HomeMy WebLinkAbout1034 W Lauridsen Blvd (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
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ApplicaEion Nurnber
Application pin number
Proper!y AddresE
ASSESSOR PARCE], NUMBER:
Applicat j.on tsype description
subdivision Name
ProperEy gse
Property Zoning
Applicalion valuation
21-OOOO13O9 DaLe l0/72/2t
4L2959
1034 W I,AURIDSEN B],l,D
05- 30-08 -5- 9 - 004 0- 0000-
ELECTRICAI, ONI,Y
RS? RESDNTL SINGLE FAMILY
0
ApplicaEiod desc
DHP
SHARON PIERCE
1034 W LAURIDSEN ELVD
PORT ANGELES IIA 983537445
ALL I/JEATHER IITG
302 KEMP ST
PORT ANGEIJES
(360 ) 452-9813
& COOI,ING INC
9lA 98362
Pe!mit
Additional
Permi! Fee
IsEue DaEe
Bxpirat ion DaLe
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L0 /12 /2r
4/L0/22
EJ,ECTRI CAI, ALTER RESIDENTIAL
PIan Check Fee
valuation
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Qry Uni! Charge Per
1.00 55.0000 EcH EL- l,vT- THER!'{OSTAT
Extensi.on
55. OO
Fee summary Charged crediEed Due
PermiE Fee ToEal
Plan check fotal
Gr.and ToEal
55.00
.00
56.00
,00
.00
.00
.00
.00
.00
55 .00
.00
55 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAT
COMMENTS dh rLLtLt- z^)zl Jz-z-
PERMIT WILL EXPIRE SIX (6) MOI.ITHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
C:\EXCHANGE\BUILDING
Date:
RESULTS:
Cash enI
Application #
Receipt #
Fee Type
Atnount Paid
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ashier info
Payment Type
Check #
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Refund Amount €L@
ustment
PosteC FeeI New Fee
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ELECTRICAL PERM IT APPTICATION
Public Works and Utilities Department
321 E. 5th Strcet. Port Angeles, WA 98362
,r60.rl I 7."171 5 | wrvw.citvotpa.us I electricalpennits@cit s1'olpa
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Proj ect Address: 1 034 W Lauridsen BLVD Port Angeles WA 98363
Project Descript 1on. lnstallation of ductless heat pump system
OWNER INFORMATION
Name Sharon Pierce Email sharonapierce@yahoo.com
Mailing Address 1034 w lauridsen blvd p6e6s. 3605043872
Name All Weather Heating & Coolin g, lnc License ALLWEWHg34MU
Mailing Address 302 Kemp Street Expi lsliqn P6lg 9/2'l
Email billing@allweatherhc.com phone 360-452-9813
PROJECT DETAILS
Item
Servlce/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Servic€/F6eder 401 -600 Amp.
Service/Feeder 601-1000 Amp.
Servic€/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1{
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp Servrce/Feeder 601- 1000 Amp
Portal to Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy; 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charoe
$120.00
$146 00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$7s.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
Ouantitv fglhl (Quantity x Unit Charge)
00
$
$
$
$
$
$
$
$
$
$
$
$
U
$
$
$
$
$56
TOTAL s
Owner as defined by RcW 19.28.26'1: (1) owner will occupy the structure for two years after this etectrical 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 certity that I am the owner of the above named propeny or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electracal laws, N.E.C., RC\& Chapter 19.28, WAC. Chapter 296-
468, The city of Port Angeles Municipal code, and Utility Specifications and PAMC 14.05.050 regarding Electrical p6rmit Applications.
10111 12021 Megan Kellas ltlegan B Kellas Digitally signed by l\,4egan B Kellas
Dale: 2021.10. 1 1 0g:24:05 -07'00'
Date Print Name Signature (! Owner p Electricat Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 36O.412.41111
1 - 2 SINGLE-FAMILY
f Single-Family Residential E Duplex / ARU Building Square footage: _
ELECTRICAL CONTRACTOR I NFORMAIION
$120.00
$40.00
'$ia oo
$110.00
1
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llerr
rCon$truction
Oitv
First 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Electrical lnformation Form
Public Works & Utilities Oepartment (360) ,117.1700
City Elect.ical lnspector (360) 417{735
Please complele and roturn to Public Wotks & Uti ties
MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORTANGELES, WA 98362
FAX TO: 360-4174711
WS
WF
'1034 W. Lauridsen BLVD
Sharon Pierce
1034 W Lauridsen BLVD
Port Anqeles WA 98363
3605043872 Cell Phone:
Project Address:
Owner:
Streel Address
City/State/Zip:
Phone Number:
AllWeather Heating and Cooling
Dustin Halyerson
Company Name:
Contact Name:
Phone Number:3605043872 Cell Phone:
D Single-family residence
E Commercial
Ll Overhead service
L-.1 Underground service
D'lew
E Multi-family residence: # of units
E subdivision
E General service
E other:
E Existing
lnstallation of Ductless Heat Pump system, Electrical by sub contractorDetailed description of
work: (Oil to Gas
Conversion, Gas lo
Electric, New Heat Pump,
etc)
E12ol208 3ph
E+eo sw epn
Main Disconnect Size Solect Voltage:Anonao pn
Er zorz+o apn
&tt nao tpn
Amps:
E Standard residential loads (Lighting, refrigerator, dishwasher, washer)
E ruc 1 z 1on1 E Range/oven E Hot Tub
E Clothes Dryer fl Heating D Pumps [-Hp)
Check all that apply:
Load lncrease (kW Load Decrease (k
E Water Heater E Elevator LHp) EOther
*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:
s Signature: Megan B Kellas Dale: 101 1 'l 12021
Applicant lnformation
Contact lnformation
Project Type
Project lnformation
Supporting
Ngl,vi lof orxft atiortuFarm Per Trent Revised 1-09-1 1
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1$atmen
r!
Trent Peppard
From:
Sent:
To:
Subject:
kmckeown@allweatherhc.com
Monday, February 21,2022 8:07 AM
Trent Peppard
Cancel Permit
Hey Trent
Here's another one to cancel please
21-1309 1034 W Lauridsen Blvdd. Sharon Pierce. Ductless install, Black Diamond doing electrical.
Thanks!
Karen McKeown
All Weather Heating & Cooling, Inc.
Installation Coordinator
(360) 4s2-9813
kmckeown @a llweath erhc. co m
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