HomeMy WebLinkAbout922 W 11th Street - BuildingELEcnuCAL PERMIT
CITY OE FORT ANGELES
3W417-4735
Application Number 15-00001312 Date 10/16/15
Application pin number 933440
Property Address . . . . . . 922 W 11TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5225-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
Property
Name . . . . . . to the City of Port Angeles
Pro ert Use
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
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Application desc
Laundry outlets
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Owner
Contractor
------------------------
DANIELLE M HENDRICKSON
------------------------
EXTRA MILE TECH &.ELECT.,
LLC
922 W 11TH ST
418 N. RACE ST.
PORT ANGELES
WA 983637207
PORT ANGELES
WA 98362
•
(360) 457-5222
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Permit . . . . .
. ELECTRICAL ALTER RESIDENTIAL
Additional desc
1-4 CIRCUITS
Permit Fee . . .
. 75.00
Plan Check Fee
.00
Issue Date . . .
. 10/16/15
valuation
0
Expiration Date
4/13/16
Qty Unit Charge
Per
Extension
'BASE
FEE
75.00
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Fee summary
Charged
----------
Paid Credited
Due
-----------------
Permit Fee Total
----------
75.00
---------- ----------
75.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
75.00
75.00 .00
.00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL i
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MOMMS FROM LAST iNSPWMN
Signature of owner or Electrical Contractor X Date:
GIEXCHMOBBUILDING
Q)
CITY OF PORT ANGELES PERMYT APPLICATION
Building Division/Elech icai Inspections
321 East Fifth Street — P.O. Boz 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fa= (360) 417-4711
Date: le2 -/ V'—I/
"1 & 2 Single Family Dwelling
* Plan Review May ed, Pease �nplete Eie�tric�i Plan Review Information Sheet
Regt>ir{,
tdr Address 1"'
q 4- �-
BuRding Square Footage:
i
Description ofatim K) c.
1,04117 y r?c�t l.rf s
Owner 1pfornm0onContractiorinfonnation
Name: A -e Mk't-f s:..0
Name: ! lq
7r4#.08`lecyd,Ur,4
MaRing Address: y �� r✓� s // ``
S �z� a"t
Mali Address Q
�LE
X
r 2R'
CRY: "7/� Staft t ✓/�- ZW.- t -7r:. a
Citfr. a
Std
WJ 7jp:_' 10367_
Fa>C
Pl -
N /A
f ucr v Exp
tit Se f t E1�T72_��
47 3 l� b
-? o —? 7�" - c(39 o
item
UI*
Upit Chsar a
ft
Total Lft
11uftNWbv Unit Chamej
Service/Feeder200Amp.
$126.00
$
Service/Feeder201.400 Amp.
$146.00
$
Senvice/Feeder 401-600 Amp
$ 205A0
$
Sen ke Feeder6014000 Amp.
$ 251.00
$
Service/Feeder over 1000 Amp.
$ 373.00
$
Branch Circuit W/ Service Feeder
$ 5.00
$
Brandt Circuit NO Savicte Feeder
$ 63.00
$
Each Add'iiional Branch Circuit
$ 5.00
$
Brandt Climb 1.4
$ 75.00
�j
$
4 J
/5
J
Temp. Service/ Feeder 200 Amp.
$ 93.00
$
Temp. Service/Feeder 2014M AM.
$110.00
$
Temp. Service/Feeder 4014M Arta.
$149.00
$
Temp. Servicefeeder 6014000 Amp.
$168.00
$
Portal to Portal Hourly
$ 96.00
S
Signal CwN titrated Energy -18 2 Farrdty DweMM
$ 64.00
$
Manufactured Home Connection
$120.00
$
Renewable Electrical Energy - 5WA System or Less
$10200
$
'thermostat
$ 56.00
$
Note: $5.00 for each addrRonal T-Stat
NEW CONgtRUgM Q5
First 1300 Square FL
$12000
$
Each Additional 500 Square Ft. or Portion of
$ 40.00
$
Each Outbuilding or Detached Garage
$ 74.00
$
Each SMainring Pod or Hot Tub
$110.00
$
$
7<"' Total
Owner as defined by RCW.19.2 M: (1 ) Omw will ocrpy the structure for two years after this electrical permit is fmafined. (2) Owner is required
to hire an electrical contractor I above said property is for sate, rerit or lease. Permit expires after six months of &est Win.
After reading the above statement, t hereby airt'dy, that l on the owner of the above named property or a licensed electrical contractor l am making
tate electrical ai"ation or alteration in compliance with the electrical laws, NEC., RCW. Chapter 192$ WAC. Charter 296468, The City of Port
Angeles Municipal Cade, and titlty Specifications and PAMC 14.05.050 regarding Electrical Permit App6calkins.
Signature of owner, electrical contractor or electrical adniihistrator . DCi Check
tt4 creaanta '►n/ ,FILE