HomeMy WebLinkAbout1339 E Lauridson Blvd - Building CITY OF FORT ANGELES PERMIT APPLICATION �� a+';t + I � ��
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Building llivisionCEiecfrical Inspections ,�rF� � ih
:321 East fifth Street--.P.O.Tina 1150 d Port Angeles Washington,98362
Ph:(360)4117-4735 Fax.-(360)417-4711 N �f � � � �
Data; f�,,.��'�-t ;a°'7&2 Single Family Dwe8Ong
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Plan k �� Electrical Plan view Informed Sheet
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Suitdlog Square Footage:
Description of above
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Owner infformm tip G. Contractor l format!ar�
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s Matllr9g Address:
City; State: zip; U21.1.m city: . - y�� zip:— z
Phones "3 T 0� _FSx: phone: Fax:
t.taersse#!Exp, � t.lcensq#!OMxp. A• �» ..,�...
em 1 are Ox 7 l t i ed b U tt Char a
ServicerFeeder 200 Amp, $120.00 $
Servlcell=eeder201-400 Amp. $146.00 g^�
Servloa/Faeder 401-600 Amp $200,00
Service/Feeder 601-1000 Amp. $262.00 $�
Service/Feeder over 1000 Amp. $373.00 _ $�
Branch Circuit WI Service Feeder $ 5,00 $
nch Circuit WJ0 Service Feeder $ 63,00
&00h Additional Branch Circuit $ 6,00
Branch Circuits 1.4 $ 75.00
Temp,Service!Feeder 200 Amp, $ 93,00 $ _
Temp,ServicafFeeder 201400 Amp, $110,00 $�
Tamp+Service/Feeder401-600 Amp. $149.00 $ _
Tamp,Service/Foedor 801-1000 Amp. $168,00
Pastel to Portat htouriy $ 96,00 $�
Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64,00
Manufactured Name Connection $120.00 g�
Renewable Electrical Energy•5KVA System or Less $102,00 � $�
Thermostat $ 66,00
tote:$6.00 for each additional T-Stat T M
NFIIW__NSTRU0T10N ONLY:
First 1300 Square Ft, $120,00
Each Additional 500 Square Ft,or Portion of $ 40.00
Each Cutbulidng or Dstachsd Garage $ 74,00 $—
Each Swimming Peat or Not Tub $110.00 _� $
$ ""Tatai
Owner as defined by RCW.1918.261;(1)Owner wilt occupy the structure for two years attar 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 mor:ths of East 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 malting
the electrical hstallatfon or alteration h compliance with the electrical taws,KE,C.,RCW,Chapter 19,28,VVAC,Chapter 296 4W,The City of fort
Angeles Municipal Code,and Utility Specifications.and PAMC 14.05.060 regarding Electrical Permit Applications.
Signature of owner,electrical contractor oretectdcal administrator: cash ❑ ChnK
L7 Ci�ditCard#r_
X gated:_. f r °° t y i111p91204� _�
ELECTRICAL PERMIT _
CITY OF PORT ANGELES W
360-417-4735
Application Number , . , , , 13-00001372 Date 11/27/13 I"
Application pin number , , , 730192
Property Address . , . , . , 1339 E LAURIDSEN BLVD REPORT SALES TAX
ASSESSOR PARCEL NUMBER; 06-30-11-5-5-0250-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision .Name
Property Use to the City of Port Angeles
,
Property Zoning , , , . , . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
--_____----- -----------------------------------------------------------------
Application desc
Ductless heat pump
Owner Contractor
W ---- ---- -
IRT WILL EXTRA MILE TECH & ELECT. , LLC
1339 E LAURIDSEN 13LVD 918 N. RACE ST,
PORT ANGELES WA 983526617 PORT ANGELES WA 98362 W
(360) 957-2222
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 75.00 Plan Check Fee ,00
Issue Date 1.1/27/13 Valuation . , . , 0
Expiration Date . . 5/26/14
Qty Unit Charge Per Extension
BASE FEE 75.00
-------------------------------- ------------------- -------------------------
Fee summary Charged Paid , Credited Due
----------------- ---------- ----------- --------- ---------- G
Permit Fee Total 75.90 75.00 00 .00
Plan Check Total. 90 ,00 ,00 00
Grand Total 75.90 75.00 .00 00 .�
V'
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN .3
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING