HomeMy WebLinkAbout620 Vashon AVE - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4135
Application Number 20-00000061 Date 1/21/20
Application pin number . . . 932074 REPORT STATE SALES TAX
Property Address . . . . 620 VASHON AVE our excise tax form
ASSESSOR PARCEL NUMBER: 06-30-10-4-3-0550-0000 ony
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . . . (Location Code 0502)
Property Use . . . . . . . .
Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
2 gas inserts
----------------------------------------------------------------------------
Owner Contractor
DARREN W AND MESHEA R CRYSUP ANGELES ELECTRIC
3 MCALLISTER CIRCLE 524 E. 1ST ST.
BILOXI MS 39532 PORT ANGELES WA 98362
(360) 452-9264
----------------------------------------------------------------------------
Permit . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date . . . 1/21/20 Valuation . . . . 0
Expiration Date . 7/19/20
Oty Unit Charge Per Extension
BASE FEE 75.00
------------------------------- --------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 75:00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
i
a
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-INAp JAY
FINAL,`
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
j
s..., ,._ .: _
,,. �. :.
? � :.
h
� ;
01/17/2020 11:51 FAX 360 452 9265 Angeles Electric IA0002/0002
1 - 2 SINGLE-F-AMILY
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 tr
.d.
Project Address:
Project scription:
Ingle-Family Residential 0 Duplex/AR Building Square S footage:
9
OWNER INFORMATION
Name: owbulk Email:
Mailing Address: Phone: '
ELECTRICAL CONTRACTOR INFORMATION
Name: Angeles Electric, Inc. Vcarm:ANGELE1460RS
Mailing Address:524 E. First Street, Port Angeles,WA 98362 Expiration Date:2/1120
Email:ksimpson@olympus.net Phone:360-452-9264
PROJECT DETAILS
ltb!n Untt Charas Qgantl Ij(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201400 Amp. $146.00 $ _
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $282.00 $
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 $76.00 _�_ $
Temp.ServicelFeeder 200 Amp. $93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $_,.._._..._
Temp.Service/Feeder-401-600 Amp: Sa 9 10; 5
Temp.Service/Feeder601-1000 Amp. S1 S
Portal to Portal Hourly6f0i $
Signal Circuit/Limited Energy 'F$OU: S
Manufactured Home Connection s Ste_
Renewable Elec.Energy:5KYA$ystem`0rless. 51 $
Thermostat(Note:$5 for each additio $
5�
v
TOTAL. $
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,rant or lease.Permit expires after six morfths of last Inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a kensed 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 29&
468,The City of Port Angeles Municipal Code,and Utility Specification and PAMC 14.06.050 regarding Elecbical PermRApppcations.
Ken Simpson r
ate Print Name Signature(❑ Owner Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits0cityofpa.us or faxed to 360.417.47111