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Home My WebLink About317 E Ahlvers Road - Building Aaj u,.WIT h ELECTRICAL PERMIT CITY OF PORT ANGELES 360=417-4735 �C Application Number . . . . 20-00001417 ' Date 12/15/20 Application pin number 052129 Property Address . . . . . . 317 E AHLVERS RD ASSESSOR PARCEL NUMBER: 06-30-15-5-7-0100-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use . . . . . . Property Zoning . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Bedroom heaters ---------------------------------------------------------------------------- Owner Contractor KATHRYN E ABERNATHY EXTRA MILE TECH & ELECT., LLC 317 AHLVERS RD 418 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00` Plan Check Fee .00 Issue Date . . . . 12/15/20 Valuation . . . . 0 Expiration Date . 6/13/21 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER"FEED 63.00 -~ 4 Fee summary Charged Paid Credited Due Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .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 12 16 zo , FINAL Z 1 ' .nt COMMENTS: PERMrr WML EXPIRE Six(6)MONTHS FROM LAST INSPECT Signature of owner or Electrical Contractor X Date: G:IEXCHANGSBUILDING .. 1 L 1 2 SINGLE-FAMI I ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department tr 321 E.5th Street,Port Angeles, WA 99362 , 360.417.47351 www.cityofpa.us I electricalpermits@cityofpe.us Project Address: �✓ t ") t > ( +0 � A 2 Pro/ OesC(ips�Dt1: Q Single-Familyt ftsklential 0 Duplex/ARU Building Square footage_ Name: t - 1 bL W& if--k Ems#: ►'U I/A— Maiifj Addrew: r / h/✓ Phone: ECTRICALGO Name: EXfti+ M:LE 1 E GR E PeG 4"+-- Cc License:rExr"RAh1►r 973 R Mailing Address: E.0. PA ! p 3 is?- Expiration Dade: /12 Email: 40K Aa4 Pn I LE f 5. AIC r" Phone: .94,o--4 6 l— 13 3 9 PROikT DETAILS haw nit Charge CHUM 72t1(Quantity x Unit Charge) Service/Feeder 2D0 Amp. $120.00 $ Servkwfeeder 2014M Amp. $146.D0 $ Service lFeeder 401-M Amp $205.W $ Service/Feeder 60140W Amp. $282.00 $ Sen*xgFeeder over 1000 Amp. $373.00 $ Branch Circuit NW SerAoe Feeder $5.00 $ Branch Circuit WO Service Feeder $6100 �__ . $ (03, Each Additional Branch Circuit $5.00 $ Branch Circults 1-4 $75.00 $ Temp.ServioafFeeder 2D0 Amp. $93.00 $ Temp.ServioarVeeder201-400 Amp. $110.00 $ Temp.ServiodFeeder401-600Amp. $149.00 $ Term.Serer 1celFeeder8014000Amp. $168.00 $ Portal to Portal Noudy $96.00 $ Signal Circuittimited Energy-U2 DU. $54.00 $ Manufactured Nome Connection $120.00 $ Renewable Elsa Energy-SKVA System or less $102.00 $ Themnastat(Nate:$5 for each additional) $56.00 $ Fiat 1300 Square Feet $120.W r,_,.,W $ Each Additional SW square fset'` $40.00 $ Each OulbulkGng 1 Detached Garage $74.00 $ Each Swimming Pool i Hot Tits $110.00 $ �.� TOTAL $ s' Owner as defined by RGW.192&W1:(1)Owner will occupy the situcture 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.rant or lam.Permit expos after she months of last inspection. After reading the above stalonvn*,l hereby codify that I am the owner of the above named property or a licensed electrical contact" I am mating the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296- 468.The City of Port Angeles Municipal Code,and Utility Sgodlications and PAMC 14.05.050 regarding Electrical Permit Applications_ Date Print Name Signature(❑ Owner® ElecMcai Contractor/Administrator) (Electrical Permit Applications may be submitted to City Hal or electricaipennilsQcityofpa us or faxed to 360AI7A7111 ELECTWAL PERmrr {ti CITY OF ART ANGELES 360-417-4735 Application.Number . . , 20-00001381 Date 12/11/20 Application.pin number . . 091205 Property Address . 939 CAROLINE ST ASSESSOR PARCEL NUMBER: 06'-30-00-1-0-3325-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . Property Use . . . . . . . . Property Zoning . . . . . . PUBLIC BUILDINGS & PARKS Application valuation 0 ---- ---- - -- t Application desc --- 0 amp circuit for triage, ----- -------- - ---- -------- ----------- P_ � Owner Contractor PUBLIC HOSPITAL DISTRICT #2 SIMPSON ELECTRIC 939 CAROLINE ST 243036 W HWY 101 PORT ANGELES WA 98362 PORT ANGELES WA 90363 (360) 417-7170 (360) 457-9270 --Permit ELECTRICAL ALTERCOMMERCIAL Additional desc . Permit Fee . . . . 152.00 Plan Check Fee .00 Issue Date . . . 12/03/20 Valuation . . . . 0 Expiration Date 6/01/21 Qty Unit Charge Per Extension EASE FEE .00 4.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 20.00 1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due -Permit-Fee Total 152.00 �152.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 152.00 152.00 .00 .00 REPORT SALES TAX on your excise tax form to the-CRY of Port Angeles {*Mdon Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL f COMMENTS PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: ONEXCHANGESUILDING �� ' .c ��.., i I ,` I • MULTI-FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles. WA 983621 1 360.417.4735 u�ww.cityofpa.us electricalpermits@.cityofpa.us Project Address: 939 Caroline St Project Description: 50 Amp Feeder and 4 Circuits for Triage Tent ❑ Multi-Family Residential R] Commercial/Industrial/Public Building Square footage: OWNER INFORMATION Name: Olympic Medical Center Email: Mailing Address: 939 Caroline St Port Angeles,WA98362 Phone 360-417-8627 ELECTRICAL CONTRACTOR INFORMATION Name: SIMPSON ELECTRIC LLC License: SIMPSEL973RQ Mailing Address: P.O. BOX 1086 PORT ANGELES,WA 98362 Expiration Date: 12/11/2021 Email: dlsimpson51@gmail.c6m Phone: 360-457-9270 PROJECT DETAILS 1WM unit Charge Quantity Total(Quantity x Unit Charge) Service/Feeder 200 Amp. $132.00 1 $ 132.00 Service/Feeder 201-400 Amp, $160.00 $ Service/Feeder 401-600 Amp. $225.00 $ Service/Feeder 601-1000 Amp. $288.00 . $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $5.00 4 $ 20.00 Branch Circuit W/O Service Feeder $74.00 $ Each Additional Branch Circuit $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. $185 00 $ Portal to Portal Hourly $96,00 $ Sign/Outline Lighting $88.00 $ Signal Circuit/Limited Energy-Multi-Family $8800 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $ (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less $113.00 . $ Thermostat(Note: $5 for each additional) $56.00 $ $ 152.00 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. 12/10/2020 Andrew P Simpson Date Print Name Signature(❑ Owner V Electrical Contractor/Administrator) [Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] MULTI-FAMILY / COMMERCIAL = 1 ELECTRICAL PERMIT APPLICATION Public l 'orks and Utilities Department 321 t;. -sth Street, Port An4eles. WA 98362 t 360.417.4735 1 v«vw.cityofpa.us I electricalpermitsLityofpa.us W Project Address: 939 Caroline St Port Angeles, WA Project Description: 50 Amp Circuit to Triage Tent ❑ Multi-Family Residential 0 Commercial/Industrial/Public Building Square footage: OWNER INFORMATION Name: Olympic Medical Center Email Mailing Address: 939 Caroline St. Port Angeles,WA'" Phone: tLECTRICAL CONTRACTOR INFORMATION Name: Simpson Electric LLC License: SIMPSEL973RQ Mailing Address: P.O.box 1086 Port Angeles, WA Expiration Date: 12/11/2021 Email: dlsimpson51@gmail.com Phone: 360-457-9270 PROJECT DETAILS It2in Unit Charge Quantity Totat(Quantity x Unit Charge) Service/Feeder 200 Amp. $132,00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp. $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $74.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $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 601-1000 Amp. $185.00 $ Portal to Portal Hourly $96.00 $ Sign/Outline Lighting $88.00 $ Signal Circuit/Limited Energy-Multi-Family $8800 $ Signal Circuit/Limited Energy/First 1500,sf-Commercial $96 00 $ (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat(Note: $5 for each additional) $56..00 $ $ 86.00 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. 12/2/2020 Andrew P Simpson ,AN�o k f' e Date Print Name Signature(❑ Owner V Elec ical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]