HomeMy WebLinkAbout215 1/2 W 12th StELECTRICAL PERMIT
CMY OF PORT ANGELES
360-417-4735
RS7 RESDNTI, SINGLE FA]VIILY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
5otL
&
\ApplicaLion Number
ApplicaEion pin number
Propertsy Address
ASSESSOR PARCEL NUMBER:
Applica!ion L).pe description
subdivisio$ Name
ProperEy Use
Property Zoning
Application valuaEion
19 - 00000805 Date S /29 /1-9
4 3 4115
2:.5 1-/2 W t2TH S'.t
05 - 30 - 00 - 0 -3 - 4 582 - 0000-
ELECTRICAL ONITY
Application desc
Rewire and service
ConLractor
DAVrD B sourRES/JA.l',trE A BRrccs
484 OCEAN CO\TE LN
POR? ANGELES WA 983 63
(408 ) 834- s 878
SIMPSON ELECTRIC
243 03 5 W h'WY 101
PORT ANGELES
136A) 457 -927O
Permit
Additionaf desc
Permit Fee
Issue Date
Expiration DaEe
220.OO
s/29/te
t\/25 /re
ELECTRTCAL ALTER RESIDEMTTAI
0
Qty Unit Charge Per
20.00 5.0000 ECH
1- 00 120.0000 ECH
EL-BRANCH CIRCUIT W/FEEDER
EL O-2OO SRV FEEDER
Extension
100. 00
120.00
Charged Paid Credited Due
Permits Fee Total
Plan Check ToEal
Grand Total
224
22A
00
00
00
00
00
00
00
00
00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:
DITCH
SER\'ICE ulnlc4 "g w
ROUGH-IN Diln &eP_
FINAL a'lztTr #Y
Signature ofowner or Electrical Contactor X Date
-S
wa 98353
Plan Check Fee
valuation
.00
220.Oa
.00
220.0O
INSPECTOR:
=#K
COMMENTS:
ELECTRICAL PER MIT APPLICATION
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Pro]ect Address:215 ffiW 12th St Port AnOeles
Project Descriptio n 200 amp Service and wire house
fi Single-Famity Residental El Duplex /ARU Building square footage:
[rlqyng; David B Squies/Jamie A B.iggs
Mailing 4661gss' 484 Ocean Cove Ln Port ArEeles,WA 98363
Email:
P661s; '108{34-5878
NarIE. Simpson Electic LLC License:SIMPSEL9T3RO
tlstr
Service,/Feeder 200 Amp
Service,/Feeder 201-,{00 Amp
Service/Feeder 401-600 Amp
Service,/Feeder 601-'l 000 Amp.
Service/Feeder over'1000 Amp
Branct Circuit W Service Feeder
Branch Circuit w/O Service Feeder
Each Additional Branch Circuit
Branch Circuits t{
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400Amp.
Temp. ServicelFeeder 40't€00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourty
Signal CircuiuLimiled Energy - l&2 DU
Manufactured Home Conneclion
Renowable Elec- Energy: 5KVA System or less
Thermostat (Nole: $5 for each additional)
First 1300 Square Feet
Eac.h Additonal 500 sqjare feet '
Each Oubuilding / Det&hed Gdage
Each Swimming Pool / Hot Tub
thlt-Clilcs
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93 00
$1 10.00
$149.00
$168 00
$96 00
$64 00
$120.00
$'102.00
$56 00
$120.00
s40.00
$74.00
$110.00
Ogglgg IOtsI (Quandly r Unlt chaige)
120.00
100.00
$
$
$
$
$
$
$
$
$
$
s
p
$
$
$
$
iD
$
$
Dats Pdnt Name SlgnElure (E Owner p Elecfi cal Contraclor / Adninistrator)
220 oo
lEledricaf Permit Applications rnay be submitted to Oty Hall or electricalpern*ts@cjtyofpa.us or faxed to 360 .417.47111
1 - 2 SINGLE-FAMILY
l+
R
Mailing Address: P.O. Box t 086 Port Angeles, Wa 98362 Exdration Date: 1?'112019
Ernail. dbrmpsonsl @gmarl.com phone: S9j!I:9?4__
1
N
-------'-
TOTAL
Owner as defined by RCW.1S.28.261 i (1) Owner t'rili occupy the structJre for two years efter this eleolrical permrt is finalized. (2) Owner is
required to hire an e ectrical contractor if above said property is for sale, rent or lease. Permit expires afrer six monlhs of last lnspeclion.
After reading tre above sbtement, I hereby certify that I am fie owner ofthe above named properv or a licensed electrical confactor I
am making the elecfical installation or alteration in compliance with th6 olectncal l8ws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The Ciry of PortAngeles Municipal Code, and Utility Specitications and PAMC 14.05,050 regarding Electical Permit Application6.
5l28l2A1S Andrew P Simpson ^in&-aa, F S"ta*a-tp
OI^INER INFORMATION
APPROVED NOT APPROVED
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NOTIFY INSPECTOR WHEI'I CORRECTIONS
I,RE COMPLETED WI?HIT'I 15 OAYS
_ DO NOT REMOVE-
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ELECTRICAL INSPECTION
WIRING REPOHT
4174735
....FINAL
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APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOTAPPROVED
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FINAL tr
CORHECTIONS
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NOTIFY INSPECTOR WHEN CORRECNONS
ARE COMPLETED wlTHIH 15 DAYS
- DO NOT REMOVE-
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ON F/NSP
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