HomeMy WebLinkAbout1729 E 4TH ST - Building (3) 'I - "a?' ,-
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ELE�CALTT
CM OF PORT ANGELES
360-417-47-35
Application Number . . . 18-00001684 Date 11401/18
Application pin number . . 623828 REPORT STATE SALES TAX
Property Address . . . . 1729 E 4TH ST 00 your excise tax fom
ASSESSOR PARCEL NUMBER: 06-30-00-5-5-0150-0000-
Applicatiot}-type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . Location Code 0502)
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Application desc
Kitchen remodel
Owner - Contractor -
HURD DAVID L EXTRA MILE TECH & ELECT., LLC
2009_W'15TH ST 418 N. RACE ST.
PORT'.ANGELES WA 983635130 PORT ANGELES WA 98362 .
(360) 457-5222
Permit . . . ELECTRICAL-ALTER,RESIDEMAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . 15.00 Plan Check Fee .00
Issue Date 13/01/18 Valuation . 0
Expiration Date . 4/30/19
Qty Unit Charge Per Extension
BASE FEE 75.06
---------- ---' --- — ---- — --- ------_.----__--------.__. -
Fee summary Charged Paid- Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Cheek Total, .00 ,00 .00 .00
Grand Total 75.00 75.00 �00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMtr'Wn L EXPIRE SIC(6)VON'M FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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I 2 SINGLE-FAMILY ,2
ELECTRICAL TRIO PERMIT IT APPLICATI4� � rxvu'
Public Works and Utilities Department _
321 E.5th Street,Port Angeles,WA 98362
360.417.4735 I www.cityofpa.us I electrcalpermits@cityofpa.us �
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Project Address: 7 1-2
Project Description: •"'` � i -�-c
❑ Single-Family Residential 0 Duplex/ARU Bulding Square footage:
Name: eklt t tz Email: A )
Mailing Address: %-A`l zWI T S Phone: 1u 111--
Name: M 1.L-E i ec-(4 9.f co, t.icense:ExrR4mr 773 R re
Mailing Address: P.O. 3 0JL 3 I.7-8 PA Q 3(VV. Expiration Date:
Email: FX feu}-M i GE 6P O/4el a K S. AAS7- Phone: 3(e0 -'4 b I - t 3 3 8
ll�m Unit Charge Qgaggfty JQW(Quantity x UnitCharge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Servic elFeeder 401-600 Amp $205.00 $
ServicelFeader 601-1000 Amp. $262.00 $
Servicafeeder over 1000 Amp. $373.00 $
Branch Circuit W Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $7500 $ S `�
Temp.Service/Feeder200Amp. $93.00 $
Temp.ServkWFeeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy-1&2 OU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec.Energy:5KVA System or less $102.00 $
Thermostat(Note:$5 for each additiona0 $56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet' $40.00 $
Each Outbuilding I Detached Gerage $74.00 $
Each Swmlming Pool I Not Tub $110.00 $
TOTAL $ =
Owner as defined by RCW.19.28261:(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,1 hereby certify that I am the owner of the above named property or a licensed electrical contractor I
am malting the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B,The City of Port Angeles Municipal Co,16,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
7
Date Print Name / Signature(Jg Owner Contractor I Administrator)
FIT—
[Electrical Permit Applications may be submitted to City Hall or electricalpermits(Rcityofpa us or faxedto 360A17.47111