HomeMy WebLinkAbout201 Dogwood PlRS9 RESDNTL SINGLE FA]{]I]Y
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on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
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Appfication Numlcer . .
Applicatio pin number
Property Address
ASSESSOR PARCEI NUMBER:
ApplicaEion tsype description
Subdivision Name .
PropelEy Use
Property zoning
ApplicaEion valualion
20-00001005
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201 DOGIIOOD PL
06 -30 - 1.5 -6 -O- 0021- 0000 -
ELECTRICAI ONI,Y
Applicatsion desc
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JIMMIE D RAY
201 DOGWOOD PL
PORT ANGELES
l36A) 7'75-9755
DAVE ' S IITG & COOLING SRVC lNC
PO BOX 413
PORT ANGEIES WA 98352
(360) 4s2-0939
wA 9836237ls
Addi Ei.onal
Issue Dale
ExpiraE ion
deac
Datse
56 .00
e/oB/20
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EI,ECTRI CAI. ALTER RESIDENIIAL
Plan Check Fee
Valuatsion
00
0
oty UniE charge Per
1. OO 55.OOOO ECH EL-L!"I-TI]ERMOSTA?
Extension
55.00
Charged
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
56. O0
.00
56.00
55 .00
.00
56.00
00
00
00
Paid credited Due
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN ttlto )to "rP :FF
FINAL t ln)zo .D -cA
COMMENTS
Signature ofou.ner or Electrical Contractor X Dat€:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
Permits Fee ToEal
PIan check ToEal
Grand Total
.00
.00
.00
ELECTRICAL INSPECTION
WIRING REPORT.
417-4735
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ADDFESS
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APPROVED
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CORRECTIONS NEEDED
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NOT APPHOVED
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NOTIFY INSPECTOB WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
_ DO NOT REMOVE_
Drl€*
ELECTRICAL PERM IT APPLI CATION
Public Wolks and Utilities Department
32 I U. 5th Street, Port Arrgeles. WA 98362
360.4 17.4135 | wr.r,rv.cityolpa.us electlicalpernritsrtlcityolpa.us
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Proje ctAddress: 201 Dogwood Place, Port Angeles, WA 98362
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Project Descript ion. low voltage thermostat wire for controller as part of ductless heat pump system installation
E Single-Family Residential ! Duplex /ARU Buitding Square footage
Name Jim & Krissy Ray
Mailing Address 201 Dogwood Placs, Port Angeles, WA 98362
Email. rayjasl@gmail.com
phone 360-775-9765
Name. Dave's Healing & Cooling S6rvice, tnc License DAVESHC9912C
Mailing Address PO Box 413, Port Angolss, WA 98362 Expi ruli6n Q2ls 5l2O21
Phone. 360-452-0939Email davesheating@wavecabla.com
ItBm
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. Service/Feeder 200 Amp.
Temp Service/Feeder 201-400 Amp
Temp. Service/Feeder 401-600 Amp.
Temp. SeNice/Feeder 601-1000 Amp
Portal to Portal Hourly
S,g1a, CrrcuiVUmited Energy - 1&2 DU.
Manufactured Home Connectron
Renev/abie Elec Energy: 5KVA System or less
Thermostat (Note; $5 for each additional)
First 1300 Square Feet
Each Additional 50O squaro f8et'
Each Outbuilding / Detached Garege
Each Swimming Poot / Hot Tub
lJnit Charoe Quantity Lehl (Quantlty x Unlt Charge)
$120.00
$146 00
$205 00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110 00
$149.00
s168.00
s96.00
$64.00
$120.00
$102.00
$56.00 1
$120.00
$40-00
$74.00
$110.00
TOTAL
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
I
$
56 00
5t,.UU
owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years afrer lhis electrical permit is finalized. (2) Owner is
required to hire an electric€l contraclor if above said property is for sale, rent or lease. Permit €xpires after six months o, last inspection.
After reading the above statement, I her6by certity that I am the owner of the above named property or a licensed electrical contraclor. 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 PorlAngeles Municipal Code, and Utility Sp€cifications and PAMC 14.05.050 regarding Electricat permit Applications.
0910312020 Heather Navarre H*ftl\/^^_Date Prinl Name Slgnature (E Owner p Electrical Contractor /Adminishator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
1 - 2 SINGLE-FAMILY
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS