HomeMy WebLinkAbout140 W 11th Street - Building (2) EM1+ 't*dA1 EERmrr
CITY 6.V PMfANGELES N
60-417-473 t
Application Number 21-00000292 Date 3/10/21
Application pin number 084100
Property Address . . . . . . 2.40 W 11TH S-T
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4455-0000
Application type description ELECTRICAL ONLY
Subdivision Name . . . ' "
Property Use . . . . . .
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
- ---
Application desc
HP dsiconnect
Owner Contractor
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BETSY REED SCHULTZ EXTRA MILE TECH & ELECT., LLC
140 W 11TH ST 418 N. RACE ST.
PORT ANGELES WA 983627710 PORT ANGELES WA 98362
(360) 457-5222
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee 68.00 Plan Check Fee .00
Issue Date 3/10/21 Valuation 0
Expiration Date 9/06/21< -
Oty 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/ SER FRED 63.00
-Fee summary Charged , Paid Credited Due
--- W Permit Fee Total 68.00 68.00 .00 .00
Plan;Check Total 00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
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 Date:
GAEXCHANGEWILI3ING
'L
I - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department �
321 E.5th Street,Port Angeles,WA 98362
360.417.4735 (wvvw.cityofpa.us(electricalpermits@cityofpa.us
1 �
Project Address:
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�c s�...�.�c�-Dtwiex/ARU Bang Square
Name: e c lL u Emafi:
Mading Address: /f ..eac-/L // Phone: 3 to '-4 CC)
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Nam: E`xfA� .,L S Tr rE;te_ +tLi co. L)cense,=Xnk'&P1r 173 R la►
MaBing Address: P.O. R 0JL 31-Xg PA (P?- Expiration Date: r 12-A 6 2 011
Email: S-gA z.4 M'r,(A LS 0/4ep t s.Mom'1— Phone: 3Ge 0-N 6 i r 33 8
IECT >f
Unit Charm ament*t 7ffit(oaf►x Unit Charge)
ServicelFeeder2DOAnp. $120.00 $
ServicafTeederM40DArnp. SUM $
Servic der401-80OAmp $205.00 $
SemvieelFeader 601 1000 Amp. $2W-W $
Sen ice/Feeder over 1000 Amp. 3M.00 $
Branch Circuit W Service Feeder $5.00 $
Branch Ciresdt W/O Service Feeder $M.00 �— $ 'w
Each Additi YM Branch Circuit $5.00 i $ ,
Branch Circuits 1-4 $75.00 $
Temp.ServloelFesder 200 Amp. $9 0() $
Temp_ServioetFeeder 201-400 Arc. $110.00 $
Temp.ServicaFteder401.8WDAwp. $149.00 $
Temp_Ser Ace/Feeder 801-1000 Amp. $168.00 $
Portal to portal Hourly $96.00 $
Signal Circultillruted Energy-M2 OU. $54.00 $
Manufactured Horne Connection $120.00 $
Renewable Bec.Energy:S M Sysiem or less $102.00 $
Th+ermoift(Maim$5 for each $55.0D $
First 1300 S Feet $120.00 $
Each AdMicnal 5D0 square few" moo $
Each Clulbu ng!Deteched CierW $74:00 $
Each Swimming Pool!Hot Tub $110.00 ,,, $
TOTAL $
Owner as defined by RCaK19.2&251:(1)Ownharwil occupy the strhrdure tortwo years after Oft electrical penT#t is finai¢e&(2)Owner is
required to hire an electrical contractor E above said property is forsaie%rent or how Permit wow after six months of lest irwpedlon.
After reading the above statement;t hereby Y that I am the owner of the above named prrhperty or a Sceried electilcal contractoh:1
am making the electrical uhetatlation or alteration In compliance with the electrical burs,ALEC.,RCtitt ChspWr 49 28,WAG.Chapter 2W
468,The City of Port Angeles Municipal Code,and 1lft Specifications and PAMC 14.05__050 regarding Electrical Permit Applications.
";-� a /zl -blk Sj�--AC—S M-<, .
Date �— Print Name Signature([] Owner 0 Electrical ContraclorlAdministrator)
[Electrical Permit Applications maybe submitted to City Mao or electrlcalpermits@cRyofpa,us or fa ind to 360A17.47111