HomeMy WebLinkAbout801 E Front St AELE TRIEAL PER},IIT
EITY OF PORT ANGELES
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Application Nunrber
ApplicaEion pin nunibe!
Plope!ty Address
ASSESSOR PARCEL NUMBER:
Application c)rpe description
subdiwision Naine . ,
Property Use
Property Zoaing
Appfication valuation
19 - 00000572 Date 5/t3/79
0902't2
801 E FROrIIT ST A
06- 30 - 00-5 - 1- 3 840-0000 -
EI,ECTRICAI, ONLY
Applica!iolr desc
ErherneL wiring
PUBLIC HOSPI?AL DISTRICT 2
939 CAROLIN! ST
PORT A}IGELES WA 983 62
ANGEIJES COMMUNI CATIONS .INC .
102 ROSS rN.
PORT ANGEIES, WA
PORT ANGELES WA 98362
(360 ) 4s7-437s
Permi!
AddiEional desc
Pernit Fee
Issue DaEe . .Expiration Date
96. O0
s/t0 /t9rt/ a6/ t9
ELECTRICAL AIJTER COMMERCIAL
Plan Check Pee
valuation 00
0
Qty Unit Charge
96.00001. 00
Per
ECH EIJ'IJIMITED 1ST 15OO SQ ET
Charged Pa id CrediEed Due
Permit Fee Total
Plan Check Total
Gr.and Total
95.00
.00
95. 00
96.00
.00
95.00
00
00
00
00
00
00
REPORT ETATE SALE! TX
an Wur exaisa texfarm
b thc Afty of Port Angeles
(Leaatlen Aede 0802)
NVSPEEflONTYPE DATEI REEULTSI flSSPE€TOR;
DITEH
SERVIEE
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FNAL iTeZ k -,,4rg,
@MMEMST
I
TItII
PER*ftr WILL E'(PRESIX(6) MONfHS FRO}I IAST NSPECfION
owner contractor
Extension
96. O0
p
Slgaeturc ofowner or El€otricd eenseolor X: Detci_
IVI U LTI-FAM I LY / COM M ERC IAL
ELECTRICAL PERMIT APPLIC ATION
Public Works and Utilities Depadtrent
3?l L.. 5th Street. Port Angeles, 1VA 98362
i60.4 I 7.473-i I wwrv.citl olpa.rrs I electricalperm its@citl otjra. us
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Pro,ectAddress: 801 E. Front St. Suite A, Port Angeles, WA 98362
Project Descripti on. Ethernet Wiringjuqmodeled suite
E Multi-Family Residential gl ercra
Name:Olymgic Medical Center
Mailing Address 939 Caroline St,Port Anqeles , wA 98362
Email: plantoperationsap@olympicrnedical.orq
l/ industrial / Public Buildi ng Square footag e. 1500
phens Rob Gale 360460-1284
Item
Service/Feeder 200Amp.
Service/Feeder 201-400 Amp.
SerYice/Feeder 401 -600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Cirqrit Wl Service Feeder
Branch CircrJit WO Service Feeder
Each Additional Branch Circuat
Branch Circ!its 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. ServicdFeeder 401-600 Amp.
Temp. Servic€r'Feeder 6011000 Amp.
Portal to Portal Hourly
Sign i Outline Lighting
Signal Circuiylimited Energy - Multi-Family
Signal Circuiylimited Energy/First 1500 sf - Commerc.ial
(Note: $5.00 for each additionat 1500 s0
Renewable Elec. Energy: 5KVA Systom or l€ss
Thermostat (Note: $5 for each additional)
Quantitv Iobl (Quantlty x Unit Charge)Unit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
s5.00
$86.00
$102.00
s 121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$
$
u
$
$
$
$
$
$
$
$
$
$I 0096
$113.0O
$56.00
$
$
s 96.00 TOTAL
offrer as defined by RcW19.28.261: (1) owner will occupy the struclure for two years after this aleclrical psrmit is finatized. (2) Owner isrequired lo hire an electrical conaactor if above said property is for sale, rent or lease. Permit expires aftei six months oI lasiinspection.
After reading the above statement. I hereby certiry thal I am the owner of the named property or a licensed electrical conlractor. I
am making the electrical installation or alteration in compliance \uith the electrical N.E,C hapte|i9.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC ng Electrical Permit Applications.
May B, 2019 Donald L Sim pson
Print Name Signature 1[ Owner p Electrical Co /Administrator)
lElectrical Permit Applications may be submitted to City Hall or electricalpermils@cityoFa.us or faxed lo 3 60.417 .47111
Name: Angeles Commun,catons lnc LiCenSg. 601386512
Mailing Address: 102 Ross Ln. Port Angeles, WA 98363 Expiration Oate. April 30, 2020
Email. don@angelescommunications.com phsns 36G.457-4375
Date