HomeMy WebLinkAbout511 E Park Avenue - Building CAL PERMIT
CITY OF Pt}RT ANGELES
3W 417-4735
Application Number . . . . . 19-00001826 Date 11/20/19 '--
Application pin number . . . 898.702 REPORT STATE SALES TAX
Property Address . . . . . 511 E PARK AVE our excise tax form
ASSESSOR PARCEL; NUMBER. 06-30-10-5-0-0150-0000- on V
Application type description ELECTRICAL ONLY to the City of Port Angeles
SubdProperty Us Name . . (Location Code 0502)
Property use
Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation. . 0
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Application desc
DH
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Owner Contractor
GOLDSTEIN-W POTTER AND JODY C EXTRA MILE TECH & ELECT., LLC
511 E PARK AVE 418 N. RAGE ST.
PORT MS WA 9BI626937 PORT ANGELES WA 98362
(360} -;0065 (360) 457-5222
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Peria t Fee 68.00 Plan Check Fee .00
Issue Date . 11/20/19 Valuation . . . . 0
Expiration Date 5/18/20-
Qty . Unit Charge Per . J, Extension
1.00 5,0000 BCH EL-ECH ADDN'T BRANCH C 5.00
1.00 63.0000 ECH EL-R- BRANCH CIR NO/ 63.00
Fee summary Charged Paid Credited
a Due
Permit Fee Total 68.00 68.00 .00 .00
Plan Cheek Total 00 q0 00 .00
Grand Total 68.00 68.00 .00 .00 4
INSPECTION TYPE DATE: RESULTS, INSPECTOR
DTTC ;:
SERVICE
ROUGH_IM
FINAL }
COMMENTS:
PERMIT WILL EXPIRE SIX(6)Ml mms FROM LAST WSPEMON
Signature of a or Electrical Cc c4 o X Date: -
1 - 2 SINGLE-FAMILY
, h ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362 ,
360.417.47351 www.cityofpa.us(electricalp�ermits@cityofpa.us (
Project Address: -% // st!L '
Pro' Description: e J i K U
Single-Family Residendal ❑ Duplex/ARU Building Square footage.
Name:
Mailing Address: "
a, e� e� F• . e
Name: Q0*t* K 1.15 i l:C44 !9 9.fe-Cha Cat.. license: XrR4o"r 973 R fi
Mailing Address: tom• •d ►3 ox S I-2-8 RA I3 • Expiration Date:
Email: Phone: 34 D_q(0 f 13 3 8
M Unit Charge Quari tjt Total(Quantity me Unit charge)
ServiceJFeeder 200 Amp. $12t}00 $
ServimfFeeder 201-400 Amp. $146.00 $
Servk*/Feeder 401-6EM.?Amp SM5.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/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 Grits 1-4 $75.00 $
Temp.ServiinfFeeder 200 Arm. $93 00 $
Temp.Servioe/Feeder201-4MAmp. $110.00 $
Temp.Service/Feeder 401-M Amp. $149.00 $
Temp.Service/Feeder 6014 000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CiraAll rmited Energy-1&2 OU. $64.00 $
Manufactured Home Connection $120.00 _ _ . $
Renewable Ebec.Energy:5KVA System or less $10ZOD $
Thermostat(Note.$5 for each additl) $56.00 $
Fast 1300 Square Feet $120-00 $
Each Additional 5W$ire feef' $40.00 $
Each Outbuilding I Detached Garage $74.00 $
Each Swrrning Pool/Not Tub $110-00 _ $
TOTAL $
Owner as defined by RCW.19.28.261.(1)Owner will occupy the structure for two years after this electrical permit is firmakeed.(2)Owner is
required to hire an electrical Contractor if above said property is for sale.next 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 malung the electrical installation or anion in compliance with the date!laws,N.E.C.,RCK Chaffer 1928,WAC.Cyr 296-
46B,The City of Port Angeles Municipal Code,and Utility Specifications and P, 14.05 rgardirrg Permit Applications,
Dante Print Name Signature(❑ Owner lectrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hat or elechicalpermits(gcityofpa us or faxed to 360A17A711]