HomeMy WebLinkAbout1102 W 12th Street - BuildingELECTRICAL PERMIT
CITY OI~ `FORT ANGELES
3664174735
Application Number . . . . .
17-00000039 Date 1/12/17
Application pin number . . .
145233
Property Address . . . . . .
1102 W 12TH ST
ASSESSOR PARCEL NUMBER:
06 -30700 -0 -3 -69.00 -0000 -
Application type description
ELECTRICAL ONLY -
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
Application valuation . . . .
---------------------7------------------------------------------------------
0
Application desc
GFCI and heat pump
----------------------------------------------------------------------------
Permit Fee . . . .
Owner Contractor
JUSTIN E ELLIS
EXTRA MILE TECH & ELECT., LLC
115 E RAILROAD AVE STE 301
418 N. RACE ST.
PORT ANGELES
WA 98362
PORT ANGELES
WA 98362
(217) 418-3875
----------------------------------------------------------------------------
(360) 457-5222
Permit . . . . . .
ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . .
68.00
Plan Check Fee
.00
Issue Date
1/12/17
Valuation . . . .
0
Expiration Date
7/11/17
Qty Unit Charge
Per
Extension
1.00 5.0000
ECH EL-ECH ADDNT BRANCH CIRCUIT
5.00
1.00 63.0000
----------------------------------------------------------------------------
ECH EL -R-
BRANCH CIR WO/ SER FEED
63.00
Fee summary Charged
-----------------
Paid Credited
Due
----------
Permit Fee Total
----------
68.00
--------------------
68.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
68.00
68.00 .00
.00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE / �7
ROUGH -IN
FINAL
1 COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
RECEIVED.
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ELECTRICAL PERMIT
CRY OF PORT ANGELES
360-41-7-4735
Application Number . . . . . 16-00001820 Date 12/09/16
Application pin number . . . 049680
Property Address . . . . . . 1102 W 12TH ST
ASSESSOR PARCEL -NUMBER: 06 -30 -00 -0 -3 -6900 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
JUSTIN E ELLIS DAVE'S HTG & COOLING SRVC INC
115 E RAILROAD AVE STE 301 PO, BOX 413
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(217) 418-3875 (360) 452-0939
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . -
Permit Fee . . . . 56.00 Plan Check Fee .00
Issue Date . . . . 12/09/16 Valuation . . . . 0
Expiration -Date 6/07/17
Qty unit charge Per Extension
1.00 56.0000 ZCH EL-LVT-THERMOSTAT 56.00
----------------------------------------------------------------------------
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
DITCH
SERVICE
ROUGH -IN
FINAL
DATE: RESULTS:
W"aff A
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or ElectricalContractor X
GAEXCRANG&BUILDING
A
REPORT SALES TAX
on your excise tax form
to the City of Part Angeles
(Location Code 0502)
INSPECTOR:
Date:,
12/06/2016 9:27AM FAX 3604324376 OAVES HEATING & COOLING
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Xiuspections
321 East Fifth Street — P.O. Box 1.150 / Part Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Dale: a so
._` 1 & 2 Single Family Dwelling
160001/0002
* Pian Review May Be Regu� re lease Complete lectrieal Plan Re vi information Sheet
P(__U.
Job Address: �� 3 mss¢-
Building Square Footage:
-
Description of above (d ,n a* m
A, r
. .....
sc ��,,: r�.
Owner Information, Contractor Infonmatlgn
Name: �� S-#� ((t.� Name: i'r, Sruc.
Mad �9Add ass:--. .- .. Mai6np wss ii0 1io�c
Cily. �.. state: Zip:.. City: d
te: Zip: K'3 =-
Phone 1
- � * License 41 Exp. �AVE5'M L'-7 G'0'x. 1 a x,1'7
Item Unli Charae 9!Y
Total tAty Muldolied by Unit Ghana)
Service/Feeder 200 Amp. $120.00
$
Service/t seder 201400 Amp. $146.00
$
Service/Feader 401.600 Amp $ 205.00
g
SanacelFoeder 601-1000 Amp. $ 262.00
$
ServicelFeeder over 1000 Amp. $ 373.00
$
Branch Circuit W/ Service Feeder $ 5.00
$ --
Branch Circuit W/O Sorvice Feeder $ 63.00
$ -
Each Additional Branch Circuit $ 5.00
$
Branch Circuits 14 $ 75.00
$
Tamp. Service/ Feeder 200 Amp. $ 93.00
$
Temp_ Service/Feeder 201-400 Amp. $110.00
$
Temp. ServicelFeeder401-600 Amp, $149.00
$_
Temp. Service/Feeder 601-1000 Amp. $168.00
$
Portal to Portal Hourly $ 96.00
$
Signal Circuit/ Limited Energy - t & 2 Family pwelling $ 64.00
$ -
Manufactured Home Connection $120.00
$
Renewable Electrical Energy - 5KVA System or Less $102.00
$
Thermostat $ 56.00
Mote: $5,00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft, $120.00
$
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
$
$ -'S G.o0 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„ ROW, Chapter 19.28, WAC, Chapter 298.466, The City of fort
Angeles Municipal Code, and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ caah 13 Check
Credit card s
x P,� Dated: / �/ � / !3�
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0110112012