HomeMy WebLinkAbout2211 W 6th StELECTRICAL PERMIT
CIry OF PORTANGELES
360-4174735
Applicalion Nunbet
Applicatio! pin number
ProperLY Address
ASSESSOR PATCEL N!}1BER:
AppLication tl.pe descriptiol!
subdivi.sion Name .
ProperEy use
ProperEY Zoning
Application valualion
22 - oo0oo351 Date 3/25/22
4243t2
2211 ll 6Tli sT
05 - 30-00-1- 0-322s-0000 -
EI,ECTRICAL ONI,Y
0
Applj.cation desc
car charger
COLIJ]NS FAMILY TRUST
2 211 W 6T}I ST
PORT ANGELES I{A 98353
SIMPSON EI,ECTRIC
241035 !t l{wY 101
PORT ANGELES
l35a) 45 t-9274
wA 98353
Addilional
PermiE Fee
Issue Date
Expiration DaEe
EI,ECTRICA], AIJTER RESIDENTIAI
1-4 CIRCUITS
75.00 Plan check aee
)/25/22 valuation -
00
0
Qty uniL Charge Per
BASE FEE
Extension
75.00
Charged
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Permits Fee ToEal
Pl.an check Total
Grand Total
75.00
.00
75.00
75.00
.00
?5.00
00
00
00
00
00
00
Paid CrediEed Due
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
=lz1)2"-ff p
FINAL eln/rz #B
COMMENTS:
Signature ofowner or Electrical Contractor X
C:\EXCHANCE\BUILDING
Date:
RESULTS:
I
ELECTRICAL PERMIT APPLICATION
Public r"Yi.l rks and [,tiijt-ies Departnrent
121 [. 5llr Stleec. Port Angi:]is, \\.'r (lSJfrl
l6()..117..1735 rvr,,,iv.ciLyollra.us eleetric.Llpr:r'ruils'ir.oiuyolpa.ur
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2211W6thSt
Project Address
C rcul forOurBllorE e.lrc Car ChargerProject Descriptionj
E Single-Family Residential E Duplex / ARU Building Square footage
Name Brad & Jan Collins Email:
l,4ailing Address 2211 W. 6th St Port eles wA 98363 Phone 360477-6932
Name:Simpson Electric LLC l-169nssl SIMPSEL9T3RQ
Exp iration Date: 12-1 1 -2023
Phone' 360-457-9270
Mailing Address P.O. Box 1086 Port Anqeles, WA 98362
Email:dlsimpson5l @omail.com
[e!s
Service/Feeder 200 Amp.
ServiceiFeeder 201400 Amp.
Servjce/Feeder 40'1.600 Amp.
Service/Feeder 60'1-'l 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1{
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 6011000 Amp.
Portalto Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU-
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
tlril-charse
$120.00
$146.00
$205.00
$262.00
s373.00
$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
Auaqlfy Iglal (Quantity x Unit Charge)
75.00
$
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$
U
First 1300
Eai:h Swimming Pool
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 elechical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC '14.05.050 regarding Electrical Permit Applications.
3t24t22 Andrew P Simpson 4 nAz.ou- PS;rWro*
Print Name Signature (! OwnerDate
[Elechical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
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