HomeMy WebLinkAbout222 S Vine StELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
RS7 RESDNTL SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
c^3J\r
{CI
Application Nusiber
AppLication pin number
Property Address
ASSESSOR PARCEIJ NU}4BER:
Application type description
subdiviEion Name
Property Use
Property zoning
Application vaLuation
18- 00001370 Date 9/O5/ag
626130
222 S VINE SA
05 30 00 - 6 - 5 - 0036 - 0000 -
EIBCTRICAI, ONLY
Applicatlon desc
HeaE pump con!rof
Ownet
CHARI,ES R FOREMAN AND I,YNN C!{E
1335 9TH .AVENUE SI{
ALBANY OR 97321
PENINSULA IIEAT ]NC
782 KITCHEN DICK RD
SEQUIM(350) 681 3333
wA 983 S2
Permil
Additional desc
Permit Fee
lssue Date
Expiralion Date
55,00
9/0s/18
3/04/1-9
Plan Check Fee
Valuat ion
ELECTR]CA! ALTER RESIDENTIAI,
00
C
oEy Unit Chalge Per
1. OO 55.OOOO ECg EI.TVT.THERMOSTAT
ExLension
56.00
Fee sunnary Charged Credi t ed Due
Permit Fee Total
Plan check Total
Grand Total
56.00
.00
56. 00
56.00
.00
55.00
.00
.00
,00
0o
00
00
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FTNAL
COMMENTS:dX
PERMIT WILL EXPIRE SIX (6) MONTHS FROM TTA.ST TNSPECTION
Signah.ue of owner or Electrical Cotrtractor X Date:
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.citvofpa.us I electricalpermits@cityofpa.us
I 1'
lD
3
+
IL -
222 South VineProject Add.ess:
Poect Descripti on. tstat conlrol wire for heat pump replacement
tr Single-Family Residential ! Duplex / ARU Building Square footage 1 188
frl2mg CHARLES R FOREMAN AND LYNN CHELSEA MORGAN
Mailing Address. 1335 gTH AVENUE SW ALBANY, OR 9732'l
Email
p6sns. 360417-2810
Name Peninsula Heat li6gnsg; PENlNHl005DB
Mailing Address. 782 Kitchen Dick Rd Exp iration Date. 3/3/2020
Phone. 360-681-3333Email keren@peninsulaheat.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -'1 000 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. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp.
Temp. Service/Feeder 401$00 Amp.
Temp. Service/Feeder 60'1-'1 000 Amp.
Portalto Portal Hourly
Signar Crrcuit/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable EIec. Energy: sKVA System or less
Thermostat (Note; $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
LJnit Charqe
$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
$120.00
$40.00
$74.00
$110.00
Quantitv IqEl (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
56.00
0056TOTAL
Owner as defined by RCW 19.28.26'1: (1) Owner will 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. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner ofthe above named propedy or a licensed electrical contractor I
am making the electrical installation or alteration in compliance with the 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 Applacations.
8131118 Keren Stanton Keren Stanton 3:1f1'.;!'1"#',[13]ii]':.t,
Date Print Name Signature(E Owner p Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.4'17.47111
1 - 2 SINGLE-FAMILY
ETICTRICAI.
|\rcDE(|T|n c
ED
-:
\.^l
J
C-/-
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
1
..r5s""/tlEY
a lt-
-,t/6tvu
ELECTHICAL INSPECTION
WIRING REFORT
417-4735
NOTAPPROVED
SERVICE tr
APPROVED
)CORRECTIONS NEEDED:
.,l"(_...-
FINAL o
'v-6 tt j>rz E__,/--A)>2-
I{OTIFY IM;PECTOR WHEN CORRECNONS
ARE C{UPI.ETEDUIITHIN 15 DAYS
-Iro NOTREMOVE-
OATE:
to L
CONTRACTOB
ADDBESS
tr
tr.
tr.
tr.
.... ... BOUGH ttl/covER
-* tn f))L. i * (r1,tu--
tL-''-,Z--.r----6 A4> C
b **- "-"rr-=*^ara -"^rr-**