HomeMy WebLinkAbout221 Forest AVE - Building LEC" �AL PERMIT
CITY QF PORT ANGELES
360-417-4735
Application Number 21-00000214 Date 2/24/21
Application pin number 727420
Property Address . . 221 FOREST AVE
ASSESSOR PARCEL NUMBER: 06-30-09-5-8-0012-00p0-
Application type description ;ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . .
Property Zoning . . . . .- RS1 RESDNTL SINGLE FAMILY
Application valuation . . 0
-Application desc
T-stat
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Owner Contractor
JONES ROBERT SCOTT DAVE'S HTG & COOLING SRVC INC
221 FORREST AVE PO BOX 413
PORT ANGELES WA 983622517 PORT ANGELES WA 98362
(360) 452-0939
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Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 63.00 Plan Check Fee .00
,Issue Date 2/24/21 Valuation . . . . 0
Expiration Date 8/23/21
Oty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN 2
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEBUILDING
�t -
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department N
321 E. 5th Street, Port Angeles, WA 98362 t
36(}.417.4735 1 \vvvw.cityofpa.us I electi•icalpermitsncityofpa.us
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Project Address: 221 Forest Avenue, Port Angeles, WA 98362
Project Description: low voltage thermostat wire for controller as part of ducted heat pump system installation
L] Single-Family Residential ❑ Duplex/ARV Building Square footage:
OWNER INFORMATION
Name: Scott&Sherri Jones Email:
Mailing Address: 221 Forest Avenue, Port Angeles,WA 98362 Phone: 360-461-0233
ELECTRICAL CONTRACTOR;
1M INFORMATION
Name: Dave's Heating&Cooling Service,Inc. License: OAVESHC99126
Mailing Address: PO Box'413, Port Angeles,WA 98362 Expiration Date:5/2021
Email: davesheating@wavecabfe.com Phone: 360-452-0939
PROJECT DETAJLS
112M Untt,Charge Quantb JQW(Quantity x Unit Charge)
Service/Feeder 200 Amp. $12000 $
Service/Feeder 201-400 Amp. $146.00 $
ServicelFeeder 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 W14 Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp.Service/Feeder 200 Amp. $93.00 $
Temp. ServicefFeeder 201-400 Amp. $110.00 $'
Temp. Service/Feeder 401-600 Amp. $14900 $
Temp. Service/Feeder 601-1000 Amp. $16800 $
Portal to Portal Hourly $96.00 $
Signal CircuittLimited Energy-1&2 DU_ $64.00 $
Manufactured Home Connection $120.00 $.
Renewable Elec. Energy:5KVASystem or less $102.00 $'
Thermostat(Note:$5 for each additional) $66.00 1 $ 56.00
r
�h
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 14.05.060 regarding Electrical Permit Applications.
02/19/2021 Heather Navarre M.1_
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]