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HomeMy WebLinkAbout1034 W Lauridsen Blvd (2)ELECTRICAL PERMIT CITY OF PORT ANGELES 360417-4735 N T \tl \AJ 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 s5. 00 L0 /12 /2r 4/L0/22 EJ,ECTRI CAI, ALTER RESIDENTIAL PIan Check Fee valuation 00 0 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 2t-tto9 ashier info Payment Type Check # 9t-zL Refund Amount €L@ ustment PosteC FeeI New Fee €boo &i- rEAAl(- 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 1'o =3 Fl:\ q 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 $110.00 1 t q llerr rCon$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 m 6- B 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 Ar* tII xEAnH€ 6 COOUII|G, lIrIC. ,It 1