HomeMy WebLinkAbout101 E Front St ElecELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Application Nuriber
Application pin nudcer
Property Address
ASSESSOR PARCEIJ NUMBER:
ApplicaEion Eype description
Subdivision Name
Property Use
Property zoning
Application valuation
19- 0000142 0 Date
l7 6550
101 E FROI{T ST EI,EC
05-30-00- 5-0-0090- 0000 -
ELECTRICAL ONLY
9/ L-t /t9 REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
TIN](NOWN
0
Application desc
Temp service
Contractor
LOWER ELW}A KI.ALLAM TRIBE
2 851 IOWER EIWIIA RD
PORT ANGEIES WA 98353
i.360) 452-A41L
SIMPSON EIJECTRIC
243 03 5 W l{WY 101
PORT ANGEIJES
(3601 45-t -921A
wA 983 63
Permit
AddiEional desc
Issue Date
Expiration Date
102 .00
9/t1/te
3/ts/20
ELECTRICA], AITER COMMERCTAL
P-Lan cnecr( t'ee
Valuation
00
0
Qtv
1. 00
Units Charge Per
102.0000 EcH EL- coMM 0-200 TEMP sRv / FDR
Extensiorl
102.00
Fee summary Paid Credited Due
Permit. Eee Toial
Plan Check Total
ta2
742
00
o0
o0
00
00
00
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00
00
L02
1A2
00
00
00
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVTCE
ROUGH.IN
FiNAI
As-$ u)<6-
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date
Charged
INSPECTOR:
COMMENTS:
tVU LTI-FAIVI I LY / COM M E RC IAL
ELECTRICAL PERM IT APPLICATION
Public \Yorks and Utilities Departmellt
3: I E. 5th Street. Polt A:rgeles, \L',{ 9&.162
160.4I 7.4735 u'r,vu,.citvolpa.us i electlicalpennits@cityofi;a-us
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Proje ct Address: 2eg"kaffit-)ol *- 6z-61-Zv-ae * tqqz-72-
Project Description 200 amp temp service for Hotel Construction site
E Multi-Family Residential Bl Commercial / lndustrial / Public Building Square footage
Name: PNE
Mailing Address 1'121 Columbia River Longview, WA 98632
Email
Phone 360-957-0347
Name: Simpson Electric LLC License:
Mailing Address P.O. Box 1086 Port Angeles, WA Expiration Date 12t't 1t19
Ph6ns; 360-457-9270Email dlsimpson5l@gmail.com
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1 -400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits '1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40'1 -600 Amp.
Temp. Service/Feeder 601-1 000 Amp.
Portalto Portal Hourly
Sign / Outlrne Lrghting
Signal CircuiVLimited Energy - Multi-Family
Signal C,rcurULimited Energyi First 15OO sf - Commercial
(Note: $5.00 for each additional '1500 s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Ouantity fOEl (Quantity x Unit Charge)lJnit Charoe
9132.00
$160.00
$225 00
$288.00
$410.00
$s.00
$74.00
$5.00
$86.00
$102.00
$121.00
$'164.00
$185.00
$96.00
$88.00
$88.00
$96.00
102.
$
$
$
$
$
$
$
$
$
$
$
$
o
$113.00
$56.00
$
$
$102.00 TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the structure for hrr'o years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is fo. 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-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
911612019 Andrew P Simpson
Date Print Name Signature (E Owner p Electrical ractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417 .47111
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ELECTRICAL INSPECTION
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NOTIFY INSPECTOR WHEN CORRECTIOI{S
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE _
DATE
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