HomeMy WebLinkAbout3803 C ST - Building ELE CAL PERMIT
LES
360 41 -4115`
Application Number . . 21-00001095 Date 9/01/21
Application pin number 4S9165
Property Address . . . .. 3803 C ST
ASSESSOR PARCEL NUMBER: 06-30-09-5-0-0120-000.0-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use .
Property Zoning . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
Application desc
Furnace
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Owner Contractor
ARLO R AND VICTORIA L FORSYTH EXTRA MILE TECH is ELECT.. LLC
3803 C`STREET EXT 418 N. RACE,ST.
PORT ANGELES WA 983632304 PORT ANGELBS WA 90362
(360) 457-5222
permit ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit:`Pee . . . 63.00 Plan Check Fee .00
Issue Date . . . . 9/01/21 Valuation . . 0
Expiration Date 2/28/22
Oty, Unit Charge Per Extension
1.00 63.0000 ECB EL-R- BRANCH CIR WO/ 3ER FEED. 63.00
--Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00" 00
Grand Total 63.00 63.00 .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
C0961ENTS:
PERN[ti Vl E"OtE SI C(6)AIONTEIS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGSBUIWING
- 2 SINGLF=-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
3 .?03 s M
Project Description: tA)-,+ C t;c +a
I1 Single-FarNly Residential O Duplex!ARU Building Square footage:
Name: [- o d a f Emad:wa
Mailing Address: 3 0 3—N „-. C- 54. Phone: r/2�O Y d SO
Name: Extra Mile Tech&Electrical License:EXTRAMT973116
Mailing Address:P.O.Box 3128 Port Angeles,We 98362 Expiration Date:12/26/21
Email:extrarrtile@olymPus-t Phone:360-457-5222
ftm Unit Chacae QuKM TgW(Quantity'x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
SwrAce/Feeder20I 400Amp. $146.00 $
Service/Feeder 401-600 Amp. $206.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Servicelfee der over 1000 Amp. $373.00 $
Branch C' W/Service Feeder $5.00 $ _---
Branch Ckcuit W/O Service Feeder $63.00 ) $
Each Additional Branch Chad $5-W $
Branch Circuits 1-4 $75.00 $
Temp.Service/Feeder 200 Amp. $93.00 $ —
Temp.Service/Feeder 2014W Amp. $110.00 $
Temp.Service/Feeder 401-6W Amp. $149.00 $
Temp.Servke/Feedar 6014000 Amp. $168.00 $
Portal to Portal Hwdy $96.00 $
Signal amilt/l.Imited Energy-1&2 DU. $64.00 $
Manufactured Home Connection $120.00 $ —
Renewebte Elec Energy:5KVA System or less $102.00 $
Thermostat(Note:$5 tar each additional) $56.00 $
First 1300 Square Feet $120.00 $
Each Additional SW square feet* $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pod/Hot Tub $110.00 $--7�� _
TOTAL $__sL?�_��°—
Owner as defined by RCW.1928261:(1)Owner wig occupy the struckire for two years after this electrical permit is finalized.(2)Owner is
regained to hire an electrical contractor it above said property Is for sale.rent or lease.Pemdt expires after sic months of last inspection.
After reading the above statement,I herby certify chat I am the owner of the above named property or a licensed electrical contractor I
am mai*V the electrical Installation or alteradw in compliance with the electrical taws,N.E.G..RCW.Chapter 1928,WAC.Chapter 296-
4W.The City of Port And Municipal Code.and Utility Specifications and PAMC 44.05.050 regarding Electrical Pernik AppdCations.
/�3 1/.21 Scot M. Smasal
Date" Print Name Signature(❑ Owner&a Electrical Contractor/Administrator)
[Electrical Petmit Applications may be subffu t d 10 City!-lad or or faxed W 360.417.47111