HomeMy WebLinkAbout219 E 8th St (2)s-DELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-473s
COMMUNITY SHOPPING DISTR
0
!t
\}\
Application Nullber
Application pin numlcer
Property Address
ASSESSOR PARCEL NU}4BER:
Application E)?e descripEion
Subdivlsion Name
Property Use
Property zoning
Application valuatioa
19- 000013 58 Date 9/os/19
153 816
219 E 8TH ST
05 - 30- 00 - 0 - 2 - 30?2 - 0000 -
ETECTRICAT ONLY
Application desc
Meter mast. replacements
Owner ConEracEor
PIERCE LEONA&D
PO BOX 1001
PORT ANGELES
SIMPSON ELECTRIC
243 03 6 W HWY 101
PORT ANGELES
(36A) 45',7 -92'7A
wA 9436201?4 wa 98363
Permits
Additsional desc
Pennits Fee
lssue Datse
ExpiraEion DaEe
120 .00
9/05/19
3/03/20
ELECTRICAIT AI'TER RESIDEIITIA]'
.00
0
QEy Unit Charge Per
1.00 120.0000 EcH El-0-200 sRv FEEDER
Extension
120.00
Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Total
720
120
00
00
00
00
00
00
o0
oo
00
REPORT STATE SATES TAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
INSPECTiON TYPE DATE:RESULTS:INSPECTOR:
DITCH b b)fi R s-
SERVICE b'f{/tc ,4P /4-E)
ROUGH-IN
FINAL to/E /,s }P
COMMENTS:
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTTON
Signature of owl1er or Electrical Contractor X Date
Pfan check Fee ;
Valuation
120. O0
. o0
120. O0
&
ELECTRICAL PERMIT APPLICATI oN tfp
Public Works and Utilities Depafiment
il I U. 5th Streer. Port Angeles" \\A 98362
360.4 I 7..171,5 | r,r,rvw.citvofpa.Lrs j elcctricalpermits@cityofira.us
P€n..-U
(D
f
F
N
Cb
l/t
' 10ta
Prole ct Address: 219 E 8th St Port Angeles, WA 98362
Project Descripti on 100 Amp lvleter Mast replacement
E Single-Family Residential E Duplex / ARU Building Square footage
Name Mary Pfaff Pierce Email
Mailing Address phone. 360-457-9356
Name Simpson Eleciric LLC License. srMPSELgT3RO
Exp iration Date: 1211112019
Phone 360-457 -927 0
lilailing Address: P.O Box 1086 Port Anqeles, WA 98362
Email dlsimpson5l@gmail.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp
Branch Circuit W Service Feeder
Branch Crrcuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp Service/Feeder 200 Amp.
Temp Service/Feeder 201-400 Amp
Temp. Service/Feeder 401 600 Amp
Tero Servrce,Feeoer 601-'000 Amp
Portalto Portal Hourly
Slgna Clrcuit/Limited Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Therrnostat (Note: $5 for each additional)
Firct 1300 Square Fe€l
Each Additional 500 square feet"
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
Ouantitv fglal (Quantity x Unit Charge)
120.00
unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63 00
$5.00
$7s.00
$93 00
$110 00
$149.00
$
$
$
$
$
$
$
$
$
$
$
1
$120.00
$102.00
$120.00
$40.00
$74.00
$110.00
TOTAL
$168.00
$96.00
$64.00
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
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires aftei six months of last inspectjon.
After reading the above statement, I hereby certity 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 '19.2g, WAC. Chapter 296-
468, The city of Port Angeles N4unicipal code, and Utility specifications and PAMC 14.05.050 regarding Etectricat permit Applications.
910412019 Andrew P Simpson ,4"Zrr* p L'
Date Print Name Signature (! Owner p Electrical ractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
EEEIErTIF-#IIB
q
$_
$_
q
$_
s 120.00