HomeMy WebLinkAbout620 M StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
a2/20/J.8
RS7 RESDNTI] SINGI,E. FAMII,Y
0
REPoRT srATE slrrs rax
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
\
I
NApplication Number
Application pin number
ProperEy Address
ASSESSOR PARCEL NUIVIBER:
Application,type descript.ion
Subdivision Name .
Property Use
Property Zoning
Applicatioo valuation
18 - 00001918 Date
335254
620 M ST
05 - 3 0 - o0 - 8 - s - 0150- 0oo0 -
ELECTR]CAL ONLY
Applica!ioo desc
SecuriEy sysEem
CoIrtrac.Eor
BIAYI,OCK, ,JIMMIE
520 S t{ ST
PORT ANGELES
& A],OMA
wA 983 63
ADT LLC
11824 N CREEK PARKWAY, N
sTE 105
BOTHELL WA 9AO11
(2O6) 7 aLg - 03 4'7
Per.Irit
Additional desc
Permit Fee
Issue Datse
ExpiraEion DaLe
64.00
t2/20/L8
5/ta/79
ELEC:CRICAL ALTER RES1DEN'I']AL
Plaa Check Fee
Valuation
00
0
Qty Unit Charge Per
1,OO 64.OOOO ECE EI]-SINGLE CIR IIMITED RES
Extension
64 .00
Permit Fee Total
Plan Check Total
Grand Totsal
64 -OO
. o0
54.00
54.00
.00
54.00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:
DITCH
ROUGH-IN
FINAL
COMMENTS:llx
PERMM WILL EX>IRE SIX (6) MONTHS FROM LAST TNSPECTION
Signature of owner or Electrical Contactor X Date
::i:Ti- ::11 -::::t::1 - i:
INSPECTOR:
SERVICE
1 - 2 SINGLE-FAMILY
EL TRI AL PERMITAPPLICATIO
Plrblic Works .rnd l-iliIilics l)cpm'tmer:l
:11I l;. 51h SLrdet" I;o;1 Anse les. W.'\ 98-l(t)
160..117..17-r,5 l rr'rvq,.citvolpa.us lelecrrical;::crir;itsi!)cit1'ctlra.us
I/ED
1lo
3
=-
^i'tfffiitProject Address 620SMST
\srns JlMMlE BLAYLOCK Email
Mailing Address.620SMST Phone 360-460-3017
Mailing Address'11824 N CREEK PKWY N, SUITE #105 Exp iration Date.3i2019
Item
Service/Feeder 200 Amp.
Servrce/Feeder 201-400 Amp.
ServrceiFeeder 401-600 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. Service/Feeder 601-1OOO Amp.
Portal to Portal Hourly
Signal C,rcui/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec Energy. sKVA System or less
Thermostat (Noter $5 for each additional
Unit 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
Ouantity IOhl (Quantity x Unit Charge)
14.05.050 I Permit Applications
TOTAL
Owner as defined by RCW 19.28.26'1: (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 afier 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 Utjlity Specifications and p
JENNIFER COVELLO
Date Print Name Signature i!ner Electrical Contractor / Administraior)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to g60.417.47 jj:l
Project Description UPGRADE LOW VOLTAGE SECURITY SYSTETV (WORK VALUE $600)
tr Single-Family Residential n Duplex / ARU Building Square fo olage: 1454
Name Apr LLc License: l!l!!!!!l!p__
Emait JEN N IF ER@ NWPE RM IT.COM pl,6n2. 206-371-2237
'P,ROJE.CT
DETAILS
$_
$_
$
--:-
q
q
e
q
$_
s 64.00