HomeMy WebLinkAbout522 N Liberty Street - Building •
ELECT.RACAL PERMIT
CITY OF PORT ANGELES
360417-473505
Application Number 17-00001681 Date 11/15/17
Applie*tion pin number . . 716907
property Address 522 N LIBERTY,ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-0100-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0,
Application desc
Garage circuits
Owner Contractor
WILLIAM D FITZSIMMONS EXTRA MILE TECH & ELECT., LLC
522 N LIBERTY ST 418 N. RACE ST.
PORT ANGELES WA 983624229 PORT ANGELES WA 98362
(360) 457-5222
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc . 1-4 CIRCUITS
Permit Fee . . . 75.00 Plan Check Fee . . .00
Issue Date . . . 11/15/17 Valuation . . . 0
Expiration Date 5/14/18
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit F.ee.Total 75.00 75.00 .00 .00
Plan . k.Tota ' 00 .00 .00 .00 ,
Grand Total 75.00 75.00 .00 .00
•
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN 111117111 �7
FINAL A
/141 1--7
COMMENTS:
PERMIT WILL EXPIRE`$IX(0MO?4ThS 3M LAST triSPECTION,
Signature of owner or Electrical Contractor X Date:
`��11 pURT.ti,!, \
*!
CITY CF licaT_:7 M-7777;17T N1'P'f IC ATCON Ar ,s
Building Inspections - )
321 East Fifth Street-P.a Bort 1150/Portal Washington,98362 - _
Ph:(360)417-4735 Frac(360)4174711 NIONIV
Date; tilt/--/7 !4 2 Slagle Ratty avoelling
Plan Review May Be Required.Please Complle Electrical Plan Review lr6omiaton Sheet
Job Acklress: Clic tee„J-t--
Bake Square Rama
Descriptor,or above_. _.._t...J ____issue c... ra _.J #.i c_"'�+'y1�
• kVilltibn
Nana: .i.-1-Z S r rn it 0+4.'sManeC°ntradarEhA12716A
g -Ear Elt�' Ut
ua�ng Addresc4-..211„. !ti„.At- L,- y nam p.D. v3aoc 3 t 2.3
c P f� Stia qtr 4r Ale 4 Cay: et SOW wp�21tx ttTaz
Far Phone:fr)-433ri .Fes. Call /-/FSj
• #IES Wa a*/BP._elan*"1 73 R4
Age 34zv-SI 2. - 7 )-12_
Unit shame a Total 0;llv Initialled by Unit Charge)
Servioa&Fieder200 Amp. $120.00 $
ServicelFeedw201-400 Amp. $146.00 $
Smtii,;ur -!01 sot)Amp 3 205.00 $ -
Service/Feeder 6011000 Amp. $26200 $
ServicelFeeder crow 1000 Amp. $373.00 $
Branch Circuit IM'Service Feeder $ 5.00 $
Branch Circuit WO Service Feeder $ 63.00 $
Each additional Branch Cham! $ 5.00 $
Drf.trrli Circuits 1.4 3 75.00 1 3....72 s•`"
Temp.Service/Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Servi alFeeda401-600 Amp. $149.00 $
Temp.ServiceFeeder 601-1000 Amp. $166.00 $
Portal to Portal dourly $ 96.00 $
Signal Cinnil Limited Energy-132 Fa i y Gaging $ 64.00 $
iiask•ciured Home Commecion 3120.00 $
Renewable Bectricai Energy-5KVA Syniem or Lass $102.00 $
Thermostat $ 56.00 3
Nola:$5.00 for each addilional T-Slat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
E h:,x r1.4 aro F.7R a Portion of $ 40.00 $
Each Orrf6raldmg or Deladhed Garage $ 74.00 $
Each Surboodng Pool or Hot Tub $11000 $
$ '7 c `"Total
Owner as damned by RCW.19 28261:(1)Ower w8 occupy the structure fort=years eater this electrical permit is finked.(2)Owner is required
to dire an el c ical centrert#1f stme sold property is for sole,rent or lease.Permit expees after six mord hs of last i ispeeton.
After ring the above statement,I hereby certify that I am the owner of the above named properly ora tensed electrical conbacbr,lam making
the electrical installation or r rre=in compliance will the electrical laws,N.E.C.,RCW.Chapter 192$WAC.Chapter 296-46B,The City of Port
Angeles Municipal Code,and Utility Specilosiors and RAMC 14.05.050 regarding Electrical Pena Applications.
Signature of owner,electrical contractor or eleehkal admbdshator: 0 Cash 0 Crest
1. lir<raaacard* ON 'FP-r4£
X M.1i-in-1‘; :, mut 11 —i 4 —i1 a