HomeMy WebLinkAbout1409 Shirley CtELECTRICAL PERMIT
CIry OF PORT ANGELES
360-4t7 -4735
RESfDENTIAL MEDIUM DENSTY
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REPORT STATE SALES TAX
on your excise tax form
to the City of Fort Angeles
(Location Code 0502)
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\nApplication Number
Application pln lumber
ProperEy Address
ASSESSOR PARCEL NUMBER,
Applicatsion tsype description
Subdivision Name
Property Use
Proper!y Zoning
Application waluaEion
19- 00000043 Date )./to /1-9
810 719
140 9 SHIRI,EY CT
05 -3 0 - 00-4 -3 - 0130- 0000-
ELECTRICAL ONLY
Applicatsion desc
Kitchen upgrade
Contsractor
JOSH ,]OHNSTON
1409 S SHIRLEY CT
PORT ANGEI,ES
SIMPSON ELECTRIC
243035 W HWY 101
PORT ANGELES
1350) 15'7 927A
wA 98353 wA 983 53
PermiE
Additsio$al desc
Permi! Eee
Issue Date
ELECTRICAL AITER RESIDENTIAIT
1-4 CIRCUITS
85.00 Plan Check Fee
L/LO/t9 Valuation
7 /09/19
00
Expiratj-on Date
Oty Unit. Charge
2.00 5. oo00
Per
ECH
BASE FEE
EL ECH ADDNT BRANCH CIRCUIT
Extension
75.00
10. 00
Fee summary charged Paid CrediLed Due
Permit Fee Total
Plan Check Tot.a1
Grand ToEal
85.00
.00
85.00
85 .00
.00
85 .00
00
00
00
00
00
00
PERMIT WILL EXPIRE StX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERYICE
ROUGH.IN Z]6J fr N }P
FINAL t lz lr?iP
COMMENTS:
Signature of orrrer or Electrical Contractor X Date
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Proj ect Address: 1409 Shirley Court Rd Port Angeles
Project Descripti on. 5 circuits for Kitchen updates
llsrng Josh Johnston Email:josh-in-pa@hotmail.com
Mailing 466ps55. 1409 Shirley Court Port Angeles Phone 360-775-7045
Name Simpson Electric LLC License SlMPSEL9T3RQ
Exp iration Date: 121 1 1 12019
phone 360-457-9270
P.O. Box 1086 Port Angeles, WA 98362
Email dlsimpson5l @gmail.com
llem
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
ServiceiFeeder 601-1 000 Amp.
Service/Feeder over lOOO 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 601-1000 Amp.
Portal to Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec Energy. sKVA System or less
[Jnit Charoe
$120.00
$146.00
$205 00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
993.00
$110.00
Ouantitv
2
-l-4
x Unit Charge)
$168.00
$96.00
$64.00
$120.00
$102.00
Thermostat (Note: $5 for each additiona
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 certify 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 PortAngeles l\4unicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Etectrical permit Apptications.117119 Andrew P Simpson &"Zz**p
Date Print Name Signature (Owner p Electrical Con r /Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us ot faxed to 360.417.471j!
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tr Single-Family Residential E Duplex / ARU Building Square footage: _
Mailing Address:
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R 75.00
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