HomeMy WebLinkAbout430 W 2nd St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
INDUSTRIAL LIGHT
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-ts
l
\
ApplicaEion Number
ApplicaEion pin numlcer
Propertsy Address
ASSESSOR PARCEI. NUMBER:
ApplicaEioa type descrlption
Subdivision Name
Property use
Property zoning
Application valuatsion
19- 00001715 DaLe lt/O5/1"9
6014 55
430 W 2ND ST
0 6 - 3 0-00 - 0 - 0 -5030 - 0000 -
ETECTRICAL ONLY
Application desc
Heat pump replacement
BI,A]NE AND THERESA PUGSLEY
297 EMERY RD
PORT ANGEIES WA 98352
DAVE'S H?G & COOIING SRVC INC
PO BOX 413
PORT ANGELES WA 983 62
(360) 452 - 093 9
Permit
Additional desc
PermiE Fee
Issue DaEe
Expiration Date
56.00
ta/ as / 19
s/a3/2a
ELECTRICA]] ANTER RESTDENIIAL
Plan Check Fee
Vafuat lon
00
0
Qty Unit Charge Per
1 . 00 55.0000 ECH EL L!"I-THERMOSTAT
ExEension
55.00
Charged Paid Credited Due
Permil Fee Total
Plan Check ToLat
Grand Total
56. 00
.00
55. 00
s6.00
.00
55.00
. o0
.00
- 00
00
00
00
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN tt lmh q ffi ^ (--'\-F\/
FINAL 1t lBIn R
COMMENTS:
Signature ofowner or Electrical Contractor X Date:
++
PERMIT WILL EXPTRE SIx (6) MONTHS FROM LAST INSPECTION
M ULTI-FAMI LY / COMMERCIAL
ELECTRICAL PER MIT APPLICATION
Pubtic Worl<s and Utilities Department
321 E. 5th Street. Porl Angeles, WA 98362
360.417.4735 | www'.c ityofpa. us electricalperm its@c ityofpa.us
h.,'-
ll?l/ - L As
ooI
L-o
\
{
$1
Project 466rqs5 430 West 2nd Street
Project Descriptio n installation of replacement heat pump system
I Multi-Family Residential E Commercial / lndustrial / Public Building Square footag e: 912
Name Blaine Pugsley
Mailing Address 29T Emery Road, Port Angeles, WA 98362
Email:
P6ens; 360457-1991
Item
Service/Feeder 200Anp.
ServiceJFeeder 201 -400 Amp.
Service/Feeder 401.600 Amp.
ServicdFeeder 601-1000 Amp.
Servic€/Feeder over'1000 Amp.
Branch CirqJit W Servioe Feeder
Branch Cirorit w/O Service F€eder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp Service/Feeder 200 Arnp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. SeMc€r'Fe€der 601-'1000 Am p.
Portal to Portal Hourly
Sign / Outline Lighting
Signal CircuiuLimited Energy - Multi,Family
Signal Circuiulimited Energy/First 150O sf - Commercial
(Note: $5.00 for each additionel 15OO st
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Ouantitv flhl (Quantlty x Unit Charge)
$132.00
$160.00
$225.00
$288.00
$410.00
$5,00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$ 185.00
$96.00
$88.00
$88.00
$96.@
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$$113.00
$s6.00 1 $ 56.00
56.00 TOTAL5
Owner as defined by RCW 19.28.26'1: (1) Owner will occupy the structure for two years aner this electrical permit is finalized. (2) Owner is
required to hi.e an electrical contractor if 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 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 lha electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468. The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
111112019 Jeanne Oldenkam
Date Print Name ionaturs (Tl Owner 7 Electrical Cr / Administrato0
IEleclrical Permit Applicalions may be submitted to City Hall or eiectricalpermits@cityofpa.us or faxed to 360.417.47111
ELcoM
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name Dave's Heating & Cooling Service, lnc. License: DAVESHC9912C
Mailing Address: PO Box413, Port Anqelos, WA 98362 Expiration Qzle 512O21
Email. davesheating@wavecablo.com phone: j9939399!9__
PROJECT DETAILS