HomeMy WebLinkAbout817 S Lincoln StELECTRTCAL PERMIT
CITY OF PORT ANGELES
360-417-4735
s\
6-o6-
ApplicaLion Nuhber
Application pin number
Property Address
ASSESSOR PARCEL NLTMBER:
Applicai:ion tsrce descriptsion
subdivision Name
Property Use
Property Zoning
ApplicaLion valuation
18 00001606 Dare 10/16118
218230
817 S LINCOLN ST
06 l0 00 0 2 6940 000c
ELECTRICAL ONLY
UNKNOWN
Applicalion desc
Upgrade service and circuits
owner €2?A L 'f-11 1)^fl Contractor
TRUSSELL FA.!,1ILY ILC
]85 HUMBLE HILL RD
SEOUIM
STMPSON EI,ECTRlC
243035 W HriY 101
PORT ANGELES
\36A) 457 9210
wA 983 82 wA 98363
Permit
Additional desc
PermiL Fee
Issue Date
Expiration Date
160.00
ta /t6 /ta
4 /11/ te
EI]ECTRICAII ALTER RESIDENTIAI]
Plan check Fee
valua!ion
QLy Unit. Charge Per
8.00 5.0000 ECH
1. 00 120 . 0000 ECH
Extension
40. 00
120.00
EL BRANCH C]RCUIT \,I/FEEDER
EL N 2OO SRV FEEDER
Charged Paid CrediLed Due
Pernit Fee Tot.al
Plan Check To!a1
Grand Total
00
00
00
c0
CC
00
00
00
00
00
00
00
160
160
150
150
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATF,:RESULTS:
DITCH
SER\'ICE il-'t5- r I /&
ROUGH.IN
FINAL
COMMENTS:n^
TII L!
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signa ture of owner or Electrical Contractor X Date:
0
.00
0
INSPECTOR:
E
ELECTRICAL PERIVI IT APPL ICATI ON
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RECEIUED
1lof
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C>$\Proje s1466r.r..817 Lincoln St Port Angeles, WA 98362
Project Description Update Service and B Circuits for heat and fans
0 Single Famiiy Residential [] Duplex /ARU Building Square footage
Name. OJ Trussell LLC Email
N4ailing Address _ Phone
Name- Simpson Electric LLC liggnss. SIMPSEL9T3RQ
Exp iration Date: 1211 1 12019
Phone
Mailing
Email:
Address. PO Box 1086 Port Angeles WA
Unit Charge
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$7s_00
$93_00
$110.00
$149.00
$168.O0
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$1'10.00
Quantitv Iqbl (Quahtity x Unit Charge)
'120.00$
$
$
b
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
40.00
TOTAL
10-12-18 Andrew P Simpson 4,o&,a.r,*P
Date Print Name Signature (n Owner g Electrical Cont.actor / Adminislrator)
160.00
IElectrical Permit Applications may be submitted tg City Hall or eleclricaipermits@cityofpa.us or faxed to 360.417.4711]
1 - 2 SINGLE-FAN4ILY
ocl t, 20
flrclRt0il_
lNSPifitoils
Item
Service/Feeder 200 Amp.
Service/Feeder 20 1 -400 Amp.
Service/Feeder 401 S00 Amp.
Service/Feeder 601 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit w/ Service Feeder
Branch Circdit 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$00 Amp.
Temp. ServicelFeeder 601-'1 000 Amp.
Portal to Portal Hou.ly
Signal Cirqrit/Limited EneBy - 1&2 DU.
Manufu ctured Home Connec-tion
Renewable Elec. Energy: sKVA System o. less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square leef'
Each Outbuilding / Deiached Garage
Each Swimming Pool/ Hot Tub
1
s
--__---____:-
Owner as deflned by RCW.19.28.261: ( i ) Owner wlll occupy ihe structu.e for t\ /o years after this electrical permit is finalized- (2) Owner is
required to hire an electrical cofltractor if above said property is for sale, rent or lease, Perrnit expires after six months of last inspection.
After reading the above statement, I hereby cert fy that I am the orrner ofthe above named property or a licensed electn-cal contraclor. I
am making the electfical inslallation or alteration in compliance with the electrical laws, N.E.C., RCW Ctrapter 19.28, WAC. Chapter 296-
468, ,he City of PortAngeles l\runicipal Code, and Utility Speciications and PAMC 14.05.050 regarding Electrical Pen'nit Applications