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Home My WebLink About1404 S Pine StELECTRICAL PERMIT CITY OF PORT ANGEI-ES 360-417-4735 RS7 RESDNTI] STNGI,E FA.IIILY 0 REPORT STATE SATES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) \ \l')Y- Applicatsion Number Applicatsion pin number Propertsy Address ASSESSOR PARCEL NLrI,{BER : ApplicaEion t!'pe description subdivision Name Property Use Propert.y Zoning ApplicaEion valuation 19 -oO0 01s35 Date aO/O2/ l-9 3 016 96 1404 S PINE ST 06-30 - 00 - 0 -4 - 1800- 0000 - EI-ESIRICA! ONLY Application desc Kitchen and bathroom circuits ConEractor LYNETTE ENSOR ETAL 235 IRWTN ST JUNEAU SIMPSON ELECTRIC 243 0l5 W HWY 101 PORT ANGELES (360) 45',7-92',7A AX 998 01 wA 98353 PermiE Additsional desc Permits Fee Issue Datse Expiratsion Date 140 .00 lo / 02 /a9 3/30/20 ELECTRICA! ALTER RESIDENTIAL BRANCI{ CIRCUIT W/EEEDER 00 oty Unit Charge Per 4 . 00 5 .0000 EClt Et 1. 00 120 .0000 ECH Er,O 2OO SRV FEEDER Extensio 20 .00 120 .00 Charged Due Permit Fee Total Plan Check Total Grand Total 140 140 00 00 00 00 00 00 00 00 00 00 00 00 140 140 PERMIT WILL EXPIRE SD( (6) MONTHS FROM LAST INSPECTION INSPECTION TYPE DATE:RESULTS:INSPECTOR: DITCH SERVICE tol,s)t9 +F :F{-' ROUGH-IN ulzq,ln #C IH FINAL rulri/19 dP 4p COMMENTS: Signa ture of owner or Electrical Contractor X Date: Plan Check Fee Valuation 0 Paid creditsed ELECTRICAL P ERM APPLICATION Public Works and Lltilities Depaltmetl 3l I E. -sth Streer, Port Angeles, \f',4, 98162 160.4 I 7.47_1-s I wrwv.citl,ofpa.us I clcctricalperrnits@cityotira.us !o 3?1 ,o, s \\r\ (N 6..' Project Address 1404 S Pine St. Port Angeles, WA Project Descrip tion update service and 4 Circuits for Kitchen and Bathroom tr Single-Family Residential E Duplex / ARU Euitding Square footage Name Dave ?Email Mailing Address P hone: Name Simpson Electric LLC Mailing AddreSS. P.O. Box 1086 L:cense SIMPSELgT3RO Exp iration Date: 1211 1 12019 Phe6s 360-457-9270Email dlsimp son51@qmail.com Item Service/Feeder 2OO Amp. Service/Feeder 201-400 Amp. Service/Feeder 401600 Amp. Service/Feeder 601 -1 000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W Seryice 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. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1 000 Amp. Portal to Portal Hourly _ Signal CrrcuiULimited Energy - 1&2 DU Manufaclured Home Conneclion Renewable Elec. Energy: sKVA System or less Thermostat (Note: $5 for each additional) LJnit Charoe $120.00 $146 00 $205 00 $262 00 $373.00 $5.00 963 00 $5.00 $75.00 $93.00 $110 00 $149.00 $'168,00 $96.00 $64.00 $120.00 $102.00 $56.00 120.00 0020 $ $ $ $ $ $ $ $ $ $ $ U $ $ $ $ $ $ Each Outbu Each Swimming Pool / Hot Tub 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 certify 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 th€ electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Etectricat Permit Applications. 101112019 Andrew P Simpson 4"4"r*p Date Print Name Signature (E Owner F Electrical Cont /Administrator) [Electrical 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 I NFORMATION PROJECT DETAILS Quantity 1 4 TOTAL fglal (Quantity x Unit Charge) $_ s 140.00 POTIT APPROVED ELECTRICAL INSPECTION WIRING'REPORT 417-4735 NOT APPROVED DITCH ROUGH IN/COVEH SERVICE tr il D D tr D n FINAL .@)- po*^r"-,ONS NEEDED:\) fr*Fe-t ArzE er{ fo tt Vb TZ z-fr-!> K r+-.t-z- N* e-!. tO --3 t..l NOTIFY INSPECTOR IIIHEN COEBECTIONS ARE COMPLETED wlTHIN 15 DAYS _DO NOTREMOVE- DATE:,4 -) NSPECTOF OWNEE CONTNACTOR 1 €*^t ?r)t! t', rrc.r' e.a'rrr 5t yq?+o r-( r€\-=rE-€-:rEr f