HomeMy WebLinkAbout622 Del Guzzi Drive - Building' 7
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CITY OF PORT ANGELES
360-417-4735
Application Number . . . 21-00000562 Date 5/14/21
Application pin number 156348
Property Address . . 622 DEL GUZZI DR
ASSESSOR PARCEL NUMBER: 06-30-12-6.8-0040-0000
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . . . .
Property Zoning . . RS9 RESDNTL SINGLE FAMILY
Application valuation 0
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Application desc
Home'Theater
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Owner Contractor
GREEN CROW INVESTMENTS 00 LLC Hi TECH SECURITY INC -
PO BOX 2469 723 E FRONT ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 460=7796 (360) 452-2727
Permit ELECTRICAL. ALTER RESIDENTIAL
Additional desc .
Permit Fee . . 64.00 Plan Check Fee .00
Issue Date 5/14/21 valuation . . . 0
Expiration Date . . 11/10/21
Oty 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
Permit Fee Total` 64.00 64.00 .00 .00
Plan-Check Total .00 .00 .00 .00
Grand Total 64.00 64.00 00 .00
REPORT SALES TAX
• on your excise tax form
16 the City of Port Angeles
'Location Code 0502)
INSPECTION TYPE : DATE: RESULTS: INSPECTOR:
i
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL E uwg SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEWILDING
ELECTRICAL PERMIT APPLICATION 3
PUblic Nk"orks and Utilities Department
Home Project Address:622 S. Del Guzzi Dr. Port Angeles, WA 98362
Wiring
r] Sing|o'FomilyRoaidenba| [] Duplex/ARU Building Square :
OWNER INFORMATION
Name: Jim Glen Email:`
Mailing Address:622 S. Del Guzzi Dr phone 780-401-7281
ELECTRICAL CONTRACTOR INFORMATION
Name: Hi Tech Security,Inc License. HITECTS955BS
Mailing Address: 723 East Front St Expiration Date: 1-10-2023
Email: hitech@olypen.com Phone: 360-452-2727
PROJECT DETAILS
Italn Unit ChaEge Quantily JQW(Quantity x Unit Charge)
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch JCircuit $i ~ ' ___--- - $--_-------_
Branch Circuits l-4 $7& ---___' $
Temp.Service/Feeder 2OOAmp, $93.00 *
Temp. Service/Feeder 2n14OOAmp. s110n0 ° �� " $� ~
Temp, Service/Feeder
Temp, Service/Feeder 601-100u*mp. '� $168,00 ��., ��� �;U�$
Portal\p Portal Hourly �� ��
'`�� `
Signal Circuit/Limited Energy-1&2DU. ' '` *64.00 �'�____— $,64.00—___
Manufactured Home Connection $12000 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional) $56.00
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, |hereby certify that| am the owner of the above named property ora licensed electrical contractor. |
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW.Chapter 19.28,WAC. Chapter 296-
46B,TheCityofPortAnge|eoW4unioipo|Codo. ondUd|itySponifiooUonoondpAMC14.U5.05OregandingBectrica|PennitApp|imadons.
/�/1M/�JO21 K�'k Shirley Mike Shirley oigi�oyw/nnouuvmmonmn�v
Data Print Name Gignoture(Fl Owner C� Bo��hca|Contractor/Adminiot�dor)
_ `�
(Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]