HomeMy WebLinkAbout801 E Front St (5)Application Nuniber
Applicatsion pin number
Property Address
ASSESSOR PARCEL NU}4BER:
Appf icatsion t)?e descriptsion
Subdivision Name . .
Property use
Property Zoning
Application valuation
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COMMERCIAI, ARTERIAL
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19- 00 000585 Dare 4/23/t9
340505
801 E FRONT ST
06-3 0 - 00 - 5- 1-384 0 - 0000 -
ELECTRICAi ONLY
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Applicatioo desc
Office improvemenL
Contsractor
PUBLIC HOSPITAL DISTRICT 2
939 CAROLINE ST
PORT ANGELES WA 983 52
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
\36AJ 4s'7 - 92?0
wA 98353
Permit
Additional desc
Permit Fee
lssue Date
Expiration Date
ELECTRICAI ALTER COMMERCf A],
1-4 CIRCUITS
101.00 Plan Check Fee
4/23 /r9 valuarion
1-o/20/19
0
QEy UniE Charge
3.00
Extension
85.00
15.00
BASE TEE
5 .0000 EL-ECTi ADDNT BRANCH CIRCUIT
Per
ECH
Fee summary Charged Paid Credited Due
Permit Fee Totsaf
Plan Check ToEaf
Grand Tot.al
101
101
00
00
00
00
00
00
00
00
00
101
101
PERMtr WILL EXPtsE 8tX (6) MONTHC FROM LAST INSPECTION
B{SPECUONTYPE DlilEt RESIJLTS:INSPECTOR:
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stg:neerc ofourrr or Electrieal Contractor X_ Date:_
IM U LTI-FAM I LY / COMTVI E RCIAL
ELECTRICAL P ERtM IT APPLICATION
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\Proje ct Address: 801 E Front St Port Angeles
Project Descript ;on. Office lmprovements (Call Center)
E Multi,Family Residential E Commercial / lndustrial / Public Building Square footage
Name Public Hospital Districl #2
Mailing Address. 939 Caroline St. Port Angeles, WA 98362
Email:
p6e6s. 360 -417-7170
Simpson Electric LLC
Mailing Address: P.O. Box 1086
License. SIMPSELgT3RQ
Expiration Date 12t11t2019
phone. 360-457-9270Emaildlsimpson5l@gmail.com
Item
Service/Feeder 200 Amp.
Service/Feeder 2014OO Amp.
Ouantity fglal (Quantity x Unit Charge)
$ 132.00
$160.OO
Service/Feeder 401-600 Amp $225.00
Service/Feeder 601- 1 000 Arn p. $288.00
Servrce/Feeder over 1000Amp. $410.00
Branch C rcuit W Service Feeder $S.OO
Branch Clrcuit WO Service Feeder $74.00
Each Additional Branch Circuit $5.00
Branch Circults 1-4 $86.00
Temp Service/Feeder 200 Amp. $1O2.OO
Temp Service/Feeder 201-400 Amp $121 OO
Temp. Service/Feeder 401-6OOAmp. $164.00
Temp. Serv ce/Feeder 601-1000 Amp $185.00
Portal to Porta Hourly $96.00
Sign / Outlrne Lightrng $88 O0
Signal Circuivlimited Energy - MultFFamjty $8g.OO
Signal Circuivlimited Energy/First lSOO sf - Commercial $96.00(Note. $5 00 'or each additional .t 5OO s0
Renewable Elec Energy. 5KVA System or less $113.00
Owner as defined by RCW.19.28 261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner isrequired to hire an electrical contractor if above said property is for sale, rent or lease. permit expires afte; 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. Iam making the electrical installation or alteration in compliance with the etectrical taws, N.E.i., icvri cnapter ts.ze, wAC. chapter 296-468, The city of PortAngeles lvlunicipal code, and utility Specifications and PAMc '14.05.05d regarding ilectricat permit Applications.
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Thermostat (Note: $5 for each additional)$_
$ 101.00 TOTAL
412212019 Andrew P Sim pson
Date Print Name Signature (E Owner p Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or fa xed to g60.4j7.4211j
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Public \{brks and tltilities Depaftffient
3l l E. 5th Street, Port Angeles. \114 98-162
160.41 7.4735 | wr.vw.citvofpa.us j electr.icalpen.r.ritslOcityofla_us
EIEC:]BKAL C ON TRAMR]NF,.OR MATbN
Name:
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$ 15.00
$ 86.00
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