HomeMy WebLinkAbout227 E 6th St (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
COWI]NITY SHOPPING DISTR
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicatsion Nurdcer
Application pin nunber
Property Address
ASSESSOR PARCEL NUMBER:
Applicatior t]?e descriptioo
Subdivision Name .
Property Use
Property Zoning
Application valuation
19- 00000834 Datse 6/05/1-9
5 533 04
06- 30 - 00 - 0 -2- 0055 - 0000-
EI,ECTRICAL ONLY
0
ApplicaEion desc
Circuits door opener
Contractor
EIRST FEDERAL SAVINGS & LOAN
BRANCH LOCATIONS
PORT ANGEIES WA 98362
SIMPSON EI]ECTRIC
243035 W IIWY 101
PORT ANGELES
1350) 457 -92?0
wA 98353
Permit
Addi E ional
Permit Fee
Issue DaEe
Expiration
ELECTRICAL ANTER COMMERCIAI
1-4 CIRCUTTS
86.00 PIan Check E'ee
6 /05/a9 Va-Luation
a2/02/1-9
desc
Date
00
0
Qty Unit. Charge Per
BASE FEE
Extens ion
86.00
l'ee summary Charged Paid Credi.ted Due
Permit lee Total
Plan Check ?otal
Grand Total
85. 00
.00
86.00
86 .00
.00
86 .00
00
00
00
PERMM WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION Tl?E RESULTS:INSPECTOR:
DITCH
ROUGH-IN
FINAI-
COMMENTS:bY Llsl4
II
T
Signature ofowner or Electrical Contractor X Date
.00
.00
.00
DATE:
SER\'ICE
.^ZZ),/7-8sr'"%2
oWB /
CONTFACTON
APPROVED
COBRECTIONS NEEOED:
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
DITCH
. . .. ROUGH IN/COVER
...SERVICE..
FINAL
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
_ DO NOT REMOVE-
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tVI U LTI -FAIVI I LY / COIM tVI E RC IAL FEc
ELECTRICAL PER IUIT APPLICATION Q?er
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t+tt/ltaaIlublic Works anti Lltilities Departmelt
311 i. ,sth Streei, Po{ Angeles" WA 98162
360.4 I 7.47,15 | wxu,.citvolpa.us j electricalpermits@ciryofpa.us
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Project Address 227 E 6th St. Port Anqeles
Project Description Circuit for Door Opener
n Multi-Family Residential U Commercial / lndustrial / Pubtic Building Square footage
Name First Federal Bank Email
[/ailing fl(drss5 227 E 6th St Port Angeles phone. 360- 457-0461
Name Simpson Electric LLC
lilailing Address P.O. Box 1086
License: SIMPSELgT3RQ
Expiration Date 12t1112019
Phone: 360-457-9270Emaildlsimpson5l @qmail .com
Item
Service/Feeder 2OO Amp.
Service/Feeder 201-4O0 Amp.
Service/Feeder 40'1 -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 Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp Service/Feeder 201-400 Amp.
Temp. Service/Feedel 401-600 Amp.
Temp. Service/Feeder 601 -'1 OOO Amp
Portal to Portal Hourly :
Sign / Outline LightinS . ."
Signal CircuiULimited Energy -
LJnit Charoe
$132.00
$160.00
$225 00
$288.00
$410.00
$s.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
f-slal (Quantity x Charge)
86.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$86.00 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 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 Municipal code, and Utility Specifications and PAMc 14.05.050 regarding Etectrical permit Appljcations.
512212019 Andrew P Simpson lqdAzi", p
Print Name Signature (E Owner F Electrical Contractor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.4j7 .47 i1)
OWNER INFORIV1ATION
CONTRACTOR INFORMA{ION
$_
q
Signal Circuiulimited Energy/Firsi 15OO sf ,ioommercial
(Note. $5 00 for each additional 1500 sf)
Renewable Elec. Energy: sKVA System or less ' .
Thermostat (Note: $5 for each additto.ral)
$113.00
$56.00
Date