HomeMy WebLinkAbout1708 W 12th Street - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00001021 Date 7/07/16
Application pin number . . . 219088
Property Address . : , , * , 1708 W 12TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -6300 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use . . . . . . . .
Property Zoning . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
Owner 'Contractor
------ 49 -Lf --- - -------------------- ---
TOBY D WILLIAMS SIMPSON ELECTRIC
1708 W 12TH ST 243036 W HWY 101
PORT ANGELES WA 983635310 PORT ANGELES WA 98363
--(360) 457-9270 J..,
-
-------------------------------------------------------
--------- 7 ,
Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc CIR, KITCHEN LTS
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date 7/07/16 Valuation . . . . 0
Expiration Date 1/03/17
Qty unit Charge Per Extension
BASE FEE 75.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.100 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSPECTION TWE
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
DATE. RESULTS:
0
�f!omx
9
PERMIT WILL EXPIRE SIX (6) MOMRS FROM LAST INSPECTION
I
REPORT SALES TAX
on your excise tax form
to the MY of Pod Angeles
(Location Code 0502)
INSPECTOR:
Signature of owner or Electrical Contractor X Date:
GAEXCH-ANGMUMDING
0
"-N
Cffy OF PORT ANGELES PiERma .APP WATION
DwIdin g Div" ' Mas ons
321 Bmt Fift Sbvt t--" P.O. It= 1150 / Pod ,Awgci s W*Aiagbon, 98362
Ph: (36D) 417-4735 Fax; (360) 417-471.1
Dam. 1—,5--1,6
7Y382Fan* DweW"
* Plan Review May Be Required, Please Compkft- Plw Review tr k maftn Sheet
MWfPftofablM
OWM bwfo ttotl
Nwo: Iii 6� W r /I r' r�nc
haAing Address: _� 7 �,g til 1 2'U�
Phone: 7 *7 s -`Fart zkx
Cic�9e4/ExR -- ..
Item
SaftelFeede r 200 Arep.
SWVl0d ireder 20lA00 Angs_
Sa4-,,alFeeder40"I.600 Auap
SaftelFeedear 801-1000 Amp.
5eftelFeeder over 1000 Amp,
SMnch CkMM w! Ser,nce Faedsr
Branch Crr tit NO SwAM Feeder
Eadr AddlAW ftich
Brox h c hmm 1.4
Temp. Sergi W Feeder 200 Amp.
Temp. Ser"Feerkr 201-400 Amp.
Temp_ Servk ll"-eedcr 401-eaa amp_
Temp. Sa vkdFeeder 641-1000 Amp.
POTMlb Pond t
Unilied Enagq -1 & 2 Fx* &mftg
used Now Come w
Ramable SeckkW t;nergy - 5KVA SysM or Low
Thenmstat
NoW $5.00 for each add6Otre1 T -W
l=ast 1300 Square Ft.
Each AdWool !ADO Square R or Portion of
Each Outtruik ing or Det mhed Gm -age
Em:h SWMnhg Poo! or Not Tub
that Clime
$120.00
S146.00
$ 205.00
$ 282.00
$ 373.00
$ 5.00
$ 63.00
$ 5.00.
$ 75M
$ 93.00
3110.00
$149.00
$188.00
$ 96.40
$ 64.00
$120.00
$14200
$ 56.00
$ MAD
$ 40.00
$ 741.00
$110.00
Cn� Int M."I loan
4 Al
i;Mme l EV_5,go JO S4E4
IsIn Psen GuAl'
fit Tongan My Mull'
,4 c
br M* ChxWj
Owner as defined by RM19.28.261: (1) Owner A occupy ttm strur re.iot two years after ibis etec kical permit is flralmd (2) Owner is requir+ad
to hire an elecb icai contractor N above said properly is for saki, rent or least. Permit expires afar sic months of last inspm* n.
After rea ft the above statement, l hereby c mW That ! am the owner of the above named properW or a fitxmsedd etectdcal contractor. I am nvftg
the eWctrfcal Wahatian or alterdifoo in cmuplance with the etedicaf laws, ItEC., RCW. Chapter 1928, WAC_ CWW29( 29E •465, The City of Port
Angeles Municipal Code, and Ub'lity Spedficaftr:, and PAMC 14.05.050 m9arding l Permft Appications.
eleclrir�! or etelrlcal administrator ❑ cmh ❑
r>atr: -... - -14
r .r_ Otlettz
1(-`x"76