HomeMy WebLinkAbout1121 S Pine StELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4715
RS? RESDNTI SINGIE FAMILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
$$
d$dr
ApplicaEion Nuniber
Application pin number
ProperEy Address
ASSESSOR PARCEIJ NUMBER:
Appli.cation, type descr j.ptsiolt
Subdivision Narne .
Property Use
Property zoning
Application valuatsion . .
18 - 00001876 DaLe a2/).2/7a
420224
1121 S PINE ST
05-30- 00 - 0-3 -4 750- 0000 -
EI,ECTRICA]. ONLY
ApplicaEion desc
Sub Panel for garage
Owner Contsractor
MARTTIA ANN T1ND JEFFREY KIM CIIN
1OO1 E CHICAGO ST
SALEM OR 98303
AI.ASKAN ELECTRIC
237 ROBERSON RD
PORT ANGELES
(350) 582-3874
wA 983 52
PermiE
Addilional desc
PermlE t'ee
Issue Date
Expiration Date
120.00
1-2/].2/te
5/t0/t9
ELECTRICAL ALTER RESIDEN'IIAIJ
. o0
0
oty unit charge Per1.00 120.0000 EcH EL-0-200 sRv FEEDER
Exlension
120. 00
Fee aunmary Charged Pa id Crediled Due
Permic Fee Tolal
Plan Check Tolal
Grand Total
L20
120
00
00
o0
120.00
.00
120 .00
00
00
00
00
00
o0
PERMIT WILL EXPIRE SIx (6) MONTHS FROM TAST INSPECTION
INSPECTION TYPE DATE:RESULTS:NSPECTOR:
DITCH
SERVICE
ROUGH.IN /-4-tB IP
2rOFINAL/-t{- tB 4r.A
COMMENTS:
III
Signature ofowner or Electu"ical Contractor X Date:
Plan Check Fee
Valuatsion
AD
NG
E LE C IRI CAL ITA ICATI
Publfu Worts and Urilitics Deparrment il
j21 il. 5th Sreet. Pon Alrgclcs, WA 98i62
360.117 .4735 , wrvu.ciry o lpa,rs I c l!-ctr'icalpirnriurlCcityotpa.us
aE0EluED
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IN
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arm{n
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1121 S Pine St, PA, WA 98362Project Address:
50A nel from exterior main
/ ARU Building Square footage;
nel to e
Projeci Oescription:
E Single-Family Residential E Duplex
NamB:Martha E Jeff CuoninghEm Erflail
1001 Ech ST,K€nt WA , 98303 Phone:
Mailing Address:
LicBnse:ALASKE s94700
Name:Alaskan Electriqal Servi€s
Expirauon Data . 03-2020
Mailing AddrEss . PO BOX
Email .a
Itsm i ,
Seruics/Feeder ?00,qmp.
Servic6/Feeder 201-4@ AmP.
ServicdFa€der 401 4QO ArnP-
s€rvlc€/Fe€dsr 601 -1mo AmP
Service/Fe€der ov€r 1 0Q0 tun P.
Branch Cirolit W Servica Fe€der
Branch Cirorit WO Service Feeder
Eacfi Addifional Branctl Circuit
Branci Clrarits 1-4
Temp, S€NicB/FeedaJ 200 AmP.
Temp, SoM ce/Faader 201-4oo tunP.
Temp. SeNics/Feedql 4o1€00 ArnP.
Temp. SerYice/FeBde'r601:1go0 AmP
, wA 98382
Phone:36G562-3874
Charge)
Portalto Portal Hourly . - .r, - :.
signat ciroJit/Limited energy'i't8z utt: '
Manutactured Home Connedion
Ronewsble Elec Energy; sKVA SYEEn or lqgs
$r?o.oo" ll ' -.
$146:0O ------:--
[2!5,00 _.:.-
$26e00
.s373.O0
$63.m
$5.00
$75.00693.00 --:--
$110.00
. $149.0Q !a.1T7f .
srs8.@,. : _iJ+_
$.120.94 ,
$
s
s
$
$
$
$
$
.s
.t $
ThermoEtat (Note: S5 for each additional)
TOTAL
Owner as dofined by RCWl S.28.261: (1)Owner will occupy ths stijcture for two yoars afier lhis ebcaical pemit is fiaalized. (2) Owner ls
requrr€d t! hirs an el€clrical contrador if above said properly is tor sale, Ient or lBase'Pormit expires aftBr six months of last inspeciion
After r€ading the above staternent, I hereby certify that I am trle owner of the above named property or a licensed elsctidal conuador' I
am making the elsdical installation or alteration in compliancs w{ih ttle electrical laws, N E C-, RCW chapter 1s.28. vuAc. chaptEr 29c).
468, The City of PortAngeles Munlclpal Code, and Utility 0ons 14.05.050 rogardi ng Eleclrioal Peffiit APPlicatiohs.
1?J10118 Mitch Blackburn
Date Print Name Owner E Elec{ri cal Contractor / Adminiskator)
lEtctrical PermirApplications may be submitt€d !o city Hall or €leclricalpermits@cityotpa us or laxed to 360 417'471',11
la tgvJ SAS '133-I= NV)SVIV EEEEZg'AgE LZiET 1BAZ /21/4I
s1020Q
Signature ([
ssE rr
Application Nuhber
Application pj.n number:
Property Address
ASSESSOR PARCEL NUMAER:
Application lype descript ion
subdivision Name
Property Use
Property zoning
Application vafuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4'735
18 - 00 001411 Date 9/t'//7a
357375
3 317 UPLAND LN
06-30 15-1-3-9080-0000-
EI,ECTRICAL ONIY
RS9 &ESDNTL SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
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t'\.\r_
(N
Application desc
Install heat pump
Owner Contract.or
WINTER BRIAN T)
3317 UPI,AND LN
PORT ANGELES wA 983623760
DAVE'S HTG & COOIJING SRVC ]NC
PO BOX 413
PORT ANGELES WA 98362
(350) 4s2-0939
PermiL
Addilional desc
Permit Eee
I ssue Date
Expiration Da!e
55.00
e/t1/a8
3/16/1e
Plan Check Fee
Valuation
ELECTRICAL ALTER RESIDENTIAl,
Lr!
0
oty Unit Charge Per
1. OO 56 . OOOO ECH EN- LVT. THERMOSTAT
Extension
55. 00
charged Paid credi ted Due
Permit Fee ?otaf
Plan check Total
cr.and Total
56.00
.00
s5 .00
56 .00
.00
56.00
00
00
00
00
00
00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN /-,{-tg "u @
FINAL p y'-rc ,r'J
COMMENTS:
S ignature ofowner or Electrical Contractor X
l/c\
Date:
E T ALP R ITAP
Public Works and tltilities Dep?rrtnlent
12I lr. 5th Strcct. Pott Angclcs. Wh 9tl3(r2
160.4lT.4T.l5 l rvr u,.citvolpa.us l c lcctlica lpcrnr ilsrrr)c i1y,,1pu. r.
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Prqe ct Address: 3317 Upland Lane
Project Description installation of heat pump system
OWNER INFORMATION
Name. Brian Wint€r
Mailing Address 3317 Upland Lane, Port Angeles, WA 98362
Email
phens. 360-460-4930
ELECTRICAL CONTRACTOR INFORMATION
Name Dave's Heating & Cooling Service, lnc.License. DAVESHC9912C
Mailing p,(drgss PO Box 413, Port Angeles, WA 98362 Exp aration Date. 5/20'19
360-452,0939
PROJECT DETAILS
Item
Servrce/Feeder 200 Amp.
Servrce/Feeder 201 -400 Arnp.
Servrce/Feeder 401 -600 Amp.
Servrce/Feeder 601-1 000 Amp.
Servrce/Feeder over 1000 Amp
Branch Circuit W Servrce Feeder
Branch Circurt WO Service Feeder
Each Additional Branch Crrcurt
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Iemp. Service/Feeder 40'l-600 Amp
Temp. Service/Feeder 60'l-1 000 Amp
Portal to Portal Hou. y
Signal Circurylimited Energy - 1&2 DU
Manuiactured Home Conneclion
Renewable Elec. Energy 5KVA System or less
Thermostat (Noter $5 for each additional)
First 1300 Square Feet
Each Additional 50O square f€et '
Each Outbuilding / DetschEd Garage
Each S\rrimming Pool / Hot Tub
TOTAL 56.00
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 as for sale, rent or lease. Permit expires afler sax months of last inspection
Afrer reading the above statement, I hereby certify that I am the owner of the above named prope(y or a licensed eleclrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N E C . RCW Chapte. 19 28, WAC Chapter 296-
unit Charqe
$120.00
s146.00
$205.00
$262 00
$373 00
$5 00
s63 00
$5 00
$75.00
$93 00
$110 00
$149.00
$168 00
$96 00
$64 00
$120 00
$102.00
$56 00
$120.00
$40.00
$74.00
$110.00
Ouantitv Iqhl (Quantity x Unit Charge)
00561
$
$
$
$
s
$
$
$
$
)
$
$
$
$
!
$
$
$
$
$
$
t
468, The Caty of Port Angeles Municipal Code, and U
911212018 Jeanne Oldenkamp
Print Name
tilrty Specifications C 14.05.050 re garding E Permit Applications
re (E Owner E Contractor / Administrator)
[Electrical Permit Applicalions may be submitted to City Hall or electricalpermits@cityof pa us orfaxed to 360.417.47111
EL1.2 1 - 2 SINGLE.FAMILY
-!
tr Single-Family Residential E Duplex i ARU Building Square footage:
-
Email davesheating@wavecable.com phone:
/.t
Date