HomeMy WebLinkAbout801 E Front St (6)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMERCTAI, ARTERIAL
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REPORT STATE SALES TAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
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Application Nufiiber
Application pin number
Property Address
ASSESSOR PARCET NTJMBER:
Applicalion t!'pe description
Subdivision Name .
Property Use
Property Zoning
Application valuation
19 - 00001999 Date L2/l't /L9
439143
801 E FRONT S?
05 -3 0 -00 -5 - 1- 3 840- 0000 -
ELBCTRTCAIT OI{LY
Applicaiion desc
Office circuits
PUBI,IC HOSPITA'" DISTRfCT 2
93 9 CAROLINE ST
PORT ANSETES WA 98352
SIMPSON ELECTRIC
243 03 6 W EWY 101
PORT ANGEITES
(350) 457 -921a
wA 98353
Permll:
Additio al desc
Permits Fee
Issue Dale .
Expiration DaEe
ELECTRICAL ALTER COMMERCIAI
1-4 CIRCUITS
45. O0 PIan Check Fee
a2 / L1 / 19 valuat ion
6/].4/20
00
0
Qty Unir Charge per
BASE EEE
Extension
85. 00
Charged Paid credi.ted Due
Permi! Fee Total
Plan Check ?oEal
Crand Total
85-00
.00
86.00
85 .00
.00
86.00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS iNSPECTOR:
DITCH
SER\'ICE
ROUGH.IN zh lz-o JV (u
FINAL zlLlo &
COMMENTS:
PERMIT WILLEXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Conaactor X Date
ffi
[/lulT I-FAIVIILY / COtUtME RCIAI
ELECTRICAL PERMIT APPLIC ATION
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Proj s614661ss5 801 E Front St. Port Anqeles
Project Description Circuits for Office @ Home Health Tenant lmprovements
tr MultlFamily Residential E Commercial / lndustrial / Public Building Square footage
Name: Olympic Medical center
Mailing Address 939 Caroline St Port Anqeles, WA 98362
Email
phone. 360-417-7000
Name: Simpson Electric LLC License SIMPSEL9T3RQ
Item
Service/Feeder 200 Amp.
Service/Feeder 20'l -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 Servic€ Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp
Temp. Service/Feeder 601-l000 Amp
Total (x Unit Charge)
Portalto Podal Hourly
Sign / Outline Lighting
Signal CircuivLimited Energy - Multi-Famjly $88.00
Signal Circuiulimited Energy/First 1500 sf - Commercial $96.00
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: 5KVA System or less
Thermostar (Nore S5 for each additional)
86.00 rorAL
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 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 llcensed 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.
12115t2019 Andrew P Simpson 4r&"rr. P
Date Print Name Signature (E Owner p Electrical Cont /Administrator)
unit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
86.0014
$
$
$
$
$
$
$
$
$
$
$
$
$
$
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
Mailing Address: P.O. Box '1086 Port Angeles, WA 98362 Expiration Date: 12111121
Email. dlsimpsonsl @gmail.com Phone: 360457-9270
Ouantitv
$113.00
$s6.oo
!oBT
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DITCH
HOUGHIN/COVER.,..
SERVICE tr
FINAL
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U
COF]RF-CTIONS NEEDED:t
NOTIFY INSPECTOR WHEN CORHEGTIONS
AEE COMP!.ETEO UTHIN 15 DAYS
- DO NOT REMOVE-
DATE:
Z 'z-\)
INSPECTOB
CONTBACTOF
ADDFESS
NOT AP
ELECTRICAL INSPECTION
WIRING REPORT
417-4736
NOT APPROVED
DITCH
H .-.? agt n----. Rouc H r N/covER
COBRECTIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED wlTHIN 15 DAYS
- OO NOT REMOVE-
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