HomeMy WebLinkAbout228 E Lauridsen Blvd (4)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-411-4735
COMMERCfAL OI'EICE
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
I
N
$-\.
ApplicaLion Nunrlcer
Applicat.ion pifl number
Property Address
ASSESSOR PARCEL NUMBER :
Application ts!.pe description
subdiwision Name
Property Use
Property zoning
Applrcat.ion valuatsion
21- 000 00541 Dare 5/29/21
809558
228 E I,AURIDSEN BLVD
06- 30 - 10 -5 -0- 2308 -0000-
EI,ECTRICAL ONLY
ApplicaEion desc
Heat pump sysEems
Contractor
,fames Halberg
228 E BOT]LEVAXD
PORT ANGELES
ALL WEATHER HTG & COOT,ING INC
302 RNMP ST
PORT ANGELES WA 983 52
{350) 4s2-9813
wA 983 62 7821
Permit
Additional desc
Permit Fee
Issue Date
112.00
5/2e/21
1a/ 21/ 21
EI,ECTRTCAL AITER COMMERC]AI
0
Expiration DaLe
OEy Unit Charge
2.00 56.0000 ECH EL- LVT -1I1ERI\,]OSTAT
E).t.ension
1t 2 .00
Charged Paid Credited Due
PermiE I'ee ToEal
Plan Check Total
Grand ToEal
00
00
00
.00
.00
.00
00
00
00
aa2
tt2
712
t72
00
00
00
INSPECTION TYPE DATE:RESULTS iNSPECTOR:
DITCH
ROUGH-IN
FINAL
COMMENTS:E-K
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Sigflature ofowl]er or Electrical Contractor X Date
.00Plan Check Fee
valuaLioa
SERVICE
ELECTRICAL PERM IT APPLICATION
Pro.iect Address 228 E Lauridsen Blvd
Name James Halberq Email
[/ailing Address 424 Ahlvers Road P hone:360457-7576
Name. All Weather Heating & Coolinq, lnc.li6snsg ALLWEWH934MU
N4ailing Address 302 Kemp Skeet Expi ration Date: 9i2'l
Email billi llweatherhc.com
Item
Service/Feeder 200Amp: . l
ServiceiFeeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -'1000 Amp.
Service/Feeder over '1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601:1000 Amp
Phsns 360-452-9813
Ouantitv
$120.00
$'146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
Portal to Portal Hourly
1&2 DU
$149.00
$168.00
$96.00
Signal CircuiULimited Energy -
00
00
Thermostat (Note: $5 for each additioha 112.00
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 Applicatjons.
5t27121 Karen McKeown Kaz*7lcKeoa,,nt
Date Print Name Signature(E Owner p Electrical Contractor / Administratoo
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE-FAIVIILY !o
=
ir"
lrls'l-rt-
I
Fublic \4brks and Lltilities llepartmenl
32 I E. sth Stleet, Port Angeles. \&i4. 98-162
1 60-"1 I 7.47 3,5 | wrvr.r,.c itl ofpa. us I e lecricalpen.r, its@cityofpa.us
Project Description lnstall (2) like for like heat pump systems in commercial building
trSingle-FamilyResidentiaIEDUplex/ARUBuildingSquarefootage:-
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Electrical Information Form
Public Works & Utilities Department (360) 4174700
City El6ctrical lnspector (360) ifi74735
tr
!I
3.
Prease te and return to Public Works & Ulilities
MAIL OR DELIVER COMPLETED FORM 10 321 E sTH STREET; PORT ANGELES, WA 98362
FAxrO. 360417-4711
WS
WF
228 East Lauridsen Blvd
Halberg Chiropractice (James Halberg)
424 Ahlvers
Port Angeles, WA 98362
Project Address:
Owner:
Sfreef Address
City/State/Zip:
Phone Number:Cell Phone:360457-7576
AllWeather Heating & CoolingCompany Name:
Conlact Name:
Phone Number:360-452-9813 Cell Phone
E Existing
E Single-family residence
E Commercial
! Overhead service
n Underground service
Et'tew
E Muti-family residence; # of units
E subdivision
E General service
!otter:
Deta il ed de sc ripti on of
wo*: (Oil to Gas
Conversion, Gas to
Electric, New Heat Pump,
etc.)
lnstall (2) like for like heat pump systems
Main Disconnect Size Select Voltage: A1I2:U24O lphAmps:_ Aeonto qn
flrzolzoa sprr &ttuao qn
E+eo gw 3ph
Standard residential loads (Lighting, refrigglator, dishwasher, washer)
tuC (-ton) E Range/Oven EHotTub
Check all that apply:trtr
E Pumps (-Hp)
Load lncrease (kW)--Load Decrease (kW)--
E Water Heater E Elevator (_Hp) E otner
E clothes Dryer E Heating
.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:
Applicant's signature: Kar-nn- TiaXe^o rn t 5t27 t21Date
Applicant lnformation
Contact lnformation
Project Type
Project lnformation
Supporting
Newdnfornatisn :Fsrm per Trent Revised 1-09 1 1
Dustin Halverson