HomeMy WebLinkAbout2234 W 12th StApplicaEion Number
Appl"lcation pin number
Property Address
ASSESSOR PARCEL NUTIBER :
applicaEion, lype descripEion
subdivision Name
ProperEy Use
Property zoning
Applicarion valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS9 RESDNTL SINGLE FAMIIY
0
18-00001862 DaLe a2/1t/!8
a0 947 2
2234 W 12TH ST
06-30-01-5 4-0020-0000-
ELECTRICAL ONLY
REPORT STATE SALES TAX
on your excise tax fum
to the City of Port Angeles
(Location Code 0502)
&
N
N
Applicat.ion desc
Camera SysLem
Owner Corltrac!or
TERESA LYNN BJORNES
234 W I2TH ST
PORT ANGELES
AND ANITA
wa 98363
HI TECB SECURITY INC
723 E ERO}IT ST
PORT ANGELES WA 98352
\36A) 452-272'/
Permit
Additional desc
Permi! Fee
Issue Date
Expiratsion Date
64_00t2/tt/18
6/oe/te
ELECTRICAL A!?ER RESIDENTIAL
00
0
Qty Unj.t Charge Per
1.OO 64.OOOO ECH EL-SINGT,E CIR LIMITED RES
Extensi,on
54 .00
Fee aummary Charged Paid Cr:editsed
6{ .00
. o0
64 .00
Permir Eee ToEal
Plan Check Total
54.00
.00
64 .00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS
e./s-n ,p A6)
pERMrr wlLL EXPTRE SD( (6) MONTHS FROM ["A.ST INSPECTION
]
\
S igna ture ofowner or Elect{ical Contractor X Date:
PIan Check Fee
Valuat ion
Due
EL RICAL PERIVITAPPLI AT EOEIUED
Public Works anrl [-tti]iries l)cpar'finetl
3:l Il. -sth Slreet. Porl A*fclcs, \\A 98362
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Proj ect Address: 2234 W 12th St
Project Description lnstall a four camera lP video surveillance system
Mailing Address. 2234 W 12th St Phone .804-330-5447
Name HiTech Security, lnc License HITECTS955BS
l\,4ailing Address 723 East Front St Exp iration Date: 1 -10-2019
Email hitech@olypen.com phone-. 360-452-27 27
Cluantitv x Unit Charge)
.1
$120.00
$'102.00
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 sjx months ol 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 PodAngeles lvlunicipal Code, and Utility Specilications and PAMC 14.05.050 regarding Electrical permit Applications.
121G12018 f\4ike Shirley lMike Shirley 3:g,j:'yri'rrt",',:r,Yl!3,iyl%,
Date Print Name Signature (E Owner p Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed lo 360.417_4Zl1l
$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
1 - 2 SINGLE-FAMILY 1'o
3
tr Single-Family Residential E Duplex / ARU Building Square footage:
-
Name Teres. Bprnes Email: _
Item
Service/Feeder 2OO Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401$00 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O 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 Servjce/Feeder 601-1000 Amp.
Ponal to Portal Hourly
Signal Circurr-i Limited Energy - 'l&2 DU.
l\4anufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostal (Nore: $5 for each additional)
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$ 64.00
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Flrst 1300 S{ are Fedt