HomeMy WebLinkAbout1420 Rook Dr (3)-s
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Application Number
Applicatioo pin nulllber
ProperEy Address
ASSESSOR PARCEL NUMBER :
Application t)I)e description
Subdivision Name .
Property Use
Property Zoning
Applicatlon valuation
19 - 00001406 Date 9/a5/a9
636066
142 0 ROOI( DR
05-3 0 - 14 - 7-2 - 0190- 0000 -
ELECTRICAL ONtY
RESIDENTAL SE 9OOO
RS9 RESDNTL SINGLE EAIVIILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
Application desc
DI{P stsat
Contsractor
GREEN CROW INITESII'IENTS CO, I,LC
P. O. BOX 2439
PORT ANGELES WA 9A362
DA\'E'S HTG & COOLTNG SRVC INC
PO BOX 413
PORT ANGELES WA 9A352
(360) 452-0939
Permit
Additsional desc
Permit Fee
Issue Date
Expiration Date
55 .00
e/lG/te
3 / 1-4 /20
EI]ECTRICAI NEI4 RESTDEII-I'IAL
Plan Check Fee
Valuation
00
0
otsy Unit Charge Per
1, OO 56.OOOO ECH EL- LIT.THERMOSTAT
Extsension
55.00
Fee summary Charged Due
Permit Fee Total
Plan Check To!a]
Grand Totsal
56 .00
- 00
55.00
55 .00
.00
56.00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:iNSPECTOR:
DITCH
SER\'ICE
ROUGH.IN tlLlfi -4v,(-(-\w
Z ^oCOMMENTS
PERMM WILL EXPTRE SIX (6) MONTHS FROM LAST TNSPECTION
Signature of owller or Electrical Contractor X
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
Paid Creditsed
FINAL A,'
Date:-'
--
LE TRICA P RMITAPPLICATI
!oII
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Proje crAddress: 1420 Rook Drive, Port Angeles, WA 98362
Project Description:low voltage thermostat wire for controller as part of ductless heat pump system installation
tr Single-Family Residential E Duplex / ARU Building Square footage
Name Green Crow Construction LLC Email
Name Dave's Heating & Cooling Service, lnc.li696s6; DAVESHC99'1 2C
Mailing Address PO Box 413, Port Angeles, WA 98362 Exp i1gti66 p61s; 52021
Phsng. 360-452{939Emaildavesheating@wavecable.com
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-'1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Servise/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. S€rvice/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circ,iivlimited Energy - 1&2 DU.
lvlanufactured Home Conn€ction
Renewable Elec. Energy SKVA System or les6
Thermostat (Nore: $5 for each additional)
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
Ouantitv (Quantlty x Unlt Chsrge)
$
$
$
$
$
$
$
$
$
$
$
$
U
$
$
$
$
$56.001
TOTAL
Owner as defined by RCW 19.28.261 : (1) Owner wi{l 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 is for sale, rent or lease. Pemit expires after six months of last inspection.
After reading the above statement, I hereby certiry that I am the owner of the above named property or a licensed electrical contractor I
arr making the electrical installation or alteration in compliance with the eleckical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
'168, The City of PortAngeles Municipal Code, and Utility Specilications and PAMC '14.05.050 regarding Electrical Permit Applications.
0911312019 Heather Navarre ll-t^i,/^-
Date Print Name Signature (E Owner p Electrical Gontraclor /Administrator)
[Electrical Permit ApPlications may be submitted to City Hall or electri.alpermits@cityofpa.us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY
Public Works and Utilities Depaltrrrent
321 D. 5th Street. Port Angeles. WA 98362
360,417.4735 i www,cityofpa.us I elcctricalpelmitsf@cityofpa.us
0WNER. lNF0',Rl'li}ATtoN i :rf'.:ti:
lVailing Address: PO Box 2439, Port Angeles, WA 98362 p66ns. 360452-3325
COT\}IRACTOR INFORMATIONELSCTRICAL
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