HomeMy WebLinkAbout1138 W 17TH ST - Building (2) I
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ELECM,CAL PERMIT
CPTY OF PORT ANGELES l
304174735
Application Number . . . . 18-00001449 Date 9/18/18
Application pin number . . . 989813
Property Address . . . 1138 W 17TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-5139-0000- on your excise tax form
Application type description ELECTRICAL ONLY y
Subdivision Name . . . . . . to the City of Port Angeles
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Property Use . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (LOcadon Code 0502)
Application valuation . . . 0
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Application desc
Security System
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Owner Contractor
MARIE STAR BRYANT ADT LLC
1138 W SEVENTEENTH ST 11824 N CREEK PARKWAY, N
PORT ANGELES WA 98363 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 . . . . 9/18/18 valuation . . 0
Expiration Date 3/17/19
Qty Unit Charge .Per Extension
1.00 64.0000 ECH EL-SINGLE CIR LIMITED RES 64.00
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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
a €. ROUGH-IN L116<; ,,
FINALf l' Aw
COMMENTS:'
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
To: Page 2 of 2 2018-09-17 14:31:19(GMT) 18884000383 From: Northwest Permit Inc.
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1 - 2 SINGLE-FAMILY -
ELECTRICAL PERMIT APPLICATION
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Project Address: 1138 W 17th St
Project Description: install low voltage intrusion alarm
Ll Single-Family Residential ❑ Duplex/ARU Building Square footage: 2144
Name: Jeramiah Powless Email: .r
Mailing Address: 1138 W 17th St , phone, 360-244-3855
Name: ADT LLC L1Ce6seADTLLLW1DO
Mailing Address: 11824A CREEK PKWY N, SUITE#105 Expiration Date: 3/2019
Email: JENNIFER@NWt?ERGtit€T;CoM Phone: 206-371-2237
Item " tt�it Gtharae Wit. Teat tQtranttcy z[3 €:t Charge)
Service/Feeder 20(1Amp $120 OE1 $ 74.,
Service/Feeder 241=400 Amp. $146 00 _ $
Service/Feeder 401.-600Amp.
Service/Feeder 601-10.00Amp. $262:OQ. $
Service/Feeder,over 1o00.Amp. $373{14
Branch Circuit W/Service Feeder
Branch Circuit W/O Service Feeder $63:00 `$
Each Additional Branchi Circuit $5:00 , $
Branch Circuits 1-4
$75 OG, $
Temp. Service/Feeder 200 Amp. $93.60 .
Temp. Service/Feeder 201-406 Amp. ` - $110100' $
Temp. Service/Feeder.401-600 Amp. $149 00 .
Temp. Service/Feeder50.1-1000 Amp. $tS8 4f1
Portal to Portal Hourly $9FOQ
Signal Circuit/Limited Energy 12 Dt3. $64;00
Manufactured Home Connection.., : $12000 _ $ _
Renewable Elec. Energy:SKVA S}i5tem or fess $102 0Q '$
Thermostat(Note $5 for each additro�lat)
ft
. 1�' /- TTINW.�+W+�'SA'I�lyyl��^ F4 •4�Q� \� iyy��'� $ � � 1 1.� hl
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TOTAL $ 64.00
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-
4613;The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
JENNIFER COVELLO L]1460�
Date Print Name Signature(❑ Owne Electri I ontractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111