HomeMy WebLinkAbout1516 W 7TH ST - Building (3) ELECTWQAL EER.MIT
Cny, tANGELES
3�#l7` 4735
Application Number . . . 19-00000075 Date 1/15/19 -^^
Application pin number . . . 78105o REPORT STATE SALES TAX
Property Address . . . . 1516 W 7TH ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-4612-0000-
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . .
Property Use (Location Code 0502)
Property Zoning . . . RS7 RESDNTL SINGLE FAMILY
Application valuation .. 0
---------.------------Ty--------------------------------- -- ----- -------Application desc'
Meter repair
Owner Contra;0tor
LORIMAR WOODS SIMPSON ELECTRIC
1516 W 7TH ST 243036 W FtWY 101
PORT ANGELES WA 9$3635404 PORT ANGELES WA 98363
(360) 457-9270
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desC 1-4 CIRCUITS
Permit.Fee 75.00 Plan Check Fee .00
Issue Date 1/15/19 Valuation 0
Expiration Date 7/14/19
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .08
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
INSPECTION TYPE DATE: RESULTS: iNspECTOR:
DUCH
SERVICE
EW
ROUGH-IN
FINAL
`. .`. t�3ltitIMMEN'TS:
PERMIT WILL EXPME SIX(6)MONTHS FROM LAST9NSPECnON
Signature of owner or Electrical Contractor X Dater
�,
j
r
I .
� -
I
i
',...�
I
� ,1.
|
��~���M���� �
Public and Utilities Department ELECTRICAL PERMIT ���������N0����
321 [ 5(hStreet, Port Anvc|co, \\�`903h2
-
380417.473 5 1 NA,'wA'.ci��.uu | c��c���km��b��uo ~
. . ~ ' . �
N� | \
Pn�ecAdd�on: 1518VV7th Ave po�Angeles, WA ',^'o^"« \
Project Description: Meter Repair/Seal per city
R� Gingle'FomilyReakdmnda| [] Duplex/ARU Building Square footage:
OWNER INFORMATION
N Steve Gregory
Mailing Address: 4209 S. Redrick Rd Port Angeles,WA 98362 Phone: 360-460-0293
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: disimpson5l@gmall.com Phone: 360-457-9270
PROJECT DETAILS
Itam Unit C Quantity IgW(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. $373.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 ' = $ ^"
Branch Circuits 14 $75�OO �Xs
"
00
Temp. Service/Feeder 2OOAmp� $83.00 $_---__�--__
` �
Temp. Service/Feeder 201~4OOAmp. � ' $110.00 __ ___ � - $___--_____
TempSorvim/F 1-OO8�mp~� »
~~~ ~ �
Temp. Service/Feeder 601-1000 Am |^' o1O8' - / ..�' `
Portal to Portal Hourly V $86.00
Signal Circuit/Limited Energy'1&2DU. ' " $6400 _i�_-_- � *_____-_-__
Manufactured Home C $120.00
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note: $5 for each add $56.00 $
DO
TOTAL $ 75.00
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,TheCitynfPort Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
1-11-19 Andrew P Simpson '4md� V
Date Print Name Signature(E] Owner F-I Electrical Confractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]