HomeMy WebLinkAbout315 W 15th St (2)!
Applicatsion Number
Appficatsion pin number
Propert.y Address .
ASSESSOR PARCEL NUI4BER I
Appf ication type description
su.bdivision Name
Property Use
Property zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
21 AA0a1666 DaLe t2/2'/ /21
544894
315 "{ 15TH ST
06 30 00 0 4 2075 0000
ELECTRICAI ONLY
RS7 RESDNTL SINGLE FAMILY
0
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\55
Application desc
Inslall Air Handler
Oener Contractor:
GREUBEL MARIE
315 W 15TH ST
PORT ANGELES wA 983 52 75 09
AIR ELO HEATING CO INC
221 W CEDAR ST
sEoutM wA 983 82
(350) 581-3 901
Permit
Additional desc
Permit Fee
Issue Datse
Expiration Date
55 .00
12/21/2L
6 /2s/22
E]-ECTRTCAI AITER RESIDEMITAI
Plan Check Eee
Valuation
.00
0
oty Uoit Charge Per
1. OO 55,OOOO ECH EL-LVT-THEBJ'.IOSTAT
ExLension
56.00
Charged Paid Credited Due
Permit Eee Total
Plan Check Total
Gr:and loEaf
55.00
.00
55.00
s6_00
.00
55. 00
.00
.00
.00
_ 00
.00
.00
REPORTSALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
lNSPECTION TYPE DATE:INSPECTOR:
DiTCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:flx
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date
RESULTS:
1 - 2 SINGLE-FAMILY
ELECTRICAL PE RMITAPPLICATION
-o
3
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K-f-
Putrlic Works and [.ltilities [)epartlncnl
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Proiect Address 315 W 1sth St Pt Angeles WA 98362
Project Descnption lnstall One TEM440B3653'lSB Air Handter
tr Srngle-Family Residenlial n Duplex/ARU Building Square footage.1201
OWNER INFORMATION
Name Andrea Goldy Email
Maifung Address 315 W 1sth St Pt Angeles WA 98362 p666s 206-550-4958
Name Air Flo Healing Lrcense AIRFLt'206DG
Mailing Address 221 VV Cedar St Sequrm WA 98382 Exp 11s11pn gsls 4125122
Phe6s 360€83-3901Emarl elle@airfl ohealing.com
Item
Serv,ce/Feeder 200Amp.
SeMce/Feeder 201-400 Anp.
Servrce/Feeder 401S00Amp
Se.r{celFeeder 601 -1 000 Amp
Servrce/Feeder over 1000 Amp
Branch Crrcuit w/ SeNice Feeder
Branch Crrcuri W/O Servrce Feeder
Each Additonal Branch Crrc!rt
816nch Crrcurts 1-4
Temp Servrce/Feeder 200 Amp
Temp Service/Feeder 201-400 AmD
Temp Servrce/Feeder 401-600 AmD
Temp Service/Feeder 60'1-1000 Amp
Pcrtal to Portal Hourly
Srgnal C rcu t/Lrmited Energy - 1&2 DU
lllanufacl!reo Home Connecttoa
Renewable Elec Energy sKVA System or less
r -e.r,ls.at r\o.e S5 to.eac. add,tronall
Farst 1300 Square Feet
Each Additio0al 500 square feei"
Each Outbuilding / Detached Garage
Each Swmming Pool / Hot Tub
llilCIilse
$120.00
$146 C0
$205 CC
$262 0A
$373 00
$5.00
$63 00
$5 00
s75.00
$93.00
$110 00
$149.00
$168.00
s96 00
$64 00
$120 00
$102 00
$56.00
$120 00
$40.00
s74.00
$110.00
Ouantitv fAlld (Quantity x Unit Charge)
56
s
$
$
$
$
5
$
$
$
$
$
$
$
$
$
$
$
$
$TOTAL
Ov,/ner as defrned by RCt/J.19 2A 261 ( 1 ) Owner wrll occupy the structure for two years a{ler thrs electncal permit rs frnalized. (2) Owner rs
requrred to hlre an electrrcal conlractor rf above sard property is for sale, rent or lease. Permit erptres after srx months of last inspectrcn.
After readrng lhe above statement. I hereby certify thal I am lhe owner of the above named propedy or a licensed electncal conkaclor I
am rnaktng the electrcal installatron or alterallon rn compliance with the eleclncal laws. N. E C. RCW Chapter 1 I 28 WAC. Chapter 296-
468 The Crly of Port Angeles lvlunrcrpal Code. and Uttlity Speoficat
bb
ll'ZZ Zl Lelxz.
rq{s ard PAMC lC 05.050 regardrng Eleclncal Pennrt Applrcatrons{I _fL-"._..ltr-J*\calerDate Print Name Signature (! Owner p Electrical Contractor / Administrator)
lElectrical Permit Applications may be submitted to City Hall or electncalpermits@crtyofpa. us or faxed 10 360.417.47111
1.2 SF
-
I
andreagoldy@gr.ail corn
ELECTRICAL CONTRACTOR INFORMATION
1
Electrical lnformation Form
Public Works & Uulilies Department (360) 417.4700
City Electrical lnspector (360) 417-4735
tr
I
3.
Please and return to Public Works & Utilities Depadment
MAIL OR DELIVER COI'PLETED FORM TO 321 E 5TH STREET, PORT ANGELES WA 98362
FAX TO: 360-417-47'1 1
WS
315 W 15th St Pt Angeles WA 98362
Andrea Goldy
315 W 15lh St Pt Angeles WA 98362
Pt Angeles WA 98362
Projecl Addrcss:
Owner:
Srreea Iddress
City/State/Zip:
Phone Number:2U6-550 4958
Cell Phone:
Air Flo HeatingCompany Name:
Contact Na']l,e:Ell e Hubbard
Phone Number:360 683 39C1 Ce Phone:
E Existing
E Single-tamily residence
n Commercial
n Overhead service
n Underground service
fh.tew
E Multi-family residence; # of units
D subdirision
I General service
! other:
descripaion of
wo.k: (Oil to cas
Conversion, Gas to
Electric, New Heat Pump,
etc.)
lnslallOne TEM4AoB36531Sa Ai. Handler
Main Disconnect Size Select Voltage:dtzorzao 6n
l)tzotzto zpn
Erzorzoe spn
fi+ao :w spn
lhtt Aao apn
Am
Check all that apply:
Load lncrease (
n
tr Standard residential loads (Lighting,refrigerator dishwasher, washer)
E Hot TubA/C (ton)Range/Oven
Load Decrease (kW)
I Pumps (-Hp)
E Water Heater Ll Elevator (_Hp) [] Other
n Clothes Dryer E tteating
'Detailed plot plan ( dwg or .dxf format mandatory for subdivisions)
'Electrical one-line drawing showng the service enlrance panel and location
'Connected load data
'Size and locked rotor amps of all motors over 50hp
Please provide a copy of the tollowing
plica s Srgn Date \Z zZZ
Applicant lnformation
Project Type
Project lnformation
Supporting
tbiv,lofomatbn EoIm per Trent Rev'seo l'Jglr
Contact lnformation