HomeMy WebLinkAbout1821 E LAURIDSEN BLVD - Building (2) ELECTRICAL PERMIT
CITY OF PbRT ANGELES a
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360-1417-4735 ,�..
Application Number . . 17-00001601 Date 11/30/17
Application pin number . . . 707121
Property Address . . . . 1821 E LAURIDSON'STAVD REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-14-5-8-0350-0000
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
Furnace and heat pump
Owner Contractor
BERNICE JEANEAN APSENS AND JAM AIR FLO'.HEATING CO INC
1821 E LAURIDSEN BLVD 221 W CEDAR ST
PORT ANGELES WA 983624923 SEQUIN WA 98382
(360) 681-3901
- -
Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . 56.00 Plan Check Fee .00
Issue Date 11/30/17 Valuation 0
Expiration Date 5/2.9/18
Qty Unit Charge Per Extension
i
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
Fee summary. Charged Paid Credited Due
----------------- --------- ---------- ---------- ---------- V ,
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
CO]vIIu1ENTS:
PERU U L EXPIRE SIX(6)MONTH FROM LAST INSPWMN
Signature of owner or Electrical Contractor X Date:
10/30/2017 MON 14: 19 FAX 360 683 3971 Airflo Heating copier 0003/003
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical.Inspections a
321 East Fifth Street—P.O.Boa 1150/Port Angeles Washington,98362 0 �—
Ph: (36600�)417-4735 Fax: (360)4174711
Date:�V �y] _I&2 Single Family Dwelling
*Plan Revie M y Be Rewired P e Co fest' !PI a rmati TAWt
Job Address: 1�
Building Square Footage: .
Description of above
Owner lnforrnafio / Contr6or 1 i
Name: in Name: Via
Mad' A rgis: 1' Mad' V
Chy: ft Stow Tip: City �te:l Zia;9535
Phone: ax: P Fax.
License#/Exp. License#(ExpM.
Ell—t-1 rr!:, 61-11-wiPs
Idem Unit dame gty IStal(Qty IVfultiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
SwvioelFeeder 201.400 Amp. $146.00 $
Service/Feeder 401.600 Amp $205.00' $
I 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 401.600 Amp. $149.00 $
Temp.Servioe/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit/Umited Energy-1&.2 Family Dwelling $ 64.00 $
E 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 CONSTRUeTILNl ONLY:
First 1300 Square Ft $120.00 $
I Each Additional 500 Square FL 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.19.2&261:(1)Ownerml 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.
t
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 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical PermitApptications.
Signature of owner, contractoror electrical administrator: ❑ cash
: P'
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' Al
❑ Credit Card t
Gated: �j t�.J t atro�12012