HomeMy WebLinkAbout735 W 4th StApplicatsion Number
Application pin number
P.opertsy Address
ASSESSOR PARCE! NUMBER:
Application E)?e descripEion
subdivision Nane
Propertsy Use
ProperLy Zoning
Applicatlon valuation
ELECTRICAI PERMIT
CITY OF PORTANGELES
360-417-4735
18 00000438 Dare 3/28/tB
52667 B
?35 W 4TI] ST
06 -30 - 00 - 0-0 - 9825- 0000
EI]ECTRICAIT ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
ot
\
\Nos
!
Applicalion desc
HeaE pump sys!em
Contsractor
TON] D BANDALL
735 W 4TII ST
PORT ANGEI]ES(360) 4s7-9176
DAVEIS HTG & COOLING SRVC INC
PO BOX 413
PORT ANCE],ES WA 983 62(350) 452-0939
wA 9A3632245
Permit
Additional desc
Permli l.'ee
Issr.re DaEe .
ExpiraEion Date
QEy Unit Charge
1.00 55.0000
ELECTRICAI, ALTER RESIDENTIAI:
56.00
3/28/\B
9/24/tB
Plan Check Fee
valuation
00
0
ECH EL- LVT-THERMOSTAT
Extension
55. 00
Fee summary
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Permit Fee Tot.al
Plan Check Total
Gr:and Total
56 .00
.00
56 .00
56. 00
.00
56.00
.00
.00
.00
00
00
00
Charged Paid CrediEed Due
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN e/a h1 N 1N-
FINAL z/r ln ry d
COMMENTS:
Signature of owner or Electrical Contractor X Date:
ELECTRICAL PERMIT APPLICATION
Public Works and lltilities Dcpartmenr
l2l E. 5th Street. Pon Angeles, WA 98362
160.4 I 7..171 j r w,'vrv.cil.yolpa,us i electricalpermitsiocit!.oipa.us
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Proiect Address <aS+ - L: O-fur<-5::t
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Project DesGription
Namei
.t
Single-Family Residential I Duptex /ARU Building Square lootage:
-7 AS L-,.'t-<-=*
-5/J
Email
Mailing Address.?'ta Phone
License:
Expiratio[4ailing Address
Email
!'e<
:>.>C n Date
Hnoner 3 a.>-<:_)
Itern Unit Charoe Olantltv llld (quantity x Unit Charge)
Service/Feeder 200 Amp, g12O.0O $--
Sorvice/Fe€der 20j-400 Amp. $146.00 $-.
Service/Feeder 40'1{00 Amp $2OS.0O $_
Service/Feeder 6011000 Amp. $262.00 g..*-_
SeMce/Feeder over 1000Amp_ $373.00 $_
Branch CirEUit W ServicE Feeder $5.00 S
-.
Branch Circuil W/O Sewice Feeder Sffi.00 $
-*
EachAdditional Branch Circuit $5.00 $ --Branch Cirqrits 1-4 $75 OO $ -*--Temp. Servioe/Feeder 200 Amp. $93 0O $
--
Temp Sewice/Feeder 201400 Amp. $ti0.o0 $--
Temp. Service/Feeder 401600 Amp. $14g.OO $_
Temp. Service/Feeder 601-1000 Amp $168.00 $_
Portalto Portal Hou.ly 996.00 $---
Signal CircuiUlimited Energy - 1&2 Du. $6400 $_
Manutuctured Home Conneclion $i20.00 S
--
Renewable Elec. Energy: 5KVA System or hsE $1O2.OO $--
Thermostat (Noter g5 tur each additional) $56 O0 I $ 5L,,:>o
FiG( 1300 Sqlare Fest $120.00 $-'-**
Each Additional 50O Equa€ ft6t" $40.00 $ _
Each Outbqilding / Detached csraga $-t4.O0 f _
Each Sryimming Poolt Hot Tub $110.@ $ToTAL 8 -aL,'x:>
Owner as defined by RCW r 9.28.261: (1) Owner wrll occupy the stucture lor two year6 after this electrical pemit is finalized. 12) O&ner isrequired to hire an electdcal corftractor if above said property is for sale. rent or lease Permit expires afte; six months of lasi inspection.
After reading the above siatemenl, I he.eby c€rtify that I am the owner ofthe above famed prope.ty
am making the electrical installation or atteration in comptiance wilh the electncal laws, N.E C., RC\ i
or a lic€Bsed eiectrical contfactor I
Chapter 19.28, WAC Chapter 296-
468, The City f PortAngeles Municipal Code, and Utility Specjfications and PAMC l4.OS.05O regarding Eleclrical Permit Applications.
Print Name ature (E Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa us or faxed to 360.4.17.47.1 11
1-2
1 - 2 SINGLE-FAMILY
./l_
OWNER. }NFORMATION I
ELECT. RICAL GONTFiACTOR INFORtrAiTfoh}
<6c-!^S-7- 1 t-7.=I
Name:
PR.OJECT DEANLS