HomeMy WebLinkAbout138 FOREST AVE - Building (2) ELEcm- CAL PERMIT
CITY 6P PRT ANGELES
3�=417-�t�35 N
Application Number . . . . . 19-00000124 Date 1/23/19
Application pin number . . . 093416 REPORT STATE SALES TAX
Property Address . . . . . . 138 FOREST AVE on L/l'eXC/Se tax form
ASSESSOR PARCEL NUMBER:, 06-30-09-5-2-3542-0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
'
Property Zoning . . . RS7 RBSDNTL SINGLE_FAMILY
Application valuation 0
- -
Application desc
Ductless heat pump
----------------------------------------------------------------------------
Owner Contractor
BOBBI C FABELLANO ET AL EXTRA MILE TECH & ELECT., LLC
138 FORREST AVE 418 N. RACE ST.
PORT ANGELES WA 983622516 PORT ANGELES WA 98362 .
(360) 457-5222
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 68.00 Plan Check Fee .00
Issue Date . . . . 1/23/19 Valuation 0
Expiration Date 7/22/19
Qty Unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
1.00 63.0000 BCH EL-R- BRANCH CIR WO/ $ER FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COA04ENTS:'
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrlal'Contractor X Date:
i
1 - 2 SINGL -FA I Y
E M L 0EC'Vm
ELECTRICAL PERMIT APPLICATION ;1,,,
Public Works and Utilities Department
EEC
' JD
321 E.5th Street, Port Angeles, WA 98362L [RCA�
360.417.47351 www.cityofpa.us I electricalpermits@cityofpa.us iNSPEPTI'As N
V
Project Address: / 3 rl o!2. e S , - Ay e
=ingle-Farnfly
Description: Q w C i✓L c-L-4r1-u.2 -b Lkt_ 1-e SS
Residential 0 Duplex/ARU Budding Square footage.
Name: l'1n c.!z I c n S c.J a rC " ,y Nr
Mailing Address: /3,r Fu 2�e S-f- f v e. Phone: 3(, 0- 16 U- O 8!S
Name: eVIZ-4 m1.1-5 (EC q G7( ckl ucense:,Fxr'R4#ir 973 R�
Mailing Address: P-0- -11-y- 31-;)-S RA 1 3 fa Z Expiratan Date: /42-A(0 -2017
Email: 4�5`,C�-rt4^7 f 4e'6P 01 Ks S.A/C r- Phone: 3G 0-'46 f
ami DET. LS
Ism Unit Charge 911111ft jam((Quantity x unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-800 Amp $205.00 $
Service/Feeder 6014000 Amp. $262.00 $
Service/Feeder over 10W Amp. $373.00 $
Branch Circuit W Service Feeder $5.00 $
Branch Circuit W!O Service Feeder $63.00 _j_ $ (o . `n
Each Additional Branch Circuit $5.00 I $
Branch Circuits 1-4 $75.00 $
Temp.Service/Feeder 200 Amp. $93.00 $
Temp.Service/Feeder201-400 Amp. $110.00 $
Temp.ServicPlFeeder 401-600 Amp. $149.00 $
Temp.Service/Fedder601-1000Amp $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy-182 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec.Energy:5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional) $56.00 $
Fsat 1300 Square Feet $120.00 $
Each Additional 500 square feet' $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Slwinrrung Pool!Hot Tub $110.00 $
TOTAL. $
Owner as defined by RCW.19.28.261:(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 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 making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
466,The City of Port Angeles Municipale,and Utif Specifi and PAMC 14.05.050 regarding Electrical Permit Applications.'4-�k r
Date Print Name Signature(E] Owner ectricai Contraclor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or efectricalpermits@cityofpa us or faxed to 360.417.47111