HomeMy WebLinkAbout819 E 1st StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4'/35
COMMERCIAI, ARTERIAL
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NIApplication Number
ApplicaLion pin number
Propertsy Address
ASSESSOR PARCEL NI(IVIBER:
ApplicaEion tl,pe descript ion
Subdivision Name
Property Use
Property zo4ing
Application valuation
21-00001602 DaLe t2/ o't /2L
724866
819 E 1ST ST
06-3 0-00 -5- 1- 2355- 0000-
E],ECTRICAL ONIY
Applicatsion desc
HeaE PumP systen
RANDY K AND IIOI-I-Y MICI.IA]-SCI{ECK
183 MII]ES RD
PORT ANGEI]ES WA 99362'1457
AIR FLO HEATING CO INC
221 VI CEDAR ST
SEOUIM WA 98382
(350) 581-3901
Permit
Addirional desc
Issue DaEe
ExpiraEion Datse
112. 00
t2/a7 /2t
5/As/22
EIJECTR]CAI ALTER RES IDENTIAIJ
Pfan Check Fee
ValuaEion
00
Extension
112.00
Charged Paid Credited Due
Permit Fee Total
Plan Check Totsal
Grand Total
112 .00
.00
112 .00
112
172
00
00
00
00
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
DATE RESI]I-TS INSPECTOR:
DITCH
SER\'ICE
ROUGH.IN
FINAL
fix
PERMIT WILL EXPIRE STX (6) MONTHS FROM LAST INSPECTTON
Signature ofowner or Electrical Contractor X
C:IEXCHANCE BUILDING
Date
!
0
Qly UniE charge Per
2. OO 56.OOOO ECH EL-LVT-THERMOSTAT
INSPECTION T\?E
I
COMMENTS:
ELECTRI CAL PERTVI IT APPLICATION
l'Lrblie \&rrl<s rLntl I itiIitics [)cpartnrcnl
1,2 I 1.. j{h ttrctt. I)r)r1 .'\ngclts. \\A ()ll i5J
tl,o. l l 1.17 l; I ',t wr,,'c ili olIii.rrs I c lcctlir":irlpcrtn itr.rr c ili olIrr u'
Proj ect Address: 81 I E 1 st ST Pt Angeles WA 98362
Project Descripti on. lnstall Two Trane Series XR15 R410A Heat Pump Systems
D Single-Family Residential D Duplex / ARU Building Square footage 2--7?7-
Name RandyMichalscheck Email:randysaulo03@yahoo com
[i]ailing Address 819 E 1st St Pt Anqeles WA 98362 p6sng. 360-460-3044
Name Air Flo Heatinq License AIRFLI'206OG
Nlailing Address: 221 W Cedar St S uim WA 98382 Expirati on Dale 4125122
Email ellie@airfloheating.com Phone 360-6E3-3901
It€m
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Se.vice,/Feeder over 1000 Amp.
Branch Circuit W Servic€ 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 60 1 "1 000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
lllanufactured Home Conneclion
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each addtional)
Ilrl-Cirer
$120.00
$146.00
$205.00
s262.00
$373.00
s5.00
s63.00
$5.00
$75.00
$93.00
$'110.00
$149.00
$168.00
$96.00
s&r.00
$120.00
sr02.00
$56.00
Illd (Quanlity x nlt Charge)
fiL_
$
$
s
$
$
$
$
$
s
$
$
$
$
$
$
$
$
s
TOTAL
Owner as defined by RCW19.28.26'lr (1) Ownerwill occupy the structure for two years afier this electrical permit is finalized. (2) Owner is
required to hire an electncal contractor il above said property is for sale, rent or lease. Permil expires after six months of last inspection.
Alter reading the above statement, I hereby cedify that I am the owner ot the above named property or a licensed electrical contraclor- I
am making the eleclrical installation or alte.ation in compliance with the electricallaws, N.E.C., RCW Chapte|19.28, WAC. Chapter 296-
468, Ihe City of PortAngeles MunicipalCode, and LJtility Specaficalions and PAMC 14.05.050 regardrng Electncal Permat Applications
tllb-zt we<errft^,tc.lsDate Print Name Signature (E Owner p Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityotpa.us or faxed to 360.417 .47111
1 - 2 SINGLE-FAMILY !(DI!f
lxrII
t8
lJ')
ELECTRICAL CONTRACTOR INFORMATION
OWNER INFORMATION
PROJECT DETAILS
First 1300 Square Feet
i
$---
$--
s.-'.,-........:s I l'z--
Please le and roauro ao Public Wo*s & Utilitios
MAIL OR DELIVER COMPLETED FORM TOI 321 E 5TH STREET, PORT ANGELES, WA 98362
FAX TO: 360-417-471 1
Electrica! lnformation Form
Public Works & Utillties Depanm€nt (360)417-0700
City Eloctiical lnsp€ctor (360) 4174735
WS
m
o_q
8l
819 E 1st St Pt Angeles WA 98362
Randy Michalscheck
819 E 1st St
Pt Angeles WA 98362
Cell Phone:
Project Address:
Owner:
Street Address
CW/State/Zip:
Phone Numbor:
Air Flo HeatingCompany Ndme:
Contact Name:Ellie Hubbard
Phone Numbar:360-683-3901 Cell Phon6:
E Existing
lE Single-family residence
El commercral
l! overneao service
L! underground service
ENe*
! Muti-family residence; # of units
E subdivision
E General service
E other,
wotk: (Oil ,o Gas
Cooversion, Gas ao
Etectic, New Heat Purnp,
etc)
lnstall Two Trane Series XRl5 R410A Heat Pump Systems
solectvoltagei Kzolzao tpt
nrzotzlo sprr
Etzorzoa 3pn llttnao spn
&ao sw spn
Main DEconnect Size
Amps:
g, refrigqrator, dishwasher, washer)
LJ Hot Tub
E Pumps (-Hp)
Wuc t ton)d[] c,ott'". orv",
,.[
dStan restatd dential nloadsLihtisDRane/Ovens
H neatE s
Load lncrease (kW)Load Decrease (kW)
D Water Heater D Elevator L__Hp) [ Other
heck all that apply:
ZTo)t
'Oetailed plot plan (.dwg or .dxf format mandatory for subdivisions).
'Electrical one-line drawing showing the service entrance panel and localion
'Connected load data.
'Size and locked rotor amps of all.motors ovel 50hp.
Please provide a copy of the following:
s Signature Date: I t lu zoLt
Appllcant lnformation
Project Type
Supporting
lhu/,JiofoHrdior,h6erm per Trent Revised 1'09-11
360-460-3044
Contact Information
Project lnformation