HomeMy WebLinkAbout428 E 10TH ST - Building (2) ok- ��I,
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Application Number, 19-00000145 Date 1/24/19
Application pin nuA6--,r . . . 735285
REPORT STATESALES TAX
Property Address . . . . . . 428 E 10TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-3-3110-6000- on)our excise tax form,
Application,type description ELECTRICAL ONLY to the City of PortAngeles
SubdivisionName . . .
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL .SINGLE FAMILY
Application valuation 0
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Application desc
Can lights and heater
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Owner
Contractor
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TRUSSELL FAMILY LLC SI14PSON RLECIRIC
385 HUMBLE HILL RD 243036 W 14WY 101
SEQUIM WA 98382 PORT ANGELES WA 98363
(360) 457-9270
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date . . . . 1/24/19 Valuation . . . . 0
Expiration Date 7/13/19
Oty Unit Charge Per Extension
RASE FEE 75.00
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7---------------------
Fee summary Charged Paid Credited Due
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Permit Fee Total 75.,00 7S.00 .00 100
Plan Check Total .00 .00 .00 .00,
Grand Total 75.00 7S.00 .00 .00
INSPECTTON TYPE DAIE.' RESULTS- INSPECrOR.
DrrCH
SERVICE
ROUGH-IN
FINAL:
79P
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM IAST INSPBcnON
Signature of owner or Ele�Contractor X— Date:
1 - 2 SINGLE-FAMILY 0
RECEWED 3
ELECTRICAL PERMIT APPLICATION
PLiblic NV'orks and Utilities Department JAN 23 2019
I E. 5th Street, Port Angeles. W'A 98362
36041747,35 1 A,'wA,,.cityofpa.us . clecti-icall.iet-iiiits(i�,.�.citN"Ofl).A.us
I '1.11� I
Project Address: 428 E 1 Oth St Port Angeles, WA 98362
Project Description: 1-4 Circuits for can lights, heater
Single-Family Residential E3 Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: OJ Trussell,LLC Email:
Mailing Address: Phone: 360-477-9177
ELECTRICAL 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 bETAILS
Unlit Charge Quantity JQW(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $37100 $
Branch Circuit W1 Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 1-4 $ 75.00
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy- 1&2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note: $5 for each additional) $56.00 $
0 2%
in Vn
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t:
TOTAL 5.00
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-
46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
1-23-19 Andrew P Simpson
Date Print Name Signature(E] Owner V1 fflectrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]