HomeMy WebLinkAbout2138 W 18TH ST - Building (3) ELECTRICAL PERMIT �..
CITY CP PORT ANGELES
3%417-4735
Application Number . . . . . 13-00001116 Date 9/30/13
Application pin number . . . 751272
Property Address . . . . . . 2138 BLDG 1040 W ISTH ST ASSESSOR PARCEL NUMBER: 06-30-00-1-1-2100-5001- REPORT SALES TAX
Application type description ELECTRICAL ONLY On your exase tax form
Subdivision Name . . . . . .Property Use t0 the CNY Of Port AngeteS
Property Zoning . . . . . . . INDUSTRIAL LIGHT (LOCatfon Code 0502)
Application valuation . . . . 0
Application desc
3 circuits freezers
Owner Contractor
PORT OF PORT ANGELES SIMPSON ELECTRIC
PO BOX 1350 243036 W HWY 101
PORT ANGELES WA 983620251 PORT ANGELES WA 98363
(360) 457-8527 (360) 457-9270
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Permit . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 66.00 Plan Check Fee .00
Issue Date 9/30/13 valuation . . . 0
Expiration,Date 3/29/14
Qty Unit Charge Per, Extension
BASE FEE 86.00
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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
�1C Py"4 124
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DTTCi 1 D-1211-! Ae
SERVICE
ROUGH-IN
FINAL
C0h04ENTS:
PERMIT VA LL EXPIRE SIX(6)MONTHS FROM LAST BWBCnON
Signature of owner or Electrical Contractor X Date:
WEXCHANGMUMDING
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Cury OF PORT ANGELES PERMIT APPLICATION S FT 2 7 ".Y;Ji
Building Division/Electrical Inspections
321 Fast Fifth Street—P.O.Box 1.1501 Port Angeles Washington,98362
Ph: (360)417-4735 Fax; (309)417-4711
Date:!yk(a -/ 3/ —Mufti-Family or Commercial*
Plan Review May Be R aired, Please Complete Ele cal EJan Review I at heet
Job Address: je a-r ,
Building Square Footage: O(A e-z-w-4-
DescrIpilon of above
Owner foAnatio Contractor Infor
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Nome: Nome., Z �WL 1_jftLACLC�1 it;C_ L1,
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GityP. AS gyp: City tZip:
_4 Phone:If5A Je W41 Phone: 0 Fax:
License#I Exp. License# Exp.
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�j^Item Unit ChaCge Total 10tv Multi Aied by Unit Cha[glel
5
Service/Feeder 200 Amp. $13100
Servlce/Feeder 201-400 Amp. $160.00 $
ServiceiFeeder 401-600 Amp $225-00 $
Service/Feeder 601-1000 Amp. $288.00 $—.—
Servioe/Feeder over 1000 Amp. $410,00 $
Branch Circuit W1 Service Feeder $ 5.00 $ _
Branch Circuit W/O Service Feeder $ 74.00 $
Each Additional Branch Orcuit $ 5.00 $
Branch Circuits 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. $155.00
Portal to Portal Hourty $ 96.00
Sign/Oulline Lighting $ 88.00
Signal Circuit/Limited Energy-Multi-Family $ 64.00
Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00
Thermostat $ 56.00
Note:$5,00 for each additional T-Stat $ Total
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 is required
to hire an electrical contractor K 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 co itractor.I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C.,RCW,Chapter 19.28,WAC.Chapter 296..4.6B,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications,
signatu.re-iiklf owner,electrical cont for or electrical administrator: Ej cash 0 Check
Credit Card 0
Dated: