HomeMy WebLinkAbout1623 W 5th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
NI
-.lcs
Applicatsio. Nuhber
Applicatsion pin number
Propertsy Address
ASSESSOR PARCEII NLTUBER:
ApplicaEion t,'pe description
subdivision Name
Property use
Property zoning
ApplicaEion valuatsion
2L - 00000178 Date 2/78/2L
58\254
1623 W 5TH ST
06 - 30-00 -0- 1- 2975 -0000 -
EIECTRICAI OI{LY
RS? RESDNTL S]NGI,E FAM]I,Y
0
application desc
Hea! PumP
SEXTON, ?TE GORDON K
1523 W 5TII ST
PORT ANGEIJES WA 983631707
AI], WEATIIER HTG & COOL]NG INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 4s2-9813
PermiL
AddiEi.onal desc
PermiE Eee
lssue Dale
Expiralion DaEe
55.00
2 /\8 /21
8/!1/2L
EIECTRICAI, ALTER RESIDENTIAI,
Oty UnaE Charge Per
1. OO 56. OOOO ECII E]r-LV?.TIIERMOSTAT
.00
0
56.00
Permit Fee Totsal
P1aI] Check Totsal
Grand ToEal
55 .00
.00
56.00
55.00
.00
56.00
.00
.00
- 00
00
00
00
PERMIT WILL EXPIRE Slx (6) MONTHS FROM
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN
COMMENTS:(r,*
G:\EXCHANCE1BUILDING
INSPECTION
Date:
Plan check Fee
Valuatsion
:1i:::: :iii :::il::i :]:
FINAI
1- 2 SINGLE-FAIVIILY
E LECTRICAL PERM IT APPLICATION
PLrblic \\brks and Utilities Depattlxenl
321 E. 5th Street, Port Angeles. \&A 98362
360.41 7.4715 | wrvu,.cityofpa.us j eleclricalpermits@cit1,ofpa.us
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3
Project Address 1623 West sth Street
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DN
Project Description lnstall like for like heat pump outdoor unit onl v
E Single-Family Residential E Duplex / ARU Building Square footage 2346
Name Patrica Sexton Email
Mailing Address. 1623 West sth Street phone 360-460-2177
Name All Weather Heating & Cooli ng, lnc License:ALLWEWH934IVU
Mailing Address 302 Kemp Street Exp iration Date 9/21
Ph6ns 360-452-9813il billing@allweatherhc.
Service/Feeder 200 Amp-
Service/Feeder 201-4OO Amp
Service/Feeder 401-600 Amp
Service/Feeder 601-1 000.Amp.
Service/Feeder over 1OO0Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401.600 Amp.
Temp. Service/Feeder 601.J 000 Amp.
x LJnit Charge)
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$_
.$149.00''- $.168.00
.. ..,.$96.00' --'$o+.oo
$120.00
..i $102.oo
Portal to Portal Hourly r... i- .
Signal CircuivLimited Eoergy - '182 DU.
Manufactured Home Connectton
Renewable Elec. Energy: 5KVA System or
Thermostat (Note: $5 for each additional)
less
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 propefty 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 PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
2115121 Karen McKeown Karen [VlcKeown 3:gtj:'yr;1g,U','J,!fl;iyff.:,3]"Date Print Name Signature (E Owner p Electrical Contractor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47'11]
W
ELEETR'cAL C ONTR&qTT.O Ri I N F.,8R.MATIS,N
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Electrical lnformation Form
Public Works & Utilities Oepartmont (360) 417.+700
City Electrical lnspector (360) 4174735
WS
WF
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Please complete and return to Public Works & Utilities
MAIL OR DELIVER COMPLETED FORM TO: 321 E sTH STREET: PORT ANGELES. WA 98362
1623 West sth Street
Patricia Sexton
1623 West sth Street
Port Angeles, WA 98362
Project Address:
Owner:
Streef Address
City/State/Zp:
Phone Numbet:Cell Phone:
Company Name:
Contact Name:Dustin Halverson
Phone Number:360452-9813 Cell Phone:
E E*isting
E Single{amily residence
E Commercial
E Overhead service
Et'tew
E Mufti-family residence; # of units
E subdivision
E General service
E other:und serviceE unde
Detailed descrtption of
work: (Oil to Gas
Conversion, Gas to
Eleclric, New Heat Pump,
etc,)
lnstall like for like heat pump outdoor unit only
Ztzoato pn
Ztzozao tpn
Er zolzoa spn
n+ao aw apn
Main Disconnect Size Select Voltage:&ttt+ao 4n
Amps:
E Standard residential loads (Lighting, refrigerator, dishwasher, washer)
E nuc ( -L!ton) n Range/oven E uot tub
E Clothes Dryer n Heating E Pumps (-Hp)
Check all that apply:
Load lncrease (Load Decrease (kW)
E Water Heater E Elevator (_Hp) E Otner
.Detailed plot plan (.dwg or .dxf format mandatory for subdivisions).
.Electrical one-line drawing showing the service entrance panel and location
.Connected load data.
.Size and locked rotor amps of all motors over 50hp.
Please provide a copy of the following
Ap p I icant's s i g natu re: Karzrr. z/aKe^* orrtz.2t15t21
Applicant lnformation
Contact lnformation
Project Type
Project lnformation
Supporting
Nowrlnfogndign,Eo.rm per Trent Revised 1-09- 11
FAxTO: 360417-4711
360460-2177
AllWeather Heating & Cooling, lnc.
Date:
)eDanmenlI