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Home My WebLink About1020 E 9th StELECTRICAL PERMIT CITY OF PORT ANGELES 360-417 -473s Q,I r\.\ RS? RESDNTIJ SINGI'E F'A}'IIY 0 Application desc service change skook, rA^o 7)t-/ Applicatsion Number Application pin number Property Address ASSESSOR PARCEL NI'MBER: Application ty'pe descliption subdivision Name . Property Use Property Zoning Application valuatior! . 19 - 00001229 Date 8/L3/).9 461205 1020 E 9TI{ ST 05-30 - 00 - 0 - 2 - 8225 -0000 - BLSCTRICAI ONLY REPORT STATE SATES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) RUSS MORRISON/.'OSEF SWORDMA(ER 1721 W ?TH ST POR? ANGELES WA 983635203 A}IGELBS E1ECTRIC 524 E- 1Sr ST. PORT ANGEIES 1360) 4s2-9264 wa 98362 PermiE AddiEional desc Permit Fee Issue DaEe Expir.atsion Date 120 .00 8/1-3/).9 2/oe/20 EI,ECTRICAL ALTER RESIDENTIAI" PIan Check Fee VaIua!ion vermlt !'ee 'l'oca1 Plan Check ToEal crand ?ot.a1 120.00 .00 120.00 120 .00 .00 120 .00 00 0 Qty Unit charge Per1.00 120 . oo00 EcH EI-0-200 sRV EEEDER Extension 120. O0 Eee summary Charged Paid credited Due PERMIT WILL EXPIRE SIX (6) MONTIIS FROM LAST INSPECTION INSPECTOR:INSPECTION TYPE DATE:RESULTS: )ffiDITCH-# 1; t2; ) t?p wSERVICE tlq ln N srROUGH-IN FINAL IA tb)lit &=N COMMENTS Signature of owner or Electrical Contractor X Date: .00 .00 .00 .00 .00 .00 le lB /tq 08/12/2019 11:10 FAI 360 452 9265 ProjectAddress:/0?o ential E] Duplex /ARU Building Square footage: Name Mailing Address: Name : Angeles Electric, lnc. Mailing Address:524 E. First Street, Port Angeles , wA 98362 Email:ksimpson@olympus.net Angeles Electrlc 112 SINGLE'FAMILY ELECTRICAL P E RMIT APPLI C ON Public Works and Utilities Department 321 E. 5th Str$t, Pofl Angeles, WA 98362 360.41 7.4735 i *r,trv-ci tyotp a.us I electncalpermits@-:cityofo a.us @0001/0001 1'o a =+ti,f,,?;ff Email: pnone: VA- W-AL/76 License:ANGELE1460RS Expiration Date i 2J1t20 Phone:36G452-9264 /t/Z o Item SeMce/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401600 Amp. SeMce'/Feeder 601-1 000 Amp. Service/Feeder over 1000 Amp. Branch Circuit w/ Service Feeder Branch Circuit w/O Service Feeder Each Additional Brandl Circuit Branch Circuits 14 Temp. Service/Feeder 200 Arnp. Temp. ServicelFeeder 201400 Amp TBmp. Service,/Feeder aof -600 nmp, Temp. Sewic€y'Feeder 601 -1000 Arnp. Portal to Portal Hourly Signal Ciroriulimited Energy. 1&2 DU. Manufactured Home Connection Renewable Elec. Energy: SKVA Systern or less Themostat (Note:$5 for each additional) ll[itc[.rca $120.00 $146.00 $20s.00 s262.00 $373.00 $5.00 s63.00 $5.00 $75.00 $93.00 $1t 0.00 &1,49,00r sJ6800 396o0 -OA+,Og' qtralll!Iglal (Ouantity x Unlt Chargo) TOTAL Owner as defined by RCW 19.28261: (1) Owner will ocdpy lhe sguc*ure for two yeats after this €loclricsl Pormit E fnalized. (2) Owner is required to hire an ilestical contraetoiifabove said pmporty is for sale, r.nt or lias6, Petmit 6xpirBs afier sir month8 of l6st inspection' After reading the abovs statement, I h€teby ceniry that I am the own€r of the abo\r€ named Prcperty or a licsnsed alectical conkactor. I am making the elect ical installation or alt8ralion in comPliancs wilh thB €l€cticel laws, N.E.C.' RCW,Chaptsr I 9.28, WAC. Chapter 296- 468, ThB City of PortAngeles Municipal Code, and Utility Specifications PAMC .05.050 Electrlcal Permll ApPlications. Ken Sim son Print Name ignature 1!Contractor I Adminisuator) [Elecfical permit Applications may be submiued to City Halt or elec'trbalpermitE@cityofta.ue or faxed to 360.417.4711l l$ $ /zDn* { ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-473s COMMERCIAL ARTERIAL 0 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) $tls(\ Application Nuiber Application pin number Properly Address ASSESSOR PARCEL NUMBER : ApplicaEion t!.pe description Subdivision Name Property Use Propenty Zoning Application valuation 19- oooo1955 Dar-e t2 /1-2 /a9 030332 05-30- 12 - s - 0- 043 6 -0000 - EIECTRICAL ONIY AppLicaEioIt desc Pofe and service Owner JOI(RIJO LLC 1825 GO],F COTJRSE RD PORT ANGELES SIMPSON ELECTRIC 243 03 5 W HWY 101 PORT ANGELES 135a) 457 92'7O wA 98352 l,qA 98353 Permit AddiEional desc Permit Fee lssue Datse Expiration Date 120 _ 00 a2/t2/L9 6/A9/2A ELECTRICAI, AI,TER RESTDENTIA], Pfan Check Fee Valuation 00 0 Oty Unit. Charge Per 1. OO 12O. OOOO ECH EL-O-2OO SRV EEEDER ExEension 120 .00 Charged Paid Credited Due PermiE Fee Total Plan Check Total Grand Total a2a 120 00 00 o0 .00 .00 .00 00 00 00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTTON DATE:RESULTS:INSPECTOR: DITCH nlnln N a( ROUGH.IN FINAL DleilT tr w COMMENTS: 120.00 .00 120 _ 00 INSPECTION TYPE SERVICE Signature of owner or Electrical Contmctor X Date: 1 - 2 SINGL E-FAMILY ELECTRICAL PERIVIIT APPLICATION Prrbiic \Vorks and lJtiliiics Depil.tffimf .ill tr:.- 5th Slreel" Port.,\nsclcs. \\lr.98.1irl .1irO.l I 7."171j I rvr,-rl.cirr oipa.Lrs I clcclricalpcrntiis,.!;ritl,ol;;a.us LD21 a- I +r 41 2001 Space # l0 Highway 101 E Port Angeles, WA 98362 1lo f -5 5 F Project Address Project Descripti on Pole for service was moved >new 200 Amp Service tr Single-Family Residential tr Duplex / ARU Buitding Square footage Name Jeff Konopaski Email Mailing Address phone 360-808-1804 Name S mpson Eleclrlc lnc License stMPSELgT3RO Exp iration Date:'l2l I 1 l2o2'l P[6ns 360-457-9270 lvla iling Address: P.O Box 1086 Port Angeles, WA 98362 Email.dlsimpso n51@omail.com Item Service/Feeder 200 Amp. Service/Feeder 201400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W Service 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 60'1-'1 000 Amp. Portal to Portal Hourly Signal CircuivLimited Energy - 1&2 DU. lvlanufacrured Home Connection Renewabre Elec Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charoe Aualltiil. IOhl (Quantity x Unit Charge) 120.00$120.00 $146.00 $205.00 $262.00 $373.00 $s.00 $63 00 $5.00 $75.00 $93.00 $110.00 $149.00 $168.00 $96.00 $64:00 $120.00 $ $ $ $ $ ) $ $ $ $ $ $ $ $ $ $ $ $ TOTAL 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 eiectrical 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 contracior I am making the electrical installation or alteration in compliance with the electflcal laws, N. E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468 The City of Po.t Angeles lvlunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrica, Permit Applications. 1211112019 Andrew P Simpson Date Print Name Signature (E Owner p Electrical ractor / Administrator) IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111 1