HomeMy WebLinkAbout513 S Lincoln St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMUNITY SSOPPING DISTR
0
s
Is
Nq
Appl.icatsiod Number .
ApplicaEion pj"n number
Property Adalress
ASSESSOR PARCEI, NT'MBER
21- 00001425 DaLe 7l/ 04/2L
366625
513 S I,TNCOLN ST
05- 30-00-0 -2 -0035 -0000 -
ELECfRICAI, ONI,YApplicalion l)?e description
subdivision Name
Proper!y Use
Proper!y zoning
applicaLion waluation
Applicalion desc
T-slaE heat punp system
MARK W AND SHEI,LEY SIIAMP
910 W 10TI{ S?
PORT ANGEIES WA 98352(350) 451-39s4
AIR FI,O HEATING CO
221 W CEDAR ST
SEOUIM(350) 681-3901
INC
vlA 98382
Permit.
AddiLional desc
Pemit Fee
Issue Dale
Expiration Date
55.00
|t/04/2L
s/03/22
ELECTRICAI ALTER CO!.!I,|ERC I AI
Plan check Fee
valuation
00
0
Oty UniL Charge Per
1- 00 56 . 0000 ECr{ EL2.00 s.0000 ECg EL
I,\rT.THERII'IOSTAT
L\II.ADDITION], TIIERI'IOSTAT
ExEension
55.00
10. 00
charged Crediled Due
Permit Fee ToLal
PIan Check ?o!aL
Crand Total
65 .00
.00
55.00
56.00
.00
65.00
.00
.00
.00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:at/-
PERMTT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
C:T,EXCHANGE\BUILDING
Date
I onre,lnrsulrs'
I
EL{-2 sF
ELECTRICAL PER MITAPPLICATION
PLrblic Works and Utilities Department
.l2l E-. 5th SLreet. PorL ,\ngclcs, Vr'A 981(rl
160.4 1 7."1715 j lrra,lr.citl olfa.us l clectricrlpernrirsrri,ciryolpa.u:
1'o
f
Project Address 5'13 S Lincoln St Pt Angeles WA 98362
N
..t-
NIq
Project Description lnstall Trane Packaged Heat Pump System 3TON
qlg4,o
[r,lsmg lrark Shamp Email synergyelectricalcontlactors@gmarl com
l\4ailing Address 259052 Hwy '101 Sequim WA 98382 phqns 360-461-3954
Name Air Flo Heating License. AtRFLt'206DG
Mailing Address:22'1 W Cedar St Sequim WA 98382 Exp italion Oale. 4125122
Phe6g 360-683-3901Emailellie@airlloheating.com
PROJECT DETAILS
Ouantitu Ielal riit Charge)x
TOTAL
Owner as defined by RCW19.28.261r (1) Owner will occupy the structure for two years after this permit is finalized. (2) Owner is
required lo hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of lasl inspection.
After reading the above statement, I hereby certily that I am the own€r of the above named property or a licensed electrical contraclor. I
am making the electrical installation or alteralion in compliance with the electrical laws, N.E C., RCW- Chapter'19.28, WAC. Chapler 296-
468, The City of PortAngeles [runicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
9t27t21
Date Print Name gnature (E Ownerfi Electrical Contractor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
1 - 2 SINGLE.FAMILY
! Single-Family Residential E Duplex / ARU Building Square footage:
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
r
Item
Servrce/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Servrce/Feeder 40 1-600 Amp.
Servrce/Feeder 601-1 000 Amp.
Servrce/Feeder over 1000 Amp
Branch Circuit W/ Servrce Feeder
tsrarch Crrcurl WO Service Feeder
Each Additional Branch Clrcuit
Branch Circuits 1 4
Temp Service/Feeder 200Amp
Temp. Servrce/Feeder 20'1-400 Amp.
Temp SeMce/Feeder 401-600 Amp
Temp ServLce/Feeder 601-1000 Amp.
Portalto Porlal Hourly
S gnal C,rc.rl/Lr-rted Erergy - r&2 DU
Manufaclured Home Connectron
Renewable Eiec. Energy SKVA System or less
Thermostat (Note $5 For each additional)
Frrst 13OO Square Fe€t
Ea€fi Addit'ondrsoo sqlqre!ret.,.
Each Outbuilding / DetaciEd c8rage
Each Swmmiq Pool / Hot Tub
Unil Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
s75.00
$93.00
$110.00
$14S.00
$168.00
s96.00
$64.00
$ 120.00
$102.00
$56.00
$120.00
s40.00
$74.00
$110.00
$_
$_
$_
(
S----/i.6'
{__
,Jz----
Please and fe,ufn to Publlc Works & Utilities Department
IVAIL OR DELIVER COMPLETED FORM TO: 321 ESTHSTREET; PORTANGELES, WA 98362
FAX TO: 360-417-471 I
Electrical lnformation Form
Public Works e Utilltios DspaItment (360) 417-1700
Caty Electrical lnspector (380) 117-a735
WS
s
B:
513 S Lincoln St Pt Angeles WA 98362
lvlark Shamp
513 S Lincoh St
Pt Angeles WA 98362
Project Addrcss:
Owner:
Sarool Address
Ctty/S,ale/zlp:
Phone Numbar:360-461-3954
Air Flo HeatingCompany Name:
Contact Name:Ellie Hubbard
Phone Nufiber:360-683-3901
E Existing
D Single-family residence
E Commercial
! Overhead service
E Underground service
ENew
E Multi-family residence; # of units
E subdivision
n General service
flother:
wotk: (O to Gas
Cooversion, Gas to
Electric, New Heat Pump,
etc)
tion
lnstall Trane Packaged Heat Pump System 3TON
Main Disconnect Size Select Voltage:Dtzolzog gptr
Eaoo sw spn
l)ztt Aao spn
Amps:Onotzno 3pn
2W24A hh
LJ Standard residentral loads (Lrghting, refrigeralor, dishwasher, washer)
DA,/c ( ton) flRanse/oven Enotruo
n Clottres Dryer E Heating I Pumps (-Hp)
Load lncrease (kW)_ Load Decrease (kW)
Check all that apply:
E Water Heater E Elevator (_Hp) [ Other
'Oetailed plot plan (.dwg or .dxf format mandatory for subdivisions).
'Eleclrical oneiine 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:
Applicanfs SignatureW-4+-4-z.z-ZlOate
Contact lnformation
Pro,ect Type
Project lnformation
Supporting
l{6v/'JBforfitotiorhEorm per Trent Revised 1-09 11
Applicant lnformation
Cell Phone:
Cell Phone: