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HomeMy WebLinkAbout3909 NYGREN PL - Building (2)ELECTRICAL PERMIT` CITY OF PORT ANGELES 36( 417-4735 Application Number . . . . . 16-00000244 Date 2/24/16 Application pin number . . . 921292 Property Address . . . . . . 3909 XYGREN PL ASSESSOR PARCEL NUMBER: 06 -30 -15 -6 -3 -0020 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . ... . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ BLOOR, SANDRA EXTRA MILE TECH & ELECT., LLC 3909 NYGREN PL 418 N. RACE ST. PORT ANGELES WA 983621904 PORT ANGELES WA 98362 ( 36) 457-1827 (360) 457-6222 ---------------------------------------------------------------------------- Permit . - . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . DUCTLESS Permit Fee . . . 63-00 Plan Check Fee .00 Issue Date .. . . . 2/24/16 Valuation 0 Expiration Date 8/22/16 Qty Unit Charge Per Extension 1100 6-3.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63,00 --------------------- ------------------------------------------------------ ,Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 REPORT SALES TA)( on your excMe, tax fafm to the Cffy of Port Angeles (Location Code 0502) INSPBMONME DAM- RESULTS: INSPECTOR. DITCH SERVICE ROUGH IN FINAL COhOVIENTS: PMWff WILL EXPIRE SIX (6) MONMS FROM LAST INSPWWN Signature of owner Or Electrical Contractor X a-NEXCRANGSBUIMINO Date: � 0, c�`�N ELECTRICAL INSPECTION WIRING REPORT KS 417-4735 �R�` DATE 1.5 ' J 6 I PERMIT# �-p— I INSPEC/ OWNER ` CONTRACTOR AX7X-&# -in . or ADDRESS 3?0 F APPROVED NOT APPROVED ❑ ....................DITCH.................... ❑ ❑................ ROUGH IN/COVER ............... ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ L s CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — CIT' OF PORT ANGELES PERMIT .APPLICATION .._«. Building Division/Electrical Inspections 321 East Fath Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date.. _ V11 & 2 Single Family Dwelling * Plan Review MayBeRequired, Please Complete Ilectrical Plan Review Information Sheet Job Address: Z i o`71 Building Square Footage: , Description of above tia.� (` r' ✓'�e A �k t7 c_,v{ zCa 1, 4 ev.:; .a Owner Informalon Contractor Information Name: . (l �'> c 4� Name: Ex -r/24 M7�-C 72!7ctf /mac a Mailing Address: '� U tf `'i J� ' Mani Address: /"-. ll. 86 X � r 2k City i' i r- Slate: City e S State: 1NX Zip: 9 A' 36 Z Phone:.t (- c z Fax Phone: 5`7- TXI2_Fax N / �+ License # / Exp. License # 1 Exp. EA 7-37 A e -i7- 97 3 R b Item Unit Charge Qtv Total (C tv Multiplied by Unit Charae) Service/Feeder 200 Amp. $120.00 $ Service/Feeder201.400 Amp. $146.00 $ ServicelFeeder 401-600 Amp $ 205.00 $ Service/Feeder 601-1000 Amp. $ 262.00 $ Service/Feeder over 1000 Amp. $ 373.00 $ Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circuit NO Service Feeder $ 63.00 t $ !� . Each Addifionat Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp_ Service/ Feeder 200 Amp. $ 93.00 _ _ $ Temp. ServicelFeeder 201-400 Amp. $110.00 $ Temp_ Service/Feeder 401-6W Amp. $149.00 $ Temp. ServicelFeeder601-1000 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/ Limited Energy -18 2 Family Duelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft. or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $ l<. =; `` Total Owner as defined by RCW.1928.261: (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 said property is forsale, 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 making the electrical installation or afteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296468, The City of Port Angeles Municipal Code, and utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator:O h 0 Check X Yq L� tl creaitCard c...__._®sJ iL r Dater: 01101 4912 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . I . 16-00000244 Date 2/24/16 Application pin number . . . 921292 Property Address . . . . . . 3909 NYGREN PL ASSESSOR PARCEL NUMBER.: 06 -30 -15 -6 -3 -0020 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use Property Zoning . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner -------------------- Contractor BLOOR, SANDRA --- ---------------------- EXTRA MILE TECH & ELECT_ LLC 3909 NYGREN PL 418 N. RACE ST. PORT ANGELES WA 983621904 PORT ANGELES WA 98362 361 457-1827 (360) 457-5222 -------- - ------------- --- Permit . . . --------------- ELECTRICAL ALTER ----------- ----------- RESIDENTIAL - ----- - Additional desc DUCTLESS Permit Fee 63.00 Plan Check Fee .00 Issue Date . . . 2/24/16 Valuation 0 Expiration Date 8/22/16 Qty Unit Charge Per Extensiorz 1,00 63.0000 ------------------- ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged ------------------------------- Paid ----- Credited Dae -- ---- ----------------- ---------- Permit Fee Total ---------- 63.00 63.00 ---------- .00 .00 Plan Check Total .00 .00 .00 0-0 Grand Total 63,00 63.00 .00 .00 a 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 G:\EXCHANGE\BUILDING Date: