HomeMy WebLinkAbout3909 NYGREN PL - Building (2)ELECTRICAL PERMIT`
CITY OF PORT ANGELES
36( 417-4735
Application Number . . . . . 16-00000244 Date 2/24/16
Application pin number . . . 921292
Property Address . . . . . . 3909 XYGREN PL
ASSESSOR PARCEL NUMBER: 06 -30 -15 -6 -3 -0020 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . ... . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
BLOOR, SANDRA EXTRA MILE TECH & ELECT., LLC
3909 NYGREN PL 418 N. RACE ST.
PORT ANGELES WA 983621904 PORT ANGELES WA 98362
( 36) 457-1827 (360) 457-6222
----------------------------------------------------------------------------
Permit . - . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . DUCTLESS
Permit Fee . . . 63-00 Plan Check Fee .00
Issue Date .. . . . 2/24/16 Valuation 0
Expiration Date 8/22/16
Qty Unit Charge Per Extension
1100 6-3.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63,00
--------------------- ------------------------------------------------------
,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
REPORT SALES TA)(
on your excMe, tax fafm
to the Cffy of Port Angeles
(Location Code 0502)
INSPBMONME DAM- RESULTS: INSPECTOR.
DITCH
SERVICE
ROUGH IN
FINAL
COhOVIENTS:
PMWff WILL EXPIRE SIX (6) MONMS FROM LAST INSPWWN
Signature of owner Or Electrical Contractor X
a-NEXCRANGSBUIMINO Date:
� 0, c�`�N ELECTRICAL INSPECTION
WIRING REPORT
KS 417-4735
�R�`
DATE 1.5 ' J 6 I PERMIT# �-p— I INSPEC/
OWNER `
CONTRACTOR
AX7X-&# -in . or
ADDRESS
3?0 F
APPROVED NOT APPROVED
❑ ....................DITCH.................... ❑
❑................ ROUGH IN/COVER ...............
❑ ....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
L s
CORRECTIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE —
CIT' OF PORT ANGELES PERMIT .APPLICATION .._«.
Building Division/Electrical Inspections
321 East Fath Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date.. _ V11 & 2 Single Family Dwelling
* Plan Review MayBeRequired, Please Complete
Ilectrical Plan Review Information Sheet
Job Address: Z i o`71
Building Square Footage: ,
Description of above tia.� (` r' ✓'�e A
�k t7 c_,v{ zCa
1, 4 ev.:; .a
Owner Informalon
Contractor Information
Name: . (l �'> c 4�
Name: Ex -r/24 M7�-C 72!7ctf /mac a
Mailing Address: '� U tf `'i J� '
Mani Address: /"-. ll. 86 X � r 2k
City i' i r- Slate:
City e S State: 1NX Zip: 9 A' 36 Z
Phone:.t (- c z Fax
Phone: 5`7- TXI2_Fax N / �+
License # / Exp.
License # 1 Exp. EA 7-37 A e -i7- 97 3 R b
Item
Unit Charge
Qtv Total (C tv Multiplied by Unit Charae)
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder201.400 Amp.
$146.00
$
ServicelFeeder 401-600 Amp
$ 205.00
$
Service/Feeder 601-1000 Amp.
$ 262.00
$
Service/Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit W1 Service Feeder
$ 5.00
$
Branch Circuit NO Service Feeder
$ 63.00
t $ !� .
Each Addifionat Branch Circuit
$ 5.00
$
Branch Circuits 1-4
$ 75.00
$
Temp_ Service/ Feeder 200 Amp.
$ 93.00
_ _ $
Temp. ServicelFeeder 201-400 Amp.
$110.00
$
Temp_ Service/Feeder 401-6W Amp.
$149.00
$
Temp. ServicelFeeder601-1000 Amp .
$168.00
$
Portal to Portal Hourly
$ 96.00
$
Signal Circuit/ Limited Energy -18 2 Family Duelling
$ 64.00
$
Manufactured Home Connection
$120.00
$
Renewable Electrical Energy - 5KVA System or Less
$102.00
$
Thermostat
$ 56.00
$
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
$120.00
$
Each Additional 500 Square Ft. or Portion of
$ 40.00
$
Each Outbuilding or Detached Garage
$ 74.00
$
Each Swimming Pool or Hot Tub
$110.00
$
$ l<. =; `` Total
Owner as defined by RCW.1928.261: (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 forsale, 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 afteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of Port
Angeles Municipal Code, and utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:O
h 0 Check
X Yq
L�
tl creaitCard c...__._®sJ iL
r
Dater:
01101 4912
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . I . 16-00000244 Date 2/24/16
Application pin number . . . 921292
Property Address . . . . . . 3909 NYGREN PL
ASSESSOR PARCEL NUMBER.: 06 -30 -15 -6 -3 -0020 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Owner
--------------------
Contractor
BLOOR, SANDRA
---
----------------------
EXTRA MILE TECH & ELECT_
LLC
3909 NYGREN PL
418 N. RACE ST.
PORT ANGELES
WA 983621904
PORT ANGELES WA
98362
361 457-1827
(360) 457-5222
-------- - ------------- ---
Permit . . .
---------------
ELECTRICAL ALTER
----------- -----------
RESIDENTIAL
- ----- -
Additional desc
DUCTLESS
Permit Fee
63.00
Plan Check Fee
.00
Issue Date . . .
2/24/16
Valuation
0
Expiration Date
8/22/16
Qty Unit Charge
Per
Extensiorz
1,00 63.0000
-------------------
ECH EL -R-
BRANCH
CIR WO/ SER FEED
63.00
Fee summary Charged
-------------------------------
Paid
-----
Credited Dae
-- ----
----------------- ----------
Permit Fee Total
----------
63.00
63.00
----------
.00
.00
Plan Check Total
.00
.00 .00
0-0
Grand Total
63,00
63.00
.00
.00
a
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
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:\EXCHANGE\BUILDING Date: