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Home My WebLink About209 W 5th StELECTRICAL PERMIT CITY OF PORT ANGELES 3604174735 t.l 1\o "{ Applicatioo Number ApplicaEion pin nunber Property Addreas ASSESSOR PARCEL NUMBER I ApplicaEion type descripts Subdivision Name - Property Uae Property Zoning Applicatsion val.uation 21- 000009?1 Date a/7L/2! 33?298 209 r{ 5TlI ST 05-3 0-00- o - 0 - 8754 -0000 - EI,ECTRICAI ONI,Y RESIDENTIA', TIIGII DENSITY 0 Application desc 3 TON HEAT PT'MP SYSTEM ContracEor SIIE RESCIENA 209 W 5Tt{ ST PORT AIIGEIES(302) 235 - 99L1 AIR FLO I{EATING CO INC 221 td CEDAR ST sEourM wA 98382 (360 ) 681-3901 l.lA 98362 Perlnit Additional Permit Fee Iasue Date Expiration degc Date 55. 00 I /at/2L 2/ 07 /22 ELECTRICAIJ HEATPUMP Plan check Fee valuation .00 0 Qty UniE Charge Per 1. OO 56.OOOO ECII EL.IW-THERMOS?AT Extension 55.00 Charged Paid Credited Due Permit. Fee Total Plal} Check Total Grand ToEal 55 .00 .00 55 .00 s6.00 .00 s6.00 .00 . o0 .00 00 00 00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST REPORT SALES Tfi( on your excise tax form to the City of Pott Angeles (Location Code 0502) INSPECTION TYPE RESULTS:INSPECTOR DITCH SERVICE ROUGH-IN FINAI COMMENTS:6rV Signanrrc of owner or Electrical Coutractor X C:\EXCHANGRBUILDINC Date DATE: I 1 - 2 SINGLE-FAMILY ELECTRICAL PERM IT APPLICATION Public Works and tftilities Department 321 E. -sth Street, Port Angeles, WA 98362 360.4 I 7.:1735 | wn"w.citvolpa.us I elecrricalpermits@citvofpa.us 1'o 3 s N .D -J Proj ectAddress: 209 W sth St Port Angeles, WA 98362 Project Descrip tion lnstall Trane Series XV1 I R41 0A Heat Pump System 3TON tr Single-Family Residential E Duplex / ARU Building Square footage 1694 Name Sue Rescigna Email: srescigna@gmail.com Mailing Address. 209 W sth St Port Angeles, WA 98362 phone 302-235-9911 Name Air Flo Heating lissnsg AlRFL|.206DG Exp iration Date: 04125t2022 Pf166g 360-683-3901 Mailing Address 221 W Cedar St Sequim, WA 98382 Email ellie@airfl oheating.com Il[ilgnalce $120.00 $146.00 $205 00 $262.00 $373.00 $s.00 $63.00 $5.00 $75.00 $93.00 $110.00 $'149.00 $168.00 $96.00 $64 00 $120.00 $102.00 $56.00 Ouantitv fgEl (Quantity x Unit Charge) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $56.00 $120.00 TOTAL .00$ Owner as defined by RCW 19.28.261: ('l ) Owner will occupy the structure for two years after this electrical permjt 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 lav,/s, N.E.C., RCW Chapter 19.28, WAC. Chapter 296- 468, The City of PortAngeles Municipal Code, and Utility Specifications and P.AMC 14.,05.050 regardrng Electrical Permit Applications. OBlOGtzO2l Ellie Hubbard aU. r{,bda^/ Date Print Name Signature (! Owner F Electrical Contractor /Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.4'17.47111 O!\AIER INFORMATION ELECTRICAL CONTRACTOR IN FORMATION PROJECT DETAILS Item Serv ceiFeeder 200 A.np. Servrcei Feeder 201-400 An]p Servrce/Feeder 401 -600 Amp Servrce/Feeder 601 1000 Amp Service/Feeder over 1000 Amp. Branch Circurt W Service Feeder Branch Circuit WO Service Feeder Each Add tional Branch Clrcutt 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 1000 Amp Porta to Portal Hou. y S gna C rcuit/Lrmrted Energy - 1&2 DU. l\,4a nuf actu red H ome Con nection Renewable E ec Energy sKVA System or less Thermostat (Note $5 for each additional) First '1300 Square Feet Each Addrtional 500 square feet ' Each Outbuilding / Detached carage Each Swrmming Pool i Hot Tub I s Electrical lnformation Form Public Works & lJtilities Departmont (360) 4174700 City Electrical lnspocto. (360) 4i74735 m 9l l. Please and rcturn to Public Works & Wities Departmenl MAILOR DELIVER COMPLETED FORMTO: 321 EsTHSTREET; PORTANGELES, WA 98362 FAX TO: 360-417-4711 WS WF 209 W sth St Port Angeles, WA 98362 Sue Rescigna 209 Wsth St Port Angeles, WA 98362 302-235-991 1 Cell Phone: Project Address: Owner: Street Address City/State/Zip: Phone Number: Air Flo Heating Ellie Hubbard Company Name: Contact Name: 360-683-3901 Cell Phone:Phone Number: E Existing E SingleJamily residence E Commercial E Overhead service fl underground service flNew E Mu[i-family residence; # of units n subdirision E General service Eother, work: (Oil to Gas ConYersion, Gas to Electric, New Heat Pump, etc.) Detailed Main Disconnect Size Select Voltage:Etzorzoa spn &ttnao spn E+ao sw apn Btzotzto 5n l)tzotz+o spnAmps:3Oamp HP Standard residential loads (Lighting, relrigqrator, dishwasher, washe0 A,/C ( - ton) E Range/Oven Ll Hot tuo Clothes Dryer E Heating E Pumps (-Hp) E Water Heater n Elevator LHp) Eother- Check all that apply: Load lncrease (kW)Load Decrease tr tr .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 am s of all motors over 50h Please provide a copy of the following: Date: 0810612021t's Signature Applicant lnformation Contact lnformation Project Type Project lnformation Supporting New, l8formatior[]Eqrm per Trenl Revised 1 09-11 lnstall Trane Series XV'l 9 R410A Heat Pump System 3TON