HomeMy WebLinkAbout1427 Rook Dr (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
PI,ANNED RESDMTI, DEVLPMEI.II
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-$
Applicatsion Number
Application pin nunber
Property Address
ASSESSOR PARCEL NUMBER:
Application t)?e description
Su.bdivision Name
Property Use
Property Zonillg
Application valuation
19 - 00001148 Datse 8/06/1-9
455880
1427 ROOK DR
06- 30- 14 - 7 - 2 - 0310- 0000 -
EI,ECIRICAI ONIY
Application desc
T-stat d ri*=s
Contractor
GREEN CROW IN1IES]'IqENTS CO. LLC
P. O. BOX 2439
PORT ANGELES WA 9A:}62
Permit
Additional desc
Permits Fee
Issue Date
Expiratsion Date
55. 00
8/a6/a9
2/A2/2A
ELECTRICAI NEW RESIDENTTAI,
Plan Check Fee
Valuation
00
o
Qty Unil Charge Per
1. OO 55.OOOO ECH E!- LVT-THER}4OSTAT
Ext.ension
55. 00
Eee summary Charged Paid Credited Due
Permits Fee Total
Pfan Check Total
Grand ToEaI
55.00
. o0
55. O0
56.00
.00
56-00
00
00
00
00
00
00
PERMM WILL EX?IRE SIX (6) MONTHS FROM LAST INSPESIION
INSPECTION TYPE DATE:
DITCH
SERVICE
ROUGH.IN rolzt In g &
FINAL t lo'lio w -Fr
COMMENTS:
Signature of owner or Electrical Contactor X Date:
D,jP
DAVEIS HTG & COOIING SRVC INC
PO BOX 413
PORT ANGELES liA 98352
(350) 452-0939
RESULTS:INSPECTOR:
ELECTRICAL PE RM IT APPLICATION
Pr-lblir l\:clir s anil L-ltiliti.'r D*partment
.l.l: !:.. 5rh Str'cct. Pot't Angtles, \i'All83lil
lr-r0.".1 I ?.1135 I tr,,r ri..citr rlpa.us ; eiecrricaiperrr rls i} i{}'c tpa. us
,9EC[tvrn
tuLstd;
.-D
'I
{-
CP
ProjectAddress 1427 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 Construclion LLC
Mailing Address PO Box 2439, Port Anqeles, WA 98362
Email
Phone:360452-3325
Name Daves Heating & Cooling Service, lnc ligs6sg DAVESHC99'l2C
Mailing Address: PO Box 4'13, Port Angeles, WA 98362 Expira tion Date. 5/2021
Phone: 36G452-0939Emaildavesheating@wavecable.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 60 1-1000 Amp.
SerYice/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circlit WO SeNice Feeder
Each Additional Branch Circuit
Branch Circrits 1-4
Temp. ServicdFeeder 200 Amp.
Temp. Service/Feeder 20'l-400 Amp.
Temp. Servic€/Feeder 401€00 Amp.
Temp. ServicdFeeder 601-1000 Amp.
Portal to Portal Hourly
Sign€l CircuiyLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Themostat (Notei $5 for each additional)
tlnilsialse
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$7s.00
s93.00
9110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
Quantl*(Quantity x unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$56.00
TOTAL
Owner as detined by RCW19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electric€l cont,acior if above said property is for sale, renl or lease. Permit expires ater six months of last inspeclion.
After reading the above statement, I hereby cerlify that I am lhe owner ot the above named property or a licensed electrical contractor. I
am making the electrical instaliation or alteration in cornpliance wilh the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
7l3Ot2O19 Heather Navarre '*+lv;-
Date Print Name Signature (El Owner p Electrical Contractor /Administrator)
lEleckical Pemit Applications may be submitted to City Hall or electriealpermits@qi&,ofpa.us or faxed to 360.417.4711I
1 - 2 SINGLE-FAMILY
.T'
ofI
It
IJVVI\EX
li:-:'::ql1?o'0q.. . 940.00l