HomeMy WebLinkAbout819 S Lincoln StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMUNITY SHOPPTNG DIS?R
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REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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ApplicaEion Numlcer
Applicatsion p j.n number
Propertsy Address
ASSESSOR PARCEIT NUI4BER:
ApplicatioD t),pe deacr j.p!io!
Subdivision Name . .
ProperEy Use
Property zoning
Application valuatioa
19 - 00000 042 DaEe l/1o/19
6?5586
819 S T,INCOLN ST
05 - 30- 00- 0- 2 - 5940 -0000 -
EI,E TRfCAI, ONLY
Applicatsiofl desc
Ductless heat pump
T'RUSSEI,L FAMILY LLC
]85 HUMBLE HILL RD
SEQUIM
SIMPSON ELECTRIC
243 036 W H|IY 101
PORT ANGELES
1160) 457 -9270
wA 983 82 r{A 98353
Permi t
Additional desc
Permit Fee
Issue Date
Expiration Dale
ELECTRICAL A',TER COMMERCIAL
1-4 CIRCUITS
85.00 PLan Check Fee
I/tO/19 valua(}on
7 /09/19
00
0
Qty Unlt Charge Per
BASE FEE
Ext.ension
86. O0
Charged Paid Credited Due
Permlt Fee Total
Plan Check Tola1
Grand Total
85. 00
.00
85.00
85 .00
.00
85 .00
00
00
00
00
00
o0
PERMIT WILL EXPIRE SIx (6) MONTHS PROM LAST INSPECTION
INSPECTION T}?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN tltln P w
FINAL t,il',2 J>"#P
COMMENTS:
Signature of owner or Elecaical Contractor X Date
MULTI-FAMILY
ELECTRICAL PERM IT APPLICATI ON
/ COMMERCAfr EGHUED 1lo
=I
fC\i.
P
Fublic \\brks and l-ltilities Department &Ffin*Al
321 E. 5th Street. Port Angeles. \&A 98362 lIVStsCf,gli'S
360.417.47 ]5 I wrvw.citvofpa.us I elecricalpermits@cityofpa.us
Proj ectAddress: Drakes Pizza & Subs 819 S Lincoln St. Port Angeles, WA 98362
Project Description Hook up Ductless HP
! Multi-Family Residential U Commercial / lndustrial / Public Building Square footage
Mailing 4661s5s. 819 S. Lincoln St Phone
Name Simpson Electric LLC License' SIMPSEL9T3RQ
Expiration Date 1211112019
phone 360-457-9270
Mailing Address P.O. Box 1086 Port Angeles, WA 98362
Email dlsimpson5l @omail.com
IlllilshalCa, Ouantitv Unit Charge)
Service/Feeder 2ooAmp. $132.00
Serurce/Feeder 20'1400 An'p. $160 O0
Service/Feeder 401-600Amp. $225 00
Service/Feeder 601-1000 Amp $288.00
Service/Feeder over 1000Amp. $410 00
Branch Circult W Servjce Feeder $5.00
Branch Circult W/O Servlce Feeder $74.00
Each Addltional Branch Circuit 55.00
Branch Circuits 1-4 $86.00
Temp. Service/Feeder 200 Amp. $102.00
Temp. Service/Feeder 20'1-400 Amp. $121.00
Temp. Service/Feeder 401-600Amp $164.00
Temp Service/Feeder 601-1000 Amp. $185.00
Portal to Portal Hourly $96.00
Sign / Outline Lightins $88 00
Signal Circu ULimited Energy - Multi-Family 988.00
Signal CircuiuLimited Energy/First 1500 sf - Commercial $96.00
(Note: $5.00 for each additional 1500 s0
Re^ewable Erec Energy. 5KVA System or less $113.00
Tnerrros€r \Note $5'or each addrt,onal) $56.00
86.00
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Owner as deflned 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-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
117119 Andrew P Simpson /SEAAL* p SrlWiE,
Date Print Name Signature (E Owner p Electrical Conhactor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed lo 360.417.47111
Name: Opal Trussell Email: _
?ROJECT
86.00