HomeMy WebLinkAbout921 A St - Building CITY OF Pt)R';f ANGELES PF,,RMIT 111 PLiCATION
Building Divislon/Electricaii laspections 14A R
331 bust Fifth Street_P.O.Box 1150 11oxt AnelesWushrugtor,9$ 62
s 4 'g � t
Ph-(:360)417.4735)lax: (360)417-471.1 iscrRIC `�"„_w .,,: sf.
Dente:_._� ;;� a d�� ��I &2 Single Family Dwelling
*Plan Review May Be lie Hired,Please Contpiefe Eloctrlcal Plan Rieview lnformatlnn Sheat
lobAddre£s;.
601dirrg$quare Footage:__. -_
Description of abavo
Owner Inform tion Contractor Information
Name; L.. zr, � ? Neme: ,_ il.G
Mailing Address;_ _4!.,L45 i ti°�— Mailtncg Address;� A7..,.!
City: - _state; ZEp- l' City:? i 1x Stata: ._ZIP . 1
F�heno: ���„„F'ax:��- ._ Fhane:' .,�1�• ����„Fnx:.—...
License.-41Exp.,�. W-44le
Itsm Ym t-charme 21 'Total Mu hied by Un Charae3
SmvicelFesder 200 Amp. $120.00
ServicelFeeder201400Amp, $148.00
ServicelFwder 401.600 Amp $206.00
ServicelFeeder601-1000 Amp, $262.00 _• _ �_�
ServlcelFeeder over 1000 Amp. $973,00 w__
Branch Cirmilt WI Sery€ce Feeder $ 5,00
Branch Circuit 1NI0 Servlre feeder $ 61.00
Each Additional Branch Circuit 5,00
{Branch Circuits 1.4 $ 75.00
Temp.Sorvlcel Feeder 100 Amp, $ 03.00
Temp,Servicglf ceder 20'1-400 Amg, $11040
Temp,ServlaelFeedor 401.600 Amp. $149.00
Ternp,ServlcofFoeder 601-1000 Anrp, $168,00
Portal to Portal Hourly $ 08,00
Signal CircuV Limited Energy-1&2 Family Dwelling $ 64,00 $.
Manufactured 1•I0me Connection $120,00
Renewable Electrical Energy-5KVA System or Less $102,00 $ _
Thermostat $ 56.00 $� _
Note $5.00 for each additional T-Stat
N&ff_C0tVSMUj0N ANLY:
First 1300 Square Ft. $120,00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $ —�
Each Wbuking sir Detached Garage $ 74.00
Each Swimming Poot or Hot Tub $110.00
Owner as defined by RMA9.28.261:(1)Owner will occupy the structure for two year 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 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.U.,RCW.Chapter 19,28,WAC.Chapter 296-468,The City of Port
Angeles Municipal Code,and Utility Spedfloations and PAMC 14.05,050 regarding Electrical Permit Applications,
Sionature of owner,electrical contractor or electrical administrator: 0 cash 0 cheek
i
L.7 Credit Gard#
Gated: `
6910112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number , . , , . 14-00000360 Date 3/25/14
Application pin number , . . 932680
Property Address I , . , . . 921 A ST REPORT SALES TAX
ASSESSOR PARCEL, NUMBER: 06-30-00-0-2-9850-0000-
Application type description ELECTRICAL ONLY on your excise tax form
subdivision Us e ,
Name . , , . , .
Property Use to the City of Pod Angeles
Property zoning . , . , . , (Location Code 0502)
Application valuation . . , . 0
___-- - --------------------------------------------------------------------
Application desc
Ductless heat pump
Owner Contractor
SCHRAMM CHARLES B EXTRA MILE TECH & ELECT. , LLC
829 E 1ST ST 418 N. RACE ST.
PORT ANGELES WA 983623606 PORT ANGELES WA 98362
(360) 457-5222
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 68.00 Plan Check Fee ,00 -
Issue Date 3/25/14 Valuation , . . . 0
Expiration Date 9/21/14
Qty Unlit Charge Per Extension
1.00 5,0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1100 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
------------------------------------ ---------------------------------------
Fee Summary Charged Paid Credited Due
Permit Fee Total 68.00 68.00 00 00
Plan Check Total ,00 .00 .00 00 il�
Grand Total 68.00 68.00 .00 00 v
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
ROUGH-IN
FINAL
COMMENTS:
PEP,MIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or EIectrical Contractor X Date:
GIEXCHANGRBUILDING