HomeMy WebLinkAbout139 W 8th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMT]NITY SHOPPING DISTR
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
-,l
o
Applicatiolr Number
Appficatsion pin nuhber
Proper!y Address
ASSESSOR PARCEL NU}4BER:
Applicacion, tt'pe descripcion
subdivlsi.on Name . .
Property Use
Property Zoning
Application valuation
19 -00000410 Date 3/2L/r9
0 s31? 0
139 W 8TH ST
06 -3 0 -00 - 0-2 -3255 - 0000 -
ELECTRICAI, ONIY
ApplicaEion desc
Dish waEher
Owner Contractor
PIRST PRESBYTERIAN CHURCH
139 W 6TH ST
PORT ANGELES WA 983625031
SI}IPSON EIJECTBIC
243 036 W HWY 101
PORT ANGELES
1360) 457 -9210
wA 98363
PermiE
Additi.onal desc
Permit. Fee
Issue Date
Expiration Datse
ELECMICAI- AITER COMMERCIA'
1.4 CIRC UITS
86. OO PLan Check Fee
3/2L/t9 vatuaLion
9 /].'7 /t9
BASE FEE
.00
0
Extension
s5. 00
Qty Unit Charge Per
Fee summary charged Credited LfuC
Plan Check Total
85.00
.00
85.O0
85.00
.00
86.00
00
00
00
00
00
00
PERMTT WILL EXPIRE Slx (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERyICE
ROUGH.IN t)zslP,5z rgrP
FINAL .zlaln #
COMMENTS I !
Signature of owner or Elechical Contractor X Date
}DN
TVIULT I-FAMILY / COMMERCIAL
EL ECTRICAL PERMIT APPLICATION
Public Wbrks and Utilities Department
3l I Il. 5tlr Street. Po( Anseles. \t,{ 98-162
-160..+ I 7.47-15 | wtu..citvofpa.us I electricalpermits@cityofpa.us
Project Address 1st Presbyterian Church 139 W 8th St Port Angles, WA 98362
;f:;w
1lo
3
+
-$
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Project Description Circuit for Dish Washer
! Multi-Family Residential E Commercial / lndustrial / Public Building Square footage
Name 1 sl Presbvterian Church
lvlailing 4661sss 1 39 W 8th St Port Angeles, WA 98362
Email
P hone
Name Simpson Electric LLC
Mailing Address: P.O. BOX 1086 PORT ANGELES. WA 98362
Email dlsimpson5'l @qmail.com
License SlMPSELgT3RQ
Expiration Date 12t11t2019
Phsng 360-457-9270
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additaonal Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp
Temp Servrce/Feeder 601-1000 Amp
Portal to Porlal Hourly
Sign / Outline Lighting
Signal CircuiVLimited Energy - Multj-Family
Signal CircuiVLimited Energy/First 1500 sf - Commercial
(Note: 55 00 for each additional '1500 sf)
Renewable Elec Energy sKVA System or less
Thermostat (Note $5 for each additional)
Unlt Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
Alraolit[ fgtal (Quantity x Unit charge)
$113.00
$56.00
86.00
$
b
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$ 86.00 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
requirod 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 lic€nsed electrical contractor. I
am making the electrical installation or alteration in compIance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles lvlunicipal Code, and Utility Specafications and PAMC 14.05.050 regarding Etectrical permit Applications.
312012019 Andrew P Simpson 4H42./.ar-
Date Print Name Signature 1! Owner p Eleclrical Con r /Administrator)
IElectrical Permit Applications may be submitted to Caty Hall or electricalpermits@cityofpa. us or faxed to 360.41|7 .4711)
360452-4781
ELECTRICAL CONTRACTOR INFORMATI.ON
PROJECT DETAILS