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Home My WebLink About929 W 5th StELECTRICAL PERMIT CITY OF PORT ANGELES 360417-4735 RS7 RESDMII. SINGIE FAI4IIY 0 s 1 dN o Application Numter Applicat ioD pin mrdber ProperLY Address ASSESSOR PARCEIJ NUIVIBER: Application type descripEion subdivision Name Property use ProperEy Zoning Application valuaLion 21-O0OOOO3O Dare l/lr/2L 397230 929 W 5TH ST 05-3 0-00-0 - 1- 0630-0000 - EI,ECTRICAIJ ONLY Applicati.on descgeat PumP contractoi I'IICHAEI, AND STACI 929 vt 5TH Sr PORT A].IGELES POLITIKA r,iA 983632112 PENINSUIA HEA'I 1NC 782 (ITCHEN-DICK RD SEOUIM(350) 681-3333 wA 98382 Permit Additional desc PerniL Fee . Issue Dale . . Expi!a!ion DaEe 51.00 !/Lt /2L 7 /aa /2L ELECTRICAL ALTER RESIDENTIA! Plan Check Fee Valualion .00 0 oly Unil charge Per 1 .00 56 . 0000 ECE 1.00 5.0000 EcI{ ET _ L\rr. THERMOSTAT E],. LW.ADD I TI ONI, THERMOSTAT Extension 56.00 5.00 Eee summary Charged Paid crediled Due Permit Fee ToEaf Plan check ToEal crand Tot.a1 51.00 .00 61.00 00 00 00 00 00 00 51.00 .00 51.00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE:RESULTS:INSPECTOR DITCH SERVICE ROUGH.IN FINAI- COMMENTS:qx PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature ofowner or Electrical Contractor X G:\EXCHANGg\BUILDINC Date 1 - 2 SINGLE-FAMILY LE LP tr ltr*blie Wo:ks and Utilities Departrnent 12l f:. 5rh Street, Porr Angeles, \,trA 98j61 3n\).117 .4i35 ] rvrv.,r'.cit1:olpa.us i electriczrli;ent itsari{;t-vrit:la. s !oT i+ N c tll UProJecrAddress: 929 W Fifth Street Project Descriptio n. lvlulti-zone heat pump system with hvo min i-split ducted air handlers tr Single-Family Residential E Duplex /ARU Building Square footage 't652 Name. Mjchael & Staci Politika I staci@o Mailing Address. 929 W Fifth Street p66n6 360-460-2659 Name. Peninsula Heat, lnc License:HIOOSDB Mailing Address 782 Kitchen Dick Rd Expi ration Date. 3/3i2022 Ph6ng' 36G681-3333Email:info@pe ninsulaheat. Unit Charge) Service/Feeder 200 Amp. ServicdFeeder 201-400 Arnp. Service/Feeder 401 -600 Arnp. Service/Feeder 601 - 1000 Amp. ServicdFeeder over 1000 Amp. Branch Circuit W Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Cirqlit Branch Circuits 1-4 Temp. Service/Feeder 2OO Amp. Temp. ServicelFeeder 20.1-4OO Amp. Temp. Service/Feeder 401-600 Amp_ Temp. Servio€/Feeder 601- 1000 Amp. Portal to Portal Hourly Signal Circuivlimited Energy - 1&2 DU. Manufacfu red Home Connedion Renewable Elec. Energy: 5l(VA System or less Thermostat (Note: $5 for each additi $120.00 $ 146.00 $205.00 $262.00 $373.00 $5.00 $63.00 $5.00 $75.@ $93.00 $110.00 s149.00 $168.00 $96.00 $64.00 $120.00 $102.00 $56.00 $ $ I $ $ $ $ $ $ $ $ $ $ $ $61.00 owne. as defined by RCW.19.28.261: (1) Owner will occupy lhe structure for two years after this electrical permit is finalized. (2) Owner isrequired to hire an electrical contractor if above said property is lor sale, rent or l;ase. permit expires aftei six months oI lasiinspection. TOTAL $ After reading the above statement, I hereby certiry ihat I am the owner o, the above named property or a licensed electrical contraclor. Iam making the electrical installatjon or alteration in compliance wilh the electrical laws. N.E C., RCW Chapter 19.28, \rlAC. Chapier296- 468, The City of Port Angeles Municipat Code, and Utitity S pecifications and PAMC 14.05.050 regardlng Elecfical Permit Applications 11612021 lan Garli ng Print Name Signature (n Owner p Electricat Contractor / AdminisAator) lElectric€l PermitApplications may be submitted to City Hall or slscricaipemits@cilyafpa.us or faxed to 360.417.47111 Date BUILDI NG PER ITAPPLIC ATION Departn.Ient of Coiniuunity & Econornic Der.elopm*nt 32: U. sth Streer. Port Angeles, WA 98.162 j{}i}..11 7.,{8 l7 I www.e ityofpa.us I permitrs@,ci ttofpa.us Received: E Single-Family Residential n Multi-Family Residentiat I Commercial fl tndustrial E public Project Address: 929 W Fifth Slreet, Port Angeles Tax parcel 11e.. 56540 Zoning PA West ReS Primary 6on1""1. Michael & Slaci Politika (Property Owner: 0 Yes I No) p6sns. 360-460-2659 Email. staci@olypen.com p"*". Michael & Staci Politika Mailing Address 929 W Fifth Street, Port Angeles, WA 98363 p66ng, 360460-2659 5*";1. staci@olypen.com 11"*g. PENINSULA HEAT, INC lvlailing Address:PO BOX 173, CARLSBORG WA 98324 g6s;l KATHY@PENINSULAHEAT.COM License: Expi ration Date: lAl 1812020 p5on".360-681-3333 Project Descriptio n, Multi-zone mini-split heat pump system with mini-s plit air handlers for whole hcs{e Please indicate how man y of aach type of fixture is to be installed or relocated as pad ol the project. Air Handler (< 10,000 cfm)Air Handler (> 10,000 cfm) Heater (Suspended / Floor / Recessed \ lall)#:HeatinglCooling Appliance (Repair /Alte0 Furnace / Heat Pump / Forced air Unit (< 5 Tons)#:1- Furnace I Heat Pump / Forced air Unit (> 5 Tons) Appliance Exhaust Fan Vent Fan (Single Ducl) # of outlets:Vent System Hazard i Non-Hazard Piping # of outlets:Olhe Project Value (Materials + Labor): $13,953 #: p Mechanical Building Permit Application: Please complete this BpME form p I Oigitat Copy of Building Ptans: E-maited to: permits(acitvof&!.us I have read and mmpleted the application and know itto be true and correcl. I am authorized to apply ilr this permit and undersland lhat it is my responsibility to determine what permits are required and to obtain permits prior to work. I undersiand that plar review fees are noi refundable after review has occuned. I understand that I will forfeit review lees if lwithdraw the application before the permit is ksued. I understand that additional information may be required when determined necessary by the building official and ifthe permit is not picked up/issued within 180 days of submittal, the application will be considered ned and fees will be forfeited e?_ Date Print Name (.b++t'tsrsc Signature (B Ow il ContractorP Representative) MECHANICAL CITY USE ONLY App. #: _ PENINTO44OW lo,ln, lu' lu, t l*, I Pellet / Vvood / Gas Stove. Fireplace, Misc. 1 #: Evaporated Cooler (Afiached) l*, Fuel Gas Piping