HomeMy WebLinkAbout411 D St\t
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS7 RESDNTL SINGLE FA,!4I!Y
8981
s
Applicatsion Number
ApplicaEion pin nunJce r
Property Address
ASSESSOR PARCEI, NUMBER;
Applicatsion tl,pe description
subdivision Nane .
Propertsy Use
Property zoning
Application valuaEion
21- 0 0001604 DaLe L2/09/2L
150444
411 D ST
06 -:r0- 00 -o- 1- 093 5- 0000 -
RES MECIANICAI, PERMIT
Application desc
new heat pump
KENNEDY ROBERT SCOTT
136 OLD BLACK DIA,I4OND R.D
poR.r aNGELES WA 983632473
PENINSULA EEAT ]NC
782 K]TCHEN DICK RD
SEQUIM
(360) 581-3333
wA 98382
Additional
Issue DaEe
EL.ECTRICAI NEW RESIDEN:TIAI
NEI/ii TI{ER},1OSTAT
56.00 P1aIl Check Fee
!2 / 09 / 2t valuat ion
6/07/22ExbiratioE Date
.00
0
Otsy Unit Charge Per
1.OO 55.OOOO ECiI EL-LVT THERMOSTAT 55.00
Special Notes and Comments
Per Washingtson sEate code 51-51-315,
installaEion of carbon Moaoxide
deEecEor(s) is required if you are
instsalfing or replacing a fuel burning
appliance (wood, peIlets, Sas)and musE be
in place prior to lhe final inspecEion
of tshis permit. They are required to be
place directsly outside of each sleeping
area and at leasl one on each ffoor of
charged Paid credited
Plan Check ToEal
Grand ToLal
56.00
.00
56 ,00
55.00
.00
56.00
00
00
00
INSPECTION TYPE DATE INSPECTOR:
DITCH
SER\'ICE
ROUGH.IN
FINAL
COMMENTS:EA
PERMIT WILL EXPIRE STX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
---REHpRTSALES TAX
on wur excise tax form
b theobiry of Port Angeles
(Location Code 0502)
G:\EXCHANGR.BUILDTNC
Date:
RESULTS:
2 SINGLE.FAMILY
R AL PER IT PLI ATIO
Public:l"tlks and tiLilities l)e1:artrncn t
32 I I.,. 5tlr SLlcet. Por t ;\ngeJts, '.'" 9S.l6l
lir(l:tl7 4735 t rtr,,, ir citvolpa u,r clcciricaipcrrlirri2r.uiLy,olla.Lts
-o
(D
3
ia
IP
ts-
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Project Address:ttrl s. D Strtt t
Proiect Descriptioni
Single-Family Residential E D ex /ARU Building Square footage:
Name
\
Email:cl"
aMaitinsAddress: lTG ?tl !3l&t-wn'ar"t,:al lll Phone
Name:
Mailing Address:
License:PzA, ^ +{ Y. -1 qqPI
d tt"t 7\z*'L-I 2-l 'ta
Emaii
lleE
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
SeNice/Feeder 401 -600 Amp.
Service/Feeder 601 -1 0O0 Amp.
Servic€/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Seruic€ Feed6r
Each Additional Eranch Clrcuit
Branch Circuits1-4
Temp. Service/Feeder 20O Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. SeMce/Feeder 401-600 Amp.
Temp. Service/Feeder 60ll000 Amp.
Portal to Portal Hourly
Signal Circrriulimited Ene€y - 1&2 OU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Filrt 1300.S*raru Fc6t -
Eadt Addltimal 5OO s$l3ra tE€f"
Eedr tu0xrildry/ M GaragE
Eadr slrimming Ed / Hrr Llb
Expiration Date:
Phone:
tlnlt Ch.rgg
$120.00
$146.00
$205.00
s262.00
t373.00
$s.00
$63.00
$5.00
$7s.00
$93.00
$110.00
S14s.oo
$ 168.00
$96.00
s64.00
$120.00
$102.00
$56.00
s{20.m
s40.0r'
574.00
$10.m
$
b
$
$
!
!
$
o
s
$
$
$
$
$
a
$
$5t .c0s.=_-$_
$_
$b.c0TOTAL
Owner as defined by RCW.19.28.26.1: (l ) Owner will occupy the structure for t^,o years aner this alectrical p€rmit is finalized. (2) Own6r is
required to hire an electical confactor if abwe said property is for sals, rent or lease. Permit expires afler six months of lasl inspection.
After reading the above statement, I herBby ceniry that I am the ovwrer of the above named property or a licansed elecbical contEcto.. I
am makng the eleclrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 29S
468. The City o, Port A les Municipal Code, and Utility Specifi s and PAMC 14.05.050 regarding Electrical Pemit Applicatjons.
IL
P ame Signature Owner p Electrical Contractor / Administrator)Date
[Electrical Permit ApplicAions may be submitted to City Hall or electricalpemits@cityofpa.usl
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
qllauli& IOlel (Quanuty x Unlt Chars€)
r-l
BUILDI NG PER[/IT APPI-ICATIO IX
f)epartmenl of Community & F-conomic Dcvelopment
CITY USE ONLY
,us I permiis{acitvofpa.us App. #:
Received:._-
E Single-Family Residential E Multi-Family Residential E Commercial E lndustrial E pubtic
ProJect Address 411S DST
Tax parcel 11s.. 0630000109350000 7snlng'Residential
Primary Contact:James & Assocaates / Joe (tenant) 210439-4757 (Property Owner: E Yes El ruo1
Phone:360-565-6779 Email goodlife@olypen.com
32 I t.. 5th Strcat. Porr Atrqeles- WA 98.162
Name Robert Scott Kennedy Phone:Terry James 417-2810
Email goodlife@olypen.com
Mailing Address:136 Old Black Diamond Rd
Name Smart Air, lnc dba PENINSULA HEAT, INC
Mailing Address PO BOX 173, CARLSBORG WA 98324
Enrarl:KATHY@PE NINSULAHEAT.COM
License,PENlNH.7950M
Expiration Date:09t1512023
Phone:360-681-3333
lnstallation ol high-efficiency Daikin heat pump systemProject Descripti0n
Project Value (Materials + Labo0: $$8,981.00
Please indicate how manY of each We ot fixture is to be instalted or relocated as part of the prciect.
Air Handler (> 10,000 cfm)Air Handler (s 10,000 cfm)
Heater (Suspended / Floor i
Furnace / Heat Pump / Forced air
Unit (< 5 Tons)
Heatingloooling Appliance (Repair /Alte014
Recessed VVall)
#, 1
Fumace / Heat Pump / Forced air Unit (> 5 #
Tons)
Appliance Exhaust Fan :#:Pellet / Wood / Gas Stove. Fireplace, Misc.#
#
#
Evaporated Cooler (Attached)
Fuel Gas Piping
Hazard / Non-Hazard Piping # of outlets
a Mechanical Building Permit Application: Please complete this BPME form
oermits ofpa.us
up/issued within 180 days of submrttal, the application will be consid abandon and the fees will be fo.feited
Kathryn Kohmetscher
----.t#:
I have read and comdeted the application and know it to be true and conecl I am authorized to apply for this permit anri understand that
it is my responsibility to determine what permits are rgquired and to obtain permils prior to work. I understand that plan
'eview
tees are not
reiundable alter review has occuned. I understand that I will forfeit review fees if I withdraw the appiication before the permit is issued l
understand that additional information may be required when determined necessary by the building official and ifthe pemit is not picked
#:
*
Vent Fan (Single Duct)
Vent System# ot outlets
Print Name Signature (owner I Conlractot Eff, epresentative)
IUECHANICAL
OWNER IIIItdITUTiISTI
CONTRACTC rR INFORITIATION
;iNFORil./
$i
I
I
REOUIREDAPPL]N,I\
E A Oigital Copy ot Building Plans: E-mailed to: