HomeMy WebLinkAbout1628 W 7TH - Building EL B&-- CAL JERMrr
ary 0 T ANGELES
360-417-4735
Application Number . . . . 20-00000084 Date 1/22/20
Application pin number . . . 786460 REPORT STATE SALES TAX
Property Address . . . 1628 W 7TH ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-4724-0000-
Application type description ELECTRICAL ONLY to the City Of Port Angeles
Subdivision Name . . . (Location Code��QZ�
Property Use . . . . . . .
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
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Application desc
Update panel and kitchen remodel
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Owner Contractor
CAROL L BROWN SIMPSON E14ECTRIC
1628 W 7TH ST 243636 W HWY 101
PORT ANGELES WA 98363 PORT ANGELES WA 98363
{360} 452-4137 (360) 457--9270
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 150.00 Plan Check Fee .00
Issue bate . . . 1/22/20 valuation . . . . 0
Expiration Date 7/20/20 -
Qty Unit Charge Per Extension
6.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 30.00
1.00 120.0060 BCH E -0-200 SRV FEEDER 120.00
Fee summary Charged Paid Credited -+Due-- - --
Permit Fee Total 150.00 150.00 .00 ------E`00
Plan Check Total .00 .00 .00 .00
Grand Total 150.00 150.00 '00 q0
I
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH'
SERVICE
ROUGH-IN
FINAL
COMMENTS: .
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner Or Electrical Contractor X Date:
i
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ELECTRICAL PERMIT APPLICATION ��`� 3
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Project Address: 1828VV7thStPort Angeles, WA 98363 /
Project Description: update panel & remodel kitchen
91Single-Family Residential O Duplex/ARU Building Square :
Name: Carol Brown Email:
Mailing Address: 1U28V �hE� Phona: 3GO-452'O471
Name: Simpson EectncLLC Licenme: 8|K*P8EL973RQ
Mailing Address: P.O.Box 1086 Port Angeles WA 98362 Expiration Date: 12/11/21
Email: dlsimpson5l@gmail.com Phone: 360-457-9270
uln Unit ChaEge Quantily JQW(Quantity x Unit Charge)
Service/Feeder 4U1-60OAmp. ' ^ 2U5�UO ' ^� ^ ' � ' *~
' � ~ ------ '= ' --r-----'_'
Service/Feeder 6O1'10DDAmp. , $262.00 ' " �$__-_=____.
Service/Feeder over 1OOO/Amp. $373.00 ' ___ ^ � - $
Branch Circuit wW Service Feeder ` $5.00 - ° $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit a5.00 �� $ 30.00
Branch Circuits 1-4 $75.00 $_________
Temp. Service/Feeder 2O0Amp. m03.00 $_________
Temp. Service/Feeder 2D14O0 Amp. $110.00 $__________
Temp. Service/Feeder 401-88OAmp. ^ - ^` � � ' �� $149. $
Temp. n81-10mAmp. ^ � $168.00 * ° , :$
� � �
Portal Portal ' � �� �- � "�� � � � $ -
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�gnaQ�u�L��dwdEne�y-i&2 DU.� $64.00 ' ______� ~ %
Manufactured Home Connection $120 $
Thermostat(Note: $5 for each additional) $56.00 $
Renewable Elec, Energy:5KVA System or less $102.00 $
Owner ao defined byRCW19.2D.201 (1)Owner will occupy the structure for two years after this electrical permit is finalized.;q 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-
46B, The City of Port Angeles Municipal Code, and Utility Specifications andRAMC1regarding Electrical P it Applications,
1/21/2020 Andrew P Simpson
Dote Print Name Signatuna(M Owner QY Electrical �oo|Controotor/Admini��nab�
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[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]