HomeMy WebLinkAbout200 W 1st ST - Building (7) MOMUCAL PERMIT
CITY of—PORT ANGELES
360 417-4735
Application Number . . . 21-00000189 Date 2/17/21
Application pin number 725926
Property Address . . . . . 200 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . 0
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Application desc
5 circuits
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Owner Contractor
JOHN,J & ROBIN K MILETICH SIMPSON ELECTRIC
312 RED DEER DR 243036 W HWY 101
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 452-7175 (360) 457-9270
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Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 91.00 Plan Check Fee .00
Issue`Date . . . 2/17/21 Valuation . 0
Expiration Date . . 8/16/21
Qty Unit Charge Per Extension
BASE FEE 86.00
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
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Fee summer-- Charged Paid Credited Due
Permit Fee Total 91.00 91.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 91.00 91.00 .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:, 2 7-1
CON54EN'TS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION 3
Public N'4orks and Utilities Department Iv
321 I . 5th Street, Port Angeles, XA%A 98362 t
360.417.4735 1 www.cityofpa.us I electricatperai its�,cityofpa.us
Project Address: Country Aire Natural Foods 200 W 1 st St. Port Angeles, WA 98362
Project Description: 5 Alter Circuits for outlets back room prep area, Deli area, Peanut grinder
❑ Multi-Family Residential LI Commercial/ Industrial/Public Building Square footage:
OWNER INFORMATION
Name: John Miletich Email:
Mailing Address: 312 Red Deer Rd Port Angeles,WA 98362 Phone: 360-457-9348
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Name: _Simpson Electric LLC License: SIMPSEL973RQ
Mailing Address: P.O. Box :1086 Port Angeles,WA 98362 Expiration Date: 12/11/2021
Email: dlsimpson51@gmail.com Phone: 360-457-9270
PROJECT DETAILS
Ltgnl Unit Charae. SZli;3Elt[lat: Total(Quantity x Unit Charge)
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Service/Feeder 200 Amp. $132.00 $
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Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000Amp. $410.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 1 $ _5.00
Branch Circuits 14 $86.00 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'601-1000Amp. $185.00
Portal to Portal Hourly $96.00
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note:$5.00 for each additional 1500 sp
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat(Note: $5 for each additional) $56.00 $
$ 91.00 TOTAL
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.
2/16/2021 Andrew P Simpson /0
Date Print Name Signature(❑ Owner V Electrical Co tractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]