HomeMy WebLinkAbout1821 W 11th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7-4735
N
{.
u.l
{ApplicaEion Number
Applicalion pin nunrlcer
ProperEy Address
ASSESSOR PARCEL }"'IJMBER
21-0000131? DaLe lO /L3 /2t
55?833
18 21 W 11TH ST
06-30 00-0-3 - 10s3- 0000-
ELECTRICAI ONIYApplicatsion t)'pe descriPLion
Subdivision Nane
Pioperty Use
Property zoning
ApplicaEion wafualion
RS7 RESDNTL S]NGLE FA]VIIIJY
0
,JENNIFER N DEMOTT
1821 W EIEVENTH ST
PORT ANGEIJES
(350j 46a-27 44
ALL WEATHER ETG & COOL]NG INC
302 KEIIP ST
PORT ANGELES WA 98362
(350) 4s2-9813
wA 98363
PermiE
Addalional desc
Permil Fee
Issue Date
Expiration Date
55.00
r0 / L3 /2L
4/LL/22
EIECTRICAL ALTER RESIDENT]AL
Plan Check Fee
valuaaion
00
0
Qry
1.00
Units Charge Per
55. OOOO ECI] E],-IVT-TI]ERMOSTAT
Extsension
55. 00
Permit Fee Total
Plan Check Total
crand Total
55.00
.00
56.00
00
00
00
.00
.00
.00
56.00
.00
55.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECT1ON T\?E DATE:RESULTS
DITCH
SERVICE
ROUGH-IN t)+ )zz-;N/-s&
FINAI Zl,a'lzz JV
COMMENTS
V
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
Signature ofo'rrrer or Electrical Contractor X
GIEXCHANGE\BUtLDING
Date:
ApplicaEion desc
HeaL pump sysEem
:T:::i :::1 :::ii::i :::
INSPECTOR:
is,
ELECTRICAL PERM IT APPLICATION
Public Works and Lltilities Depaftmert
321 E. 5th Stfcel, Port Angcles. \trA 98]62
160.'l I 7.-17-15 | wrvw.cityofpa.us j electricalperrnits@.cityof pa.us
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J
Proje ctAddress: 1821 w 11th st Port Angeles WA 98363
Project Descriptio n. lnstallation of Ducted Carrier Heat pump system
O\A/NIER INFORMATION
Name Jennifer Demott
Mailing Address 1821 W 1 1th St. Port Angeles WA 98363
Email' jnd1976@smail.com
p6gns. 425-231-4437
Name All Wealher Heatinq & Cooli ng, lnc.fi696ss ALLWEWH934MU
Mailing Address 302 Kemp Street Exp i131ien P31s 9i21
Phone. 360452-9813Email. billing@allweatherhc.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service 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 Serv,ce/Feeder 601-1000 Amp.
Portalto Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec Eaergy: 5KVA System or less
Thermostat (Note: $5 for each addltional)
Each Swimming Pool / Hot Tub
unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63 00
$5.00
$75.00
$93.00
$ 1'1 0.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
Ouantitv fgBl(Quantity x Unit Charge)
U
$
$
s
$
$
s
$
$
$
$
$
$
-
TOTAL
Owner as delined by RCW 19.28.261: (1) Owner will occupy the structure for two years afrer this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter '19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
1011212021 Megan Kellas Megan B Kellas 3:gt::!,,;ft',y,f,,,il,"#:ffi:Date Print Name Signature (E Owner p Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE-FAIVIILY 1lo
lt
E Single-Family Residential E Duplex / ARU Building Square footage:
ELECTRICAL CONTRACTOR INFORMATION
New
Constniclion
Only
First 1300 Square Feet
Each Additional 500 square feet '
q
4
$_
s 56.00
Electrical lnformation Form
Publlc Works & Utllltle3 Oepartment (360) 417{700
City Electrlcal lnspector (350) 417.4735
m
6'
!l
l
$
Please complete and return to Public Wotks & Utillties
MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362
FAX TO: 360417-4711
WS
WF
'182'1 W 11th St
Jennifer Oemott
1821 W 11th st
Port Angeles WA 98363
425-2314437 Cell Phone:
Project Address:
Owner:
Street Address
CitylState/Zip:
Phone Number:
All weather Heating and CoolingCompany Name:
Contact Name:Dustin Halverson
Phone Number:425-3214437 Cell Phone:
E Existing
E Single{amily residence
E Commercial
! overhead service
E Underground service
!New
n Muti-family residence; # of units
n subdivision
! General service
Eottrer:
lnstallation of Ducted Heat Pump System, Electrical by sub contractor
etailed description of
work: (Oil lo Gas
Conversion, Gas to
Electric, New Heat Pump,
etc)
Main Disconnect Size Select Voltage:Zrzozto 4n
Etzonto zpn
Erzolzoa apn f-b7t4lo 3ph
E+ao sw s hAmps:
E Standard residential loads (Lighting, refrigerator, dishwasher, washer)
E AJC ( 3 ton) E Range/oven I uot Trb
! Ctottres Dryer E Heating E Pumps (-Hp)
Check all that apply:
E Water Heater E Elevator ( Hp) E other
"Detailed plot plan (.dwg or .dxf format mandatory for subdivisions).
"Electrical one-line drawing showing the service entrance panel and location.
.Connected load data.
.Size and locked rotor amps of all motors over 50hp.
Please provide a copy of the following:
Applicant's Signature:10112t2021Date
Mega n B. Kellas
Contact lnformation
Project Type
Project lnformation
NewrhJfonn€[ior,],Eorm per Trent Revised 1 09 11
Applicant lnformation
Load lncrease (kW)- Load Decrease (kW)-
Supporting