HomeMy WebLinkAbout116 E 12TH ST - Building (4) 77 r.
ELECTRICAL PERMIT
CITY OF PORT ANGELES r
360- 7-4735
Application Number . . . . 19-00001808 Date 11/18/19 ^--
Application pin number . . 729072 REPORT STATE SALES TAX
Property Address . . . . 116 E 12TH ST your @XCIS@ tax form
PARCEL' NUMBER: 06-30-00-0-3-8025-0000- ony
Application type description ELECTRICAL ONLY to the City Of Port Angeles
Subdivision Name . . . . . .
Property use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0 "
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Application desc
Service and garage
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Owner Contractor
C.C. BEAUDET°T-JR/R.J. Guttman EXTRA MILE TECH & ELECT., LLC
po box 2752 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 797-1417 (360) 457-5222
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional aese
Permit Fee 194.00 Plan Check Fee 00
Issue Date . . . . 11/18/19 Valuation . . . 0
Expiration bate , 5/16/20
Oty Unit Charge Per Extension
1.00 20.0000 ECH EL-0-200 SRV FEEDER 120.00
1.00 74.0000 ECK EL-R-OUTBD/DTCH GAR IN/SEP 74.00
Fee summary Charged .Paid Credited _Due ,
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Permit Fee Total 194:00 194.00 .00 .00
Plan Check Total 00 .00 .00 .00
Grand Total 194.00 194.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE �-
ROUGH-IN
FINAL
COMMENTS:
PERMrr WILL Expnm Six(6)MUNTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
11101,00,11pro* 301"
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2 SINGLE-FAMILY t ,
ELECTRICAL PERMIT APPLICATION NDV itJ
Public Works and Utilities Department z01�
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` 321 E.5th Street, Port Angeles, WA 48362
360.417.4735 1 www.eityofpa.us I electricalpermits@cityofpa.us
Project Address: / /6 ST /a (-4- 51 Z-
=ingle-Family!Residential
Description: - 2c-A S•an Jt G� Vic,1 f
❑ Duplex/ARU Building Square footage: /
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Name: a �'�^ Email: N
Mac"Address: �—'�vn a 7 Sly Phone: G o r ?di-7
Name: FX424 i►'t:L-s T i?c44 9 G(e_c.f n i cgI —XLRAinr 173 R
Mailing Address: tom°o• _[�oA 31>-S RA !R g 3 fb 2- Expiration Date: /,2-a(o-2 o f q
Email: 4�fPEA M i Ie'6P 0 Ks. n/ET Phone: 3foo-4(-[
Item Unit Charge Quantity Ilttat(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 �_ $ -
Servi*/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $
Service/Feeder 601-1000 Amp. $252.00 $
Servioe/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp.ServioVFeeder 200 Amp. $93 W $
Temp.Servioe/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401-M Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp, $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/knited Energy-1&2 DU. $64.00 $
Manufactured Hone Connection $120.00 $
Renewable Elec.Energy:5KVA System or less $102.W $
Thermostat(Note:$5 for each additional) $56.W $
First 1300 Square Feet $120.00 $
Each Additional SW square fees" $40.00 $
Each Outbuld'rrg/Detached Garage $74.W /' $ 7`f.µ
Each Swimating Pool!Hot Tub $110-W $--�z
TOTAL $
Owner as defined by RCW.1928261:(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,rem 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.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of PortAngeles Municipal Code,and Unity Specifications and PANIC 14.05.050 regarding Electrical PermitAppications.
i (—(_/.—i � - ice.
Date Print Name Signature(p Owner Er Electrical Contractor IAdministralor)
(Electrical Permit Applications may be submitted to City Hal or elect icaipermits@cityofpa us or faxed to 360.417A711]