HomeMy WebLinkAbout1221 Dutch DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RS9 RESDNTL SINGLE FAJVIILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
&
I
s\N
Application Number
Application pin nuniber
ProperLy Address
ASSESSOR PARCEL NUMBER:
Application t)?e descriplion
Subdivision Name
Property Use
Property zoning
Application valuation
18 0000150t Date 9/21/aB
898314
12 21 DUTCI] DR
05 30 01 8 0 0240 0000
EI]ECTRICAI] ONLY
Application desc
Securily system
SEAN JOITNSON
PO BOX 464
PORT ANGELES liA 983 62
1.II TECH SECURITY
723 E FRONT ST
PORT ANGELES
135O ) 452-2i27
r.rA 98362
TNC
Permit
additional desc
PermlE Fee
Issue Date
Expiratsion Date
64 .00
9/27/18
3/26/ae
ELECTRICAL ALTER RESIDENTIAL
Plan Check Fee
Valuation
00
0
Qry
1.00
units Charge Per
64.OOOO ECH EI, SINGI,E CIR LII4ITED RES
Extens ron
54.00
Charged Credited Due
Permit Fee Total
Plan Check Totral
Grand Total
5.1.00
.00
64.00
54.00
.00
54. 00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:hx
PERMIT WILL EXPIRE SIX (6) MONTHS FROM L{ST INSPECTION
Sigrature of ow:rer or Electrical Contractor X Date:
Con!r:actor
I
1 - 2 SINGLE-FAMILY
ELECTRI CAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeies, WA 98362
360.417.4735 | www.cityofpa.us I electricalpermits@cityofpa.us
1lo
3
oo
I
\.ltlO$
Project 4661sss. 1221 Dutch Drive
Project Descript ;on. lnstall security and lP video suNeillance system
tr Single-Family Residential n Duplex / ARU Building Square footage
OWNER INFORMATION
Name Sean Johnson Email
Mailing Address. 1221 Dutch Drive phone. 360-670-5209
ELECTRICAL CONTRACTOR INFORMATION
Name Hi Tech Security, lnc
NIa iling Address T23 East Front St
fi6snss HlTECTS955BS
Exp iration Date: 1-10-2019
Phsns' 360452-2727Emailhitech@olypen.com
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
SeNice/Feeder 20'l -400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 60'1 -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{00 Amp.
Temp. Service/Feeder 40'1-600 Amp
Temp. Service/Feeder 601-1000 Amp
Porta to Podal Houriy
Signal CircuiULimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detachsd Garage
Each Swimming Pool / Hot Tub
lJnit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$75.00
$93.00
$110.00
s149.00
$168.00
$96.00
s64.00
$120.00
$102.00
$56.00
$120_00
$40.00
$74.00
$110.00
Quantitv fqlel (Quantity x Unit Charge)
$
$
s
$
$
s
s
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
64.00
0064TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two yea.s after this eleclrical 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 readang the above statement, I hereby c€rti4/ 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 PAMC 14.05.050 regarding Electrical Permit Applications.
9t2112018 Mike Shirley Mike Shirley 3:,.[:',ry,:!:t.,:,'1,t'i3ii'i%,
Date Print Name Signature (E Owner p Electrical Contractor /Administrator)
[Electrical Permit Applications may be submifted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
I