HomeMy WebLinkAbout2138 Bldg 1040 W 18th StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
=J\
.J
Applicalion Nunrber
Application pin number
Property Address
ASSESSOR PARCEL NU]V]BER:
ApplicaEion E}?e description
subdivislon Name
Property Use
Property Zoning
Appl icatsion valuation
17 - 00001171 Date
7"ltt12
2138 BLDG 1O4O W 18TH ST
06-30 00 1 1 2100 - 5001-
EI,ECTRICAI, ONLY
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
I / 23 /:17
INDUSTRIAL LIGHT
0
Application desc
Adding misc- clrcuits
contractor
PORT OF PORT .I\NGELESpo Box 1350
PORT ANGEITES WA 983520251
(350) 4 57 - 8s27
SIMPSON ELECTRlC
243036 !i HWY 101
PORT ANGEI]ES
136A) 4s',7 9210
wA 98363
Permi L
Additional desc
Issue Date
E:{pirat ion Date
EI,ECTRICAL ALTER COMMERCIAL
14 CIRCUITS
85.00 Plan Check Fee
8/23/11 va luat i on
2/19/a8
00
0
oty Unit Charge Per
BASE FEE
Extenslon
85-00
charged Pa id credited Due
Permi! Fee Total
Plan check ToEal
Grand ToEal
85 .00
.00
85. 00
86.00
.00
86.00
00
00
00
00
00
00
INSPECTION T1?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS VY'-
PERMIT WILL EXPIRI Slx (6) MONTHS FROM LAST INSPECTION
Signa ture ofowner or Electxical Contractor X Date:
I
CITY oF P0RTANGELES PERTflT APPLICATIoN
Building Division/Electrical Inspections
321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (350) 417-4711
V Xlulti-Family or Commercial*
* Plan Review
Job Addressl
Be Requi Please Electrical Plan Review lnformatiofl Sheet
Building Square
Descdption of aboYe
Owner
Name:Name:
RE&EiuEt
e trJecj"t;c LL
h 1A APi.City:Slate:
i Exp
Item
Servicei Feeder 200 Amp.
ServicdFeeder 201400 Amp.
Se0iceiFeeder 401.600 Amp
SeryicefFeeder 601-1 000 Arnp.
SeMcdFeeder over 1000 Amp.
Branch Circ1lit W SeNice Feeder
Branch Circuit W/O Seryice Feeder
Each Addilional Branch Circuit
B.anch Cirdits 14
Temp. Seflicd Feeder 200 Amp.
Temp. ServicdFeeder ml400 Amp.
Temp. S€n icdFeeder 401S00 Amp.
Temp. Service/Feeder 601-1000 Amp .
Porbl to Porbl Hourly
Sigr/Ortine Lighting
Signal Cirqriu Limited Eneryy - Multi-Family
Signal Circuiv Limited Energy ,l First 1 500 sf - Comrnercial
Note: $5.00 lor eadl additional 1500 sI
Renewable Elecfical Energy - 51(VA Systern or Less
Thermostat
Note; $5.00 for eadr additonal T-Stst
City:
Far:
dt
@
S;r^Ps"a'?s/x
Total {QtY t{ultio
e<4-
lied by Unit Charqe)Unit Charqe
$ 132.00
$ 160.00
$ 22s.00
$ 288.00
$ 410.00$ 5.00
$ 74.00$ s.00
$
$
$
$
s
s
$ 86.00
$ 102.00
--v-$
$
$
$
$ 121.00
$ 164.00
$ 18s.00
$ 96.00
$ 88.00
$ 64.00
$ 96.00
$
$
s
$ 113.00
$ 56.00
$_f,L_.tg ra"r
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for tro years after this electrical permit is finalized. (2) Owner is required
to hire an elecEical confactor if above said property is for sale, renl or lease. Permit expires after six months of last inspection.
Afler reading the above statement, I hereby certiry that I am the owner ol he above named property or a liceflsed electdcal mnhac{or. I am makirE
the electical insbllation or alteration in compliance with the elecrical laws, N.E.C., RCW. Chapbr 19.28, WAC. Chapter 296-468, the Gity of Port
Angeles Municipal Code, and Util(y Specifications and PAMC '14.05.050 regarding Electical Permit Applications.
owne( electrical or electrical administrator:tr Cish tr Clied(
H c,"oitcnu* ?T 4,-t-
$mfn12
7
Datrd:
o^t,fl/\lft7
J
\
"--.I
q
$
q
I