HomeMy WebLinkAbout921 Church Avenue - Building u.
ELECTRICAL PERMIT Q
CITY OF PORT ANGELES
36 1`1-473'5
Application Number' . . . 20-00001104 DaREPOR46TATE SALES TAX
Application pin number 402544 on ywr excise tax fom
Property Address . . . . . . 921 CHURCH AVE
ASSESSOR PARCEL NUMBER: 06-30-15-5-9-0110-0000- t0 the City of Port Angeles
Application type description ELECTRICAL ONLYLOCF�t%0/1 Code 0502)
Subdivision Name . . .
Property Use
Property Zoning . . . . . . UNKNOWN
Application valuation . . 0
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Application desc
T-stat Ducted heat pump system
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Owner Contractor
JUSTIN AND PATRICIA PARKER DAVE'S HTG & COOLING SRVC INC
21 KRUSE RD PO BOX 413
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-0939
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Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . 56.06 Plan Check Fee .00
Issue Date . . 10/05/20 Valuation . . . 01
Expiration Date 4/03/21
Oty , Unit Charge Per Extension
1.00- 56.0000 ECH EL-LVT-THERMOSTAT 56.00
Fee summary Charged Paid Credited Due
-- -- --------- ---------- ----------
Permit Pee 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 1
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department �y
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 wrvw.cityofpa.us( electricalpermits@cityUpa.us
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Project Address: 921 Church Avenue, Port Angeles, WA 98362
Project Description: low voltage thermostat wire for controller as part of ducted heat pump system installation
11 Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNERINFORMATION
Name: Justin&Tricia Parker Entail:justin_parker860ligmaii.com
Mailing Address: 921 Church Avenue,Port Angeles,WA 98362 Phone: 360-461-6282
ELECTRICAL CONTRACTOR INFORMATION
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
PROJECTDETAILS
bm gnat Charne Quanti#x IQ,(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $-
Service/Feeder 201-400 Amp. $146..00 $
Service/Feeder 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 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.ServicelFeeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. - $14900 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Umited Energy-1&2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy:5KVA System or less $10200 $
Thermostat(Note:$5 for each additional) $56.00 1 $ 56.00
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,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.
09/25/2020 Heather Navarre 4►,�-,V--,—
Date Print Name Signature(❑ Owner 17 Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]