-1000 Amp.
$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuitt 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 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
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: ❑ cash ❑ check
`l ❑ Credit Card #
x Dated:
;J/O/,,-)C) I _ 01101r2012