HomeMy WebLinkAbout519 E Park AveELECTRICAL PERMIT
CiTY OF PORT ANGELES
360-417 -4735
RS7 RESDNTL SINGLE FAIVI]LY
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
+o
Ns
Application Number
Application pin nufiiber
Property Address
ASSESSOR PARCET NUIVIBER:
Application E!?e description
Sr.r.bdivision Name
Property use
Property zoning
Application valuation
19- 00001247 Dare I /1-9 /1-9
425052
519 E PARK AVE
05-3 0 - 10- 5 - 0 - 0150- 0000 -
EI,ECTRICA], ONLY
Application desc
Garage feeder, Hot Eub, bathroon, outside outlets
Roger D !{eideffer SIMPSON E'ECTRIC
243036 W HWY 101
PORT ANGELES
136A) 4s'7 -927O
15634 N 21 ST
Phoenix, Az wA 98353
(602 ) 228-4851
Permit
Additiona] desc
Issue Datse
E:.?iratsion Datse
150.00
8/te/re
2/L5 /2a
ELECTRICAL ALTER RESIDEITITAT,
Plan Check Fee
ValuaEion
00
QEy UniE Charge Per5-00 5.0000 Ect{
1.00 120.0000 EcH
EL-BFANCH CIRCUIT W/FEEDER
EL- O-2OO SRV FEEDER
Extension
30.00
120 .00
Charged Paid Creditsed Due
Permrt l'ee lotsaI
PIan Check Totsal
Grand Total
1s0
150
00
00
00
150
150
00
00
00
00
00
00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE
DITCH *
SER\'ICE
ROUGH.IN olzqhot dk T.P
FINAL to)*+ lfr tP *
COMMENTS:
Signature of owner or Electrical Contmctor X Date:
0
.00
.00
.00
DATE:RESULTS:INSPECTOR:
1., )b hq qtr
llo
3ELEL PERTUITAPPLICATION
I'Lrblic Works and Utilities Departmet.rt
3l I ll. -ith Street. Port Angeles" \l',4. 98i62
160.4 I 7..t7J5 rarvu'.cityotpa.us I elecrricalperrnits()cityofira.us
Proje ctAddress: 519 E Park Ave Port Angeles
Project Descripti on. n"ptu"" Effifflnt Garage, Move Hot tub circuit , Remodel Bathroom, 3 - Outside outlets
;;,,?;?
\
N
Name Rodger Neideffer Email
Siripson Electric LLC lissnsg SlMPSEL9T3RQ
P.O. Box 1086 Port les, WA 98362 Expi ps1166 9s1s. 12l11/19Mailing Address
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 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. Servrce/Feeder 40'1 -600 Amp.
Temp. Service/Feedei.601 -1 000 Amp.
Portal to Portal Hourly
Signal Circuiulrmrted Energy -'1&2 DU
Manufactured Home Connecfu on
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63 00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
uantity x Unit Charge)
120.00
30.00
$
$
$
$
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 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 certiiy 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 the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications.
811412019 Andrew P Simpson ,1,/Z"r* p S)r,fd-ed,
Date Print Name Signature (E Owner p Electrical Contractor / Administratoo
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47'11]
1 - 2 SINGLE-FAIMILY
E Single-Family Residential E Duplex / ARU Building Square footage: _
Mailing Address: 519 E Park Ave Port Angeles, WA 98362 p;6,ng. 602-228-4861
Name:
Email. dlsimpsonsl @gmail.com phone. 360-457-9270
Ouantitv
1
^o
$40.00
$74.00
!oi]ELECTRICAL INSPECTION
WIRING REPOBT
4174735
APPROVED
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D
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DITCH
. .... ROUGH IN/COVER
SERVICE
n
tr
nFINAL
)CORRECTIONS NEEDED:5"*D12fr-zr.tNEztLffi
Boy
NOTIFY INSPECTOR WHEN COERECTTONS
ARE COMPLETED wlTHIN 15 OAYS
-DO NOT REMOVE-
DATE:lo I J zql €CTOB
OWNEH
CONTRACTOB
4
9 w- PxtzaADDBESS
v,
NOT APPROVED