HomeMy WebLinkAbout1304 Forest TrsN
ELECTRICAL PERMIT
CIry OF PORTANGELES
360-417-4735
ds
ApplicatioD Number
Application pin nunrler
Property Address
ASSESSOR PARCEL NU]Y1BER:
applicatsion t).pe descripEion
Subdivision Name
Property Use
P.operty Zoninq
Application valuat ion
18-00000?88 Dare 5/29/18
478500
1304 EOREST TR
06 30 14 - 6 - 7 - 0 2 3 0 - 0 0 0 0
ELECTRICAIT ONI]Y
REPORTSTATE SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
0
Application desc
Ductless heal pump
GREEN CROW PROPERTIES INC
PO BOX 243 9
PORT ANGELES WA 983620312
DAVE'S HTG & COOLING
PO BOX 413
PORT ANGELES(360) 452 093 9
SRVC INC
wA 98362
Addilionaf desc
Permit Fee
Issue Date
Explratlon Date
56. 00
5/29/tB
:1/ 25 /tB
ELECTRICAL NEW RESIDENTIAIT
Qty Unit Charge
1.00 56.0000 ECH EL LVT TI{ERMOSTAT
00
Extension
s6.00
Fee summar:y Charged Paid Due
Penmi t Fee To!al
PIan Check Total
Grand Total
55 .00
' 00
56.00
56 .00
.00
56 .00
00
00
00
00
00
00
INSPECTION TYPE DATE RESULTS:
DITCH
SERVICE
ROUGH-IN s)zJn *V 8D'
FINAI to)24 /n *S
COMMENTS:
PERMTI WILL EXPIRE SD( (6) MONTHS FROM t-{ST INSPECIION
Signature of o*rner or Electrical Conkactor X Date
uNKllowN
Plan Check Fee
Valuat ion 0
INSPECTOR:
e6,
1 - 2 SINGLE-FAMILY
ECTRI L PERMITAPPLI
Public !\jorks and L itilities Department ,rrO _.il I I:. 5th Street. Port Angeles. \\'.\ 98.161
360."i I 7..17,r5 11rr}. citl.otira.us elecrricalpem its,a,cit} ofF&{ftr
II
!o
=.
Nt
CO6Prolect Address: 1304 Forest Trail
tr Singie-Family Residential n Duptex /ARU Building Square footage
Namg. Green Crow
Mailing Address PO Box 2439. Port Angeles, WA 98362
Email
phq6g; 360452-3325
Name Dave's Heating & Coolinq Service ,lnc.License. DAVESHCgg12C
lvlailing Address PO Box 413, Port Angeles, WA 98362 Exp ir61i66 p3qg. 5,/20.19
phone. 360-452-0939Email davesheating@wavecable.com
Item
Service/Feeder 200Amp.
Service/Feeder 201,400 Amp.
Service/Feeder 401.600 Amp.
Service/Feeder m1-1000 Amp.
Service,/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
tsranch Circuit W/O ServIce Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Arnp.
Temp. Service/Feeder 201-400 Amp.
Temp Service/Feeder 401S00 A.mp.
Temp. ServicelFeeder 601-1000 Amp.
Portal to Portal Hourly
SignaJ CircuiUlrmited Energy - 1&2 OU.
l\4anufactured Home Connection
Renewable Elec. Energy: 5KVA System or tess
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet-'
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
unit Charoe
$120 00
$146.00
$205.00
$262 00
s373 00
$5 00
$63.00
$5.00
$75.00
$93.00
$110.00
$r49.00
$168.00
$96.00
$64.00
$120.00
s'102.00
ss6.00
$120.00
90.00
$74.00
s110.00
Quantitv fg!a! (Quantity x LJnit Charge)
$
$
$
$
$
$
$
s
S
s
S
S
s
S
$
$
$
$
1 0056
Owner as defined by RCW19.28.261: {1) Owner will occupy tte struc{ure for h,,r'o yeaG afrer this eleclrical permit is finalized. (2) Owner is
required to hire an electrical contractor ifabove said propeny is for sale, rent or lease. permit expires after six months of last inspectjon.
After reading the above statement, I hereby certiiy that I am the owner of the above named property or a ljcensed eleetrical contractor I
am making the electrical installation or alteration in mmpliance with the cal N.E.C.. RCW Chapter 19.28, WAC Chapter 296-
IOTAL
$
$56-00
468, The City of PortAngeles Municipal Code, and Utitity
051231201 8 Jeanne Oldenkamp
Date Print Name Sign re (fl Owner F El I Contractor / Admin istrator)
14 050 regardin ectrical Permit Application€
Project Description: ductless heat pump system installation (low voltage thermostat wire for wired controller)
OWNER ]NFORI\4ATION
ELECTRICAL CONTRACTOR INFORIUATION
PROJECT DETAILS
$_
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360 .417.47111