HomeMy WebLinkAbout - Building (21) ELEt I AL PERMIT t'
CITE.'0 A NGELES
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'Application Number . . . . 20-00000261 Date 2/21/20 .- •-...
Application Pin number 316871 REPORT STATE SALES TAX
Property Address . . . 1111 s RACE St. On DUl'excise tax form
PARCEL NUMBER: 06-30-10-5-1-0138-'0000-
Application type description ELECTRICAL ONLY to the City of Pori Angeles
SubdivisionName
Property Use (Location COAa 0502)
Property Zoning . . RS7 RSSDNTL SINGLE FAMILY
Application;valuation_, 0
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Application desc
Update alarm system
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Owner Contractor
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POUL G/MIKKI S HORUP ADT LLC
1111 S RACE ST 11824 N CREEK PARKWAY, N
PORT ANGELES WA 983626760 STE 105
BOTHELL WA 98011
(206) 719-0347
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Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . . . 64.00 Plan Check'Fee .00
Issue Date . 2/2 /20 Valuation 0
Expiration Date 8/19/20
Oty Unit Charge Per Extension
1.00 64.0000 E,CH EL-SINGLE CIR LIMITED, RES 54.04
-- -y
Fee summary charged Paid Credited Due
Permit Fee Total 64.00 64.00 .00 .00
Plan Cheek Total .00 .00 .00 .00
Grand Total 64.00 64.00 .00 .00
INSPECTION TYPE DATE; RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL +
CO1 N1E'NTS:
PERMIT wiLL EXPtRE,SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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To: Page 2 of 2 2020-02-21 14:29:15(GMT) 18884000383 From: Northwest Permit Inc.
11111
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pubtic Works and 1.1*"t..'2i.1-i.""S .Del-ia.�,r.rklent
2' S'.. S, �'�3� 020
5'f.a Buret, Port,Am,,-icl�: WA S362 2
16o.4�'7___1715 I -'f1.-,,aa--.s
Project Address:.1111 S Race St
Project Description: upgrade low voltage intrusion alarm to all in one intrusion alarm/telecommunications workhvireless alarm installation
Single-Family Residential El- Duplex/ARU Building Square footage: 2024
Name: Mikki Borup FrnaiV:.:.:.'.
360
Mailing Address: 1 111 S Race St ph� -457-8325
Name: ADT LLC
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Mailing Address: 11824 1 EIK PKWY N,SUITE#105 Expiration Date: 3/2019
Email: JENNIFER@"q"5�5ft'L.
Phone: 206-371-2237
Y
Charge)
"W Service/Feeder 12 0
Service/Feeder
Amp
L
Service/Feeder 40•1_600 Mp A $205.00
Service/Feeder Wi-'i000 Amp 621:
Service/Feeder 7
Branch Circuit WY!Ssrvice Feeder
Branch CircuRWIC 'erviceFeeder $
Each Additional:Branch Circuit r.00
Branch Circuits 1-4 $7500 $
Temp. Service/Fe6dof:200 AMP. $
Temp, Service/Feeder:201400Amp.;. 1110'0'0'LL
OLI S
Temp. Service/Feeder-4 �;WO Amp
Temp. Service/Feei .00OAMP.
Portal to Portal Hourly
Signal Circuit/Limited Energy 2 OU.
Manufactured Home Connection
1-2
Renewable Elec. Energy,5KVA',5
Thermostat(Note:$5 for each add R
........... ........;
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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-
46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAIVIC 14.05.050 regarding Electrical Permit Applications.
02/21/2020 JENNIFER COVELLO
Date Print Name Signature(E](/Ov,/nerV Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityoflpa.us or Faxed to 360.417,4711]