HomeMy WebLinkAbout3922 Nygren PlELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7-4735
RS9 RESDNTI SINGLE FAMIIY
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Apptication Number
Application pin number
Property Address
ASSESSOR PARCEL NTMBER:
Applicalion !}'I)e description
Subdivisio:r Name
Property Use
Property zoning
ApplicaEion vafuaLion .
21- OO0O15O7 DaXe t:L/!9/27
893213
3922 NYGRIN PL
05 -30 - 15-6 -3 - 0090 - 0000 -
ELECTRICAL ONLY
Applicatsion desc
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HENKE RICHARD II
3922 NYGREN PL
PORT ANGEI,ES
DAVE'S HTG & COOTING SRVC INC
PO BOX 413
PORT ANGEI]ES WA 98352
(350) 452-0939
wA 983521904
AddiEional
Permit Fee
Issue DaEe
Expiralion
56.00
tt/19 / 2L
5 /18 /22
ELECTRICAL ALTER RESIDENT]AL
Date
Plan Check Fee
Valuation
00
0
0Ey
1.00
UniL Charge Per
56. OOOO ECH EIJ-I'VT-THERMOS"AT
Extsensi.on
56. 00
charged Paid crediEed Due
Per:miE Eee ToEal
Grand ToEal
55.00
.00
55.00
55.00
.00
55.00
.00
.00
.00
.00
.00
.00
PERMIT WILL EXPIRE STX (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature ofowner or Electrical Contractor X
INSPECTION TYPE DATE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN zh lzz &ruM
FINAL ,')t'1zz-g (w
G:\EXCHANGE\BUILDING
Date:
COMMENTS:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICAI ION
Public Works and Utilities Departmcnt
321 t.r. 5th Sh'eet, Porl Angelcs, WA 98362
360.4I7.4735 rvrvw.cityolpa.us I electr-icalpelnrits@cityolpa.us
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Proj ectAddress: 3922 Nygren, Port Angeles, WA 98362
Project Descripti on. low voltage thermostat wire for controller as part or.illqr heat pump system installatjon
E Single-Family Residential E Duptex / ARU Building Square footage
\smg; Richard Henke Email:
Name. Dave's Heating & Cooli ng S€rvic€, lnc !i6snss DAVESHC9912C
Mailing fl!dpg55; PO Box 413, Port Angeles, WA 98362 Expi p6tien p6ls; 5/2023
phone. 360-452-0939Email. davesheating@wavecable.com
Itom
Servlca/Feeder 200Amp,
Service/Feeder 201 400 Amp.
Servica/Feeder 401-600 Amp.
Service/Feeder 601 -'l 000 Amp.
Service/Feedor over 1000 Amp.
Braoch Circ!it W Service Feeder
Branch Circ!it WO Servica Feeder
Each Additional Branch Circuit
Branch Circuils 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1 400 Arnp.
Temp. SeNice/Feeder 401-600 Amp.
Temp. Service/Feeder 60'l-1 000 Amp.
Porlal lo Portal Hourly
Signal CircuiuLlmited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: SKVA Systam or less
Thermostat (Note; $5 for each additionat)
unh Charoe
$120.00
$146.00
$20s.00
0262.00
$373.00
s5.00
$63.00
s5.00
$75.00
$93.00
$110.@
s14S-00
$r68.00
s96.00
$64.00
$120-00
s102.00
s56,00
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qUa!$L I9EI (Quantlty x Unit Chargo)
$
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$
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$
$
$
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$
$
$
$
$
$
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0
I 0056
$40.00.
$74.00
$110.00
56.00
Own€r as defined by RCW.19.28.261: (1) Owner will occupy th6 sructure {or two years after this electric€l permit is finalized. (2) Owner i6
required to hire an electical contractor if above said property is lor sale, rent or lease. Permit expires after six months of last inspection.
Ater reading the above statement, I hereby certity thal I am lhe owner of the above named property or a licensed eleclrical contractor. I
am making the electrical installation or alteration jn compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
46B, The city of Port Angeles Municipal codo, and Utillty Specifications and PAMc 14.05.050 rsgardtng Etectricat permit Applications.
HsN/^--
Date Print Name Signature (f] Owner p Electricat Contractor / Administrator)
lElectrical Permit Applications may be submitted lo City Hall or electracalpermits@cityofpa.us or faxed to 360.411 .4111]
OWNER INFORMATION
Mailing Address: 3922 Nygren, Port Angeles, WA 98362 p5sns. 360460-1424
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
I
Firsl 1300 Square Feet
Each Additional 500 square feel'
Each Outbullding / Detachod Garago
Each Swimming Pool / Hot Tub
TOTAL
1111612021 Heather Navarre