HomeMy WebLinkAbout202 HANCOCK AVE - Building (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000514 Date 4/10/18
Application pin number . . . 496814
Property Address . . . . . . 202 HANCOCK AVE
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2400-0000=
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning , . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . i 0
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Application desc
Ductless heat pump
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Owner Contractor
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SMASAL DONA J EXTRA MILE TECH & ELECT., LLC
202 HANCOCK AVE 418 N. RACE ST.
PORT ANGELES WA 983622522 PORT ANGELES WA 98362
(360) 457-5222
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Pian ChBck Fee .00
Issue Date . . . . 4/10/18 Valuation . . . . 0
Expiration Date . . 10/07/18
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
DATE: RESULTS:
&*ql '� I , '
;,w.a
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Cade 0502)
INSPECTOR:
Signature of owner or Electrical Contractor X pate:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.47351 wwtiv.cityofpa.us ( electricalpermits@cityofpa.05
Project Address: Z o z V4 gr vo c -p C_ K
Description: ij c.w ► S �'- o `� a 1 -e -S. s
LV' Single -Family Residential ❑ Duplex /ARU Building Square footage:
4-e *-4- `P0 -h r
Name: t7_'_ -s o mu A
Email:
N1 A`
Mailing Address: 20 Z /,��}itJCac�
Phone: 3 loci _,4 2 - q9 fe 3 y
ELECTRICALCONTRACTOR,
NFs>
Name: Fxfa* rM: I&-rec"tt
Ucense: A- 4rT75 R6
Mailing Address: i !6 - ;k oa 'S t 24'
r?4- 4YS &Z-
, ^
Email: s x L a -.r r'/� o ! � ,�� c _ ei r
4-e *-4- `P0 -h r
Name: t7_'_ -s o mu A
Email:
N1 A`
Mailing Address: 20 Z /,��}itJCac�
Phone: 3 loci _,4 2 - q9 fe 3 y
ELECTRICALCONTRACTOR,
NFs>
Name: Fxfa* rM: I&-rec"tt
Ucense: A- 4rT75 R6
Mailing Address: i !6 - ;k oa 'S t 24'
r?4- 4YS &Z-
Expiration Date: /2-26-10/11
Email: s x L a -.r r'/� o ! � ,�� c _ ei r
Phone: 3 19 9 p
PROJECTDETAILS
l
Unit Chargg Clulantity
IO( (Quantity x Unit Change)
Service/Feeder 200 Amp"
$120.00
$
Service/Feeder 201A00 Amp.
$146.00
$
Service/Feeder 401-6W Amp
$205.00
$
Service/Feeder 6014000 Amp_
$262.00
$
Service/Feeder over 1000 Amp"
$373.00
$
Branch Circuit W Service Feeder
$5.00
$
Branch Circuit Utl/O Service Feeder
$63.00 �_
$
Each Additional Branch Circuit
$5.00
$
Branch Circuits 1-4
$75.00
$
Temp. Servioe/Feeder 200 Amp.
$93.00
$
Temp. Servic&T*eder 201-400 Amp.
$110.00
$
Temp. Servioe/Feeder 401-600 Amp.
$149.00
$
Temp. ServioelFeeder 601-1000 Amp.
$168.00
$
Portal to Portal Hourly
$96.00
$
Signal Circuitk imited Energy -1&2 OU.
$64.00
$
Manufactured Hone Connection
$120.00
$
Renewable Elec. Energy: 5KVA System or less
$102.00
$
Thermostat (Note: $5 for each additional)
$56.00
$
Fast 1300 Square Feet
$120.00
$
Each Additional 500 square fear
$40.00
$
Each Outbuilding ! Detached GanW
$74.00
$
Each Swimming Pool / Hot Tub
$110.00
$
TOTAL.
$}
owner as defined by RCK 19.28261: (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 sbc months of last inspection.
After reading the above statement, I hereby certify that 1 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-
466, The City of PortAngeles Municipal Code, and utility Specificatiions and PAMC 14.05.050 regarding Electrical Permit Apprications.
- g v"�'
Date Print Name
Signature (❑ Owner
El/Electrical Contractor / Administrator)
[Electrical Permit Applications maybe submitted to City Hall or elechicalpermitsQatyofpa.us or faxed to 360.417.47111