HomeMy WebLinkAbout216 W 4th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RESIDENITAT, IITGH DENSITY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Application Number
Application pil! nufir]cer
Propertsy Address
ASSESSOR PARCEL NUMBER I
ApplicaEion, type descripEion
subdivision Name
Property Use
Property zo ing
Applicatsion vafuaEion
19 - 000004 90 Date 4/03/L9
624970
216 W 4TH ST
06 - l0 - 00 - 0 - 0 - 8708 - 0000 -
ELECTRICA], ON],Y
Applicacion desc
Ductless heaE pump
ContsracLor
ROAERT AND ADAR FELLER JR
216 W 4TH ST
PORT ANGELES WA 983 62
OWNER
Permi E
Additsional desc
Permit Fee
Issue Date
Expiration Datse
58 .00
4 /03 / 1-9
9/3a/19
ELECTRICAL AIIER RESIDENTIAL
Plao Check Eee
Valuation
00
0
oty Unit Charge Per
1.00 5 .0000 ECH
1.00 63 .0000 ECH
EL ECH ADDNT BBANCH CIRCUIT
EL R BFANCLT CIR wo/ SER EEED
Extension
5 .00
53 .00
Cllarged Paid Credited Due
PermrE !ee t'ota L
PIan Check Total
Grand ToEal
58-00
.00
58 .00
00
00
00
.00
.00
.00
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN q)zaln rFnf
FINAL i lzzle q {rr
11 7
PERMTT WILL EX?IRE Slx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date:
58 .00
.00
68 .00
a'i3f#
COMMENTS:
1-2Sl N GLE-FAMILY
ELECTRI C AL PER MIT APPLICATION
Public Works and Utilities Depaltment
321 E. sth Street, Port Angeles. WA 98362
160.417,47 35 | www.cityofpa.us I electricalpernrits@cityofpa.us
a}f'l,rro., / 20t9
Project Address:216 West 4th Street Port Angeles, WA
Project Description . lnstalling Mini Split Ductless Heat Pum p Disconnect
E Single-Family Residential E Duplex / ARU Building Square footag e. 1,300
frlsms; Rob Feller Email: arfeller@olyp6n.c,om
Name NA (Home owner) _ Llcense:
Mailing Address
Email:
Expiralion Date:
Phona:
e, and Utility Specificatio
Ouahtltv Igltal(Ouantlty x Unlt Charge)
14
unit Charoe
$'120.00
$146.00J $zos.oo
$262.00
s373.00
$s.00
$63.00
$s.00
$7s.00
$93.00
$1r 0.00
$ 149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
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6TOTAL
Owner as defined by RCW.19.28.26'l; (1) Owner will occupy the structure lor two y€ars after this electrical permit is finalized, (2) Owner is
required to hire an electric€l contlactor il above said property is tor sale, rent or l€ase. Permit expires atter six months of last inspeclion.
After reading the above statement, I hereby certily that I am the owner of the above named property or a lacensed electrical contractor. I
am making lhe electrical installation or alteratlon in compliance with the €lectrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles l,4unicipal Cod4t1t1e Rob Feller
Date Print Name Signature (El Owner E Contraclor / Administrator)
a re rding Electrical PermitApplications
[Electrical Permit Applications may be submitted to City Hall or electricalpsrmils@cityofpa.us or faxed to 360 .4j7.47 1|1)
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OWNER INFORMATION
Maiting Address:216 West 4th Street, Port Angelss, WA 98362 p6sns. 360417-0666
ELECiRICAL CONTRACTOR INFORMAIONI
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
SeMce/Feeder 201-400 Amp.
Service/Feeder 40'l-600 Amp.
Service/Feeder 601-1 000 Amp.
Servics/Feeder over 1000 Amp.
Branch Circuit W Service Feed€r
Branch Circuit W/O Service Feeder
Each Additional Branch Circuil
Branch Circuits 1-4
Temp. Seryice/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Podal to Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable E,ec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feot
Each Additional 500 square fesf'
Each Outbuilding / Dotached Garage
Each Swimming Pool / Hot Tub
,1
1