HomeMy WebLinkAbout230 1/2 W 8TH ST - Building ELECTiCAL PERMIT _ '!
My CSF BURT ANGELES
300-417-4735 71
Application Number . . . 19-00001787 Date 11/13/19
Application pin mer .
r . . 454218 REPORT STATE SALES TAX
Property Address . . . . 230 1/2 W 8TH ST Onour excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6644-0000- y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property.Use (Location Code 0502)
Property Zoning . . . UNKNOWN
Application valuation . . . 0
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Application desc
Service repair .
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Owner Contractor
GUSTAFSON, ALAN W & CINDY D EXTRA MILE TECH &ELECT., LLC
PO BOX 1314 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457-5222
Permit ELECTRICAL ALTER COMMERCIAL
Additional des,c .
Permit Fee 132.00 Plan Check Fee .00
Issue Date . . 11/13/19 Valuation . 0
Expiration Date 5/11/20
Oty Unit Charge Per - Extension
1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00
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Fee summary - Charged Paid Credited Due
Permit Fee Total 132.00 .132.00 00 .00
Plan Check Total; .00 .00 .00 .00
Grand Total 132.00 132.00 .00 .00
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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:
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MULTI-FAMILY 1 COMMERCIAL �
(ELECTRICAL PERMIT APPLICATIOhI
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ate.-
Public k�orks ani:Ttil4ties Department
321 E.5th Street, PortAnggeles,`VA 98362 VOl/
IN 360.417 4735 ! .-%,—w r:cihofpa_us I electricalpermits@,cityofpa.us
Project,Address 11�41> II "
Rrajed Description: �.e,j �p�- cLll-A't._�� tV�t
❑ MuitWamity Residential ❑ Commercial/Industrial Public Budding Square footage:
bRwrib
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Name: W S SO nJ Emil. V
Mailing Afress: � 3y v� S'�-z�e Phone:
MOWN
Name: , -T Y 2 c License: TRIM n'I T j� 3 I?lp
Mailing Address: `? t7, o 3 (�- t�I� S 8 b Z Expiration Deft.
Entail: •r A,7r t ~.As , AJ-P-4 Phone: 3 6 0 -q6(
f 3 3
A a d
ffi Y Its€( aft x Unit Charge)
ServicelFeeder 200 Amp_ $13200 $ NOW /3 2
Serviee/Feeder 201-400 Amp. $160.00 $
Servic sfFeeder401-600Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $500 $
Branch Circuits 1-4 $81100 $
Temp.Service/Feeder 200 Amp. $10200 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feeder 401-600 Amp. $164.00 $
Temp.ServiceJFeeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly MOD ,_._ $
Sign/Outfiine Ligtrting $8800 $
Signal Cir aftirnifed Energy-Mul6-Fm* $8800 $
Signal Circuldl invited Energy/Frrs t 1500 sl-Ccrosrexc ial $9600 $
(Note:$5.00 for each additional 1500 so
Renewable Elec.Energy:5KVA System or less $11&00 $
Thermostat(Note:$5 for each additional) $5600 $
$ / G `TOTAL
Owner as defined by RCW.1928261:(1)Owner wdi occupy the structure for two years after this electrical pernnit is finalized.(2)Owner is
required to have an eMcbical contractor Nabove said property is for sals,rent or lease.Perrin'#exp atter soh mordhs of last inspection.
After reading the above statsrnerk I hereby ceY6lr that l am the owner ofthe above named property or a licensed electrwal contract I
am malting the electrical Installation or agerabon in coniptlance with the electrical laws,KE.0,RCVtf Chapter 15.28,VBAC.Chapter 296-
466.The City of Port Angeles Municipal Code.and t eft Speciftebm and PAMC 14 05.050 regards Electrical PermitApptications.
-2-11
Date Print Name Signature(❑ Owner Electrical Contractor/Administrator)
Pectrical Permit Applications may be submitted to City Hall or 'LL,r= 'ic .i-- s or Wed to 3604174711]