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ELECIV�PALTEMVIff ►�„ u
CITY OF PORT ANGELES
360-4I7-4735
Application Number 21-00000475 Date 4/21/22
Application pin number . . 781875
Property Address . . 622 DEL GUZZI DR
ASSESSOR PARCEL NUMBER: 06-30=12-6-8-0040-0000
Application type description SL$CTRICAL ONLY
Subdivision Name
Property Use . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE-FAMILY
Application valuation . . . 0
Application desa
T-stat DRP
Owner Contractor'
GREEN_CROW INVESTMENTS CO LLC DAVEIS WIG & COOLING SRVC INC
PO SOX 2469 PO BOX 413
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 460-7796 (360) 452-0939
~Permit . . . ELECTRICAL, NEW RESIDENTIAL
Additional desc
Permit Fee . . 56.00 Plan Check Kee .00
Issue Date . . . 4/21/21 Valuation . . 0
Expiration Date 10/18/21
Qty Unit Charge Per Extension
1.00 56.0000 BCR -Eta-LVT-THERMOSTAT 56.00
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Fee summary Charged Paid Credited Due
Permit Fee Total ' 56.00 56.00 .00 00
Plan Check Total ..00 ` .00 .00 .00
Grand Total 56 40 $6.00 .0`0 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Cole 6602)
INSPECTION TYPE, DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN - '
AW
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANG&BUILDING
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.4 I7.4735 ( vvvvvv.cityotpa.us I electricalpermitsa cityotpa.us
Project Address: 622 Del Guzzi Drive, Port Angeles, WA 98362
Project Description: low voltage thermostat wire for controller as part of ductless heat pump system installation
�l Single-Family Residential ❑ Duplex/ARU Building Square footage: ,�5
OVVNER INFORMATION
Name: North Pointe Construction LLC Email:
Mailing Address: PO Box 2439, Port Angeles,WA 98362 Phone: 360-452-3325
tLECTRICAL CONTRACTOR INFORMATION
Name: Dave';Heating&Cooling Service,Inc. License:DAVESHC9912C
Mailing Address: PO Box 413, Port Angeles,WA 98362 Expiration Date: 512021
Email: davesheating@wavecable.com- Phone: 360-452-0939
PROJECT
tw • i
S�jlt'1Chanaet11;113t 74�(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 $6.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $7500 $
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 $
Thermostat19(Note:$5 for each additional) $56.00 '� $ 56.00
rc
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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. 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,
4/19/2021 Heather Navarre 4 V-11-
Date Print Name Signature([:] Owner ;g Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111