HomeMy WebLinkAbout1615 W 10TH ST - Building (2) eA
ELECAL PERMIT -
CITY'Cl" RT ANGELES
30,, 417-4735
Application Number . . 19-00001995 Date 12/17/19
Application pin number 142715 REPORT STATE SALES TAX'
Property Address . . . . . 1615 W 10TH ST
'ASSESSOR PARCEL' NUMBER: 06-30-00-0-3-0780-0000- on your excise tax ft m
Application type description ELECTRICAL ONLY t0 the City of Port Angeles
Subdivision Name . . . . . . (Location Code 0502)
Property Use . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation d
Application desc
Intrusion Alarm ti
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Owner Contractor -
Benin 3 LLC ADT LLC"
C/O Wilbur Gavin 11824 N CREEK PARKWAY, N
2510 W 10th Street STE 105
PORT ANGELES WA 98363 BOTHELL WA 98011
(360) 461-5620 (206),719-0347
Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 64.00 Plan Check Fee .00
Issue Date '12/17/19 Valuation 0
Expiration Date 6/14/20
Qty Unit Charge Per Extension
1.00 64.0000 ECH EL-SINGLE CIR LIMITED MULTI 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
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS: Ink 14h4Z=�
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION �� `:`
C .
Public Works and Utilities, Department
321 1". 5th Street, Dort .Anneles, \kA 98362 �
360.417.4735 1 www.cityofpa.us ( electricalpermits(a)cityofj)a.us
Project Address: 1615 W 10th St
Project Description: install low voltage all in one intrusion alarm
1� Single-Family Residential ❑ Duplex/ARU Building Square footage: 7-1
OWNERINFORMAWN
Name: Williams,Ashlee Email:
Mailing Address: 1615 W 10th St Phone: 360-640-3027
Name: ADT LLC License: ADTLLL'881 DO
Mailing Address: 11824 N CREEK PKWY N,SUITE#105 Expiration Date: 3/2019
Email: JENNIFER@NWPERMIT.COM Phone: 206-371-2237
R
H&M Unit Charae Quantity Totai(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy-1&2 DU. $64.00 $ 64
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note: $5 for each additional) $56.00 $
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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 PAMC 14.05.050 regarding Electrical Permit Applications.
12/15/2019 JENNIFER COVELLO
Date Print Name Signature(❑ Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]