HomeMy WebLinkAbout422 1/2 E 10TH ST - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000338 Date 3/15/18
Application pin number . . . 907788
Property Address . . . . . . 422 1/2 E 10TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -3115 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . , . . . , . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
100 amp service/ Garage ADU
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Owner Contractor
------------------------ -------------------------
MARSAW KAREN L SIMPSON ELECTRIC
422 E 10TH ST 243036 W HWY 101
PORT ANGELES WA 983627926 PORT ANGELES WA 98363
(360) 457-9270
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 170.00 Plan Check_ Fee 00
Issue Date . . . . 3/15/18 Valuation . . . . 0
Expiration Date 9/11/18
Qty Unit Charge Per Extension
10.00 5.0000 ECH EL -BRANCH CIRCUIT W/FEEDER 50.00
1.60 120.0000 BCH EL -0-200 SRV FEEDER 120.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 170.00 170.00 .00 .00
Phan Check Total .00 .00 .00 .00
Grand Total 170.00 170.00 .00 .00
INSPECTION TYPE DATE: RESULTS:
DITCH
SERVICE l o
ROUGH -IN
FINAL f
JW
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 05027
1
INSPECTOR:
Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us I electricalpermits@.cityofpa.us
Project Address: 422 112 E 10th St
Project Description: 100 amp service and wire convert garage to apartment
L!] Single -Family Residential ❑ Duplex/ARU Building Square footage
Name: Karen Marsaw Email:
Mailing Address: 422 E 10th St Phone: 360 808-8391
ELECTRICAL CONTRACTOR INFORMATION
Name: Simpson Electric LLC License: SIMPSEL973RQ
Mailing Address: PO Box 1086 Expiration Date: 12/11/2019
Email: dlsimpson51@gmail.com Phone: 360-457-9270
Ism
Shit Charae
Quantily
Total (Quantity x Unit Charge)
Service/Feeder 200 Amp.
$120.00
1
$ 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
10
$ 50.00
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
$
Manufactured Home Connection
$120.00
$
Renewable Elec. Energy: 5KVA System or less
$102.00
$
Thermostat (Note: $5 for each additional)
$56.00
$
First 1300 Square Feet
$120.00
$
Each Additional 500 square feet'
$40.00
$
Each Outbuilding / Detached Garage
$74.00
$
Each Swimming Pool / Hot Tub
$110.00
$
TOTAL
$ 170.00
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-
466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
3/13/2018 Andrew P Simpson Aii#ew �IslrpfpJoh
Date Print Name Signature (❑ Owner V Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
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