HomeMy WebLinkAbout1137 HIGHLAND AVE - Building (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000905 Date 6/19/18
Application pin number . . . 612125
Property Address . . . . . . 1137 HIGHLAND AVE
ASSESSOR PARCEL NUMBER: 06 -30 -14 -6 -9 -00.20 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Security system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SAMUEL AND STEPHANIE ALLEN ADT LLC
3879 PEBBLE BORRK CIRCLE S 11824 N CREEK PARKWAY, N
ORANGE PARK FL 32065 STE 105
BOTHELL WA 98011
(206) 719-0347
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 64,00 Plan Check Fee .00
Issue Date . . . . 6/19/18 Valuation . . . . 0
Expiration Date . . 12/16/18
Qty Unit Charge Per Extension
1.00 64.0000 BCH EL -SINGLE CIR LIMITED RES 64.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.00 64.00 .00 .00
Plan Check Total . .00 .00 .00 .00
Grand Total 64.00 64.00 .00 .00
0
REPORT STATE SALES TAX '
on your excise tax farm
to the City of Port Angeles
(L.ocadon Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE '
ROUGH -IN -7
j
FINAL 71
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Elect,"+Contractor X Date: `.
:may,.
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 ( www.cityofpa.us I electricalpertnits(a�cityofpa.us
Project Address: 1137 Highland Ave
Project Description: telecommunications work/wireless alarm install
i�] Single -Family Residential ❑ Duplex/ARU Building Square footage: 1508
Olr
Name: Samuel Allen Email:
Mailing Address: 1137 Highland Ave Phone: 360-808-4138
ELECTRICAL CONTRACTOR •• •
Name: ADT LLC License: ADTLLL*881 DO
Mailing Address: 11824 N CREEK PKWY N, SUITE #105 Expiration Date: 3/18/2019
Email: JENNFE3R@NWPERMIT.COM Phone: 2063712237
item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 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 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy -1&2 DUI.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Chard Quantity
$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
$86.00
$64.00
$120.00
$102.00
$56.00
1
TOTAL
Total (Quantity
$
$
$ 64.00
x Unit Charge)
CD
3.
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-
46B, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Digitally signed Jennifer06/13/2018 JENNIFER COVELLO Jennifer Covello Date: 2018.06.13y14:33:31 co�oo°
Date Print Name Signature (❑ Owner V Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
0'0
d
1.4 _
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
Application Number . . . . .
18-0000090.5 Date 6/19/18
Application pin number . . .
612125
Property Address . . . . . .
1137 HIGHLAND AVE
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER:
06 -30 -146 -9 -0020 -0000 -
Application type description
ELECTRICAL ONLY
on your excise tax form.
Subdivision Name . . . . . .
to the City of Port Angeles
Property Use
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
/
(Location Code 0582)
Application valuation . . . ..
0
-
----------------------------------------------------------------------------
Application desc
.Security system
-----------------------------------------------------------------------------
owner
Contractor
------------------------
SAMUEL AND STEPHANIE ALLEN
------------------------
ADT LLC
3879 PEBBLE BORRK CIRCLE S
11824 N CREEK PARKWAY, N
ORANGE PARK FL 32065
STE 105
BOTHELL WA 98011
(206) 719-0347
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 64.00
Plan Check Fee .00
Issue Date . . . . 6/19/18
valuation . . . . 0
Expiration Date 12/16/18
Qty Unit Charge Per
Extension
1.00 64.0000 ECH EL -SINGLE
CIR LIMITED RES 64.00
----------------------------------------------------------------------------
Fee summary Charged '
Paid Credited Due
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 DATE: RESULTS: INSPECTOR
DITCH
SERVICE '
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or EIe1 Contractor X Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000905 Date 6/19/18
Application pin number . . . 612125
Property Address . . . . . . 1137 HIGHLAND AVE
ASSESSOR PARCEL NUMBER: 06 -30 -14 -6 -9 -00.20 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Security system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SAMUEL AND STEPHANIE ALLEN ADT LLC
3879 PEBBLE BORRK CIRCLE S 11824 N CREEK PARKWAY, N
ORANGE PARK FL 32065 STE 105
BOTHELL WA 98011
(206) 719-0347
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 64,00 Plan Check Fee .00
Issue Date . . . . 6/19/18 Valuation . . . . 0
Expiration Date . . 12/16/18
Qty Unit Charge Per Extension
1.00 64.0000 BCH EL -SINGLE CIR LIMITED RES 64.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.00 64.00 .00 .00
Plan Check Total . .00 .00 .00 .00
Grand Total 64.00 64.00 .00 .00
0
REPORT STATE SALES TAX '
on your excise tax farm
to the City of Port Angeles
(L.ocadon Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE '
ROUGH -IN -7
j
FINAL 71
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Elect,"+Contractor X Date: `.
:may,.
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 ( www.cityofpa.us I electricalpertnits(a�cityofpa.us
Project Address: 1137 Highland Ave
Project Description: telecommunications work/wireless alarm install
i�] Single -Family Residential ❑ Duplex/ARU Building Square footage: 1508
Olr
Name: Samuel Allen Email:
Mailing Address: 1137 Highland Ave Phone: 360-808-4138
ELECTRICAL CONTRACTOR •• •
Name: ADT LLC License: ADTLLL*881 DO
Mailing Address: 11824 N CREEK PKWY N, SUITE #105 Expiration Date: 3/18/2019
Email: JENNFE3R@NWPERMIT.COM Phone: 2063712237
item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 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 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy -1&2 DUI.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Chard Quantity
$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
$86.00
$64.00
$120.00
$102.00
$56.00
1
TOTAL
Total (Quantity
$
$
$ 64.00
x Unit Charge)
CD
3.
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-
46B, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Digitally signed Jennifer06/13/2018 JENNIFER COVELLO Jennifer Covello Date: 2018.06.13y14:33:31 co�oo°
Date Print Name Signature (❑ Owner V Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
0'0
d
1.4 _
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
Application Number . . . . .
18-0000090.5 Date 6/19/18
Application pin number . . .
612125
Property Address . . . . . .
1137 HIGHLAND AVE
REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER:
06 -30 -146 -9 -0020 -0000 -
Application type description
ELECTRICAL ONLY
on your excise tax form.
Subdivision Name . . . . . .
to the City of Port Angeles
Property Use
Property Zoning . . . . . . .
RS7 RESDNTL SINGLE FAMILY
/
(Location Code 0582)
Application valuation . . . ..
0
-
----------------------------------------------------------------------------
Application desc
.Security system
-----------------------------------------------------------------------------
owner
Contractor
------------------------
SAMUEL AND STEPHANIE ALLEN
------------------------
ADT LLC
3879 PEBBLE BORRK CIRCLE S
11824 N CREEK PARKWAY, N
ORANGE PARK FL 32065
STE 105
BOTHELL WA 98011
(206) 719-0347
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 64.00
Plan Check Fee .00
Issue Date . . . . 6/19/18
valuation . . . . 0
Expiration Date 12/16/18
Qty Unit Charge Per
Extension
1.00 64.0000 ECH EL -SINGLE
CIR LIMITED RES 64.00
----------------------------------------------------------------------------
Fee summary Charged '
Paid Credited Due
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 DATE: RESULTS: INSPECTOR
DITCH
SERVICE '
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or EIe1 Contractor X Date: