HomeMy WebLinkAbout1432 W 4th Street - Building ELECT GAL PERm1T
MY OF PORT ANGELES
360-417-473
., J
Application Number . . . . . 21-O0001075 Date 8/30/21
Application pin number . . . - 564075
Property,Address .. . . . . 1432 W 4TH 6T
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-2230-0000-
Application type description ELECTRICAL ONLY
subdivision Name
Property use . . . . .
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
__ -- _ - ------- --------- -__ _ - -
Application desc
Disconnect on heat pump
Owner Contractor
HENDRICKS4, RONALD EXTRA-MILE TECH & ELECT., LLC
1432 WEST 4TH STREET 418 N. RACE ST.
PORT ANGELES WA 98363 PORT ANGELES WA 98362
( 45),, 1641 (350) 457-5222
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Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional demo .
Permit Fee . . . 63.00 Plan Check Fee .00
Issue 'Date . . . 8/30/21 valuation . . . . 0
Expiration Date .. 2/26/22
Qty Unit Charge Per Extension
1.00 63.0000 ECK EL-R_ BRANCH CIR NO/ SER FEED 63.00
-rt Fee summary Charged Paid Credited Due
-------- -------- - ---------- ----------
Permit Fee Total 63.00 63.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .90 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(LOCOOM Code 0502)
S 'EoN TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMPT WILL EXPIRE SIC(6)MOMM FROM LA5T iNSPErnoN
Signature of owner or Electrical Contractor X Date:
G:EXCHANGirSBIIILDING
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION 3
Project 3 tl'�` S
Project Description: A/t w 4 s t c/' 010V #-e - a wa
In Single-Family Residential O Duplex 1 ARU Building Square footage:
Name: 'R o rJ GT 4 ro J YL S Email:MA
Mailing Address; 1413 2 t 4` 1 r Phone: ?r d y6/- 5rG y4l
Name: Extra Mile Tech$Electrical Ucense;EXTRAMT973R6
Marling Address;P.O.Box 3128 Port Angeles,Wa 98362 Expiration Date:12/26/21
Email:87dtram .0 Ti".rwt Phone:360-457-5222
IBM Unit Gharae ginaft IgW(Quantity x Unit Charge)
Servioe/Feeder 200 Amp. $120.00 $
Service 201-400 Amp. $146.00 $
Service/Feeder 401-6W Arms. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Servic:e/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63 00 $ 6,3.
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp.Service/Feeder 200 Amp. $93.00 $
Temp.ServkWFeeder 20i4W Amp. $110.00 $
Temp.Service/Feeder 401-6W Arms. $149 00 $
Temp.ServkslFeeder 6014000 Amp. $168.00 $
Portal to Portal Hourly S96.00 $
Signal Ch-cxuit/t.imited Energy-1&2 DU. $64.00 $
Manufactured Honne Connection $120.00 $
Renewable Elec.Energy:5KVA System or less $102.00 $
ThenrKMW(Note:$5 for each additional) $56.00 $
First 1300 Square Feet $120.00 $
Each Additional 5W square feet" $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool J Hatt Tub $110.00 $
TOTAL $ !s _ v
Owner as defined by RCW.1928261:(1)Owner will occupy the strueWre for two years after this electrical pennit is f mltwd.(2)Owner is
required to hire an electrical contractor If above said property is for sale.rent or lease.Permit expires after six months of last ldsped4i0n-
After reading the above statement,I hereby certil'y that(am the owner of the above named property or a licensed electrical contractor i
am matdng the electrical is tagatlon or alteration in compliance with the electrical kmrs,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
468,The City of Porl Angeles Municipal Code,and UWAy Specifications and PAMC 14.05.050 regarcling Electrical Permit Applications.
9-612-r Scott M. Smasal
Date Print Name Signature(❑ Owner&j Eli Contractor/Administmtor)
[Electrical Permit Applications may be submitted to City Hal or or faxed to 360.417.4711 j