HomeMy WebLinkAbout819 S LINCOLN ST - Building (3) ELECTRICAL PERMIT
CITY OF PORT ANGELES
364-4174735
Application Number . . . . . 19-00000042 Date 1/10/19
Application pin number, . . . 675586 REPORT STATE SALES TAX
Property Address . . . 819 S LINCOLN ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6940-0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . . (Location Code 0502)
Property Use
Property Zoning . . . . . . COMMUNITY SHOPPING DISTR
Application valuation . . . . 0
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Application desc
Ductless heat pump
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Owner - COntraptor -
TRUSSELL FAMILY LLC SIMPSON ELECTRIC
385 HUMBLE HILL RD 243036 W HWY 101
SEQUIM WA 98382 PORT ANGELES WA 98363
(360) 457-9270
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Permit` . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . 86.00 Plan Check Fee .00
Issue Date . . . 1/10/19 Valuation . . . 0
Expiration Date 7/69/19
Qty Unit Charge Per Extension
BASE FEE 86.00
Fee summary Charged Paid Credited -Due
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00'
Grand Total 86.00 86.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COLADA NTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Elechical Contractor X Date:
! '
MULTI—FAMILY / COMMERCIAL aCD
ELECTRICAL PERMITAPPLICATIQJI
Public 1 'orks and Utilities Department L TR
-- 321 E. Sth Street. Port .Anp-eles. W"A 9U sb21 SAL
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360,417.4735 1 www.cityofpa.us electricall.ietrnitsL.cityofpa.us
Project Address: Drakes Pizza & Subs 819 S Lincoln St. Port Angeles, WA 98362
Project Description: Hook up Ductless HP
❑ Multi-Family Residential CI Commercial/Industrial/Public Building Square footage:
OWNtk INFORMATION
Name: Opal Trussell Email
Mailing Address: 819 S. Lincoln St Phone:
--777777777
LkTRICAL CONTRACTOR INFORMATION
Name: Simpson Electric LLC License: SIMPSEL973RQ
Mailing Address: P.O. Box 1086 Port Angeles, WA 98362 Expiration Date: 12/11/2019
Email: dlsimpson5l@gmail.com Phone: 360-457-9270
PROJECT DETAILS
&M Unit Charge Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00` 1-4 $ 86.00
Temp. Service/Feeder 200 Amp. $102.00 $
Temp. Service/Feeder 201-400 Amp. $121.00 $
Temp. Service/Feeder 401-600 Amp. $164.00 $
Temp. Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat(Note: $5 for each additional) $56.00 $
$ 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-
466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
1/7/19 Andrew P Simpson
Date Print Name Signature([—] Owner;? Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]