HomeMy WebLinkAbout801 E Front StAppLication Nuniber
Appficatsion pin number
Property Address
ASSESSOR PARCET NUUBER:
Appl-ication t)?e descripti-on
Su.bdivi-sion Name
Property Use
Property Zoning
Application valuatsion
19- 00001254 Date a /!9 /19
337480
801 E ERONT S?
06-30-00-5-1-3840-0000-
EI,ECTRICAL ONI,Y
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMERCIAL ARTERIA!
0
Application desc
Call center outlets
Contsraclor
PUALIC HOSPITAL DISTRIC? 2
939 CARoLIN'E ST
PORT AI{GELES WA 98]162
SII.iPSON ELECTRIC
243036 W HWI 101
PORT ANGBIJES
1360) 457-92'tO
wA 983 53
Permit
Additional desc
Permi.t Fee
Issue Date
Expiratsion Date
E],ECIRICAL A1TER COMMERCIAL
1-4 CIRCUITS
96.00 Pfan Check Fee
a/ 19/ 19 ValuaEion
2 /ts /20
00
0
Qty Unit Charge per
2.00 5,0000 EcH
BASE FEE
EL.ECI{ ADDNI SRANCH CTRCUIT
Extension
85 .00
10.00
Eee sumnary Charged Paid Credited Due
Permlc Fee Total
Pfan Check ?oEat
Grand Total
96.00
.00
96.00
96 .00
.00
95. 00
.00
.00
.00
.00
.00
.00
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERviCE
ROUGH-IN ?-fr - rr Af rc
FINAL n l; In
COMMENTS:I
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST TNSPECTION
Signature ofowner or Electrical Contractor X Date
RESULTS:
laD
IVULT I-FAMILY / COMMERCIAL
ELECTRI CAL PERMIT APP LICATION
Public !\'orks and Lftilities l)eparime l
3:ll 1.1- 5th Strect" Port An,i.les. \\',{ 9E.i62
-l(*1..+17.-1715 rvrvu,,c itvo lpa. tis : eiecr:'ii:alpct rnitsin)cit-r'. o f pa"us
f,f?;if
Project Address 801 Front St Port Anqeles, WA 98362
Project Description Call Center Outlets and Stub out for phones
E Multi-Family Residential U Commercial / lndustrial / Public Building Square footage
Name. OMC
Mailing Address 939 Caroline St Port Anqeles, WA 98362
Email
P hone:360 417-7621
Name Simpson Electric LLC License SIMPSEL9T3RQ
Item Unit Charoe
Service/Feeder 200Amp. $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 1000Amp. $410.00
Bra'cl" C.rcuit W Service Feeder $5.00
Branch Circuit WO Service Feeder $74 00
Each Addltional 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
Portalto Poftal Hourly $96.00
Sign / Outline Lig-t rg $88.00
Signal Circuivl mited Energy - Multi-Family $88.00
Sigral Ci'cu trl mited Energy/First 1500 sf - Commercial $96.00
(Note: $5 00 for each additional 1500 s0
Renewable Elec. Energy: sKVA System or less $113.00
Thermostal (Noter $5 for each additional) $56.00
IOtal (Quantity x Unit Charge)
96.00 TOTAL
Owner as defined by RCW.19.28.261: ('l ) 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-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Perm it Applications.
811512019 Andrew P Simpson ,{r*r4"* P
Date Print Name Signature (E Owner p Electrical Contra r /Administrator)
01 00
0086
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
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Mailing Address: P.o. Box 1086 Expiration Dale 12!1114j!--
e .riri o,.,rr.onffi phone: 360-457-9270
Osantity
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