HomeMy WebLinkAbout820 1/2 E 1ST ST - Building „477
ELEcI KCAL FERMTF
MY OF,PORT ANGELES
3-4174735_
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-Application Number . . . . . 19-00000597 Date 4/25/19
Application pin number . . 857883 REPORT STATE SALES TAX
Property Address . . w. . . . 820 1/2 E 1ST ST On W”6XCI5@ 8X'�QIY17
ASSESSOR PARCEL NUMBER: 06-30-00-5-1-2415-0000
Application'type description ELECTRICAL ONLY fO the City-Of PCdAngel S.
Subdivision.Name . . . . . . (Lf don Code 050
Property Use mo)
Property Zoning r UNKNOWN
Application valuation . . . . 0
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Application desc
Meter repair
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Owner Contractor
HOLM MARK TODD SIMPSON ELECTRIC
1203 CRAIG ST 243036' W HWY 101
PORT ANGELES WA 983622722 PORT ANGELES WA 98363
(360) 457-9270
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Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 120.00 Plan Check Fee .00
Issue Date . . 4/25/19 Valuation . . . . 0
Expiration Date 10/22/19
Qty Unit Charge Per - Extension !
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
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Fee summary Charged Paid Credited Due
Permit-Fee Total 120:00. 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
D1"I'CH
SERVICE
ROUGH-IN
FINAL l
COMMENTS: T1
MMIT WU1 E)M=SQC(6)MONTHS FROM LAST MPBCTM
SAPAture downer or Electrical Contractor X Date:
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ELECTRICAL PERMIT APPLICATION AP;? t1 � 3
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Public Works and Utilities Department
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121 E. 5th Street, Port Angeles, 4V',,k 98362 �
360.417.4735 ( wwu,-.cityofpa.us electricalpei-mits�)cit}ofpa.usPF
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Project Address: 820 1/2 E First St Port Angeles, WA 98362
Project Description: Repair Meter
Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: THE ANSWER FOR YOUTH Email:
Mailing Address: P.O. Box 633 Port Angeles,WA 98362 Phone: 360-670-4363
CONTRACTOR INFORMATION
Name: Simpson Electric LLC License: SIMPSEL973RQ
Mailing Address: P.O.Box 1086 Expiration Date: 12/11/2019
Email: dlsimpson5l@gmaii.com Phone: 360-457-9270
PROJECT DETAILS
Jtgpl " Unit Charge- Quantity JQ1W(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 $
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 $
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TOTAL� g 120.00
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. 1
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.
4/24/2019 Andrew P Simpson 49�/0 �'wx,aa�rL
Date Print Name Signature(E] Owner V Electrical Cont actor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]