HomeMy WebLinkAbout816 W15th St - Building a.
X,
yasrar.
� ..
CITY OF PORT ANGELES k'ER11'fIT APPLIcA7k'I®N RECEIVED
Building Di®isioinMectrica.l Inspections
321 East Fifth Street P,O.Box 1150/Part Angeles Washington*2 2 2014 '
M(360)417-4735 Fax. (360)417-4711 / ELECTRICAL
Date: �/I &2 Single Family Dwesf EcTiONS
Plan Review Way Be Required,Please.Complete Electrical Plan Review Information Shoat
Job Address:.^ R1 ,
Building Square Footage:
Description Of above a s�i r c fi a T }u�,. t �s __� �_, T••.__,�P ".-__
Owner Information Contractor Information
Name, J>Nq k'. a�. 3_ _. Name: �= ki2A rid(LEE µ =2 '
fir!� •L{� § t cry
Mailing Address:_.__..Y/4, 131'i Mail€ng Address:qta. c :
City„ State: 4,94 ZIP:. � City:"P-O tM.._. ias State:_ ZIP: �
Phone: V a-Fax:
License fd 1 Exp, Umnse#/Exp i 16tT �
Item tlr0it Charge (t Total Multi lied b Unit Char e
SsnricelFeeder 200 Amp. $120.00 _—, ._ $
ServicelFeeder 201-400 Amp, $146.00
ServioelFeeder 401-600 Amp $205,00 $�
Service/Feeder 601-1000 Amp. $262,00
Service/Feeder over 1000 Amp. $373,00
Branch Circuit W1 Service Roeder $ 5.00 $
Branch Circuit X11110 Service Feeder $ 63.00
Each Addlt#anal Branch Circuit $ 5.00
Branch Circuits 1-4 $ 75,00
Temp.Service/Feeder 200 Amp. $ 93,00
Temp.Service/Feeder 201.400 Amp. $110,00 ......
_
Temp,Service/Feeder 401.600 Amp. $149.00
Temp.Service/Feeder 601-1000 Amp. $166,00 _
Portal to Portal Hourly $ 96.00
Signal Circuit!l_Imited Energy-1&2 FaMy Dwelling $ 64,00 $ �
Manufactured Home Connection $120.00 $
Renewable ElectricaE Energy-SKVA System or Less $102,00
Tharmmtat $ 56,00 $�•.___.
Note:$5.00 for each additional T-Stat
NW CONSTRUG310N QX!: :
First 1300 Square Ft: $120.00
Each Afdifional 500 Square Ft,or Portion of $ 402
Each Outbuilding or Detached Garage $ 74,00
Each Swimming Pool or Hot Tub $110.00
Owner as defined by RCW,19.2$,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 for sale,rent or lease.Permit expires after six months of last inspection.
After reading the abova staternent,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 19,25,WAG.Chapter 296-46B,The City of Pork
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ check
❑ Credit Gard#
X +���r t, ,e. 3 c Dated:.— E�. Tf° ..,.._ ..._ OV4112612 _ _.
ELECTRICAL PERMIT
CITY OF PORT ANGELES W
360-417-4735
Application Number . . . . . 14-00.000308 Date 3/13/14
Application pin number . . . 842356 �1
Property Address . . . . . . 816 W 1STH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER; 06-30-99-0-4-2610-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use t
Property Zoning , , . . . . . R37 RESDNTL SINGLE FAMILY (Location Code 0502)
Application 'valuation . . . . 0
Application deac
Ductless heat pump
Owner Contractor
EENOFF DAVID EXTRA MILE TECH & ELECT. , LLC
816 W 15TH ST 418 N. RACE ST,
PORT ANGELES WA 983637228 PORT ANGELES WA 36362
{3.60} 457-5222
------------------°_°___--_-- -__----`---------------------- ------------
Permit . . . . . , ET,BCTRTCAI, ALTER RESIDENTIAL
Additional deac .
Permit Fee . . . . 68.00 Plan Check Fee .00
Issue Date 3/13/14 Valuation 0
Expiration pate 9/09/14
Qty Unit Charge Per Fxtensicn
1.00 5,0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5100
1.00 63,0000 BCH EL-R- BRANCH CZR WO/ SER FEED 63100
----------------------- --_-__-----__--- -__--_-------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .Do .00 .00 .00
Grand Total 68,00 68,00 .00 .00
VI
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN A P AC O
ANAL 3- 141 14 AP A e €�
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGRBUILDING