HomeMy WebLinkAbout1621 W 10th Street - Building :—. , - -;F---•;:i.,,,..-4
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ELECTRICAL PERMIT ,
CITYOf PORT ANGELES 1
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360417-4735
Application Number 17-00001720 Date 11/22/17
Application pin number . . 330040 -
Property Address 1621 W 10TH ST REPORT STATE-SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-0765-0000-
Application type description ELECTRICAL ONLY On your excise tax form
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Subdivision Name to the City of Pott Angeles
Property Use
Property Zoning , RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0
Application desc
PEP
Owner Contractor
JUDITH K ELGAR SIMPSON ELECTRIC
1621 W 10TH ST 243036 W HWY 101
PORT ANGELES WA 983635301 PORT ANGELES WA 98363
(206) 259-0495 (360) 457-9270
Permit ELECTRICAL ALTER RESIDENTIAL '
Additional desc . 1-4 CIR
Permit Fee . . . 75.00 Plan Check Fee . . .00
Issue Date . . . 11/22/17 Valuation . . . . 0
Expiration Date . 5/21/18
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Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
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, Permit Fee Total 75.00 75.00 .00 .00
Pan Check Total .00 .00 .00/ .00
Grand Total 75.00 75.00 .04 .00
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INSPECTION TYPE DATE: 'RESULTS: INSPECTOR: i
DITCH
SERVICE
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COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECFLOW ,L
0-cf*iter or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION ,....)
Building Division/Electrical Inspections ,4 •
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321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 t
Ph:(360)417-4735 Fax:(360)417-4711 \
Date://-02 O—/ 7 X i &2 Single Family Dwelling \J'
*Plan Review
May Be lf�eg ired,Please to Electrical Plan Review Information Sheet
Job
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n9 Square Footacyr
Description of W3ove n cackleSS H f' I up
Owner Information Contractor Information
Name: .TT C di 4M.... Name: S- h'1 RS®rj Electric. t-(-C
. Address: �// ..-P Address: r O (30X1 l oS'
City ' ia:u.- State:fvR- T `�•7p: city:ParfRnyeles State:LOA- Zip: 9836 2
Phoneoc,0 9-vs15Fax: Phone(364)'f57-1,27r,Fax/344) tS7-9 70
license#1 Exp. License#/Exp.'Ih"1PSEG 97319
Item Unit Charge Total Total(tlty Multiplied by Unit Charnel
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $
Servigr 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Cines VO Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 75.00 $ 1 S.0-0
Temp.Service/Feeder 200 Am. $ 93.00 $
Terra.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401-500 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit!Limited Energy-18 2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable EleckiCal Energy-51(VA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft $120.00 $
Each Additional 500 Square Ft or Portion of $ 40.00 $
Each Outbialdkig or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$ 757.0-b Total
Owner as defined by RCW.1928261:(1)Owner will occupy the structure for two years after this electrical perm is 6nafized.(2)Owner is required
to hire an electrical contractor if above said property is for sale,rent or lase.Permit expires after six months of last inspection.
After reading the above statement,I hereby certify that lam the owner of the above named property or a licensed electrical contractor.lam making
the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-46B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
-. , _ , ,owner,electrical -. -�. or electrical aistrator: 0 Dt a "71.$ 6d"t
D CrraeCard II
/ Rated: 1/��0 01101/2512
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