HomeMy WebLinkAbout1776 Woodhaven LANE - Building 7-7
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ELECTRICAL PERMIT
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Application Number . . . . 21-00001162 Date 9/16/21
Application pin number 088534
Property Address . . . 1776 WOODHAVEN LN
ASSESSOR PARCEL NUMBER: 06-30-14-1-4-9130-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . . . . .
Property Zoning . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . 0
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Application desc
Alarm system
Owner Contractor
LLOYD H AND SHIRLEY J GALBRAIT APT LLC
1776 E. ,Wood haven In - 11824 N CREEK PARKWAY, N
PORT ANGELES WA 96362 STE 105
(360)-'930-2995 BOTHELL WA 98011
(206) 719-0347
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Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee . . 64.06 Plan Check Fee .00
Issue Date . . . 9/16/21 Valuation 0
Expiration bate 3/15/22
Oty Unit Charge Per Extension
1.00 64.0000 BCH EL-SINGLE CIR LIMITED RES 64.00
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Fee summary Charged Paid Credited Due
~Permit Fee Total 64.00 64.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.00 64.00 .00 00
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REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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INSPECTION TYPE DATE: RESULTS: INSPECTOR; 1
i
DITCH
SERVICE
ROUGH-IN
FINAL f
CON04EN'TS:
PERMtt WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
1
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department �
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.us I electricalpermits(a�cityofpa.us
Project Address: 1776 E Woodhaven Lane
Project Description: Telecommunications work/wireless alarm installation.
L] Single-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: Dunn,Barbara Email:
Mailing Address: 1776 E Woodhaven Lane Phone: 360-999-9076
ELECTRICAL CONTRACTOR INFORMATION
Name: ADT LLC License: ADTLLL*881 DO
Mailing Address: 11824 N CREEK PKWY N,SUITE#105 Expiration Date: 3/2019
Email: JENNIFER@NWPERM T.COM Phone: 206-371-2237
PROJECT DETAILS
KQM Unit Charge Quantity JQ1d(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 $ •04 $
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)
m
TOTAL $ 6
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.
09/13/2021 JENNIFER COVELLO Q�n� ('�e"Aq�
Date Print Name Signa0re([:]LbwnerV Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]