HomeMy WebLinkAbout216 W 4TH ST - Building (2) ELEMUCAL PERMIT '` �A
CITY OF ANGELES
1 174735 t�
Application Number . . . 19-00000490 Date 4/03/19 -
Application pin, number . . . 628970 REPORT STATE SALES TAX
Property Address . . . . . 216 W 4TH ST , onr excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-8708-0000- y0U
Appl3 cation,type description $LEcrFtICAL orn,Y to the City Of Port Angeles
Subdivision Name . . .
Property use . . . . . . . (Location Code 0502)
Property Zoning . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 10
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Application desc
Ductless heat pump
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Owner Contractor
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ROBERT AND ADAR FELLER JR OWNER
216 W.4TH ST
PORT ANGELES WA 98362
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Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . 68..00 Plan Check Fee .00
Issue Date . . 4/0.3/19 Valuation . . 0
Expiration Date 9/30/19
Qty unit Charge Per Extension
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5:00
- 1.00 63.0000 BCH ' BL-R- BRANCH CIR WO/ SER FEED 63.00
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Be summary Charged Paid Credited Due
Permit Fee Total 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68:00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR::
DITCH
SERVICE
ROUGH-IN
FINAL
COIvI1�ENTS:
PERMrr WILL MORE SIX{'6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY ID
ELECTRICAL PERMIT APPLICATION PICCOR
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Public Works and Utilities Department 2019
321 E. 5th Street,Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us —D
Project Address:216 West 4th Street Port Angeles, WA
Project Description: Installing Mini Split Ductless Heat Pump Disconnect
El Single-Family Residential ❑ Duplex/ARU Building Square footage: 1,300
Name: Rob Feller Email:arfeller@olypen.com
Mailing Address:216 West 4th Street, Port Angeles,WA 98362 Phone:360-417-0666
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Name: NA(Homeowner) License:
Mailing Address: Expiration Date:
Email: Phone:
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&M Unit Charge Quanti Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 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 1 $ 1
Each Additional Branch Circuit $5.00 1 $ 1
Branch Circuits 1-4 $75.00 $
Temp.Service/Feeder 200 Amp. $93.00 $
Temp.Service/Feeder 201-400Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder'601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy-1&2 DU. $64.00 $
Manufactured Home Connection< $120.00 $
Renewable Elec.Energy:5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional) $56,00 $
First'1300 Square Feet
Each Additional$00 square feet" Q.005
Each Outbuilding Detached Garag-a $1400,' $;
Each Swimrnih§tsbtil%Hdt Tub 1 16.00
TOTAL $ 613.00
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this 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-
466,The City of Port Angeles Municipal Code,and Utility Specification 71AMC114.05.050re rding Electrical Permit Applications.
4/1/19 Rob Feller
Date Print Name Signature Owner�zf Elect al Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111