HomeMy WebLinkAbout1301 W 6th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RS7 RESDNTIJ SINGLE FA}'IILY
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{ApplicatioE Number . .
Appli.cacion pin nunlcer
Property Addre6a
ASSESSOR PARCEL NUI,IBER I
Application Eype descripEioo
subdivision Name .
Properly Use
Property zoaing
ApplicaEion valuation
22-OOOOO257 Date 3/08/22
5 535 98
1301 W 5TIt ST
05 -30- 00-0 - 1-2080- 0000 -
EIJECTRICAIT ONITY
Applica!ion desc
Service and heaters
CIIAMBERLIN FRANK L
4OO5 S TILL RD
PORT ANGEI,ES
SIMPSON ELECTRIC
243036 W Ht{Y 101
PORT ANGELES
136A) 457 -927O
wA 98352 l.lA 98363
Permit
AddiEional desc
Permi! Fee
Issue Datse . .
Expilaaion DaEe
145.00
3/08/22
9 /04/22
ELECTRICA! ALTER RESIDENT]AL
Plan Check Fee
VaLuation
Qtv
5.00
1.00
UniE Charge Pe!
5.0000 EcH
120.0000 EcH
E!-BRANCII CIRCUIT W/FEEDER
E],.O.2OO SRV AEEDER
00
0
Excens ion
25.OO
120.00
charged Paid Crediled Due
Permil Eee Total
Plan Check ToEaI
Grand ToEal
145.00
.00
1.45.00
145.00
.00
145.00
00
00
00
00
00
00
REPORTSALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE zHrz-
ROUGH-IN
FINAL >lqlrc-€
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Eloctrical Contractor X Date
lnrsulrs,I
I
D -r(rl_r
lB7
ELECTRI CAL PERM IT APPLICATION.
PLrblic l"(: rks and ULiljties Dcpartrttent
32I E,. 5th Stleet. PoL't Angi:)es, \!l\ 98162
l6().:l17.4715 i r,r, wrv cityotpa us I e lectrical pr:r'ru irst-J4cityo lp a. us
1301 W 6th St Port Angeles, WA
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Project Address
update Service,cncuil lor 2 baseboard Healers
Project Description
E Single-Family Residential E Duplex / ARU Building Square footage:
Name Email: f ra.4c!etr!9lljl1@gmial.com
Mailing Address ' 1301 W 6th St Port Angeles, WA 98363 Phone:457 -7937
Name:
Mailing
Email:
Simpson Electric LLC U696391 SIMPSEL9T3RQ
Exp iration Date: 1211112023
Phone: 360457-9270
Addre ss: P.O. Box 1086 Port Angeles, WA 98362
dlsimpson5l @qmail.com
lles
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 -600 Amp.
ServiaeiFeeder 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 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40'l-600 Amp,
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Houdy
Signal CircuivLimited Energy -'l&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
ltnit cherge
$120.00
$146.00
$205.00
$262.00
$373.00
$s.00
s63.00
$5.00
$75.00
$93.00
sl10.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
Ouaqlw llllal (Quantity x Unlt Charge)
120.00$
s
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
1
5 25.00
3-4-2022 Andrew P Simpson
$110;00, .
TOTAL 145.
Owner as deflned by RCW.19.28.261: (1 ) Owner will occupy the structure for two years after this electrical permit is llnalized. (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,
Affer reading the above statemenl, 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 electricallaws, N,E,C., RCW. Chapter 19.28, WAC. Chapter296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date
1 - 2 SINGLE.FAMILY
Frank Chamberlin
r&nallEnsffiMilrfiTmr
INFORMATIQN
l4"Az"*P S*-rWoDd.
Print Name Signature 1[ Owner I Eleclrical Contractor / A6ministrator)
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.usl