HomeMy WebLinkAbout223 E 4th St (4)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
PUB1IC BUIIDINGS & PARKS
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Apptication Nunrber
Application pin nul cer
Property Address
ASSESSOR PARCEL NUMBER r
Application ty'pe descripEion
Subdivision Name
Property Use
Properi:y Zoning
Applicatsioa valuation
19- oooo1179 Date I /o5 /19
170 96 0
223 E 4aH ST
06-3 0 - 00- 5-4 -6700- 0000 -
ELECTRICAI- ONLY
ApplicaEion desc
Sherif f 's Dept. improvements
Olrner Contractor
CLALI,AM COT}I'I'/
223 E 4TH ST
PORT ANGEIES
\350) 4).1 2429
SIMPSON ELECI'RIC
243 03 6 W HWY 101
PORT A.}IGELES
136A) 457 -92'7O
wA 983 52 wA 98363
Additsional
Pernit Eee
Issue Date
ELECTRICAI, ALTER COMMERCIA!
1-4 CIRCUfTS
85.00 Plan Check Eee
B/a6/t9 valualion
2/02/2a
desc
00
0
Expiration Date
Oty Unit Charge Per
BASE FEE
Extension
86. O0
Charged Paid Credited Due
Permit Pee To!a1
Plan Check Total
Grand To!a1
85. O0
.00
86. 00
85.00
.00
85 .00
00
00
00
PERMIT WILL EX?IRE SIX (6) MONTHS FROM ["A,ST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN to/z lfi SF -sP
FINAL ;);te '4$./s
'- (t t
Signature ofowner or Electrical Contractor X Date:
.00
.00
.00
COMMENTS:
MULTI-FAM ILY / COMMERCIAL
ELECTRI CAL PERMIT APP ICATION
Public Works and Utilities Deparhnent
321 E. 5th Street, Port Angeles, WA 98362
360.417.47 35 | wwwcityofpa.us I electricalpermits@cityofpa.us
Project Address: 223 E 4th St Courthouse > Sheriffs Department CIB lmprovements
!of
:1
=tt-l--DlrIJIr
E Multi-Family Resirential U Comrnerdal / lndustrial / public Building Square footage:
Name' Clallam County Courtho$o Email
Mailing fifirc55. 223 E 4fi St Port Angeles,WA 98362 Phone:xo4?:m--- ,
ELECTRICAL CONTRACTOR I NFORMATION
Name:Simpson Eectric LLC Lkense:SIMPSEL9T3RO
Expiration Dalo:1?11'V2019
Ph6ns; 360-457-9270
Mailing Address P.O.Box 1086 Po Anoeles, WA 98362
Email:on51
Item
Service/Feeder 2@ Amp.
Service/Feeder 201-400 Amp.
ServicerFeeder 401€00 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder owr 1000 Amp.
Branch Circuit \^t// Servico Feeder
Branch Circuit WO SeNice Feeder
Eact Additional Blanch Circuit
Branch Circuits 1-4
Temp. S€Mc€y'Feeder 200 Amp.
Temp. Service/Feeder 201*400 Amp.
Temp, SeMce/Feeder 401€00 Arnp.
Temp. SeMce/Feeder 601-'1000 Amp.
Portal to Portal Houdy
Sign / Outline Lighting
Signal CircuiuLimited Energy - Multi+ardly
Signal CircuiULimited Energy/FiEt ,t500 if- Corrnefiral
(Note: $5.00 for each additiond 1500 sf)
Renewable Elec. Energy: SKVA System or bss
Thermostat (Note: S5 for each additional)
El4l19 Andrew P Sim
3113.00
$56.00
86.00 TOTAL
4ilZr4ir,,-P
Ch.rge)
$132.00
$160.00
$225.00
t?8E.00
34r0.m
$5.00
$74.00
$5.00
$86.00
0102.00
$121.00
8164.00
$r85.00
$96.00
$88.00
t88.O0
$96.00 .
8614
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J
$
$
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$
$
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$
$
$
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3
offter as defined by RcW 19.28.261: (1) owner will occupy the struchrre for turo years after this etectical permit is nnalized. (2) o,vner is
required lo hire an electrical clntractor ifabove said property is for sale, rent or liase. Permit expires altei six rnonths of last inspestion-
After reading the above statement, I hereby c€rtify that I am the o ,ner of the above named property or a licensed sl€dical conlractor. I
am rraklng the slec{rical installation or alteration in compliance with the eledical lanls, N.E.C., RCt\i Chaptgr 19.20, WAC. Chapter 29G
468, The city of Port Ang3lss Municipal codo, and t tility Specificetions and PAMC 14.05.050 rcgarding il€ctrical permitApptications.
Print Namo
on
Signeturo (E Ourner p Electrical Contredor / Admlnlstretor)
Protsct Descriprion- Demo Ortlets,Remove and reins{all lights plus add 1- light & srvitchs
OWNER INFORMATION
PROJECT DETAILS
DEle