HomeMy WebLinkAbout104 Apple LN - Building ELECTRICAL PERMIT
CITY OF FORT ANGELES
17-4735
.Application Number . . . . 20-00000168 Date 2/04/20
Application pin number . . 539520 REPORT STATE SALES TAX
Property Address . . 104 APPLE LN on your exdse tax form
ASSESSOR PARCEI, NUMBER: 06-30-15-2-2-0250-0000-
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
DHP
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Owner Contractor
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GUERRERO ERYN M EXTRA MILE TECH & ELECT., LLC
248 22ND AVE 418 N. RACE ST.
SAN FRANCISCO CA 94121 PORT ANGELES WA 98362
(360) 459-5222
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 68.00 Plan Check Fee .00 j
Issue Date . . . . 2/04/20 Valuation ' 0
Expiration Date 8/02/20
Qty Unit Charge Per - Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 BCH EL-R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 00 .00
i
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date: `
Zak
1 - 2 SINGLE-FAMILY
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ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360,417.4735 1 www.cityofpa.us electricalpermits@cityofpa.us .
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Project Address: _ �
Pro' Descrip#ion: It'i Zk- --i r2 cam '—17>4
Single-Family Residential ❑ Duplex/ARU Building Square footage:
rName:
Mai ing Addres
Name:M E'X-14-4 mo i-s v -[e-c 4 4 ¢ e.x-fit.i ck L t.icense: ,cxing mr 973 R 6
Mailing Address: ?F! � 9 3�+'�. Expiration Da....
Email: �-oZ4 M?LGE(1-0 O/yr qs. A/CT Phone: 3G.o -146f - r33e
�M.. Unit Charge 0stal thy Tatal(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit WI Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63,00 � _ $
Each Additional Branch Circuit $5.00 l $
Branch Circuits 1-4 $75.00 $
Temp.Servo e/Feeder 200 Amp. $93 00 $
Temp.Service/Feeder201-400Amp. $110.00 $
Temp.Servica/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/1-imit€d Energy-1&2 DU. $64.00 $
Manufactured Nome Connection $120.00 $
Renewable Elec.Energy:5KVA System or less $102.00 $
Thermostat(Mote.-$5 for each additional) $56.00 $
First 1300 Square Feet $120.00 $
Ench Additional 500 square flee' $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool f Hot Tub $110.00 $
TOTAL $
Owner as defined by RCW.19.28261:(1)Owner wt71 occupy the structure for two years after this electrical permit is finartzed.(2)Owner is
»�^'•^':-^^^^'^^!^^ ! .....i..arr.,r if above said property is for sale,vent or lease.Permit expires after sbc months of last inspection.
After reading the above statement,l hereby certify that l am.
am matting the electrical installation or alteration in compliance with the eieettii;at.orim,N.L...v_,t\LYY:Y1t0�4 ix iJ.w,YYYIv.v;w.tJw.s iv..
46B,The City of Pori Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature([] Owner Electrical Co!1+►`e^_t w I Qrlmir�icfrolnr;
[Electrical Permit Applications may be submitted to City Hall or electricalpennits@cityofpa us or faxed to 360.417.4711]