HomeMy WebLinkAbout3420 ST - Building ELEcnucAL PERMIT
CITY OF FORT ANGELES
360-417-4735
;Application Number . . . 19-00000319 Date 3/06/19
Application pin number . 161574 REPORT STATE SALES TAX
Property Address . . . . . . 3420 MCDOUGAL ST Ort-30-15-6-2-0070-0000 your @XCtS@.tBX form
ASSESSOR PARCEL NUMBER: - 06
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . (Location Code 0502)
Property Use . . . . . .
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
Tricia and Kelly Berry EXTRA MILE TECH & ELECT., LLC
3420 MCDOUGAL ST 418 N. RACE ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 460-4192 (360.) 457-5222.
----------------------------------------------------------------------------
Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIR
Permit Fee 75.00 Plan Check Fee .00
Issue Date 3/06/19 Valuation- 0
Expiration Date 9/02/19
Qty Unit Charge Per Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total '00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00 '
. I
I
i
. i
INSPECTION TYPE
DATE: RESULTS
: - INSPECTOR:
DITCH
SERVICE -
ROUGH-IN ..
FINAL )
COMMENTS:,
PERMIT WELL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY '- -i'.:._ t
a °°rei.r ELECTRICAL PERMITAPPLICATIQ14' 05 `'I9
Public Works and Utilities Department f
321 E.5th Street, Port Angeles, WA 98362
360.417.4735 (www.cityofpa.us etectricalpermits@cityofpa.us
Project Address: �. (J :' t a yti
J f
Pro Description: LL4 r_ e, C Inc
Single-Family Residential ❑ Duplex/ARU Building Square footage:
Name: t 1 ,z.r Email: ti
Mailing Address ' Phone. j' G 416 0 -- S`l�Q
Name: FX44-4 A',L-5 1 L'`14 G 1ejC IU Cg. License:A-.F'XTr24n11",`173 R W
Mailing Address: R t7. t3 c A 31,7-$ RA 3 6 7- Expiration Date:
Email: 45-,K f-r2A^1 1 LE(IP 0 7yti�p N 5. A/gr r- Phone: 36 0-'t b f - 13 3 8
�(SQ3 Unit Charge Quantity ?QW(Ouantity x Unlit Charge)
ServicelFeeder 200 Amp. $120.00 $
Servloe/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-6W Amp $205.00 $
Service/Feeder 601-1000 Amp_ $262.00 $
ServicefFeeder 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 $75.00 _L $ 7 57
Temp.Servic afFeeder 200 Amp. $93 00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.ServioelFeeder 401-600 Amp. $149.00 $
Temp.ServiceJFeeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuitJLimited Energy-1&2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Etec.Energy:5KVA System or less $102.00 $
Thermostat{Note:$5 for each additional} $56.00 $
First 1300 Square Feet $120.00 $
Each Additional 5W square fleet" $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot 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,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-
46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature(❑ Owner 9 Electrical Contractor l Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricaipermits@cdyofpa us or faxed to 360.417.4711]