HomeMy WebLinkAbout620 Rook ST - Building �•� -ate*: �z ;�„ ��*
ELECMCALPERMU
CPTY OF PbRT AN'GELES �t
360-417-4735
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Application Number 18-00001918 Date 12/20/18
Application pin number, . . . 335254 REPORT STA Tc SAES TAX
Property Address . . . 620 M ST Olt yow eXclse tax form
ASSESSOR PARCEL NUMBER; 06-30-00-8-5-0150-0000-
Application type description ELECTRICAL ONLY to the City Of POIf Angeles
Subdivision Name . . . (Location Code 0502)
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE- FAMILY
Application valuation 0
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Application desc
Security system
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Owner Contractor
BLAYLOCK, JIMMIE & ALOMA ADT LLC
620 S M ST 11824 N CREEK PARKWAY, N
PORT ANGELES WA 98363 STE 105
BOTHELL WA 98011
(206) 719-0347
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Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 64.00 Plan CYte4k.Fee 00
Issue Date 12/20/18 Valuation 0
Expiration Date 6/18/19
Oty Unit Charge Per Extension
1.00 64.0000 ECH ' EL-SINGLE CIR LIMITED RES 64.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 64.00 64.00 .00 .00
Plan .Check Total .00 00 .00 .00
Grand Total 64.00 64.00 .00 .00
INSPEMON TYPE DATE: -RESULTS: INSPECTOR:
UTTCH
SERVICE
ROUGH-IN
FWAI,
PEi*i*iiXXPIRE SIX(6)MONTHS FROM LAST INSPWnON
Signature of owner or Electrical Contractor X Date:
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ELECTRICAL PERMIT APPLICATIll
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Public Worksand Utilities Department
360,417'4715 | 'VVW*.city0fP»um | dccVicujpcnnbs�Woi us FtECTRI
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ProjectAddress: ,
Project Description: UPGRADE LOW VOLTAGE SECwrv/ / , SYSTEM (WORK VALUE $600)
@l Ging|m'Fomi|yRaok1anda| [] Duplex/ARU Building Square footage: 1454
OWNER INFORMATION
Name: JIMMIE BLAYLOCK Email:
ELECTRICAL CONTRACTOR INFORMATION
Nome: AoTLLC License: ADTLLL.881DO
Mailing Address: 11O24NCREEK
Email: JENNIFER@NWPERMIT.COM Phone: 206-371-2237
PROJECT DETAILS
Unit ChaEge Quantily TgW(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00
Service/Feeder=_1 Amp. $14` 00 ^ __ __� ����'
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Snnooe8Foador4O1 Amp. � $205.00 ^ $ '
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Service/Feeder 1�]�Amp ��h / ��
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Service/Feeder over 100OAmp� $373�UD ` __ $-------___-
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Branch Circuit � �� ��� � .�� �
BmnuhCimu�V�OSo��eFeeder ' $63.00 � ------_' $__---_----
Each Additional Branch Circuit �� $___________
Branch Circuits 14 $75.00 � *_____.
Temp. *
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Temp. Qor���Feeder2O1'40O Amp.�� `� $110.00 �,� _*_---_ �� m
n*mp Oenxce/Feed 1��X�Amp�~ �� * .UO-
Temp. 1 $18800��' �5�___� ��
Portal to Portal ... $
Signal Circuit/Limited Energy-4&2[%U, �°m�- m' �w� `$84.OU~�m _�___��� ,^��
Manufactured Connection
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note: $5 for each additional) $56.00 $
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TOTAL $ 64.00
Owner as defined by RCW19.28.261:(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.
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After reading the above statement, | 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-
46B,The City of Port Angeles Municipal C g d Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
JENNIFER COVELLO g4w�
Date Print Name Signature(0 (6wner rn Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]