HomeMy WebLinkAbout1221 Rolling Hills DrELECTRICAL PERMIT
CITY OF PORT ANCELES
3604174735
RS9 RESDNTI, SINGI,E EAMII,Y
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Applica!ion Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER I
Applicalion lype descriptsion
Subdivision Name
Property Use
Property Zoning
Application valuaEion
22-0000046't Date 4 /22 /22
34t074
1221 ROLI,ING HII,],S DR
05 - 30 - 01-? - 9 - 012 0- 0000-
EI,ECTRICAI, ONI,Y
AppLj.cation deac
DaEa / Alalm
Con!racEor
TONY I'IORGAN AND LAURA ASHLEY
1615 DEI,ORES PLACE
PORT ANGEIES WA 98353
ADT I,I,C
11824 N CREEK PARKWAY, N
sTE 105
BO?HEI,I, WA 98011
.206) 7t9-A34'.7
Permit
AdditionaL
Issue Date
desc
54 .00
4/22/22
ao/t9 /22
ELECTRTCAL AL?ER RESIDENTIAI
Plan Check Fee
Valuation
.00
0
Expirati.on DaEe
Qty Uni! Charge Per
1.OO 54.OOOO ECII EL.SINGLE CIR LI}'IITED RES
Extension
54 .00
charged Paid Credired Due
Permit Fee ToLal
Plan Check Total
54.00
.00
54.00
64 .00
.00
64 .00
00
00
00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESTJLTS:INSPECTOR:
DITCH
SER\,'ICE
ROUGH-IN
FINAI
COMMENTS
PERMIT WILL EXPIRE Slx (6) MONTHS FROM LAST INSPECTION
Signanre of or,vner or Elecaical Contractor X
C:\EXCHANGRBLIILDTNC
Date
I
ELECTRICAL PE RTVIITAPPLICATION
Public Works and Utilities Department
321 E. 5rh Street, Pofi Angeles, WA 98362
360.417.4735 | www.cityotpa.us I electricalpermits@cityofpa.us
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3
Project Address 1221 Rolling Hills Dr
Project Descripti on Telecommunications worldwireless intrusion alarm installation
E Single-Family Residential E Duplex /ARU Building Square footage
Name TONY MORGAN AND LAURA ASHLEY Email
Mailing Address l22l Rolling Hills Dr phone.360-46'l-2607
NAME ADT LLC fi6gns6 ADTLLL'88'lDO
Phone: 206-371-2237Emaat. JENNIFER@NWPERMIT.COM
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1 -600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1 000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO 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.
Portalto Po(al Hourly
Signal Circuivlimited Energy - '1&2 DU
Manufactured Home Connection
Renewable Elec. Energy sKVA System or less
Thermostat (Note: $5 for each additional)
Unlt Charoe
$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
$96.00
$64.00
$120.00
$102.00
$56.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1
Ouantitv fglal (Quantlty x Unit Charge)
TOTAL
64
b
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 PAN,C 14.05.050 regarding Electrical Permit Applications.
411812022 JENNIFER COVELLO &"4,%
Date Print Name Signature (!er Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
1 - 2 SINGLE-FAMILY
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OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Mailing Address: 11824 N CREEK PKVW N, SUITE #1OS Expiration p61s. 3/2019
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