HomeMy WebLinkAbout1035 Columbia StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
PUBLIC BUILDINGS & PARKS
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
s
I
CO-t
Applicatsion Number
Application pin number
Property Address
ASSESSOR PARCEL NI'MBER:
Application type description
Subdivision Name . -
Property Use
Properly Zoning
Apptication valuaLion,
20 - 0000008? DaEe 1/23/2a
466623
103 5 COI,UMBIA ST
o6 -30- 00 - 5 -3 - 0355 - 0000 -
ELECTRICAI, ONLY
ApplicaEion desc
Garage sub panel and circuiEs
Contractsor
CLALLAM COU}IAY PUBITC EOSPI?AI
DBA OI,YMPIC MEDICAI CENTER
939 CARO',INE ST
PORT ANGELES WA 9A3623909
SIMPSON ELECTRIC
243 03 6 W HWY 101
PORT ANGELES
1360) 45't -92 7 A
wA 98353
Permit .
Additional desc
Permit Fee .
Issue Dale .
Expj.raEion DaEe
157 .00
t/23 /20
1 /2t/20
ELECTRICA], ALTER COMMERCIAL
EL.ECH ADDNT BRANCH CIRCUIT
EL.COM O-2OO SRV FEEDER
00
0
Qty Uni! Charge Per5.00 5.0000 Ecs1.00 132 .0000 Ecr.r
Exlension
25 .00
132.00
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check Totsa1
Grand Total
157 .00
.00
157 .00
157
151
00
00
00
00
00
00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:
DITCH
SERVICE
ROUGH-IN l lqt lzt &Y .VDtr
TTNAL t'lsilzD *--
COMMENTS:-,r-
Signature ofowner or Electrical Contractor X Date
Plan Check Fee
Valuation
INSPECTOR:
w
MULTI-FAIMILY /COTMTMERCIAL
ELECTRICAL PER MIT APPLICATION
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Project Address 1035 Columbrf $,St Port An geles, WA 98362
\3ms ol\4C Email
Mailing Address 939 Caroline St p66ns. 360-460-1284
Simpson Electric LLC License. SIMPSELgT3RQ
Mailing Address P.O. Box 1086 Port An eles wA 98362
E6s11 dlsimpsonsl @ gmail.com
Expi .21i6n Qals 1211112'l
Pl'16ns 360-1046
Item
Service/Feeder 200 Amp.
Service/Feeder 20'1-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits '1-4
Temp. ServiceiFeeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Hou y
Sign / Outline Lighting
Signal Circuiylimited Energy - Multi-Family
Signal Ci.cuiVLimited Energy/First 15OO sf - Commercial
(Note $5.00 for each additronal '1500 s0
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Quantitv Total (Ouantitv x unit Charoel
132.00
25 00
$
$157.00
$
$
$
$
$
$
$
$
$
$
$
$
$
D
$
$
$
$113.00
$56.00
TOTA L
Owner as defined by RCW 19.28.261i (1) Owner will occupy the structure for h,vo 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 PAlvlC 14.05.050 regarding Electrical Permit Applications.
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Project Description 50 Amp Subpanel for Garage and circuits
! Multi-Family Residential E Commercial / lndustrial i Public Building Square footage:
Name:
'ROJECT DETAILS.:
5
Unit Charqe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$s.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
. $96.00
1
$_
1121120 Andrew P Simpson S)ntpz*
DatePrintNamesign,tu'.1@or/AdminiStrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]