HomeMy WebLinkAbout4012 Newell Rd D-1\5
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Application Number . .
Application pin number
Property Address
ASSESSOR PARCEL NUMBER I
ApplicaEion !),?e description
Subdivision Name -
Properly Use
Properly zoning
Application valuation
22 - 000003?3 Date 3/31/22
a6aa77
4012 NEWELL RD D.1
06-3 0-09 - 5 - 0 -0130 -0000-
EI,ECTRICAI, ONI,Y
IJNXNCViN
0
Applicalion desc
Meter pack BLDG D
Contractor
WESTON.WEBB. PETER &
110 SEA BI-UFF LANE
PORT ANGEIJES
DAWN
wA 98362
S]MPSON ELECTRIC
243035 Vt HWY 101
PORT ANGEIES
{16A) 4s7 -927A
wA 98363
Permit
Additional desc
Permrc ree
l6sue Datse . .
Expiratsion Date
150.00
3 /31/22
e/27/22
EIECTRICA.L ALTER COI',II,IERC I A!
00
0
Qly Unil Charge Per
1.00 160.0000 EcH EL-coM 201-400 sRv EEEDER
Extsension
160.00
charged
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTIO
Signature ofowner or Electriaal Contractor X
Permits Fee Total
Plan Check Tot.aI
Grand Total
160.00
.00
160.00
150 .00
.00
160.00
.00
.00
.00
00
00
00
Paid Due
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE z lzr f z-z-C-\4St/\S{
ROUGH-IN I
FINAI i)ts lzz *}G
COMMENTS:L,hrbLL ?
G: EXCHANCEBUILDING
I
Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
Plan check Eee
Valuation
l I I
M ULTI-FAM I LY / COMM ERCIAL
ELECTRICAL PERMIT APPLICATIO N
Public \Vorks and Utilitics Depaltment
-121 E. 5Lh Sh'eet. Port Angeles. !\A 91i-162
-160.417..1?35 r.v."vr.v. c ityo fpa. us lelectricalpernritsi?Lcrtyofpll.us
4012 S Newell Rd Building D
Project Address
Project Description:
E] Muli-Family Residential E Commercial / lndustrial / Public Building Square footage:
-*-
Name: Dawn Weston-Webb Email: sonblest@gmail.com
Mailing Address 402 Dungeness Medows Sequim, WA Phone:360-417-8037
Name:
Mailing
SIMPSON ELECTRIC LLC License:SIMPSEL9T3RQ
AddreSS: P.O. Box 1086 Port Angeles, WA 98362 Expirati 6n Q2ls 121112023
Emait: dlsimpson5 l @qmail.com Phone:360-457 -9270
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 60'1-1 000 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. Seruice/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp.
Temp. Service/Feeder 40'l-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Houdy
Sign / Outline Lighting
Signal CircuiVLimited Energy - Multi-Family
Signal CircuiuLimited EnergyiFirst 1500 sf - Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy; sKVA System or less
Thermostat (Note: $5 for each additional)
Ljnit Charqe ouantlty
$132.00
$160.00 160.00
$225.00
$288.00
$410.00
S5.UU
$74.00
$5.00
$86.00
s102.00
s121 .00
$164.00
$185.00
$e6.00
$88.00
$88.00
$s6.00
f!]lal (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
't60.00
$1 13.00
$56.00 $__
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 monlhs 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 oralteration in compliance with the electricallaws, N.E.C., RCW. Chapter 19.28, WAC. Chapter296-
468, Ihe City of Port Angeles Municipal Code, and Utitity Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
3 3A 2022 ANDREW P SIMPSON ,4tAzta-
Print Name Signature (! Owner I Contractor / Administrator)Date
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.usl
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Change out meters for Building D and Laundry Room Meter pac
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INFORUrATON
r=rEr.mex--Engt}'w
$ 160.00 rorAL