HomeMy WebLinkAbout727 Caroline Street - Building � " 'WWi1L PEi2MIT
CITY i P`,(6RT ANGELES
3�17-4735 W
Application Number . . 21-00000305 Date 3/12/21
Application pin number . 960150
Property Address . . . 727 CAROLINE ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3300-0000
Application type description ELECTRICAL ONLY
;Subdivision Name . . . . .
Property Use . . . . . . .
Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
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Application desc
50_amp circuit
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Owner Contractor
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BLOOM ROBERT D/NANCY SEQUIM VALLEY ELECTRIC
PO BOX 141 11 LONE EAGLE LANE
ARLINGTON WA 982230141 SEQUIM WA 98382
(360) 681-3330
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Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 75.00 Pi an Check Fee .00
Issue Date . . . 3/12/21 Valuation . . . 0
Expiration Date . . 9/08/21
Qty Unit Charge Per Extension
BASE FEE 75.00
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Fee summary
C�g ed 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 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 1219
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING to ..
-0
2 SINGLE-FAMILY 0
3
ELECTRICAL PERMIT APPLICATION
1"Itiblic Works and Ultilitics Department
3'2 1 E. 5 th Street. 110ri W> 98362
I I%o f1lo,(is
300A 17.47,. w 5 1 �%�N ,chN olpams electn':Ulpel III is I
Project Address*727 Caroline St.
Project Description: 1 CKT -50A
El Single-Family Residential 13 Duplex ARU Building Square footage:
OWNER INFORMATION
Name: Robert Bloom Email:
Mailing Address:same Phone:360-452-1108
F
ELECTRICAL CONTRACTOR INFORMATION
Name: Sequim Valley Electric,Inc. License: SEQUIVE9011-3
Mailing Address: 11 Lone Eagle Lane,Sequim,WA 98382 Expiration Date: 0612112022
Email: ahanova33@msn.com Phone: 36"81-3330
PROJECT DETAILS
bm Unit Charge Tatd(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201400 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 14 $75.00 $ 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.Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy-1&2 DU- $64.00 $
Manufactured Home Connection , $120.00 $
Renewable Elec.Energy:5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional) $56.00 $
0�P-05,
0 N
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.
03-11-2021 ANDREA HANA
Date Print Name Signature(17 Owner V Electrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111