HomeMy WebLinkAbout735 W 4TH ST - Building (2) _ Cti�1
ELECTRICAL PERMIT
CITY OF ORT ANGELES
3607417-4735 �oC.
Application Number 18-00000438 Date 3/28/18
Application pin number 526618
Property Address . . 735 W 4TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-9825-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . to the City of Port Angeles
Property Use
Property Zoning . . (Location Code 0502)
Application valuation . . . . 0
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Application desc
Heat pump system
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Owner Contractor`
TONI D RANDALL DAVE'S HTG & COOLING SRVC INC
735 W 4TH ST PO BOX 413
PORT ANGELES WA 983632245 PORT ANGELES WA 98362
(360) 457-9176 (360) 452-0939
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Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 56.00 Plan Chdck Fee .00
Issue Date . . . 3/28/18 Valuation . . . . 0
Expiration Date 9/24/18
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 1
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Fee summary Charged Paid Credited Due
-------------- ---------- ---------- ---------- ----. ----- F
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 00 .00 .00
Grand Total 56.00 56.00 .00 00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT Wilt;EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 93362 1
360.417.4735 1 www.cityofpa.us electricalpermits(gcityofpa.us
Project Address:
Project Description:
Single-Family Residential El Duplex/ARU Building Square footage: l/ ;'
OWNER RVORMAMN
Name: ' Email: —
MailingAddress: Phone: Gcs-C��SSr7
ELECTRICAL C( TOA
Name: t�5 F{sz fir ]C License: 1)A VC--&
Mailing Address: bo a `f t- fy e--VAn,a2 Expiration Date: 3- ,'o 1
Email: d avers l��s{�r.p�� ctr� «3 b� �- Phone:
PROJECT DETAILS
j1t�lll Unit Charge Quantity 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 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp.Servioe/Feeder 200 Amp. $9300 $
Temp Service/Feeder 201-400 Amp. $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 $120.00 $
Each Additional 500 square feet' $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $
TOTAL $
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,KE-C.,RCW.Chapter 19.28,WAC.Chapter 296-
466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Dat6 Print Name gnature{❑ (5wne Electrical Contractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa-us or faxed to 360.417.4711]