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HomeMy WebLinkAbout1733 E 4th St - BuildingRECE'1VE0,,,,,o,. CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 EILEC`iRICAL Ph. (360) 417-47.35 Fax. (360) 417 -4711 INSPLCTIONS lute: /� -- '1-141 Z, & 2 Single Family Dwelling * Plan Review May Be Requirr d, Pl�se omplete I Taal Plato eview niarrnatiart Sheet Jqb Address; Buildlag Square Footege: ^' Description of above eA C -...' ar✓ Nam.. ner In atr n I -c- Mailing Address: x� - E e Clay. � - SlIfe .. & Zip: hone: Fax. License #! Exp.� �i' Service /Feeder 200 Amp. $1&00 ServicelFeed% 201-400 Amp. $146.00 ServicelFeeder 401.600 Amp $ 206.00 8ervlcelFeeder 601 -1000 Amp. $ 262.00 $ervlcell:eeder over 1000 Amp. $ 373.00 Branch Circuit WI Service Feeder $ 60 Branch Circuit WO Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 14 $ 76.00 Temp. Service/ Feeder 200 Amp. $ 93.00 Temp. ServicelFeeder 201400 Amp. $110.00 Temp. ServicelFeeder401 -600 Amp. $149.00 Temp, 8ervice /Feeder601 -1000 Amp $168.00 Portal to Portal Hourly $ 96.00 Signal Circu€tl Limited Energy -1 & 2 Family Dwelling $ 64.00 Manufactured Home Connection $120.00 Renewable Electrical Energy - SKVA System or Less $102.00 Thermostat $ 56.00 Note: $5,00 for each additional T -Stet NMkgQKffRY0JgN ONLY, First 1300 Square Ft. $120,00 Each Additional 600 Square Ft. or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110.00 Contractorr Information ° Malting Address; / • feAeg: Aj% City: jl1 state: v ik Zip: ',lw•4, phone: 7 -5'A � 2-- Fax: ILA '+ License �L91 nq V79 X& c i'gN ¢ ty Mgt #alied by ilntt cbm $ $ $Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure lvr twos years alter this electrical permit Is finalized. (2) Owner Is requin 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 rnaki the electrical instaliation or alteration In compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAG. Chapter 296468, The City of Pe Angeles Municipal Code, and utility Specifications and RAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: © cash 0 check 0 Credit Cared 9 0110=12 -Z ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 AppJiCation Number . . . . . 14- 00001471 Date 12/05/14 Application pin number 211871 INSPECTOR: Property Address 1733 E 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-5-5- 0155 -0000- SERVICE Application type description ELECTRICAL, ONLY Subdivision Name , . , . , , ROUGH -IN property Use Property zoning , . . , . . . RS7 RESDNTL SINGLE FAMILY Applicaticn valuation . . . . 0 COMMENTS: -------------------------------=-------------------------------------------- Appl.ication deso Kitchen remodel --------------------------------------------------- -------------- - -- - -- Owner Contractor GEORGE ROGER DUNDAS AND DOROTH EXTRA MILE TECH & ELECT., LLC 1733 E 4TH ST 418 N, RACE ST. PORT ANGELES WA 983624913 PORT ANGELES WA 98362 (360} 457 -5222 -------------------------------------------------._.-____----_-_--____------ Permit , , . . . . ELECTRICAL, ALTER RESIDENTIAL Additional desc , . Permit. Fee 68.00 Plan Check Fee 00 Issue Date 12/05/14 valuation . . . . 0 Expiration Date 6/03/15 Qty Unit Charge Per Extension 1.00 510400 ECU EL -ECH ADDNT BRANCH CIRCUIT 5.D0 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 `Fatal .00 ,00 .00 .00 Grand Total 68.00 68.00 00 Q0 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical. Contractor X Date: G:\EXCHANGM13U[LDING