HomeMy WebLinkAbout1504 1/2 Mcdonald StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
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Application Number
Application pin nurber
Property Address
ASSESSOR PARCEL NUMBER:
Appf ication t)'pe description
Subdivision Name - -
Property Use
Proper:ty zoning
Applicatsion vafuation
19- 000 015 66 Date 10/08/19
709464
1504 1/2 MCDONALD ST
05-30- 00-1-0- 8505- 0000-
ELECTRIC,AL ONLY
ELECIEICAL ALTER RESTDENTIA!
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
UNT.NOWN
0
Applicatsion desc
Replace panel
!,i BAXNEY MTINGER /
15 04 MCDONAI,D S'I
PORT ANGI]I,ES
MARY MEYER
wA 983631006
SIMPSON ELECTRIC
243 03 5 W t{WY 101
PORT ANGEI,ES
(36O) 45't -92',7a
wA 98353
Permit
Additional desc
Permi! Fee
lssue DaEe
Expiration DaLe
120.00
to/oa/t9
4/os/20
Pfan Check Fee
Valuation
00
0
oty UniE Charge Per
1.0 0 120 .0000 ECH EL-O-2OO SRV EEEDER
Extenslon
120 .00
Fee summary charged Paid Credited Due
Perrnit Fee Total
Plan Check Total
Grand Total
120
120
o0
00
00
120
a2a
00
00
00
00
00
00
00
00
00
PERMIT WILLEXPTRE STX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE n ht1fi €
ROUGH-IN
FINAL nlah\€Bfi,II
t-.s
Signature of owner or Electrical Contractor X Date:
RESULTS:
COMMENTS:
1 -2 SINGLE-FAIMILY
ELECTRI CA L PERTUITAPPLICATION
Pr-rblic \\rorks and Utilities l)epaltmcnt
l:1 ]] 5th Su-eer. Polt .\:rEelcs. ]'tA ?[.162
1itO..{ I 7."17 1j I r,.,rvw.c irvolpa.us : clccrricalpcrmlts,.iu)ritl oi'p:.us
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f,i:i;,i;-$a_\N
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Project Address '1504 W Mc Donald St
Project Description replace Zinzco Panel
tr Single-Family Residential ! Duptex / ARU Buitding Square footage
Name Doug Noyes Email
Mailing Address p5qns. 360406-0858
Name Simpson Electric LLC License:SII\,,tPSEL973RO
Exp iration Date: 1 2-1 1 -2O2O
Phone.360-457-9270
l\4ailing Address P.O. Box 1086
Email dlsimps on5'1@qmail.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Crrcuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Servrce/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircurULrmited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec Energy. sKVA System or less
Therm ostat (Note: $5 for each add
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
$56.00
f-qfal (Quantig Unit Charge)
120.00$
$
$
$
$
$
$
$
$
$
TOTA L
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 cerufy 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-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Etectrical Permit Apptications.
101612019 Andrew P Simpson fr"Azr*p
Date Print Name Signature (E Owner p Electrical Con ctor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or fa xed to g60.417 .471jl
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