HomeMy WebLinkAbout1419 Eckard Ave - BuildingCITY oP Powr ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / fort Angeles 'Washington, 98.362
Ph, (360) 41.7 »4735 Fax. (360) 4I7 -4711
Dote.,. I LA
21 & 2 Single Family Dwelling
JUL 2 2 2014'
ELECTRICAL
INSPECTIONS
* Plan Review May Be Required, Plegse C�mpleto Ieotr i Ian Revl�w fo mat)on $beet
Building Square Footage.
0morlption of above > r a
Owner Information
Name: v� c. /Z w' A. � � �
Mailing Address < lkrr..g:
City:. i Bute: �_ Zip:
G
1=ax:
License # 1 Exp. _,,_�
5*Peeder 200 Amp.
0 p0
Service /Feeder 201.400 Amp.
$146.00
ServicelFeeder401-000 Amp
$ 2g5,00
SarvlcelFeeder 901.1000 Amp,
$ 262.00
ServicelFeeder over 1000 Amp.
$ 370,00
Branch Circuit WI Service Feeder
$ 6.00
Branch Circuit WIC Service Feeder
$ 68.00
Each Additional Branch Circuit
$ 6.00
Branch Circuits 1.4
$ 75.00
Temp, Service/ Feeder 200 Amp.
$ 9100
Temp, Service /Feeder 201400 Amp,
$110.00
Temp, ServlcelFeedar401- 800Amp.
$145.00
Temp. SsrvicelFeeder 641 -1000 Amp.
$ lealo0
Portal: to Portal Hourly
$ 96.00
Signal Clrcu4tl Limited Energy -1 & 2 Family Dwelling
fv 64.00
Manufactured Home Connection
$120,00
Renewable Electr€eal Energy - SKYA System or Less
$102,04
Thermostat
$ 56.00
Nola: $5.00 for each additional T -Stat
First 1300 Square Ft,
$120.00
Each Additional 500 Square Ft. or Portion of
$ 40,00
Each Outbu €€ding or Detached Garage
$ 74.00
Each Swimming Pool or Hot Tub
$110.00
IT
Contractor Inform ON
Nam a:
Mailing Address:
Ph ne:..�.fd 5�' _..Ste, :-5711--Tell k ,
t'.
License #!
ota t Car �
$
$.•....O '�` Natal
Owner ae defines€ by RCW.19.28.26 1: (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 sold propgrty is for sale, rent or lease. Permit expires after six months of last ins fion.
After reading the above statement, I hereby certify that I am the owner of the above named property or a Ncensed electrical contractor, I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCM, Chapter 19,25, WAC. Chapter 295468, The City of Port
Angeles Municipal Code, and Ut6ity Specifications and PAMC 14,05.050 regarding Electrical Permit Applications.
Signature of owner, olectr#cal contractor or electrical administrator: ❑ cash ❑ Check
❑
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number 14- 00000869 Date 7/23/14
Application pin number . . . 152187
Property Address . , . . . . 1419 ECKARD AVE
ASSESSOR PARCEL NUMBER: 06-30-14-1-3-0185-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . , . . .
Property Use . .... . , . . .
Property Zoning . , . , , . . RS9 RESDNTL SINGLE EAMTLY
` -___ Application valuation . . , 0
Application desc
Ductless heat pump
----------------------------------------------------------------------------
Owner Contractor
- --------------- -- - - - - -- - -- ---- ----------- - - - - --
JiM /JANE LORENTZEN DOELL EXTRA MILE TECH & ELECT_ LLC
1419 ECKARD AVE 418 N. RACE ST,
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457 -5222
Permit , . , . , , ELECTRICAL ALTER RESIDENTIAL
Additional desc , .
Permit Fee 68,00 Plan Check Fee 00
Issue Date 7/23/14 valuation 0
Expiration Date 1/19/15
Qty Unit Charge, Per Extension
1100 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 5.00
1.00 63,0000 ECH EL -R- BRANCH CIR WO/ 5ER FEED 63.00
Fee summary Charged Paid 'Credited Due
Permit. Fee Total 68.00 68,00
Plan Check Total 00 .00 .00 .00
Grand Total 68.00 68.00 .00 ,00
W
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
2
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
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