HomeMy WebLinkAbout - Building i✓LF..�,"I'��1�L PER: IT f.
Ct OF PORT ANGELES ,
� �-417-4735
Application Number . 19-00001406 Date 9/16/19
AppliOation pin number 636066 AREPMT'STAI'E&ALES TAX
PropeAt Address . . 1420 ROOK DR 0l7 @XCtSQ tAX fQll77
ASSESSOR C$t NUMBER., 06-30-14-%-2--0190-0009- .
Appli cation t deacripti ELECTRICAL. ONLY to the City of Port`Angel�eS
Subdivision N&me (Location Coda 0502)
Property Use . . . RESIDENTAL SF 9600
Property Zoning . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . 0
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Application deac
DHP-atat
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Owner :Contractor
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GREEN CROW "INVESTMENTS Cp. LLC DAVE'S H% & COOLING SRVC INC
P.O. 86it 2439 PO HOX 413
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-0939
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Permit ELECTRICAL NEW RESIDENTIAL
Additional desa }'
Permit Fee :00' Plan Check Fee 00
Issue Date 94T 19 Valuation . . . 0
Expiration Date 3/1*/2b
Qty Unit Charge Per . Extension
1.00 56.6000 ECH NL-LVT-THERMOSTAT 56.0
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Fee summary Changed Paid Credited Due
Permit Fee Total 56.00 56.00 .00 .00-
Plan Check Total .0o .00 .00 .00
Grand Total 56"00 56.00 .00 .00
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PORMfr V ftL EXPIRE SIX(6)MONTH$FR4M'�1 INSPECTION
Sure of owner or Electrical Contractors Date:
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ELECTRICAL PERMIT APPLICATION EP
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362 l
360.417.4735 1 www.cityofpa.us I electricalpermits(a�,cityofpa.us
1420 Rook Drive, Port Angeles, WA 98362
Project Address: 9
Project Description: low voltage thermostat wire for controller as part of ductless heat pump system installation
F� Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Green Crow Construction LLC Email:
Mailing Address: PO Box 2439, Port Angeles,WA 98362 Phone: 360-452-3325
Name: Dave's Heating&Cooling Service, Inc. License: DAVESHC9912C
Mailing Address: PO Box 413, Port Angeles,WA 98362 Expiration Date: 5/2021
Email: davesheating@wavecable.com Phone: 360-452-0939
PROJECT DETAILS
Item Unit Charge Quantity IQW(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000Amp. $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. Service/Feeder 200 Amp. $93.00 $
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 eachadditional) $56.00 $ 56.00
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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.
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.
09/13/2019 Heather Navarre
Date Print Name Signature(❑ Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]