HomeMy WebLinkAbout428 E 10th St (2)ELECTRICAL PERMIT
CTTY OF PORT ANGELES
360-417 -4735
RS? RESDNTL SINGLB FAMILY
0
REPORT STATE SATES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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ApplicaEion Nrimber
Applicatsion pin number
Proper!y Address
ASSESSOR PARCEL NWBER:
ApplicaEion t)T)e description
subdivision Name
Propert.y Use
ProperEy zoning
Application valuation
19-ooo0o145 Date L/24 / 19
735285
428 E 10TH S"
06- 30- 00 -0-3 -3110 -0000-
EIECTRICAL ON1Y
Applicat.ion desc
Can lights and heater
Owner
TRUSSELL EAI'IILY ],LC
385 Hlll"lBLE IIILL RD
SEQUIM
STMPSON ELECTRIC
243016 W HWY 101
PORT ANGEI,ES
\360) 451-927A
wA 98382 wA 983 53
Permit
Additional
Permit Fee
Issue Date
ExpiraElon
ELECTRICAL AITER RESIDENTIAL
1-4 CfRCUITS
?5.00 Plan Check Fee
t/24/19 valuaL-Lon
1 /23 /re
desc
Dalre
00
0
oty UniE Charge Per
BASE FEE
Extension
75.00
Charged Paid CrediLed Due
Permit Fee Total
PIan Check ToEal
Grand Tot.al
75 .00
.00
?5 .00
00
00
00
00
00
00
PERM T WILL EXPIR.E SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN t Jzt /to dr :tr
FINAI zlzi)iq dtr :SP
COMMENTS:
Signature ofowner or Electrical Contractor X Date
75. O0
.00
75. 00
CAL PERMIT APP
Pr"rblic l\brks and Lltilities Department
321 11. 5th Sheet. Port .Angeles, \tr'.4. 98.162
160.417.471-ilr,,*r.,,.citr.ofpa,rrsjclccrricalpe:nrits.'.i!.cit1cfpa.us
RECEIYED
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Proj ect Address: 428 E 1Oth St Port Angeles, WA 98362
Project Descripti on. 1-4 Circuits for can lights, heater
tr Single-Family Residential E Duplex / ARU Building Square footage
Name OJ Trussell LLC Email:
lvlailing Address p6sns. 36Q-477-9177
Simpson Electric LLC License. stMPSELgT3RQ
Expiration Date 12t11t2019
Phens 360-457-9270
l\4ailing Address P.O. Box 1086 Port Anqele s, WA 98362
Email dlsinrpson5l @gmail.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Servicei Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuil WO Service Feeder
Each Additional Branch Circuit
Branch Circuits '1-4
Temp. Service/Feeder 200 Amp
Temp. ServiceiFeeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Servrce/Feeder 601-'1000 Amp
Portalto Portal Hourly
Signal Circuiulimited Energy - 1&2 DU
Manufactured Home Connection
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
Ouantitv Total ty x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
0075
$
$
$
$
TOTAL
Owner as defined by RCW 19.28.26'l: (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 iicensed 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 PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
1-23-15 Andrew P Simpson KE/r""* P
Date Print Name Signature (n Owner p ectrical Contractor / Administrato0
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
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