HomeMy WebLinkAbout228 E Ahlvers Rd - BuildingCITY o>F PoRT ANGFLEs PERmT AIPPLICATION
Building; Division/Elec&iM li&spections APR j
321 East Fifth Street —P.O. Box 1150 /Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 4174711 EUCT ICAt
Hate: _ �1 V 4 2 Single family gelling
* Plan Review May Be Requ ed, Pleas complete l=ie ' Plan Review infarmetien Shoot
40 Address: '
Buildfrag Square Fwtage,
L?escript3€�n of aitr3ve.�_ G � c • �, s S .� W
owner info on
Name- !g pia
Mallln ddte55 a „ I d
LI ense #lExP,
Item
Se[vlcelFeeder=Amp.
SerV= Feeder 2!31,400 Amp.
Ser*elFeeder401 -600 Amp
Servicafteder 6014000 Amp.
SeMoelFeederover 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circult W/O Sernrice Feeder
&rch Addifforral Branch Circuit
Branch Circuits 1-4
Temp. Servicef Fe�,fer2tiCl Amp -
Temp. aer*WFeeder20I -WAmp.
TemP. SerW0aFeeder401- 60DAmp_
Temp. ServlcelFeWer601 -1090 Amp.
Portal to Portal Hornly
Signal Circuit! !malted Energy W 1 & 2 Family f]weting
Manufactured Horne Connection
Renewable Sect caal Energy- 5KVA System or t
Theimostat
Mote: $5.00 for each additional T-: tat
LIEN C NSTRULIVO1f ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft or Portfim of
Each Outbufldirrg or Detached Cate
Each SMuimrning Pool orHot Tub
lin�__ a Ctrgre
$ 120.00
$148.00
$ 206,00
$ 262.00
373.00
5.06
63,00
7U0
63.00
$110.00
$149.OD
$168.00
96.OD
$120.00
$102.00
$ 56,00
$ 120.00
p 40.00
$ 74.06
$110.00
Cantractor information
Name. ���
` {� •d— -f-
Y
State: 1 .7
Part: &� fit-
C
Tow py MuldA lied „6y,, InitChar,
$�Tl
Owner as defamed by RCW.19.2&261; (1) Owner will =aapythe strticWre fOrtwD yM after this etectriei permit is finalized. (2) Owner is requite "4 l'
to faire an elftftl Wnhactar if abOve said property is for sale, rent or lease. hermit expires af#er she months of last inspection.
After reading the above statement, I hereby certify that I arc the owner of the above named property Or a 110enW electrical contra qpr. l am rnakir
the electrical installation or alter #oral in compmnce with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468,` -f he City of Po€
Angeles Municipal Code, and UNIV Specifrcafions and PAMC 14.05.050 regarding EfecWcal PerMUPplicatians. `
SignaWre of owner, electrical contractor or electrical adminis€ -dar, Cl Cash CI Check
0 Crain Card 9.
olra1=2
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , , , , ,
15- 00000362 Date 4/10/15
Application pin number . , ,
048896
INSPECTOR.
Property Address , , . .
228 E AHLVERS RD
ASSESSOR PARCEL NUMBER;
06-30-15-6-0- 0099 -0000-
SERVICE
Application type description
ELECTRICAL ONLY
Subdivision Name
ROUGH -IN
Property Use
Property Zoning . , . . , , ,
RS9 RE3DNTL SINGLE FAMILY
Application valuation , . . ,
0
COMMENTS:
Application desc
Ductless heat pump
- - - - - - - - - - - - - - - - - - - I - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - •- - - - - - - - -
Owner
Contractor
------------------ - - - - --
ANDERSON EVERETT E
------------------------
EXTRA MILE TECH & ELECT_ LLC
228 E AHLVERS RD
418 N, RACE ST.
PORT ANGELES WA 983623704
PORT ANGELES
N[A 98362
(360) 457 -5222
Permit . , . , . , ELECTRICAL
ALTER RESIDENTIAL
Additional desc , ,
Permit Fee 68.00
Plan Check Fee
.00
Issue Date 4/10/15
Valuation . . . .
0
Expiration Date 10/07/15
Qty Unit Charge Per
Extension
1.00 5,0000 ECH EL -ECH
ADDNT BRANCH CIRCUIT
5.00
1,00 63,0000 ECH EL -R-
BRANCH CIR W01 SER FEED
63.00
Fee summary Charged
--
paid Credited
Due
-------=--- - - -- ---- - - - - --
Permit Fee Total 68,00
-- -- - - - - -- ---- - - - - -- ----
68.00 00
- - - - --
,00
Plan Check Total 00
.00 CO
.00
Grand Total 68,00
68.00 .00
00
I'
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
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:T- XCEIAN GEIBUILDING