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HomeMy WebLinkAbout623 VASHON AVE - Building ELEC lltM Ci'i'Y ' ` CELES , 5 Application Number : . . . . 19-00000803 Date 5/29/19 Application pin number . . 162229 REPORT STAVE-SALES TAX Property Address 623 VASHON AVE ASSESSOR PARCEL NUMBER: 06-30-10-4-3-0500-0000-_ on your exWe W fORn Application type descriptionELECTRICAL QM*1 Subdivision Name t©the City of Port Anc, les Property Use (Location Code 0502) Property Zoning . . . . RS7 RBSDNTL Snwus FAMILY Application valuation . . 0 ------------------------- ------------------------- Application deac SERVICE FOR MANpFACTORED HOME Owner Contractor: ---- ------- -- LORSNTZEN, PRISCILLA SIMPSON ELECTRIC 4012 NEWELL RD, APT C2 243036. W ICY•10I PORT ANGELES WA 98363 PORT SL" WA 98363 (360) 457-9270 . Permit BLECRRiCRLrALTER RESIDENTIAL --- ----- - --- -- Additional desc pelt. F$e 20..-00 Plaid Ccic Fee 00 sstke sDatb 3 ? I9 Valva_Ctfn 0 � .3t FE�� TIf51� ga Pier _ EltteltsiOA t � w 00 EQi ,�MANF HC1ME SI{ -FB31t 120 00 Paid ~Grec#t�d Due' t20 aG ---120 00 #Fo . oo 00 00 s 9.1 fi 1 9 ► Iao.00 ao` 00 r k • INSPECTION TYPE DATE: RESLMIS, I PECTOR: DITCH fP F SERVICE , + ROUGH-IN FINIAL COMMENTS: mma WILL upm si (6)kokIii4kom IA1i f WSPBC Iw' Signature of owner or Electrical Contractor R Date: ;; ��� � :� ,# ry..�. z �} ,, 3 ��., �, LEC PERMIT APPLICATION Projed Address: 623 Vashon Ave Port Anaeles,Wa Project Description: Power for Manufactured Home X !0 Single-Family Residential 0 Duplex IARU Building Square footage: OWNER INFORMATION Name: Travis&Priscilla Lorentzen Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR NFQRM/�TION Name: Simpson Electric LLC Licenme: cxMpasLe7onQ Mailing Address: p�� Box 1V86Port Angeles,WA 98362 Expiration Date: 12n1/2V1Q Email: Phone: 360-457-9270 PROJECT DETAILS Unit Charge Quand IQ&d(Quantity x Unit Charge) Service/Feeder 2OOAmp. $120.00 $_________ S=nic=[F=nder2V1-uVVAmp. u148.00 $___________ Service/Feeder 401-600 Amp. $205.00 $__________ Service/Feeder 0O1'1ODOAmp. $282.00 $_________ Service/Feeder over 1oVVAmp. $375.00 $___________ Branch Circuit mVService Feeder $5.00 $__________ Branch Circuit W/O Service Feeder $83.00 $_________ Each Additional Branch Circuit $500 $_________ Branch Circuits 1'4 %75.00 $_________ Temp. 8om/myFeodaroouAmp. $93.00 $_________ Temp. mwn,ice/Feede,201'*oVAmp. *11000 $__________ Temp. 8emice/Fnedor401'6VOAmp. $140.00 --_---- * Temp.Service/Feeder 801'10ODAmp. $168.00 $_________ Portal toPortal Hourly $98.80 $_________ Signal Circuit/Limited Energy' 1&2 DU. $64.00 $ Manufactured Home Connection $120.00 _� $ .00___ Renewable Elec. Energy: 5KVASystem arless $102.00 $___________ Thermostat(Note:$5for each additional) $58.00 $________` pimm1o0nSquare Feet $120.00 $__________.` Each Additional 500square feef' $40/00 $_________ Each Outbuilding/Detached Garage $7400 $___________' Each Sm6mminmPool/Hot Tub 00u0 $ ' TOTAL $ .00___ Owner as defined by RCW.1 9.28.261�(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner in 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- 46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.o5.n5oregarding Electrical Permit Applications. 5/28/2019 Andrew P Simpson Date Print Name Signature([] Owner;ff Electrical Contractor/Administrator) (Electrica|PmrmitApplicatmns maybe submitted to Oty Hall orm|mctdca\pe .umwrfaxed to 360.417.4711]