HomeMy WebLinkAbout1221 W 16th Street - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417-4735 ..o
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Application Number . . . 21-00001193 Date 9/21/21
Application pin number . . 000186
Property Address . . . . . 1221 W 16TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3282-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use . . .
Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Service
Owner Contractor
SMITH PAULA RENE SIMPSON ELECTRIC
1223 E FRONT ST 243036 W HWY 101
PORT ANGELES WA 983624309 PORT ANGELES WA 98363
(360) 457-9270
'--------------------- ------------------------------------------
Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 120.00 Plan Check Fee .00
Issue Date . 9/21/21 Valuation . . . . 0
Expiration Date 3/20/22
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Qty Unit Charge Per Extension
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
--------- - ----------- --- --------------------- ----------------
Fee summary Charged --- ---Paid Credited Due
----------------- --------- ---------- ---------- ----------
Permit Fee Total 120.00 120.00 .00 .60
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
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REPORT SALES TAX
on your excise tax form j
to the City of Fort Angeles
(Location Code 0502)
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
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COM TENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
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Sim of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY „
ELECTRICAL. PERMIT APPLICATION
Public; Works and Utilities Department r,
321 E. 5th Street, Port lnueles, WA 9U62
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360.417.4735 1 WWW.C1ty0fj)aA1S 1 clectricalpcatnit5ru<cityofpa.u.s
Project Address::-42111 W 16th St Port Angeles, Wa 98363
Project Description: Change Service
❑ Single-Family Residential ® Duplex/ARU Building Square footage:—_---
• • • •
Name: John Yeager Email:
Mailing Address: Phone: 503-201-8043
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Name: SIMPSON ELECTRIC LLC License:- SIMPSEL973RQ
Mailing Address: P.O. Box 1086 Port Angeles, WA 98362 —Expiration Date: 12/11/2021
Email: dlsimpson51@gmail.com Phone: 360-457-9270
It Unit,Charge Quantity Totat(Quantity x Unlit
Service/Feeder 200 Amp. $120.00 1 $ 120.00
Service/Feeder 201400 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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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.
9/17/2021 Andrew P Simpson .�ti%e �ti2Gtr��G{ytj,UdBrL
Date Print Name Signature(❑ Owner ® Electrical Contract6r/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electrical permits@cityofpa.us]