HomeMy WebLinkAbout2121 W 14TH ST - Building (2) ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
--Application Number 18-00000954 Date 6/26/18
Application pin number . . . 926838
Property Address . . . . . . 2121 W 14TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-6-0-3000-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
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Application desc
T-stat for cassette unit
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Owner Contractor
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AHRNDT MARK B DAVE'S HTG & COOLING SRVC INC
2121 W 14TH ST PO BOX 413
PORT ANGELES WA 983635120 PORT ANGELES WA §8362
(360) 452-0939
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 56.00 Plan Check Fee .00
Issue Date . . . . 6/26/18 Valuation 0
Expiration Date 12/23/18
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 56-00 56.00 .00 .00
Plan Check Total .00 .60 .00
Grand Total 56.00 56.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
1V
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
ELI-2 SF�
RICAL PERMIT APPLICAT
1 - 2 SINGLE-FAMILY
ELECT ' ION
Public Works and Utilities Department
4
321 F.5th Street, Port Angeles, WA 98362
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3 0.417.4735 www.cityofpa.us I electricalpermits(c�cityofpa.us lftp�-C
Project Address: ;2
Project Description: w V 0 tLa-4,P,41-- =,L 8
Single-Family Residential 0 Duplex/ARU Building Square footage: 0 n
CVVNER INFORMATION
Name: &A,%r li:- 4- Email:
Mailing Address: ;;;L k k L-)J" + Phone: 0,'371:S
ELECTRICAL CONTRACTOR INFORrvIATION
Name: Do-ve-,!c —Ucense: DAVI��.flccickk7WZ,
Mailing Address.' b 0 0 rA- (AJA q936;;;), Expiration Date:
Email. -�ave-!-:-kg-ojd�,g; :0 Phone:
PROJECT DETAILS
item Unit ChaEge Quantity IgW(Quantky x Unit Charge)
Service/Feeder 2DO Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
ServicafFeeder 401-6W Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service[Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp.Servioe/Feeder200 Amp. $93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp.ServiWFeeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limfted Energy-1&2 DU. $64.00 $
Manufactured Horne Connection $120.00 $
Renewable Elea Energy:5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional) $56-00 $ -�g
f
W
4
X
TOTAL $ -s-&,0 0
Owneras defined by RCW.19.28.261:(1)Ownerwill occupy the structurefortwo years afterthis 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 of the above named property 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-
46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
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Datili Print Name Sign e(E] ChWner)E] Eleclfcal Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City He orrelectdcalpermits@cityofpa.usorfaxedto360.417.4711]