HomeMy WebLinkAbout3156 City Lights PlELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
!
}.)
o{
GApplicalion Number ...
ApplicaEion pin number
ProperEy Address
ASSESSOR PARCEL NUMBER r
Applicalion tsype descripEion
Subdivision Name
Property Use
Proper:Ey Zoning
Appficatsion valuation
21- 000015?8 Date L/Ol/22
1\2224
3155 CITY IIGIITS PL
06 -30-15 - 7 - 6 - 0050 - 0000 -
EIECIR1CAI, ONI,Y
0
Applicalion desc
Insta]1 Trane geat Pump System
CoIlEractor
LOETIRY DONALD G
3156 CITY LIOHT PL
PORT ANGEI,ES
AIR FLO HEATING CO
221 W CEDAR ST
SEQUlM
(350) 681-3901
INC
}tA 98382wA 983525905
Pernil
Additional desc
PenniE Fee
Issue Date
56 .00
r/ 01/ 22
6/30/22
EIJECTRICA.IJ A TER RESIDENTIA!
Expiralion DaLe
OEy uniE Charge1.00 56 . 0000 ECH EIJ - IJVT-TT{ERMOSTAT
Plan Check Fee
Valuat i.on
.00
0
Extellsi.on
56. 00
Charged Credi.!ed Due
Plan check Total
Grand ?otal
55 .00
.00
56 .00
55.00
.00
55.00
.00
.00
.00
.00
. o0
.00
REPORT SALES TN(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAI
COMMENTS:t_x
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Eleckical Contractor X Date
C:\EXCITANCRBUILDING
DATE:
I
I
ELECTRICAL PERMIT APPLICATION
lJol
!r
.\
s;
\
PuLrlic Works and Lltilrties Department
r2l t . :rh Strccl. Port \ngclcs, \\A 981(rl
160.1I 7.4715 uurr.r'itrolpa.ur ] clcctlicalpelnrit: I citrrrljra.ur
Project Address 3156 S City Lights Pl Pt Angeles WA 98362
Prolect Desclpt ion lnstall Trane Series XV18 R4'10A Heqt Pump System 3TON
tr Single-Family Residential E Duplex /ARU Building Square footage 1932
Name Jamie Benl
[4ailing Address 3156 S City Lights Pl Pt An geles WA 98362
Email maumysnc c-om@smail com
phone 206-618-1352
Name Air Flo Heatrng License AIRFLI^206DG
Mailing Address 221 W Cedar St Sequrm WA 98382 Expir 21i6n 331s 4125122
P66ng 360683-3901Emait ellie@airfloheating.com
Item
Servrce/Feeder 200 Amp.
Servrce/Feeder 201-400 Amp.
Service/Feeder 401S00 Amp
Servrce/Feeder 601-1000 Amp
Service/Feeder over 1000 AmD
Branch C rc! | W/ Service Feeder
Branch C rc! I W/O Servrce Feeder
Each Addrtlonal Branch Crrci.ljt
Branch Crrcuits 1-4
Temp ServrcelFeeder 200 Amp
Terip ServrcelFeeder 2C1-40C Amo
Temp Serv celFeeder 401-600 Amo
i-emp Servrce/Feeder 601-1000 Amp
Portal lo Portal Hourly
Srgnal Crrcurti Limiled Eiergy - 1&2 DU
ManufaclLr.ed Home Connectton
Renewabie Elec Energy sKVA System or less
Therrnostat (Note 55 for each additional)
Fi.s:1300 Square Feet
Each Addrtional 500 squaE het"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
unit Charoe
s120 00
sl46 00
s205 00
s262.00
s373.00
55 00
$63 00
s5 00
s75 00
$93 00
s110 00
$149.00
$168.00
$95.00
s64 00
s120 00
s102.00
$56.00
s'120.00
$40.00
$74.00
$1r 0.00
Ouantitv f!]ld (Quanttty x Unit Charge)
$
$
$
!
s
$
$
$
$
s
$
$
!
$
$
$
$
I
$
I
$
t
$
1 56 00
005bTOTAL
Date Pnnl Name Signature (Owner p Electrical C ontractor / Administrator)
1 - 2 SINGLE-FAMILY
O\A/NER INFORMATION
ELECTRICAL CONTRACTOR INFORTUATIONI
PROJECT DETAILS
OwnerasdefrnedbyRCWlS2E26l (1) Ownerwrllo.6upy the slrucllre fo. two years aflerthis eleclnca{permit rs tinalized (2)Owneris
requrred to hrre an electric?l contractor if above 6ajd propeny is for sale rent or lease Permrt expires after six months of last inspecttoh
After reading the above slatement, I hereby certify that I am the owne. o, the above named property or a ltcensed electrical contracior I
am makrng the electrical rnslallation or alleration rn complaan.e with the electncal laws, N E C., RCW Chapter 19 28, WAC. Chapter 296-
46 B The C,ly o{ Pon Angeles [ilunrcrDal Code. and Utrlrty Specrlrcanons and qAMC 14 05 050 rql]lg Fleclflcal Pelmrt ADplcalrons
-11 ,rL'27 Ll Vtb<t-zo;\rcrr€-r-. llv--* / ------'.
{Electflcal Permit Applications may be submitted to City Hall or electflcalpermrts@cityofpa.us or faxed to 360.417.47'111
Please complete and retun to Public Wotks & Utilities Deparlnent
MAIL OR DELIVER COMPLETED FORM TO 321 E 5TH STREET PORT ANGELES. WA 98362
FAX fO 360-417 -4711
Electrical lnformation Form
Public Works A Ulilities Department (350) 417-1700
City Electrical ln3pecto. 13601417 4735
WS
tr
I
!
3156 S City Lights Pl Pt Angeles WA 98362
Jamre Bent
3156 S City Lighls Pl
Pl Ange{es WA 98362
P.oject Address:
Owner:
S?eeaAddless
City/State/Zip:
Phone Number:206,618,1352 Cell Phone
Ar Flo HeatingCornpany Name:
Contact Name:Ellle Hubbard
Phone Numbe.:Cell Phone:360-683-3901
[4 Exrsting
E Single-family residence
! Commercial
E Overhead service
E Underground service
G'{ew
n Multi-family reqidence, # o{ units
I subdivrsron
E General service
n otner,
Detailed descrtpfion
work: (Oil to Gas
Conversion, Gas to
Electric, New Heat Pump,
etc.)
lnslal,Trane Senes XV18 R410A Heat Pump System 3TON
Etzotzto 6n
Er zolz+o :pr,
Erzolzoe sprr
Ecgo gw spn
Select Voltage llztt nao 4n
20c
Main Disconnect Size
LJ Standard residential loads (Lrghting refrigerator, dishwasher. washer)
f1e,rc 1- tonl n Rangeloven E got tub
E Clothes Dryer E Heatrng E pumps (_xp)
Load lncrease (kW)- Load Decrease {kW) 5
Check all thal apply;
E Water Heater Ll Elevator (_Hp1 [_l Otrer
.Detailed plot plan ( dwg or .dxf format mandatory for subdivisions)
'Electrical oneJine drawing show,ng the serv,ce entrance panel and location
.Connected load data
"Size and locked rolor amps of all motors over 50hp.
Please proyide a copy of the following;
It Zt,z\Applicant's Signature Date
Applicant lnformation
Contact lnformation
Project Type
Project Information
Supporting
lkvlilmfogftat6n-Eorm per Trent Revrsed 1.09.11
I ,.-...
PREPARED 1,2 / 28 / 21, , 9 ,: 49 :2!
CITY OF PORT ANGELES
PAYMENT DT'E
PROGRAM BPB2 OL
APPLICAT.ION NLIIvIBER: 21-00001578 3156 CfTY LIGHTS PL
FEE DESCRIPTION AMOUNT DUE
ELECTRICAL ALTER RESIDENTIAL
TOTAL DUE
55.00
55.00
Please present this receipt to t.he cashier with ful-l- payment.