HomeMy WebLinkAbout1044 Grant Ave BELECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
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I'rApplicalion Number . .
Applicatj.on Pin number
Propelty Address
ASSESSOR PARCEL NUMBER:
Application ll'lpe description
subdivisi"on Name - ...
Properly uee
Proper:!y zoning
Application vaLuaEion
21-00001192 DaEe
92sSA4
1044 GRANI AVE B
o5 -30 - 14 -5 -6 -0212 -0000 -
EI,ECTRICAI, ON].Y
9/2t/2L
RS9 RESDNTI, SINGIE FAMfLY
0
applicatioo desc
service
Permit
Addi,t ionaL
Permit Fee
Issue Date
ExpiraEion
desc
Oaau
120.00
e /2t/ 21-
)l20 /22
EIECTRICA], ALTER RESIDEMIIAL
PLan Check Fee
Val-uation
00
0
oly Unit Charge Per
1.OO 120.OOOO ECH EL_0-200 SRV FEEDER
Extension
120.00
Permi! Fee ToLal
Plan Check ToEal
Grand Toial
120.00
.00
120.00
120.00
,00
120.00
.00
.00
.00
.00
.00
.00
Charged 9a id credited Due
REPORT SALES TN(
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION T\?E DATE:RESULTS:
DITCH
SERVICE 'toXK/zrt 4
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST
Signanre of owner or Electrical Contractor X
GJEXCHANCRBUILDING
N
Date:
AR,,INE D SI!'&,ONS/VI DAVID YAGER SIMPSON ELECfRIC
305 NE ?grH AVE 243036 W I{Wv 101
PORTLAND oR 97213 PORr ANGELES !'lA 98363
lt!1 ?il-!l:: - ," ---1:::l ::'-?11', .- ..-.-
INSPECTOR:
I
I e:k
I
Project Address
ELE CTRI CAL PERMIT APPLICATION
Public tVurks and Utilit-ies l)cpartnrent
321 E. 5rh Stleel. Polt Angeles. !!,\ 98](:l
)60.,t17.4735 | u,r*'w,cityof pu us I electrici.rll:crrnitsrZ,cityolpa.us
1O44Ave Port Angeles,WA 98362 g
(2nd Building)
!o
3
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N)(u
Add New Service and meterProject Description:
d Single-Family Residential E Duplex / ARU Building Square footage
Name John Yeaqer Email:
Phone 503-20'1-8043Mailing Address:
Name Simpson Electric LLC License:SIMPSELgT3RO
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1 -400 Amp.
Service/Feeder 401 -600 Arnp.
Service/Feeder 60'1 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Add tional Branch Circuit
Branch Circults 1,4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1 -400 Amp.
Ternp. Service/Feeder 401 -600 Amp.
Ternp. Service/Feede. 601-1000 Amp.
Portalto Portal Houdy
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Squara F6at
Eacfi Additional 500 square feel"
Eech Oulbuilding / DEtsched Gar.ge
Eadr Swimming Pool / Hol Tub
Unit Cha.og
$120.00
s146.00
$205.00
$262.00
$373.00
s5.00
$63.00
$5.00
$75.00
$93.00
$110,00
$149.00
$168.00
$96.00
$64.00
$120.00
$102,00
$s6.00
s120.OO
840.00
374,00
$11030
Ouantitv IOlel (Ouantity x Unit Charge)
'120.00$
$
$
$
$
$
$
$
$
$
$
s
$
$
$
$
s
$
3
$
s
s
$TOTAL
Owner as defined by RCW 19.28.26'!: (1) Owner will occupy the structure for lwo years afler this electrical permit is tinalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permjt 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 elecfical installation or alteration in compliance with the electrical laws. N.E.C., RCW. Chapter 19.28, WAC. Chapter 294.
468, The City of PortAngeles Municipal Code, and Utility Specilications and PAMC 14.05.050 regarding Electrical Permit Applications.
9t17t2021 Andrew P Simpson
Print Name Signature ([ Owner p Electrical C on tractor / Administrator)
'120.00
Date
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.usl
1 - 2 SINGLE-FAMILY
OWNER INFORMATION
ELECTRJCAL CONTRACTOR INFORMATION
Mailing Address: P.O. Box 1086 Port Angeles, WA 98362 Expiration Dat . th1l201__
Emait. dlsimpsonsl @smail.com phone: j9!l!Z:9?29_
I