HomeMy WebLinkAbout1125 E 5th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Application Nuniber
application pin nunber . .
Property Address
ASSESSOR PARCEL tWl,tBER:
Application type descripEion
subdiviBion Name
Prope!!y Use
Proper!y zoning
Applicatj.on valuation
21- OOOO1310 DaLe lO /a2/2!
524 810
1125 E 5rE ST
05 - 30 - 00-o-1-7880 - 0000 -
EI,ECTRICAI, ONI,Y
RS? RESDN?L SINGI,E F']WIIY
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Appl.ication desc
DItP
ROGERS RONAI,D L
3011 S I,ATJREL ST
POR? ANGELES
ALL WEATHER HTC & COOIJ]NG lNC
302 KEMP ST
PORT ANGELES WA 98352
(350) 4s2-9813
wA 983526912
Permi r
Additional desc
Permi! Fee
Issue Date
Expiration DaEe
56.00
Lo /t2 / 2t
4/to/22
ELECTR]CA! ALTER RESIDENTIAIJ
00
0
ofy Unit Charge Per
1. OO 55.OOOO ECH EI,-LVT.THERMOSTAT
Extension
55. O0
Charged Paid Crediled Due
Permit Fee Tocal
Plan check Total
Grand Total
56. OO
,00
55 .00
56.00
.00
55.00
00
00
00
,00
.00
.00
REPORT SALES TN(
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:c-DN c-E-t zlz4zt'
PERMTT WILL EXPIRE SIX (6) MONTHS FROM IAST INSPECTION
Signature ofowner or Electrical Contractor X Date
G:\EXCHANGElBUILDTNC
Plan Check Fee
valuation
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ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5Ih Str€et. Port Angeles. WA 98362
360..1 I 7.,17,15 I vnvw.cityolpa.us I electricalpermits@cit;,ofpa.us
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Project Address 1 125 E sth St Port Angeles WA 98362
Project Descripti on. lnstallation of ductless heat pump system
Name. Ron Rogers
Mailing f,((1ss5. 3011 south Laurel St Port Angeles WA 98362
Email rlrogers309@yahoo.com
Phone .3608088675
Name All Weather Heating & Cooling, lnc License ALLWEWH934MU
Mailing Address. 302 Kemp Street Exp iration Date: 9/2'l
Phone 360-452-9813Emailbilling@allweatherhc.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1-600 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.
TemD Service/Feeder 601-'1000 Amp
Portal to Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy; 5KVA System or Iess
Thermostat (Note: $5 for each additional
Unit Charoe
$120.00
$146 00
$205 00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93 00
$110.00
$149.00
$168.00
$96.00
$64 00
$120.00
$102.00
$56.00
Ouantitv Iqtal (Quantity x Unit Charge)
r
TOTAL
Owner as defined by RCW. 19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finaljzed. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after sax months of last inspection.
Afrer 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.
10111 12021 Megan Kellas lt/egan B Kellas 3:','::|}'.;Tl[:,?,X,:',:i,'.X,:i3:Date Print Name Signature (E Owner p Electrical Contractor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed lo 360.412.41111
1 - 2 SINGLE-FAIVIILY
6 Single-Family Residential E Duplex / ARU Building Square footage:
-
OIV}IER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Each Outbuilding / Detached Garage
1
q
q
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s 56.00
q
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Electrical lnformation Form
Publlc Works & Utllities Oepartment (360) 4174700
City Electrical lnspector (360) 4174735
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Please and retum to Public Works & Utilities Department
MAIL OR DELIVER COMPLETED FORM TO: 321 E sTH STREET; PORT ANGELES, WA 98362
FAxrO:360417471'l
WS
WF
1125 East 5th St
Ron Rogers
3011 South Laurel St
Port Angeles WA 98362
3608088675 Cell Phone:
Prcject Address:
Owner:
Streef Address
City/State/zip:
Phone Number:
AllWeather Heating and CoolingCompany Name:
Contact Name:Dustin Halverson
Phone Number:3604529813 Ce Phone:
D Existing
E Single-family residence
E Commercial
E Overhead service
E Underground service
ENew
E MutFfamily residence; # of units
n subdirision
E General service
Eother:
Detailed desc ption of
work: (Oil to Gas
Conversion, Gas to
Electric, New Heat Pump,
etc.)
lnstallation of Ductless Heat Pump System, Electrical by sub contractor
flt zolzoe apn
D+ao sw apn
Main Disconnect Size Select Voltage:B'rzorzao 6n
Zlzonto zpn
Uttueo qn
Amps:
Fstandardresidentialloads(Lighting,ref rigerator,dishwasher,washer)
Ee;c1 t 166y E Range/oven EHotrub
E Clothes Dryer E Heating E Pumps (-Hp)
Check all that apply:
Load lncrease (kW)_Load Decrease (kW)
E Water Heater E Elevator ( Hp) n 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 amp s of all motors over 50hp.
Please provide a copy of the following:
Date: 96362Applicant's Signature Megan Kellas
Applicant lnformation
Contact lnformation
Project Type
Project lnformation
Supporting
N6ir/dofoErdiorhEorm per Trent Revised 1 09 '11