HomeMy WebLinkAbout - Building (77) " WAL PERMIT
C OF PORT ANGELES
360-417-4735
Application Number 19-00001042 Date 7/15/19
Application pin number 284820 ;'
REPORT STATE SALES`TAX
- Property,Address . . . . . 529 E 2ND ST On your eXClSe tax form
ASSESSOR PARCEL NUMBER.: 06-30-00-5-1-2785-0000-
Application.type description ELECTRICAL ONLY to the City of Port Angeles.
Subdivision Name . . . . . (Location Code 0502)
Property Use . . . . . . . .
'ropei't:y Zoning . . COMMERCIAL ARTERIAL
Application valuation 0
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Application desc
Ductless heat pump
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Owner Contractor
SIMPSON BROTHERS ANGELES ELECTRIC
524 E 1ST ST S24 E. 1ST' ST.
PORT ANGELES WA 983623302 PORT ANGELES WA 98362
(360) 452-9264
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Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional desc i
Permit Fee . . 63.00 Plan Check Fee .00
Issue Date . . . . 7J15/19 Valuation 0
Expiration Date 1/11/20
i
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR. WO/ SER FRED 63.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total` -63.,00 63.00 .00 .00
Plan Check 'total 00 .00 .00 .00
Grand Total 63.60 63.00 .00 .00
t
INSPEi OON TYPE DATE: RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or'Electrical Contractor X Date:
tiR 1
i
1I
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u11111Zu1U it:ZU VAA 360 452 9265 Angeles Electric 100001/0001
1_„- 2 SINGLE-FA MILY
ELECTRICAL PERMIT APPLICATION REcEl
Public Abrks and'Utilifies Department jut VED
321 E. 5th Street, Port Aqgeles. WA 98362
360A 17.4735 1 %�w-w-citycii5pa.us I electricalpemi.itsr4 ciq7ofpa.us
Project Address:
PVmje 1ption: Ab AIZF,-V 6&:*r-#AJ 47-
S 1'ingtamily Residential El Duplex ARU Building Square footage:
OWNER INFORMATION
Name: T-1
Email:
Mailing Address: 6ZO
Phone: M&O 1Y7_7-S-871
ELECTRICAL CONTRACTOR INFORMATION
Name: A-riae-LA-S ��C_777,. License: 01CaE1 _Z 41,o Q
�ff F kZ�s
Mailing Address: Expiration Date: 6Z-0 1
Email: -Phone: �0-
PROJECT DETAILS
&M 'Unit Charge.7duantity T9W. u4htlty x'Wilt 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
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp.Service/Fodder 200 Amp. W.00
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feed-
Temp,Service/Fe P.
MY
Portal to Portal Hourly
Signal CircuitWml n
Renewable Elec.Erie
Manufactured Home Conner Ra
Thermostat(Note:$5
TOTAL $ 49.3�m
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-
468,The City f Port Angeles Municipal Code,and Utility S ecifications and PA MC 14.05.050 reg
arding Electrical Permit Applications.
IF
Date Print Name Signature([] Owner[9-*ETeictrical 6ontractor/Administrator)
(Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417-47111