HomeMy WebLinkAbout1005 Glenwood StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
applicatsion Number
ApplicaEion pin numlcer
Property Address
ASSESSOR PARCEL NUMBER :
Application E)?e descriPlion
subdivision Name
Property use
Propertsy Zoning
Application vafuaEion
21- o0oo124 O Datse 9/29/21
5 94 040
1005 GLENI,IOOD ST
06 -3 0- 08 -5- 8-1380 - 0000 -
EIJECTRICAI ONIJY
RS7 RESDNIL S]NGI,E FAUILY
0
Application desc
lleaL pump sysEem
MAT,I,ORY LARAE A
1OO5 GLENWOOD ST
PORT ANGBI,ES
AITL WEATHER HTG
302 KEMP ST
PORT ANGELES
(360 ) 4s2-9813
& COOIING lNC
wA 98362vtA 983632322
Permil
Additsional
I ssue Dale
Expiration
desc
o".i
s6.00
9 /2e /2L
3/28/22
Plan Check Fee
ValuaE ion
Qty Unit charge Per
r. OO 55.OOOO ECH EI,-LW-THERMOSTAT
ETECTRICAL AIJTER RESIDEIiITIAI
.00
o
ExEension
55. 00
PermiE Fee Total
Plan Check ToEal
Grand ToEal
56 .00
.00
55.00
55.00
_ 00
55 .00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
DATE INSPECTOR:
DITCH
SERVICE
ROUCH-IN n'Lr lz-t p \6P
FINAL t Irilz)d
COMMENTS :7
Signahrre of owner or Electrical Contractor X
GlEXCHANGE1BUILDING
Date
5
I
N5o
Owner ConEraclor
::::::i --::ii -::::l::: :::
I
INSPECTION TYPE RESULTS:
-<>
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Departmeut
321 E. 5th Street, Pofi Angeles. WA 98362
l60..ll 7.4735 | w*r,r,'.cityotpa.us i electricalpennits@cityofpa.ris
N
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Project Address 1005 WGlenwood St Port Angeles WA 98363
Project Description lnstallation of ductless Mitsubishi Heat Pump System
E Single-Family Residential E Duplex / ARU Building Square footage
Name LaRae Mallory
Mailing Address l005 Glenwood St Port angeles WA 98362
Email laraemallory@gmail.com
Phone
Name All Weather Heating & Cooling, Inc License . ALLWEWHg34MU
Mailing Address 302 Kemp'Strcet Exp iration Date. 9/21
phone. 360-452-9813Email billing@allweatherhc.com
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -1000 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 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1.000 Amp.
Portal to Portal Hourly
Signal Circuivlimited Energy.- 1&2 DU
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note. $5 for each additionall
t4ilSbrlge
$120.OO
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$7s.00
$93.00
$110.00
$149:00,
Total (ntity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
56.00
TOTAL
9t27t2021 Megan B Kellas fvlegan B Kellas Digitally signed by Megan B Kellas
Dale'. 2021 .09.27 0714'l |l 'l -07'00'
Date Print Name Signature (E Owner F 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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Owner as defined by RCW. 19.28.261: (1) Owner will occupy the structure for two years after this electical 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 contractot 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.
Electrical lnformation Form
Public Works & Utilities Oepartment (360) 41747OO
Clty Etectricat tnspsctor (360) 412.{235
tr
9t
3
tPleaseand return to Public Works & Utilities
MAIL OR DELIVER COMPLETED FORM TO: 321 E sTH STREET; PORT ANGELES, WA 98362
FAxrO:360417-471'l
WS
WF
'1005 Glenwood St
Mallory LaRae
Port Angeles WA 98363
Project Address:
Owner:
Stree{ Address
CW/State/zip:
Phone Number:Cell Phone:
and Cooling
ng
All Weather Heatin
rson
tlEEltr@q
Company Name:
Contact Name:
Phone Number:3607754672 Cell Phone:E@ET,E E Exisring Dh{ew
E Single-family residence E Mufti-family residence; # of units
E Commercial f] Subdivision
E Overhead service E General service
! Underground service Eother:rreEu@q
Deta i led desc ri ption of
work: (Oil to Gas
Conversion, Gas to
Electric, New Heat Pump,
etc-)
lnstallation of ductless Mitsubishi Heat Pump SYstem Electrical by sub cont
Main Disconnect Size
Amps:_
Etzorzoe lpn
E+ao ew spt'
Select Voltage 771480 3phtr1201240 1ph
B,zozto spn
Standard residential loads (Lighting, refriggrator, dishwasher, washer)
tuC( 2 ton) E Range/Oven EHotTub
Check all that apply:tr
tr
nPumps LHp)
Load Decrease (kW)_
E Water Heater E Elevator ( Hp) n Other
Load lncrease (kW)_
E Clothes Dryer E Heating
*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 Slgnature Date
hkl}vdmftrEdiorft Eorm per Trent Revised 1-09-1 '1
'1005 Glenwood ST
3607754672
Megan Kellas
/'rl ,