HomeMy WebLinkAbout207 W 6TH ST' - Building Applicattion Number . . 19-00000530 Date 4/11/19 "
Application pin number 529960 RWVW"ATE SAM W
Property Address . . . W 6TH STa yaw exdbeI C ftm
ASSESSOR FA$CEL NUMBER: 06-30-00-0-0-92$0-0000-
Application,type description ELECTRICAL ONLY to ft 044 of FbIt ftabs
Property
Name � r�Coft 002`
Property Use . ij/
Pro<party, Zoning . ,. .. RESIDENTIAL HIGH DENSI`PY
Application valuation . 0
__ - ----- -------------------------
ApPcati.on desc
Ductless heat PUMP.
----=-----------'- -=----- ----------------------------------------------
owner
------------------ -- - ---Owner ontraetor
ANTHONY J AND MEGAN SEIDL ET A BLACt DIAMOND ELECTRICSAL CONTR
PO BOX 1025 502 BLACK DIAMOND RD
PORT ANGELES WA 98362 PORT AN0*LES WA 98363
(651) 23Q-9370 (360) 565-1035
Permit ELECTRICAL ALTER RESMENTI1W
Additional desc .
Permit Fee .. . . . 63.00 Pian Check Fee . '. .00
Issue.Date . . 4/11/19 `valuation 0
Expiration Date '10/08/19
Qty Unit Charge Per. . - Exteusion
1.00 63.0000 ECH EL-R- BRANCH CIR WO/,SER rM 63'.00
r - -- -- -- ------------ --- ---------
Fee summary Charged Paid Credited. Dui:
Permit Fee Total 63:00 63.00 00 .00
Plan Check Total .00 00 00 .00
Grand Total 63.00 63.00 .00 00
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• 1 - 2 SINGLE-FAMILY RFcL�V 3
ELECTRICAL PERMIT APPLICATION APR ��; F� 3
Public Works and Utilities Department ?�19
321 E. 5th Street, Port Angeles, WA 98362 t
360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: l
Project Description:
Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: () h L C_ Email: cy
Mailing Address: Phone:,�,S-1 2?p /3 70
ELECTRICAL CONTRACTOR
1 ! . 1 •
Name: License:
Mailing Address: Expiration Date:
Email: Phone: x/67
PROJECT
Iter Unit Charge Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder 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 $
Temp.Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 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 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional) $56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $
TOTAL $
Owner as defined by RCW.19.28.261:(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 complia ce .th the electrical laws,N.E.C., RCW.Chapter 19.28,WAC.Chapter 296-
466,The City of Port Angeles Municipal Code,and ''ty a cations and PAMC 14.05.050 regarding Electrical Permit Applications.
-1 I r� J &�8� — F
Date Print Name Signature Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
_
ELEC HERMIT T
� .
crfy,00, ANGELES
17,4735. k 1
xA
Application Number . . . 19-00000523 Date 4/10/19
Application pin number 055711 REPORT STATE SALES TAX
Property Address 710 DBL GUZZ1 DR 102 our exClse tax form
ASSESSOR PARCEL NUMBER: 06-30-13-5-5-0300-3102-' ony
Application type description ELECTRICAL `ONLY t0 the City Of Port Angeles.
SubdivProperty Use
Name . . . (Location Code 0502)
Property Use
Property Zoning . . . . . UNKNOWN
Application valuation 0
----------------------------------------
Application desc
Heat pump system.
Owner Contractor _
------------------------ -------------------- '
JAMES ADRIAN AND SUNCHA PAR SU AIR FLO HEATING CO INC
4110 WELLINGTON APT 823 221 W CEDAR. ST
SAN AUGISTINE TX 75972 SEQUIM WA 98382
-(360) 681-3901.:
---- ------ -, ---- ----- -- ---------- - --- ------------- - ----
Permit ELECTRICAL ALTER RESIDENTIAL --- �
Additional desc
Permit Fee 56.00 Plan Check Fee .00 f
Issue Date 4/10/19 Valuation 0
Expiration Date 30/07/19
Qty Unit Charge Per : Extension
1.00 56.0060 ECH L-LVT-THERMOSTAT 56.00
----------^----• y=.-»_-_ ----- ------ --------
Fee summary Charged Paid Credited Due
--------I-- ----------
Permit Fee Total 56.0,0 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.60 55.00 00 .00
MEC'I'ION TYPE DAM ` .a -RESULTS: INSPEMR:
DITCH
SERVICE
ROUGH-IN
COO MEWS:
PER1utTC'WILE.EXPIRE SIX(6)M01M*04 LAST DISPBC'rION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Publictik'orks atict Utilities ]:)epartment 4P�C�j��p AN
321 E. 5th Street, Fart An(,eles, W.1993G2 ?QJg l
360.417.4735 ; xvva-rw.cityofpa,tts I electtricalpermit:5 r Icity(:)fpa.us N
710 S Del Guzzi Drive#102 Port Angeles, WA 98362
.Project Address: g
Project Description: Install Trane Series XV18 R410A Heat Pump System
❑ Single-Family Residential Lf) Duplex/ARU Building Square footage:
OWNER i` i
Jim&Adrian Summerlin '
Name: small 74rnQsadriansummerlin@gmail.com
Mailing Address: 710 S Del Guzz)Dnv1e Port Angeles,.UVA 98352 ..r. p.orie110-275-9544
ELECTRICAL CONTRACTOR i` i
Air __.
_ ......._Name: Flo Heating Co
Llcense;;`AtRFtl"2o6oG
Mailing Address: 221 utggSf';%Feet Sequim,WA 98382 Expiration Date: 04/25/2020
s2 3 s :�do }.-
ellie airfloheefii�"•••" r�'•~�..1":'�.. 360-683-3901
Email: @ _.._...- W'��_:::.._..,... Phone:
PROJECT DETAILS
Charge)
a 1,:•
Service/Feeder
Service/Feederg01Ci0 Amp $1d6 00
Service/Feeder 401�60FJ Amp. 2Q5 00
Service/Feeder 5014000'A"np. 2 CA
Service/Feedei'o1At7tf"lAmp. 704
Branch Circuit yV(/Ssz r►ce Feeder
Branch Circuit lft Service Feeder $
Each Additional Branch.:Circuit $
Branch Circuits 1-4 $7500 $
Temp.Service/Feeder200Amp. $$3 00
Temp. Service/Feeder201-400Amp: $110.00 $"
Temp. Service/Feedsf .4 t
....
H 1 »f i!'"-."-x'•^;:a°r-.,..[$>
.1w
w s'i.a-?.t't:;; {c;;•'^iu-.:s-•^�;,= >:.iN
Temp. Service/Feed4bQ1- A00Amp• x = ..�
?Fn;�m =.0•iai p„ {! x:x W-1s :c=.?z3cl{<;i:. rs`F:x•-•,R.,;i
ISignal
F.2e:P,�rtey:nray g:.S.s�:E,4�.F I[..:r':.j l}Sifr:FS::�:x:x�-2-:::::a3rE.—"'i.�:1'xv._t:j1:p•:•�:.:a,_.
.2`..i,::E...:Sr-.;rPortal to Portal Hourly ::gini, SFS( ;•�3a.'a�'t•[-Leit.:t.^•i:i..s:•r.•.S-
r?:•n-Jit• '
Si nal Circuit/Limited Enk[a:':c�Iji•5dt-s=ys:,,-•'_z:.:=:--�=�::.^•ut'.x_..".-��[t..'�rj ts[i��._�T•`.
s1,•!np-el-�cx?ft:::.�:"..:��L_2.t,&'.2le.j�G..!n::'�3.__s_—'-.''sxut.'.u-_.;.e:n.:..^s,_wz.i*.:a.t.�3e:*te5.g"le_:_i."t..,.".a.?.�::.":..m::.:e•-_•.msu"r:.nt;:.:!:.:I_iiai•ML:�i'n [:F•3:iy;4�j!s_cit:.i.:'u:r::[
7<-•_.;J_[:n?t.'r'1`.�•'om:."y.._ie^.:u:_'-,j
iJ^t.`.FS•iF7�",
H*;
'+-
...,[:;•:.
Manufactured HomeMWEMIU.1�s�'.��::
Renewable Elec. Energy:5KVf� :braes :0 :#I_#'=._. .. :- -_--;•-::_��-:.�::��:,
-: ::i �_:•[>3<i?^_si'''.`-
-,;i?'ME-__:: 7
Thermostat(Note:$5 for each add FWdF =-t:=;-;: �:•sig - ...0:._. —: ,.a „-.• • 3$
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i TOTAL $
Owner as defined by RCW,19.28.261:(1)Ownerwill occupy the structure fortwo years after this electrical permit is finalized.(2)Owner is
i required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
i
After reading the above statement,I hereby certify that I am the owner of the'above named property or a licensed electrical contractor. 1
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 S ica' a d PAMC 14.05.05 ing Electrical Permit Applications.
04/09/2019 Ellie Hubbard
Date Print Name Signature(E] Owner fig, Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]