HomeMy WebLinkAbout1426 W 11th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS? RSSDtllfl, SINGI,E FAMILY
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Applicatsion Number . . . .
Applicatsion pin number
Property Address
ASSESSOR PARCEIT NUI''IBER:
Applicatsion ts].pe descriplion
Subdivision Nane . .
ProperLy use
ProperLy zoning
Application valuatsj.on
21-00000978 Date I /LL/21
94),720
1425 W 11TIr ST
06 - 30 - 00-0 -3 -5?30 - 0000 -
ELECTRICAL ONIJY
ApplicaEion desc
DHP
ContracEor
MITCIIELL, JOHN & ANNE
1425 W r.1TH ST
PORT ANGELES WA 983535510
AI.I, IIEATIIER I{TG & COOLING lNC
302 KEMP ST
PORT ANGE',ES WA 98362
(360 ) 452-9813
Permit
Additional desc
Permil Fee
Issue Datse
Expiratlon Date
56.00
s /Lt /2L
2/A7/22
EI,ECIRICAT AITER RESIDENUAL
PIan Check Fee
valuation
00
0
Oty Unil charge Per
1. OO 55.OOOO ECH EL-LVT.TIIERMOSTAT
ExtenEion
55. 00
chalged Paid C!edited Due
Permit Fee Total
Plan Check Total
Crand'lotsa]
56.00
.00
55,00
56.00
.oo
s6.00
.00
.00
. o0
.00
.00
.00
REPORT SALES TD(
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION T\?E DAI-E RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:C*'lc-tt - zlzg)zl'
PERMIT WILL EXPIRE SIX {6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
G:\EXCttANCE\BUILDINC
Date
I
I
ELECTRICAL PERM IT APPLICATION
Public \Vorks and Utilities Departrnent
321 E. 5th Strect, Port Angeles. WA 98-;62
360.,+ i 7.47-r5 | wn w.cityolpa.us j electricaipermits@cityofpa.us
t:
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UA
Project 466rss5. 1426 W 11th st Port Angeles WA 98363
Project Descrip g;on. Ir,4itsubishi Ductless Heat Pump System
E Single-Family Residential E Duplex / ARU Building Square footage
Name John Mitchell
[/ailing Address 1426 W. 11TH St Port Angeles WA 98363
Email: jrmmba@yahoo.com
phone.. 360-775-9712
Name All Weather Heating & Cooling, lnc Ii5gnss ALLWEWH934MU
Mailing ff(drs5s 302 Kemp Street Exp iration Date. 9/21
phone. 360452-9813Email billin allwe
Thermostat (Note: $5 for each addi
Unit Charqe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$'11 0.00
$149.00
$168.00
$96.00
$64.00
$120.00
$'102.00
$56.00
it Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$56.00
TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for two years after 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 PAI\.4C '14.05.050 regarding Electrical Permit Applicatioos.
0810912021 Mega B. Kellas lVegan B Kellas 3:1f1'.;'iffi:,!',Yi'.11,'-Xfle:
1 - 2 SINGLE-FAMILY 1'o
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ELECTRIC,{{cONI?RAETO R:JN FORMi{TT}O N
Item
Servicei Feeder 2OO Amp.
Servicei Feeder 201400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Servicei Feeder 401-600 Amp.
Temp. Service/Feedei 60'1 -1 OOO Amp.
Portalto Portal Hourly
Signal Circuiulimited Energy - 'l&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
q
q
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
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Electrical lnformation Form
Public Works & Utilities Department (360) 417.4700
City Electrical lnspector (360) 417.4735
Please complete and return to Public Works & Utilities
MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362
FPJ..ro. 3604174711
WS
WF
Cell Phone:
Project Address:
Owner:
Street Address
City/State/Zip:
Phone Number:
Company Name:
Contact Name:
Phone Number:Cell Phone:
L-l txrstrng
E Singlejamily residence
E Commercial
E Overhead service
E Underground service
ENew
E Mufii-family residence; # of units
E subdivision
E General service
E other:
D eta iled des c ription of
wotk: (Oil to Gas
Conversion, Gas to
Electric, New Heat Pump,
etc.)
Main Disconnect Size Select Voltage:Erzolzoa sprr
E+ao aw epn
&tt nao zpn
Amps:l)tzorzto qn
201240 lph
E Standard residential loads (Lighting, refrigerator, dishwasher, washer)
E e,rc 1
-
tonl E Range/oven fl Hot tub
E Clothes Dryer E Heating fl Pumps (-Hp)
Load lncrease (kW)_ Load Decrease
Check all that apply:
E Water Heater E Elevator (_Hp) E otner
*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:
Date:Applicant's Signature
Applicant lnformation
Project lnformation
Supporting
htB$/lklfoflndio&rFarm per Trent Revrsed i-09-3 -1
Contact lnformation
Project Type