HomeMy WebLinkAbout119 W 1ST ST - Building (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00001273 Date 8/20/18
Application pin number . . . 635384
Property Address . . . . . . 119 W IST ST REPORT STATE SALES TAX'
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1554-0000- on your excise tax form
type description ELECTRICAL ONLY y
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
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Application desc
INTRUSION ALARM
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owner Contractor
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M AND S BREWER PROPERTIES LLC ADT LLC
1308 KOSICH PL 11824 N CREEK PARKWAY, N
SARATOGA CA 95070 STE 105
BOTHELL WA 98011
(206) 719-0347
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Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc ADT / INTRUSION ALARM
Permit Fee 96.00 Plan Check Fee .00
Issue Date 8/20/18 valuation . . . . 0
Expiration Date 2/16/19
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL -LIMITED IST 1500 SQ FT 96.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL -4e
�1
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
To: Page 1 of 2
2018-08-15 06:38:21 (GMT) 18884000383 From: Northwest Permit Inc.
FAX COVER SHEET
TO
COMPANY
FAX NUMBER 13604174711
FROM Northwest Permit Inc.
DATE 2018-08-15 06:37:58 GMT
RE ADT APP
COVER MESSAGE
Please process this application and let me know when it is ready for payment.
1hank you,
Jenni",.,fer �-oveUlo
F�eeion-aJ j6kccou;nt Manager
Dir-ect. (206.1 x'71.2 2 3 7 - iennifer@nwr)ermit.com
Yz-a-2!737 t8,8,; 4� ."','�R3 - www.iiwneri-nit.com
WWW.METROFAX.COM
To: Page 2 of 2 2018-08-15 06:38:21 (GMT) 18884000383 From: Northwest Permit Inc.
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 4174711
Date: 08114/2018
Multi -Family or Commercial*
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 119 W First Sr
Building Square Footage: '500
nstar iow voita a intrusion alarm
Description of above 9
$441,
Owner Information
Contractor Information
Name: Mirka 61Jy A2
Name: AD -LLC
Mailing Address: '28 t Kafi•oad Ave
Mailing Address. 1'624 N CRI -EK PK4VY N, SUITE #105
City: MRT ANGE-ES State: Yaw Zip: 98362
City: 60THELL State: ±L1__, Zip: 9001 "
Phone.20-797-'770Fax:
Phone: 206-774-94,.19 Fax: aba-4c'0•0383
License # 1 Exp. ._.....-- ........ _.._..........
_
License # 1 Exp. AD-1L'881D0
Item
Unit Charqe
Qty Total (Qtv Multiplied by Unit Charciel
ServicelFeeder 200 Amp.
$132,00
S
ServicelFeeder 201-400 Amp.
$160.00
$
Service/Feeder 401-600 Amp
$ 225.00
S
Service/Feeder 601-1000 Amp.
$ 288.00
$
Service/Feeder over 1000 Amp.
$ 410.00
$
Branch Circuit Wl Service Feeder
$ 5.00
$
Branch Circuit W/O Service Feeder
S 74.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4
S 86.00
$
Temp. Service/ Feeder 200 Amp.
$102.00
S
Temp. Service/Feeder 201-400 Amp.
$121.00
$
Temp. ServiceiFeeder 401-600 Amp.
$164.00
_ S
Temp. Service/Feeder 601-1000 Amp .
$185.00
$
Portal to Portal Hourly
$ 96.00
$
SignlOutline Lighting
S 88.00
$
Signal Circuit/ Limited Energy — Multi -Family
$ 64.00
$
Signal Circuit/ Limited Energy ' First 1500 sf— Commercial
S 96.00
$
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy - 5KVA System or Less
$113.00
$
Thermostat
S 56.00
S
Note: $5.00 for each additional T-Stat
$ 96 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 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 PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
❑ cash ❑ Check
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❑ Credit Card#
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Jennifer Covello'"°�"""`�`"
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08/14/2018
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Dated:
0110112012