HomeMy WebLinkAbout905 W 12TH ST - Building (2) ELECT CAL PERMIT
CITY( kr ANGELES V
W4i7-4735
Application Number 20-00000356 Date 3/18/20
Application pin number . . 579000 REPOR'rSTATE-SALES TAX
Property Address . . . . . 905 W 12TH ST our exfa$e tax form
ASSESSOR PARCEL NUMBER. 06-30-00-0-3-5290-0000- on y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision dame
Property Use . (Locatbn Code 0502)
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . 0
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Application desc
Install Low,Voltage Rome Security
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Owner Contractor
DALE & FRANCESCA DRAKE PROTECT YOUR HOME
905 W 127H ST - 37SO PRIORITY WAY SOUTH DRIVE
PORT ANGELES WA 983637212 #200
INDINAPOLIS IN 46240
(317) 810-4720
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Permit . ELECTRICAL ALTER RESIDENTIAL
Additional desc . LOW VOLTAGE HOME SECURITY
Permit Fee . . 64.00 Plan Check Fee .00
Issue Date . . . . 13/18/20 valuation . . 0
Expiration Date 9/14/20
Qty Unit Charge Per Extension
1.00 64.0000 BCH EL-SINGLE CIR LIMITED MULTI 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 DATE. RESULTS: . INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS: yjI
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEC'WN
Signature of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections RCDV L
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,95362
Ph:(360)417-4735 Fax:(360)417-4711 � MAR 1 �Q
Date: 03/16/2020 x 1&2 Single Farriiy Dwd1ing
Ran Review Nty Be Reg ireQ Please Complete Becbical Flan Review i rfarrebw Sheet
,bAd(}eSS: 905 W 12th St
DjkingSqjar.ei.F,�o�ot 952 sq.ft.
Delta Alm d abom installation of a low voltage home secunly system
Omer Information Contractor Information
NaM. Darryl Tuttle Nam Protect Your Home
Va frg Add: 0�W 12th St _ Wli g ftkess 3750 Priority Way 5 Dr
( : Port Angares $N> 8: WA Zip 98363 (sty Indianapolis SrdH IN 7j 46240
Fhore:(360)461-9291_F�_ N/A rthOM 6665023559 Faoc 3175642547
ljoerseVEV. �N/A Lka19e#/Eat. PROTEYH934RS
item Unit Charge ON Total(gy fd)ultil)iied by Unit Charge)
SwAce(Feeder 200 Arrp. $120,00 $
Ser,AwFesder 201400 Amp. $146 C0 $
Sery m Feeder 401.600 Arrp $20500 $
Ser,AaFeeder601-1000Arm. $262.00 - -- $
Sewa/Feeder over 1000 Amp. $37aoo $
Branch anit VW Service Feeder $ Soo $
&aich rcut SemceFeeder 6aco
EachAdibadBranchQrD-A $ Soo $
Brarcli Dra.its 1.4 $ 7S00 $
Tarp.Service/Feeder 200 Amp. $ 93o0 $
Tarp.Servimreeder 201-400 App. $110.00 $
Tarp.Sery mFeeder 401.600 Arrp. $149.00
Tamp,Sa-,AcarFe eda @01-1000 Amp. $16d00
R-Aw to Portal Natty $ 96.00
Sigiat Circuit/Lim ted 6wW-1&2 Farrify DAdling $ 64.00 $ $64.00
Ahnda tuned Hans Connection $120.00
RereAadeStetricalBr*ny-SWASysenaLem $10Z00 $
Therrnosu $ %00 $
Note$5-00for earn additional T Star
t>tI:WQ29�Ally:
First 1300 Sqx"Ft. $120.00 _ $
Each Addtimal 500 Square Ft.or Ration of $ 40.00 $
Each Cuts ildrg or Detadaed CiaraW $ 74.00 $
Each 9Aintring Ptd or Hot Till $110.00 _ $
$ -4.00_ Total
Om*r as defined by RGW.19.28.261:(1)Owner will ooa{ry file str uchae for two year.after this electrical permit is finalized(2)OAner is required
to tire an electrical cantractor if above said property Is for sale,rent or lease.Permit expires after six months of last inspection.
After rearing fhe above statement,I hweby certify that I am the owner of fhe above named property or a licensed electrical ca t Wor.I am rneldng
file electrical installation or altercation in conViarre with the electrical taws,REC.,Fif W.Chapter 19.213,WAC.Chapter 296.46R The a y of Fort
Argeles tvtamidpal Ode,and Utility Spedficators and PAKC 14.05,050 regarding Bectricai PenTtt Applications,
Signature of owner,electrical contractor or electrical administrator: ❑ cast, Q Oie�k
Paid j�( Online
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EL E A..-P IMMIT /
Ci'I°Y OPART ATTGELES
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Appi3 :ti,ax�,Tumti , 20-00000294 Date 3/03/20
Appli tiori,p: S?[num]b6r 292844 4t E SALES TAX
Property Aoress Ib30 HOMESTEAD AiTB On your excr$e tax form
ASS;§itS€'R PARCEL DER': 06-30-14-3-2-66'j�5,--0000-
Application type description ELECTRICAL ONLY to the'City of Port Angeles
subdivision game (Location Code 0502)
Property Use
Property Zoning UNKNOWN
Application valuation . 0
Application desc
security system
Owner Contractor
----------------
COLBY C SIEMENS- PROTECT YOUR HOME
1030'HOMESTEAD ST 3750 PRIORITY WAY SOUTH DRIVE
PORT ANGELES WA 983622731 #200
INDINAPOLIS IN 46240
(317) 810-47�0 -
Permit' . ELECTRICAL ALTER RESIDENTIAL
Additaual desc
Permit Fee 64.00 Plan Check-Fee .00
Issue Date 3/03/20 Valuation 0
Expiration Date 8/30/20
Qty Unit Charge Per Extension
1.00 64.0000 ECH EL-S19GLE'CIR LIMITED RES 64.09
-- rFee summary Charged Paid. Credited Due
___--------------
Permit Fee Total 44.00 64.00 00 .00
Plan Check Total .00 .00 00 ,00
Grand Total '64.00 64.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS.
PERMrr WILL EXPm 3UC(6)I IiS FRom C. s wSpEcrIOIV
Signature of owner or Electrical Contractor X Date:
gym.;:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections , n
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 5; ,01�
Ph:(360)417.4735 Fax:(360)417-4711 4
Cate: 02/28/2020 X 1&2 Single Family Ovaelfing
'Ran PLMewM y De Required,Reese 0ml fete Oectrical Ran Review Irfatt grim Sheet
,Job Ad*M 1030 Homestead Ave
aWn2SWnF00%W 27 a Sail,
t Ori d dxw installation of a tow vottane home security system
Owner Infomration ODntraotor Infomlallon
N m Heather Thomsen Narg Protect Your Home
fMffn2Addm 1030 Homestead Ave Qfdit Arli= 3750 Priority way S or
W. Pod Angeles StaW WA Zp 9M2 W, Indianapolis Rift IN j X 0240
Phg'E N/A 8e&5023559 3175642547
L)CeMg/EV, N/A tJ;'6fi<ge$/6p. PROTEYH934RS
Ian unit Qy Total Uy Miltioiied by Unit Charge)
SehfwFeeder20DArp $12D.00 $
Setoicat=eeder2D1.40DAnp. $146.00 $
5eMwFeed9r401.600Arrp $206.00 $
SeMwFeeder601.1000Atrp. $26200 $
ServicesFeederow 1000Anp. $37300 5e�_
E3iarldt Graft V11'Servtce Feeder $ 500 „_,,._,� ._,..
Erarrfi i&A Service Feeder" 63dO
Each Korgi Darctt Owt $ SOD _
erarrh arm is l-4 $ MOD S
Temp.Services Feeder 200 Arrpa $ 9300 $
Ttsrp.Ser'AmfewW 2D1400Mp. $110.00 $
Terry.Service Peachy 401.600 Amp, $149.00 $
Terp.SeMwFbader e01-1000 Amp. $161100 $
paw to%w t X* $ 9(10D $
So OmW UnKed&eW-182RmyDndiing $ 64.0D 1 $ se4.oa
Mm ufackwed Name fbmecdon $12QOO $
Po em de Sectri al Energy-SNA System or Lass $1 o200 $
Ttlerrroslat $ %00 $
NoW S&ODfor each ackboraiT- tat
hENCONSTFLCT)ONONLY,
Arst 130D Square R. $12OLOo
Each Pdd4ord 500 Sgtere FL or Portim of $ 40.00 $
Each Qibtildng or DeWdled Garage $ 74.00 $
Each S MnT!ng Pbol or Hot Tth $11000
$ fs4.00 Total
OAnar as defined by RUN.19.28.261:(1)Ct4tner WN a=ff the sbuc#crefor two year's after this electrical pernit is finalized(2)OAner Is regtired
to hire an electrical contractor if above said property is for sale,rent or lease.Perrdt e*res after sbc nuft of last inspedio m
After reading the above statement,I hereby cw*that I am the owner of the above named property or a Goertse'electrical contractor.I am rretdng
the electrical Instailation or alteration in corrphtancer with the electrical al W^NEC,FION.Chapter 19.28,V AG Chapter 236.46R The aly of Effort
Angeles M.tricipai Coda,and Utility Specificalions and PAKC 14.05.050 regardkV Segal Perrrft
Signature of owner,electrical contractor or electrical administrator: O Cash 9 Ovw*
A oeMCardsr Paid Online
X� ��+1� oered: 02/28/2020 ou 4012