HomeMy WebLinkAbout240 W Front ST - Building (3) :�_Z,
ELAOM 4L PERMIT 1
CITY fl 'T ANGELES
Application Number 21-00000443 Date 4/15/21
Application pin number 6 3188
Property Address . 240 W:FRONT ST
ASSESSOR PARCEL NUMBER: 06-30-00-R-0-1405-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . .
Property Use -
Property Zoning CENTRAL BUSINESS DISTRICT
Application valuation . . 0
-----Application desc
Door access `
Owner Contractor
NORTH OLYMPIC HEALTHCARE NETWO ELECTRICAL SVCS & SECURITY INC
240 W. FRONT ST., STE. A 37202 56TH AVE S.
PORT ANGELES WA 98362 AUBURN WA 98001
(360) 452-7891 (206) 276-6629'
----- -- -- -----------------
Permit . ELECTRICAL ALTER COMMERCIAL
Additional desc .00
+ Permit Fee 96,00 Plan. Check Fee .
Issue Date 4/15/21 Valuation . . . . 0
Expiration Date 10/12/21
Qty Unit Charge Per Extension
1.00 96.6000 ECH_ EL-LIMITE IST 1500 SQ FT 96.00
00 5.0o00 ECH EL-ALIDNT LIMITED 1500 SQ FT .00'
---------- -------------- ------- -- -
Charged Paid Credited Due
Fee summary
-- ------ ---
Permit Fee Total 96.00 96.00 00 00-
plan:Check Total .00 00 .00 OD
Grand Total 96.00 96.00 .00 .00-
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COl41wws:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:\EXCHANGE\BUILDnvc
-0
MULTI OWEEMIL
ELECTRICAL PERMIT
Public Works and Utilities Department
321 E. 5th Street, Port Angeles,W.k 98362
360.417.4735 1 www.cityofpa.us 1,electricalperti its@cityofpa.tis
Project Address: 2.40
poolL AcceSS on IC4 5M te, 408�L oAJ 3e.*
Project Description:I
0 Multi-Family Residential Commercial I Industrial 1 Public Building Square footage:
In 0 goo
Name;
Mailing Address;
hAt C.
Name: 1pir,e
Mailing Address: Expiration Date*
i 6L Phone: (P
Email: JjRAU;
PROJECT DETAILS
Charge)
Service/Feeder
Service/Feeder
P
ow ,Service/Feeder4.011 m m P. M.00
Service/Feedeiij%
Service/Feede"K, -A. mp.
Branch Circuit 'Feeder
Branch CircunWolliggice Feeder
Each Additionak iCircuit
$
Branch Circuits :-F
Temp.ServicelFili
77777t��:
Temp.Service/FeMi4P 1-46&Ai6:P.
L
R
Temp.Service/Fe
Temp.Servioe]Fe 000 Amp.
U�Portal to Portal Ho P
%
,iv"iz
Sign I Outline Lighting
ed Energym l�l it
Signal Circuit/Limit WIN rg
l
PH-
Signal Circuit/LimitoWd Energy/M - ilT!
(Note:$5.00 for each 6
V0
iP
Renewable Elec.Energy:5KVA S
$
Thermostat(Note:$5 for each additional)
$ TOTAL
Owner as defined by ROW.19.28.261:(1)owner will occupy the structure for two year.
ea rs after this electricalafter permit months is finalof last ized.(2)Owner tion,
is
required to hire an electrical contractor W above said property is for sale,rent or lease.Permit expires six inspec
that I am the owner of the above named property or a licensed electrical contractor. I
After reading the above statement, I hereby certify electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
compliance with the
am making the electrical installation or alteration in s and PAMC 14.05.050 regarding Electrical Permit Applications,
468,The City of Port Angeles Municipal Code,and Utility Specification
&vrrd Signature( wrier Electrical iContr�actor I Administrator)
Date Print Name
[Electrical Permit Applications may be submitted to City Hall or e1ectricalpermlts@CitY0fPa-us or faxed to 360.417.47111