HomeMy WebLinkAbout1518 W 15th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS7 RESDNTL SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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-qApplication Nuriber
ApplicaEion pin number
Propertsy Address
ASSESSOR PARCEL NLTI4BER:
Application t}?e description
suldiwision Name
Propertsy Use
Property Zoning
Appfication valuatsion
19 - 00001434 Date 9/1-8/1-9
035402
1518 W 15TH S"
o5 -3 0- 00- 0-4 -3 sos- 0000-
ELECTRTCAI, ONLY
ApplicaEion desc
service manufacEured home
Contractor:
HEINRICH I.ARRY D AND TINA M
510 W 5TH ST
PORT ANGEIES WA 983 52
SIMPSON ELECTRIC
243 03 6 W HI4Y 101
PORT ANGEIES
l36a) 45'7-927O
wA 983 53
Permits
Additional desc
Per:mit Fee
Issue Date
Expj-ration Date
120. O0
e /tB / J.e
3/t6/20
ELECTRTCAI. AITER RESIDENTIAL
Plan Check Fee
valuation
Permit Fee Total
PIan check Total
Grand Totsa1
a2a
t2a
00
00
00
120
L20
00
o0
00
00
00
00
00
00
00
00
0
oty Unit Charge Per
1,OO 12O.OOOO ECH E!-MAN!' TIOME SERVICE & EEEDER
Extsension
120 .00
Charged Paid Credited Due
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:INSPECTOR:
DMCH q,)at ln N "flP
SERVICE ja-3-t9 *bD M)
ROUGH-IN
FINAL /a1-/f 4{6)
Signature ofowner or Elecaical Contractor X Date
RESULTS:
COMMENTS:
E TRI
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P T P ATI
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Project Addrossr 1 518 W 1sth St Port Angeles. Wa 98363
Project Descrip0on Hook up power to Manufactured Home
O Singl+famiry nesidenlial D Ouplex IARU tsuilding Squars footage
Nafne Vewterra Homes Email
Marling Addre6s- 259403 Flvvy 101 Sequim, WA 98382 p66ne. 360-661-0777
Nafire: Llpsgl1 Electric LLC License:SIMPSEL9T3RQ
Expiration 9,61s.1Z'|.112019
phone. 36H57-9270
Mailing Address: P.O. Box 1086 Porl Angeles, WA
Email dlsimpsonSl @gmail.com
tlem
ServicelFeeder ?00 Amp.
ServiceiFeeder 201-400 Amp.
Service/Feeder 401-600 Amp
Servrce/Feeder 601-1000 Amp
Service/Feeder over 1000 Amp
Branch Clrcuit wl Service Feeder
Branch Circurt WO 56rvice Feeder
Each Additonal Branch Circuit
Branch Crrcurtg 1-4
Temp Servrce/Feeder 200Amp
Temp Service/teeder 201,400 Amp.
Ternp Ser!ice/Feeder 401$00 Amp
Temp SeNrce/Feeder 601-1000 Amp.
Portal to Portal Hourly
SrOnal CrrcurULrmited Energry - 182 DU
Manulacturec Home Connec!0n
Renewable Elec Energy: 5KVA System or less
Thermostat (Note. $5 for each additional)
Fi'6t I 300 Squar. Feet
Each Additonal 500 s+rar" tcel '
Each odbuilding / Delach€d 6erag6
Eech Swimmng Pool , Hot Tub
uolt Charoa
$ 120.00
$1{6 00
$205 00
$262.00
$373.00
$5 00
$63 00
$5.00
$75.00
$93.00
$ 110.00
$ 149.00
$168.00
996.00
s64 00
s120.oo
$ 102 00
$56 00
3t 2s.00
$,10.00
s7r.00
srt0_m
TOTAL
Ouanflty trqbl(Ouantity x Unlt ChaIge)
ob
$
s
$
$
$
s
$
5
$
s
s
$
s
$
s
3
/1O/
!
t 120.00
Owner as definod by RCW 19.28.261; (1) Ownor will ocarpy the sbuctrre for tv,/o yearE after lhis eleclricd psrflxt is inalEed. (2) Olyner is
required to hire an elec,tricd confactor il above 9'd property is for sale, rent or lease. Permrt expires after 6rx months of lasl inspecton.
Aft€r reading the above statement, I hereby certify tlat I am thc owner ot the above named proper8 or a licens€d elecfical contaclor. I
am making the electflcal jnEtaliation or alteraton i. compliance v/ith trl! electicaiiaws, N.E.C., RCW Chapter 19.28. WAC. ChaptBr 29&
468, The Crty ol Port Angeles Municipal Code. and Utility Specifrcabons aid PAI,IC 14.05-050 rcgardng Elo(,ioal P.rmit Atplications.
911712019 Andrew P Simpson /fuAzarP Srupao*
Date Print Nan€ Signature (E orlner p Elcckical Con{ractor / Adninistrator)
lElectical Perrmt Applications rrEy be su&nittad to City Hall or cleclxc*ii]cr rrii$gctyctpi.r': or faxed to 360.417.47111
A FEE
O!\i''JER ! tJf GRtdATiOl']
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