HomeMy WebLinkAbout1423 Rook Dr (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
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Application Nuniber
Application pin nunber
Property Address
ASSESSOR PARCEL NUMBER:
ApplicaLion tl,?e description
Subdivision Name
Property Use
Property zoning
Application valuatlon
19-0000114? Dare A/06/a9
3805?0
1423 ROOK DR
05- 30- 14 - 7 -2-0300 - 0000 -
EIACTRICAL ONI,Y
9ee summary Charged Pa id Credited
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Plan Check Total
Grand ToEal
55.00
.00
56.00
56 .00
.00
56 .00
00
00
00
00
o0
00
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)RESIDENTAI- SF 9OO O
RS9 RESDNTI, SINGTJE FAI"IIIJY
0
Application desc
T-stat ductsIess heat pump
Owner
GREEN CROW INVESI14ENTS CO. LI,C
P. O. BOX 243 9
PORT ANGELES WA 983 62
DA\IE I S HlE & COOI,ING SRVC INC
PO BOX 413
PORT ANGELES WA 983 52
(360) 452- 093 9
Permits
Additsional desc
Issue Date
Expiration Date
55.00
B/06/le
z/02/20
ELECTRTCAI NEW RESIDENTIAL
Plan Check Fee
valuation
00
0
Qty Unit Charge Per
1, 00 56 . 0000 ECH EL- I,VT-THERMOSTAT
ExEension
55.00
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SER\'ICE
ROUGH-IN n^)*)n *ruP
*l*hq $€sp
COMMENTS:
Signature ofow[er or Electdcal Contractor X Date:
Due
DATE:
FINAL
2 SING E-FAMILY
ELE CTRICAL PERMITAPP ICATION
Public Works and Lltilities Depafintent
321 E.5dr Street. Port.4ngelcs, \\A 98-162
360.417.47 35 | www.citl,ofpa.us I elecrricalpennirsr[icity.olpa.us
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JUL J t tOts
Proj ectAddress: 1423 Rook Drive, Port Angeles, WA 98362
Project Description low voltage thermostat wire for controller as part of ductless heat system installationpump
E Single-Family Residential E Duplex /ARU Building Square footage:
Name. Green Crow Construction LLC
Mailing Address: PO Box 2439, Port Angetes, WA 98362
Email:
p6sn6. 360-452-3325
Name:Dave's Heating & Cool ing Servico, lnc.License:DAVESHC9912C
Nrailing Address: PO Box 413, Port Angeles, WA 98362 Expiration Date. 512021
Pi166s; 36G4524939Email:davesheati com
IteE
Service/Feeder 200 Amp.
Service/Feeder 20'1400 Amp.
Servic€r'Feeder 40'1 -6@ Amp.
Service/Feeder 60'l-1 @0 Amp.
SeMce/Feeder ov€r 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Arnp.
Temp. ServicelFeedei ZOt<OO lmp.
Temp. ServicdFeeder 401€00 Amp.
Temp. Servic€lFeedlir 601- 1 OO0 Am p.
Podal to Portal Hourly
Signal Circuivlimited Energy - 182 DU.
Manufactured Home Connection
Renewable Elec. Energy: st(VA System or less
Thermostat (Note: $5 for each addition al)
Unit Charoe
s120.00
s146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$7s.00
$93.00
$110.00
$149.00
$188.00
$96.00
$64.00
$ 120.00
$102.00
$56.00
Ouantity IQEI (Quanttty x tlnit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$56 0
Owner as defined by RCW.19.28.261: (l) Ownerwill occupy the slructure for two years afler this electrical permit is finalized. (2) Owner is
required to hire an electflcal coniractor if above said property is for sale, l€nt or lease. Permit expires 8frer six months of last lnspection.
Aftet reading the above statement, I hereby certrly thal I am the owner ot ths above named property or a licensed electrical contractor. I
am making the elec{dcal installatjon or alteration in compliance with the electrical la\rvs, N.E.C., RCW. Chapter .t9.28, WAC. Chepter 296-
468, The City of Pon Angeles Municlpal Code, and Utility Specifications and PAMC 14-05.050 regarding Eledrical Permit Applications.
713012019 Heather Navarre l{"uit,/*Date Print Name Signature (E Owner p Electrical Contractor /Administrator)
lElectrical Permit Applications may be submiiled to City Hall or electricalpermib@cityotpa.us or faxed lo 360.417.47117
O\\N{ER INFORI\,ATION
ffi
q
$-.-
e 56.00TOTAL