HomeMy WebLinkAbout705 Caroline StELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
RS7 RESDNTIJ SINGLE PA}IfIJY
0
J\\l
\p
Applicatsion Number
Application pin number
ProperEy Address
ASSESSOR PARCEI, NU1\4BER:
Application ts)'pe descripEion
subdivision Name .
Pr.operty Use
Proper!y Zoning
Applicatsion valuation
22- OOO0or34 Date 2/ 07 /22
a964 70
705 CAROI]NE ST
06 -30- 00-5-1-13 90- 0000-
ELECTRICA], ONI,Y
ApplicaEio. desc
Telecommunications / Alarrrn
HOAN ?UAN K}IAC/.]ESSICA GRACE P
870 KNOLLFIEI,D WAY
SAN .]OSE CA 95135
\a3t) 224-3593
A'T I,LC
11A24 N CREEK PARKVIAY. N
sTE 105
BOTHEI,], WA 94011
l2a6) 719-0347
Permit
AddiEional desc
Permil Fee
Issue Date
Expiration Date
54 .00
2/01/22
8/a5/22
EIECTR]CAL AI,TER RES]DENTIAJ,
Plan Check Eee
VaLualion
00
0
Qty UniL Charge Per
1.OO 64,OOOO ECH EL.SINGLE CIR ITMITED RES
Extension
64. 00
Charged Paid Credited Due
Plan Check Totsa1
Grand Total
64.00
.00
54.00
64.00
.00
64.44
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
INSPECTION T\?E DATE:RESIILTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Sigaature ofowner or Electrical Contractor X
C:\EXCHANGRBUIf DINC
,00
.00
.00
Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERTM IT APPLICATION
i'*!iic \Vr;r!s anC lJtilities Deparhreti
lll E. 5th Strul:t. Pori A;rgcics. \\A 9E-162
-15i).+ I 7.-17,15 r,vrvlv.cilr'r;ipt.its l elecl'ical;rermits(4,e it],oipa.us
1'o
f
+
NINI
Project Address 705 Caroline St
Project Descrip 1;on. Telecommunications work/wireless intrusion alarm installation
tr Single-Family Residential D Duplex / ARU Building Square footage
Name. Grace Pham, Jessica Email:
[/ailing 466r65s 705 Caroline St Phone 408-666-4541
Name ADT LLC li6s6sg ADTLLL.881DO
Mailing Address 1'1824 N CREEK PKWY N, SUITE #105 Exp ip3{isn Psts 3/2019
Phone.. 206-371-2237Emait. JENNIFER@NWPERMIT.COIV
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Servicei Feeder 40'l-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 'l -4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'l -400 Amp.
Temp. Service/Feeder 401-600 Amp
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufactured Home Connectton
Renewable Elec. Energy. 5KVA System or less
Ouantitv lqta!(Quantity Charge)
Thermostat (Note: $5 for each add itional)
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 eJectrical 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 maklng 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 PortAngeles N.4unicipal Code, and Utility Specifications and PAMC '14.05.050 regarding Electrical permit Applications.
113112022 JENNIFER COVELLO
Date Print Name Signature (! Owner E Electrical Contractor / Administrato0
$
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IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
Unit Charqe
$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
I ,.''$64 "
q
$_
$120.00 .l