HomeMy WebLinkAbout519 K St - BuildingCITY OF PORT ANGELES PERMIT' APPLTC.A.TTON
Building Division/Electrical Inspectio0s
321. East Fifth Street — P.O. fox 1150 / Port Angeles Wa aitington, 98362
Ph: (360) 41.7 -4735 Fax; (360) 417 -4711
Date; 5=15
1 & 2 Single Family Dwelling
MAR 2 6 20
k Plan Review May Be Require Ple e mplete Elect ' I Plan Review Information Sheet
Job Address
p hove 'Y
Building Square Footage:
Desorl tlon of ;'S
Owner 11
Name: _ ��� �
j.5 p'!r7
Malling Address; '
Clly;ctz�Statc:f�� }rZip:
Phone: p Fmx;,
License
Item
ServlcelFeeder 200 Amp.
5ervicelFeeder 201.400 Amp,
SarvlcelFaeder 401 -600 Amp
SorvicelFeeder 601 -1000 Amp.
Service/Feeder over 1000 Amp,
Branch Circuit Wl Service Feeder
Branch Circuit W10 Servlce Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. SeMcel Feeder 200 Amp.
Temp, ServicelFeeder201-400 Amp,
Temp. ServicelFaeder401 -600 Amp.
TRmp, Service/Feeder 601.1000 Amp ,
Portal to Portal Hourly
Signal CircuiV t.imit8d Energy • t & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy - 5KVA System or Less
Thermostat
Note: $5,00 for each additional TStat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Char-go
$12000
$146.00
$ 205.00
$ 262,00
$ 373.00
$ 5,00
$ 63,00
$ 5.00
$ 75.00
$ 93,00
$110,00
$149.00
$168,00
$ 96.00
$ 64.00
$ 120,00
$102.00
$ 56,00
$120,00
$ 40.00
$ 74,00
$ 110.00
ELECIRICAL
INSPECTION$
Name;f? /�'ciI`C LLB'
Mallin Address; [�. 0 "
Illy. 'qe stele: _.ip;
Phone: Ate+ Fax:
License
GP .5irr�3•��S! � h��.7�.lJ� ��
Total t t Multi I Iedby unit Charge)
Owner as defined by RCW.19_28.261 : (1) Owner will occupy the structure for two years after thls electrical
to hire p ®rmit is finalized. (2) Owner is required
2n eIECtRCaI contractor if above said properly 1S for sale, rent or lease. Parmit 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 Contra ; :tor, I am making
the electrical installation or alteration in compliance with the electrical laws, N,E,G,, RICK Chapter 19.28, WAG. Chapter 296 -466, The City of Port
Angeles Municipal Code, and Utility Speclficationa and PAMC 14.05,050 regarding Electrical Parmit Applications,
5ignatu of owner, electrical con ctor or electrical adminlstmtor: U cash 0 check
1
0
Name;f? /�'ciI`C LLB'
Mallin Address; [�. 0 "
Illy. 'qe stele: _.ip;
Phone: Ate+ Fax:
License
GP .5irr�3•��S! � h��.7�.lJ� ��
Total t t Multi I Iedby unit Charge)
Owner as defined by RCW.19_28.261 : (1) Owner will occupy the structure for two years after thls electrical
to hire p ®rmit is finalized. (2) Owner is required
2n eIECtRCaI contractor if above said properly 1S for sale, rent or lease. Parmit 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 Contra ; :tor, I am making
the electrical installation or alteration in compliance with the electrical laws, N,E,G,, RICK Chapter 19.28, WAG. Chapter 296 -466, The City of Port
Angeles Municipal Code, and Utility Speclficationa and PAMC 14.05,050 regarding Electrical Parmit Applications,
5ignatu of owner, electrical con ctor or electrical adminlstmtor: U cash 0 check
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , , , , . 15- 00000298 Date 3/27/15
Application pin number , . . 941882
Property Address . , , , 519 K ST
ASSESSOR PARCEL NUMBER; 06-30-00-0-1- 2850 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . , . , .
Property Use , . , . . , . .
Property Zoning , , . , , , . Un1QMWW
Application valuation 0
owner
Contractor
RESULTS:
------------------------
HUTCHISON JR, HAROLD
M
------------------------
SIMPSON ELECTRIC
519 S K ST
243036 W HWY 101
PORT ANGELES
WA 983631715
PORT ANGELES
WA 98363
(360) 457 -9270
----------------------------------------------------------------------------
Permit , , , , ,
, ELECTRICAL ALTER RESIDENTIAL
Additional desc .
. 1 -4 CIR + 5
CIR.
Permit Fee . , ,
, 100.00
Plan Check Fee.,
00
Issue Date
3/27/15
Valuation . . .
, 0
Expiration Date
9/23/15.
Qty Unit Charge
Per
Extension
BASE
ERE
100.00
Pee summaxy
Charged
Paid Credited
Due
Permit Pee Total
100.00
100,00 .00
,00
Plan Check Total
.00
.00 on
.0'0
Grand Total
100.00
100.00 00
,00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Coale 0502)
INSPECTIONTYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX {6) MONTIiS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGBIBUILDING