HomeMy WebLinkAbout302 Tumwater Truck Rt (2)ELECTRICAL PERMIT
CTTY OF PORTANGELES
360.4.174735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicatsion E)'pe description
subdivision Name
Property Use
Property zoning
Applicatsion valuation
19 - 00000658 Date
398595
302 TSM}]ATER TRUCK RT
05 - 3 0 - 00 - 0 - 0 - 7515 - 0000-
ELECTRICAL ONLY
Permit Fee Totaf
PIan Check Total
Grand Totsa1
85. 00
.00
85 .00
.00
.00
.00
REPORTSTATESATES XAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
s / o9 /1-9
UNKNOWN
0
Applicalion desc
Eire panel circuits
Owner ConEractor
Daren Konopaski
320 T\rmwater rt
PORT ANGELES
(350) 460 ?553
SIMPSON EI,ECTRIC
243 03 6 W HWY 101
PORT ANGEI,ES
1360) 45'1-921O
wA 983 53 wA 983 63
Permit
Additional desc
Permit Fee
Issue Date
ExpiraEion Date
ELECTRICAL ALTER COMMERCIAI,
1-4 CIRCUITS
85. O0 Plan Check Fee
5/09/L9 valuat.ion
1-t/ os /L9
00
0
Qtsy Unit Charge Per
BASE FEE
Exteosion
85.00
I'ee summary Charged Pa id Credited Irue
00
00
00
PERMTT Wr[L EXPTRE SX (6) Mot.IIrrS FROM IAST tNSpECnON
INSPECIION TYPE INSPECTOR
DITCH
SERVICE
ROUGH.IN t ul$ [n 6f ED
FINAL qttlE)t dr r#
COMMENTS:
IIIIII
s
Rs
86.00
.00
85.00
DATE RESTJLTS:
Sigoaturc ofoumer or El€ctrical Contsactor X_ Date:
IMULT I-FAMILY i COTMIV ERCIAL
ELE CTRICAL PERMI T APPLICATION
Public Works and Utilities Depattment
3:l E. 5th Street. Port Angeles, W,{ 98362
-160.41 7.4735 | u,"w'r,r,.citl,ofpa.us I electricalpennits@)cityofpa.us
F€C;
'lAy ri'
Project Address 302 Tumwater Truck Route Port Anqeles
Project Description Circuit for Fire Panel
E Multi-Famaly Residential E) Commerciat / lndustrial / pubtic Building Square footage
Name Rodocker Woodworks LLC Email
Mailing Address P hone 360-775-1620
Name Simpson Electric LLC License: SIMPSEL9T3RQ
Expiration Date 12t11t20',t9
Phone: 360-457-9270
Mailing Address P.O. Box 1086 Port Anoeles, WA 98362
Email dlsimpson5l @qmail.com
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 Servic€ Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp Service/Feeder 200 Amp
Temp. Service/Feeder 201 -400 Amp.
Temp Servlce/Feeder 401-600 Amp.
Temo Serv,ce/Feeder 601-'1000 Amp
Portal to Portal Hour y
Sign / Outline Lighting
Signal CircuiVLimited Energy - Multi-Family
Signal CircuiVLimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: 5KVA System or less
Thermostat (Noter $5 for each additional)
qu3!fi$a Iolal (Quantity x Unit Charge)Unit 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
14
$ 113.00
$56.00
$86.0 TOTA L
Owner as defined by RCW.19.28.261; (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certity that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
510712019 Andrew P Simpson ,4"42"*P STWDE,
1'o
3
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OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
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$ 86.00
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Date Print Name Signature (E] Owner p Electrical Contractor / Administrato0
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]