HomeMy WebLinkAbout1622 Milwaukee DR - Building (2) t+N
ELE CAL PERM-r " t
CITY CIF PART ANGELESAA
360-4174735 C,
Application Number . . . . 21-60000346 Date 3/22/21
Application pin number 455470
Property Address . . 1622 MILWAUKEE DR
ASSESSOR PARCEL NUMBER: 06-30-00-9-9-0140-0000-
AppliCation type description ELECTRICAL ONLY
Subdivision Name . . .
Property Use . . . .
Property Zoning ,. . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
-Application desc
T-stat
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Owner Contractor
._-_ -_ _ _ --__ _ __ _
BRASTAD ANDREW P/C M DAVE'$ HTG & COOLING SRVC INC
1622 MILWAUKEE DR PO BOX 413
PORT ANGELES WA 983631104 PORT ANGELES WA 98362
(360) 452-0939
Permit ELECTRICAL ALTER RESIDENTIAL,
Additional desc . i
Permit Fee 56.00 Flan Check Fee .00
Issue Date . . . . 3/22/21 Valuation . . 0
Expiration Date . 9/18/21
Oty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 56.00 56.00 00 .00
Plan Check Total .00 00 .00 .00
Grand Total 56.00 56.00 .00 .00
i
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502) j
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH--IN
FINAL SIR
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Dates
G.-\EXCHANGE1BUILDING
1 - 2 SINGLE-FAMILY
1
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.us I electricalpermits(qcityofpa.us UJ
Project Address: 1622 Milwaukee Drive, Port Angeles, WA 98363
Project Description: low voltage thermostat wire for controller as part of ducted heat pump system installation
F� Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Andy R Colleen Brastad Email:
Mailing Address: 1622 Milwaukee Drive, Port Angeles,WA 98363 Phone: 360-460-9551
ELECTRICAL CONTRACTOR INFORMATION
Name: Dave's Heating&Cooling Service,Inc. License: DAVESHC9912C
Mailing Address: PO Box 413,Port Angeles,WA 98362 Expiration Date: 5/2021
Email: davesheating@wavecable.com Phone: 360-452-0939
PROJECT DETAILS
Min Quantify J2W(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'200Amp. $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 $ 56.00
m=
f�
TOTAL $ O
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 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.
03/17/2021 Heather Navarre �4-_V�11_
Date Print Name Signature(❑ Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]