HomeMy WebLinkAbout1002 E Park AveApplication Number
ApplicaLion pin Durnber
Property Addresg
ASSESSOR PARCE], NUMBER:
Application t)?e description
subdivision Name
Property Use
Propertsy zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417473s
RS9 RESDNTL S]NGLE FA,I{I],Y
0
17-00001531 DaEe 7t/O7 /L'7
5 94 312
1OO2 E PARK A\,'E
06 - 3 0 - l-4 - 5 - 5 - 01r.2 - 0000 -
EIECTRICAI. ONI,Y
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
J
1
s\
\,\)
Application desc
Haet pump system
Contracior
MARSH JERRY I,/ DEBORA,I A ET A!
1119 47TH DR SE
AOTHELL WA
BOTHELL WA 98 021
AIJL I{EAIHER HTG & COOI]ING INC
302 KEIIIP ST
PORT ANGEI,ES WA 98362
(350) 452-9813
56 .00
1-t/07/t't
s/05/rB
PIan Check Fee
Val.uation
00
0
Qty Unit Charge Per
1.00 56.0000 EcH Ell- I]1/I THERMOSTAT
Extenaioa
56 .00
Fee sunmary charged Paid crediEed Dr,le
Perni! Fee ToEaL
Plan Check Total
Grand Tota1
56 .00
.00
55.00
55. 00
.00
55. 00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date:
PermiE
Additional desc
Permit Eee
lssue Datse
Expiration Date
ELECTRICAI, ANTER RESIDENTlAI,
I
Crry or Ponr ANGELES PDRMTT AppLrcATroN
Building Division /Electrical Inspections
321 East Fifth Street - P.O, Box ll50 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
x 1 & 2 Single Family Dvvelling
'Plan Review l\4ay Be Required, Please Complete Electrical Plan Review lnformation Sheet
JobAddrcss: 1002 E.st Pa* Ave
Building SquarE Footage: _
Description of above lnstall lslat fo.1 ton heat system
.J
\
C-IL
---
t
State: _ldlL Zipi s8367
Phonel ,06rod7o93
LEense # i tup._
Item
Owner lnformation
Namei Jerry & Debra Malsh
Mailing Addrcssl
City:
ServiceJFeeder 200 Amp.
SerYice/Feeder 201 -400 Amp.
ServiceiFeeder 401 600 Amp
ServicdFeeder 601 I 000 Amp.
Serviceifeeder over 1 000 Amp.
Brarrch Ci0uit W Service Feeder
Branch Circ.r.lit WO Seryice Feeder
Each Additional B.and Circuil
BBnch Circuib 1-4
Temp. Service/ Feeder 200 Amp.
Temp. ServiceiFeeder 201 400 Amp.
Temp. SerYiceiFe€der 401 600 Amp.
Temp. ServiceiFe€der 601 I 000 Amp .
Portal to Portal Hourly
Signal Circui, Ljmited Energy - 1 & 2 Family Dwelling
Manuf actured Home C,onneclion
Renewable Electical Eneey - sKVA System or Less
Thennostat
Note: $5.00 for each additional T-Stat
NEW CTION ONLY:
Fi$t 1300 Squarc Fl.
Eaci Additional 500 Square Ft. or Portion of
Each Oubuilding or Delached Garage
Each $Yimming Pool or Hot Tub
Mailing Addrcssl
City:State:WL Zipl 98162
Pho e.452-9811 Far 452-5t77
Unit CharcG
$ 120.00
$ 146.00
$ 205.00
$ 262.00
$ 373.00$ 5.00
$ 63.00$ 5.00
$ 75.00
$ 93.@
$'t10.00
$ 149.00
$ 168.00
$ 96.00
$ ot.00
$ 120.00
$ 102.00
$ 56.00
@ Total (Qtv ilultiolied bv Unit Chame}$_
)
$
q
$_.
s
s
s
s
s
s
s
s
s
56 00I
$
s
$ 120.00
$ 40.00
$ 74.00
$ 110.00
$
s
s6 - 00 Total
owner as defined by RCW19.28.261: (1) owner lvill occupy the sfucture for tuo years aflor this eleckical permit is fnalized. (2) Owner is required
to hire an electrical contractor iI above said property is for sale, rent or lease. Permit expires afrer six months of last inspection.
After reading the above statement, I hereby certify hat I am tre owner of the above named property or a licensed electrical contraclor. I am making
the electrical installation or alteraton in compliance with the electrical laun, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of port
Angeles Municipal Code, and Utility Specifications and PAIVIC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contraclor or olectrical administrator: tr c..h D choct
E Credlt Crrd #
x Ka-apoV'rhtKo.o*n,Dated:1113t17 01/01/2012
Date: r r/31z
=!
Contrac-tor lnf ormation
NarEt tlll Wcathcr Hcatios & Coolins
LrcerBe # / Erp. Aj-LWEHC l50KU 9/lE
$_