HomeMy WebLinkAbout213 W 12th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
RS? RESDNTL SINGLE FA]'4II,Y
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Appfication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER :
Appf icaEion tl,'pe description
suldivision Name
Property Use
Property Zoning
Appficatsion valuation
19- 00000002 Date 1/03/L9
a41908
213 W 12T!I ST
05-30- 00- 0-3 -4 582 - 0000-
ELECTRICAL ONLY
DAVID B SQUIRES/.]AMTE A BRIGGS
484 OCEAN COVE I,N
PORT ANGELES IiA 983 63
(408) 834-s878
SIMPSON ELECTRIC
243 03 6 W HWY 101
PORT ANGELES
\36A) 457 - 9270
wA 943 53
PeInrii:
Additional desc
Permit !ee
Tssue DaLe
EIJECTRICAI AT'TER RESIDENTIAL
1-4 + 5 CIR
105.00 Pfan Check Fee
t/03/19 valuation
'7 / 02 /1-s
00
0
Expiration Date
QLy Unit Charge
5 .00 5. 0000
Per
ECH
BASE EEE
EL-ECII A.DD\IT BRANCH CIRCUIT
Extension
75 .00
30 .00
Chargred Paid credited Due
Permit Fee Totsal
Plan Check Tota1
Grand TotsaI
105
105
105
105
0o
00
00
00
00
00
00
00
o0
.00
.00
.00
DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN tf*tl6 AP
FINAL iln I'o p \*
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of ow:rer or Electrical Contractor X Date
INSPECTION TYPE
,4*S.-
1 - 2 SINGLE-MILY
CT L PER PLIC EOEIUEDPublic \&brks and litilities l)eparrnrent
-il I I:. 5tlr Slir.,,'t. Porl ..\nye les. \\..\ 98-l6l
.l(r(i..1I 7.-1i.15 r., i. n.litr o lj':lr.us r'l-,ctr.icalperrnits,*.citr o il::r. u r;tz4 ELTIIRru
tNsPEon0ils
Project Address. 213 W 15fl{ St port An geles, WA 98362
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Project Description . Update Wiring
E Single-Family Residential E Duptex / ARU Building Square footage:
Name David Squires Email:
Mailing 466r""r. 484 Ocean Cove Ln p6sns. 408-834-5878
Name. Simpson Electric LLC 11ssnsg. SIMPSEL9T3RQ
Mailing
Email:
Address: P-O. Box 1086 Port Angeles Expiration 931s. 12111119
Phone
Item Ouantitv Iqb! (Quantity x Unit Charge)
Service/Feeder 200 Amp.
Service/Feeder 201 -4OO Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 60'1 -1 000 Amp_
Service/Feeder over 1OO0 Amp.
Branch Circuit W/ SeMce Feede.
Branch Circuit V\,/O Service Feeder
Each Additional Branch Circrrit
Branch Circuits 1-4
Temp. Service/Feeder ZO0 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1OOO Amp.
Portal to Portal Hourty
Signal Circuiulimited Energy - 1&2 DU.
Manufu ctured Home Connectiqn
Renewable Elec- Eoergy: 5KVA System or less
Thermostat (Note: 95 for each additjonal)
First 1300 Square Feet
Each Additional 500 square feet.-
Each Outbuilding / Detached carage
Each Slvimmiog poot / Hot Tub
TOTAL
Owner as detlned by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is tinalized. (2) Owner isrequired to hire an eleckical contractor if above sai.j property is for sale, rent or lease. permit expires after six months of last inspection
After reading the above statement, I he.eby certin/ that I am the owner of the above named property or a licensed electrical contractor Iam making the electric€l installation oralteration in compliance with the electrical laws, N.E.c., Rcw.Chapter l Chapter296-468, The City of PortAngetes Mun icipal Code, and Utitity Specifications and pANrC 14.0S lications12-26-18 Andrew P Si mpson
Date Print Name Signature (E Owner Electrical Contractor /istator)
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$s6.00
$120.00
$40.00
$74.00
$110.00
$
$
$
$
s
105.00
$
$
$
$
$
U
$
$
$
$
$
$
$
$
$
$
$
$
6
4
30.00
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lElectrical Permit Applications may be submitted to city Hall or electricalpermits@cityofpa.us or faxed to 360 .417.47111
ATION