HomeMy WebLinkAbout3 - Building Ems .IFRM l
C� A�GELES
360417-4735
Application Number io 00000e42 aWEPoSTATE SALES TAX
w` Application pin number . . 719988
Property Address . . . . . . ill E 3RD ST on your excise tax fom
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-5445-0000- to the City of t AnlgeW
ns Applicatio type description ELECTRICALfar
ONLY
Subdivision Name . . . . (Locadon Code 0502)
Property Use . . . . . . .
4 Property Zoning . . _ . . COMMUNITY SHOPPING DISTR ,
Application valuation 0
r ----------------------------------------------------------------------------
Application dent
2 carrier package.unita
Owner Contractor
CLA - -LLAM COUNTY AIR FLO HEATING CO INC
223 8 4TR ST 221 W CEDAR ST
PORT ANGELES WA 98362 SEQUIN WA 98382
(360) 681-3901---------------------------------------------------------------------------
Permit . . . ELECTRICAL ALTER COMMERCIAL
Addit onal ,desc .
Permit tee . . 112.00 "Plan Check Fee .00
Issue Date . . . . 7/30/20'> Valuation 0.
Expiration Date 1/26/21
Qty : Unit Charge Per Extension
2.00 56.0000 ECH EL-LVT-THERMOSTAT 112.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 112.00 112.00 .00 .00
Plan Check Total :00 .00 .00 .00
71
Grand Total 111.00 112.00 - .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
ta awe
COMMENTS.
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
^ .
ELECTRICAL PERMIT APPLICATION
PuMiclVnrka and [[1il]iicy [}cpariment �u
321 L �|h Sircet. Port 1nuc|ux, \&A 98')62 \
3604174735 o[nx.o~ i e|ecirica|pcnni\suk:ii!o|pao. Co
Project
Address- 111 E 3rd Street Port Angeles, WA 98362n�
�no�d��m��r��mn� Install Units
[] Sin Residential [] Oudmu/ARU Building Square footage: 4120
OWNER INFORMATION
Name: mu Email:
Mailing Address: 336 Benson Road Port Angeles,WA 98362 phmne: 30O-477-D055
ELECTRICAL CONTRACTOR INFORMATION
Name: Air Flo Heating Ucmnwe: AJRFL|~2O0oG
Mailing Address: 221 W Cedar Street Sequim,WA 98382 Expiration Date: 04/25Q022
Email: ellie@airfloheating.com Phone: 360'683-3901
PROJECT DETAILS
Ulm Unit ChaEge ouantity J2W(Quantity x Unit Charge)
Service/Feeder 30OAmp. $120.00 $_____----_
Servim»UFeedar20i'40OAmp. $148.00 $__________
Service/Feeder 401-60¢Amp. $205.00 $
Service/Feeder 601-100Amp. $262.00 $______
Service/Feeder over 1000Amp. $373.00 -----_- $
Branch QrcmdW/Service Feeder $5.00 _--_--- *--------__.
Branch Circuit W/O Service Feeder s83.00 $
Each Additional Branch Circuit $5.00 $_____
Branch Circuits 1-4 $75.00 ____--- $
Temp.Service/Feeder 2U0Amp. $93.00 $______-----
Temp.Service/Feeder 2U1-4DOAmp. $110.00 $_____-----
Temp.Service/Feeder 401-6O0Amp. $149.00 $____----_
Temp. Service/Feeder 801-1UOOAmp. o168.00 s----__----'
Portal(o Portal Hourly $98.00 ___---- $
Signal Circuit/Limited Energy'1&2DU. $64.00 $----_---__
Manufactured Home Connection $120.00 ___--- $
Renewable Elec. Energy:5KVA System orless $102.00 $
Thermostat<Nota:$5 for each additional) $50.00 ��_---' $-11 �00___
Pirst1300 Square Feet $120.00 $_____---_
Each Additional 800 square feet- V40.00 $________'
Each Outbuilding/Detached Garage *74.00 $
Each Swimming Pool/Hot Tub $110.00 $
TOTAL 112.00
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.|hereby certify that|am the owner of the above named property or a licensed electrical contractor.|
am making the electrical installation or alteration in compliance with the electrical laws,N.E.C., RCW Chapter 19.28,WAC.Chapter 2gG-
46B.The City ofPort Angeles Municipal Code,and Utility Specifications and PAK8C1*05V5O regarding E|ectrico|PonnitApp|icatioms.
07t28/2020 Ellie Hubbard
Date Print Name Signature([:] Owner;Z Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]