HomeMy WebLinkAbout1121 E 2nd Street - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
350-4174735
Application Number . . . . . 17-00000406 Date 3/30/17
Application pin number . . . 321902
_Property Address . . . . . 1121 E 2ND ST
ASSESSOR PARCEL NUMBER; 06 -30 -00 -6 -2 -0120 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Alarm system
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Owner, Contractor
------------------- ----- ------------------------
CALVIN AND PATTY SHANK ADT LLC
1121 E SECOND ST 11824 N CREEK PARKWAY, N
PORT ANGELES WA 98362 STE 105
BOTHELL WA 98011
(206) 719-0347
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 64.00 Plan Check Fee .00
Issue Date 3/30/17 Valuation . . . . 0
Expiration Date 9/26/17
Qty Unit Charge Per Extension
1.00 64.0000 BCH EL -SINGLE CIR LIMITED RES 64.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 64.00 64.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.00 64.00 .00 .00
INSPECTION TYPE
DITCH
DATE: RESULTS:
SERVICE
ROUGH -IN 7
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSpEcTION
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X Date:
To: Page 2 of 2
2017-03-30 13:48:33 (GMT) 18884000383 From: Northwest Permit Inc.
CITY OF PORT ANGELES PERNITT APPLICATION
Building Div ision/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 4174711 �,..
Date: 03/30/2017 Multi -Family or Commercial*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: .1121 E Second St I ... ......... __
Building Square Footage: '082
Description of above replace Existing iow voltage` infnison Y6Frm, connecito existing oevtces, aaa oewces
WK V,1 MZOO
Owner Information Contractor Information
Name: CaWn Stank Name: AD -LLC
Mailing Address: '12' E Seco -)d s1 Mailing Address: 11824 N CREEK PKWY N, iU1TE #105
Cit,: PORT 4NGE_ES State: WA Zip: 98362 City 60THELL
State: wn Zip. 9w
Phone; 2W-890-7963 Fax: Phone: 206-774-9459
.....
Fax: 8aa-tC✓J•JSd3
License # i Exp. _ License # 1 Exp, AD--LL*881 DO
Item Unit Charqe QQtt C
Total (Qtv Multiplied by Unit Charqe)
Service/Feeder 200 Amp. S132,00
$
Service/Feeder 201-400 Amp. $160.00
$
Service/Feeder 401-600 Amp $ 225.00
$
Service/Feeder 601-1000 Amp. $ 288.00
$
Service/Feeder over 1000 Amp. $ 410.00
$
Branch Circuit WI Service Feeder $ 5.00
$
Branch Circuit W!0 Service Feeder S 74.00
$
Each Additional Branch Circuit $ 5.00
$
Branch Circuits 1-4 $ 86.00
$
Temp. Service/ Feeder 200 Amp. $102.00
$
Temp. Service/Feeder 201400 Amp. $121.00
$
Temp. Service/Feeder 401.600 Amp. $164.00 _
$
Temp. Service/Feeder 601-1000 Amp . $185.00
$
Portal to Portal Hourly $ 96.00
$
Sign/Outline Lighting S 88.00
$
Signal Circuit/ Limited Energy— Multi -Family $ 64.00
$
Signal Circuit/ Limited Energy / First 1500 sf— Commercial S 96.00
$
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less $113.00
$
Thermostat S 56,00
$
Note: $5,00 for each additional T-Stat
$ 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 Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ check
u n
Aq Wl � i 1, by I—A Ls.,'W N Credit Card if
-- ---- -
Jennifer Covello �:v,.�,�t-�s.._�.w�y.,.,�.�.�.�.
" x"., .<: "„•�." .. 03/30/2017
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X z,..o o, ,' �`,'" : Dated:
0110112012
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