HomeMy WebLinkAbout1522 W 15th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS? RESDNTL SINGI,E FAMI],Y
o
REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
;-!
-E\n
\
Applicatsion Nuniber
Application pin number
Property Address
ASSESSOR PARCEL NIJMBER:
Application L}.pe descripLion
subdivision Name
Propertsy Use
Property Zoning
Application valuation
19 - O0OO143 5 Date 9/ta/19
159555
1522 W 15TIl ST
05-30-00- 0-4 -3506- 0000 -
EI,ECTRICAL ONIY
Application desc
Ser_wice manufactured home
IINMACHIN LLC
2 5 9403 HWY 101
SEQUIM
(350) 803-4060
SIMPSON EIECTRIC
243 03 6 W HWY 101
PORT ANGELES
l36a) 45'7 -927A
wA 983 82 wA 9a353
Permit
Additional desc
Permit Fee
Issue Date
Expiration DaEe
120. 00
e/te/19
3/16/20
ELECTRICAI AT-TER RESIDE}{TIAL
00
0
otsy UniE Charge Per
1,OO 12O.OOOO ECH EI-MANF HOMB SERVICE & FEEDER
Extension
120 .00
Charged
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Paid CrediEed Due
PermiE Fee ToEal
Plan Check Totsa1
120
t2a
00
00
00
12a
t20
00
00
00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH q)zuln .ffi @
SERVICE ,/d-3- /7 ,&P *b
ROUGH.IN
FINAL /D-3"/ I ,{A)
COMMENTS:
Signature of owner or Electrical Contractor X Date:
ContsracEor
Vafuation
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM 1T APPLICATION ff,',':rlf
Proiec,t 666rcss. 1521W 15tt St Port Angeles, Wa 98363
Project Descdption:Hook up pq^rer to Manufaciured Hom€
['€rIE: Vle{ilerra lhmes Ernail:
Mailing AddrBs:259403 Hwy 10'1 S€quim, WA 98382 Phone:360481{777
Nafire. Simpson Electric LLC License:SIMPSELST3RO
ExFralion sd.B.12J112:A19Mailing6661sss. P.O. Box i086 Port Angeles, WA
gnla;1. tllsimpsonsl @gmeil.com Phon6:360-457-S270
tEn
S€rvic.r?ggdcr 200 Amp.
Sorvii]€/Fesdcr ml {00 AIrp.
S€rviceFe€der 401 €00 Ai?p.
Sorvic.rlFeodcr 601-1000 Amp.
S€rvice/F6ed€r ovrf 1@ Arnp.
Brancfi Circuil W, S€ryice Fardsr
&anch Circuit WiO Sarvlce Frcder
Eacfi Additi6d Brsndr Cirqrit
Branch CircdtE l-{
Temp. Srrvice/F.s&r 200 Amp.
Tonp. S€iric.rF.cd.r201-.t00 Amp-
Temp. S6rvica/F 66dcr 401-600 Aftp.
Tenp. SGrvi:!,/Fo6d.r 60 i -1 000 Amp.
Portal to Portal Hourly
Srorid Cir. iULimiH Enor!,y - l&2 DU.
M anufactrrcd lloria Conncciioat
Renev*la El6c. Energyr 5l(VA Sptam or lece
Th€rmostst (Not€: $5 tor ea.h addfidl.l)
Flrst 1g{h gqr.lt Fr*t
E dr td&nd sooaqlrrl c!rt"
E & Ou&u{r8egf &eoh.d @agc li.
A*r Srttrrr*E PA I Hot n b
t dl Clr.Ea
3120.o0
5146.00
3205.00
E262.00
t373.00
s5.00
$63.00
$5.00
s75.00
993.m
st 10.00
8r40.00
i188.00
t96.00
E&|.00
t120.00
3r 0.2.00
t56.00
cr20.00
t40.00
$?4.00
3110.(x)
Charge)
t
$
$
I
G
t
s
$
$
$
I
$
3
T
$
---7-/ 20. oo
OwnerGdefn6d by RCW.19.28.261: (1) O.iner will oc.lpy the sEuctrrc ior t o ysss rfto( lhis cl.cttt pcmitisfnCtsod. (2) Orncr b
rcq\rir€d to hirq an electicd contactor if above 6aid p{op€tty ia tor salc, rent or loaa6. Parmlt cxpir'6 ata. ix rlonths ot I ilr€prclioo.
After readng the sbove staisment, I harrby csniry fiat I am thc o{rn.. ot lhe ebovg aamcd prof,arty or . llcrrBld a*rclricrl contractor. I
tm m.king th! rbdricd imtgflrlion o. dt rslion in conpliancc wih fi. rloctic.llaws, N.E.C., RCW Chaptcr 10.28,l^AC. Ch.p6r 2S&
.{AB, The CiV ol Po.tAngoles Municipal Codc, and Utiltty Sprcilicstorls erd PAilc 14.05.050 r60rdng EllcilcC Pr it Appllcatioa..
9l17t2O1S Andrew P Simpson rtnduq,*P 54ry?!r,"
Dato Print Nam Signature ( D Oflncr F El.ddcd ConiEdor / Mninisator)
lElectrical Psrmit Apptcalions rmy be eubritred to City Han or (] lccticrlpcrrlt5@cityofps.us or fued fo 360..U7.47t11
1'.2 t(D
l+
LSL\l-x.
hr\l\
O SrBUfaniry neidorrtal D Urpl€x /ARU Buildirg Square fociage:
-
t_rorAL s 120.00