HomeMy WebLinkAbout1527 W 12TH ST - Building (2) ELEC"WGAL PERMIT
CITY-60-sioRT ANGELESAA
17 4735
Application Number 20-00000236 Date 2/19/20
Application pin number . . . 279212 REPORT STATE SALES TAX,
Pr perty Address . . . . . 1527 W 12TH ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5865-0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . (LOCafioit Code 0502)
Property Use . .
Property Zoning . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
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Application desc
Spa circuit
-Owner Contractor -- -- - --
-^ -- -- ---------------- --
DAVID L / DEBORAH H OLANDER SIMPSON ELECTRIC
1527 W 12TH:ST 243036 W HGiY 101
PORT ANGELES; WA 98363 PORT ANGELES WA 98363
(360) 417-5063 (360) 457-9270
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . 75.00 Plan Check Fee 00
Issue Date 2/19/20 Valuation 0
Expiration Date 8/17/20
Oty Unit Charge Per • Extension
BASE FEE 75.00
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Fee;summary Charged; Paid Credited Due
Permit Fee Total = 75:00 75.00 .00 .001
Plan Check Total .00 .00 00 .00
Grand Total 75.00 75.00 .00 .00
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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:
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1 — 2 SINGLE—FAMILY CD
ELECTRICAL PERMIT APPLICATION p�c'F;i` G 3
Public Works and Utilities Department
321 E. 5th Street, Port Anrzeles, WA 98362
360.417.4735 1 A'ww.civ ofpa.us j electric alpermits(ii�cityofpa.us 1�1
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Project Address: 1527 W 12th St Port Angeles, WA 98363
Project Description: 30 Amp Circuit for spa
Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: David Olander Email:
Mailing Address: 1527 W 12th St Port Angeles,WA 98363 Phone: 360-417-5063
ELECTRICAL CONTRACTOR INFORMATION
Name: Simpson Electric LLC License: SIMPSEL973RQ
Mailing Address: P.O. BOX 1086 PORT ANGELES,WA 98362 Expiration Date: 12-11-21
Email: dlsimpson5l@gmail.com Phone: 360-457-9270
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ltgm Unit Charge, Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $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 $7500 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. $6400 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note: $5 for each additional) $5600 ti $
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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, 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 and PAMC 14.05.050 regarding Electrical Permit Applications.
2/17/2020 Andrew P Simpson ,�q�a� -P a
Date Print Name Signature(❑ Owner V Electrical ontractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]