HomeMy WebLinkAbout933 E 1st St (4)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
COMMERCIAL ARTERIAI,
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REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
h1"tl
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Application Nulnber
ApplicaEion pin number
Property Address
ASSESSOR PARCEI, NUITIBER:
Appf ication type descript.ion
Subdivision Name .
Property Use
Propertsy zoning
Applicatsion valuation
19 - 00000076 Date L/1s/19
971464
933 E 1ST ST
05 - 30 -00-7-2 - 0250 - 0000-
E'JECTRICAI ONLY
Applicalion desc
medical clinic upgrade
Owoer Contrac!or
HOWARDS VENIT'RES
253 FASOIJA RD
SEQUIU
SIMPSON EIJECTRIC
243 036 W HWri 101
PORT ANGE'JES
1360l 45'7 -927O
wA 983 82 wa 983 53
PerrniE
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL AITER COM]"IERC IAL
5?0 .00t/ts / 19
't/14/19
Plan Check Fee
Valuation
00
0
a Qry
30.00
1.00
1 .00
Units Charge Per
5 - 0000 EcH
132.0000 ECH
2I8.0000 EcH
EL-BRANCH CIRCUIT W/FEEDER
EL.COM O-20O SRV FEEDER
EL COI'4 601,1OOO SRV F'EEDER
ExEensi.on
150.00
132.00
288. O0
Fee sununary Charged Paid Credi.Eed Due
Permit Fee Tot.a1
Plan Check Total
s70.00
.00
570.00
570.00
.00
570.00
.00
. o0
.00
.00
.00
.00
INSPECTION Tl?E DATE:RESULTS
DITCH
SERVICE
ROUGH.IN ,tlze ln AP n"?
FINAI t\n lh -P
COMMENTS:
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signattue ofowner or Electdcal Contactor X Date
INSPECTOR:
b#
MULTI-FAMILY / COMMERCIAL 1'
EOEIUED *ELECTRI CAL P ERMIT APPLI CATIO N
Public Wor.ks and Utilities l)epafirrent
3f I E. -sdr Srrcer. Port Angeles. WA 98j62
360..+ I7.+7-35 ! n.rlu..citl,ofpa.us i elecrricalpermirsi<r,cit1-ofpa.us
Pmject eoaress: 933 East 1st St Port Angeles, WA
lA!'r -s
d*to
ELECAI0AT
INSPECIIONS
Project Description:600 Amp Service, 200 Amp Feeder, Wire Dental Equipment,Lights, Switcires, Ouflet
D Mutti-Family Residential U Commercial / lndustial / Public Building Square footage:
Name:North OlymDic Heatth Care Network Email:
Mailing 466rc55; 240 W Fmnt St phone: 36M52-7891 Ext 2828
11sms; Simpson Electic LLC
Mailing Address: P.O- Box 1086 Port Anoeles, WA 98362
License: SlMPSEL9T3RQ
Expiration Oate- 12111t2O19
phone: 36G.457-9270
Iqb! (Quantity x Unit Charge)
132.00
eo,@
TOTAL
Email:'l@gmail.com
ftem
SeMc€r'Feeder 20O Amp-
SeMcer'Feeder 201{0O Anp.
SeMcelFeeder 401{)O Amp.
Service/Feeder 601-100O Amp.
Service./Feeder over I OO0 Amp-
Brand CiroJit w/ Service Feeder
Brancfi Ciro-dt w/O Se.vbe Feeder
Each Additional Branch Cirr.uit
Branch Circuits 1-4
Temp. Service./Fe€der 2OO Amp,
Temp. S€rvice/Feeder 2O1 4OO Amp.
Temp. Service,lFeeder 401$OO Arnp.
Temp. Service/Feeder 60l -1OOO Amp.
Portal to Portal Hourly
Sign / Ou8ine Llghtng
Signal CircuiulimiH Eneey - Mufti+amily
Sbnal Ck[Ilirlimtted Energy/First 1 SOO st - Comrnercial
(Note: $5.00 tu each additionat i50O sD
Renes/able Eleq Energlr: sKVA SysEn or less
TfErmoslat (Nc[e: g5 for each additional)
113118 Andrew P Sim pson
Date Print Name
Unit Chame
$ 132.00
$1m.00
$2 .@
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$1e1.00
$185.00
S96.oo
.. $88.00
$88.00
$96.00
D
$
$
$
I
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$w*
288.00
Owner as defined by RCi /-1928261: (1) Owner will occupy the structure for t,ro yea.s after this etectn'cal permt is finatized- (2) ormer isreguiEd to hire an elecfical contractor if above said property is for sale, rent or lease- permit expires after six mgnlhs of last inspedion.
$113-00
$56.00
Signature (D Electuical
p\fter reading lhe above statement, I hereby certify fhat I am the owner of the above narned property.or a licensed eledri:al cont-ador. Iam making the electical irE-tallaton or atteratjon in cDmpliarrce with tlle dedical Ews, N-EC-, RCW- Chapter 1928, WAC-CrEpter 296468, The City of PortAngdes Municipal Code.afld t tility Specifcations and PAMC 14-OS_0SO Eledical Alplications
[Elecfical Perrnit Applications may be submitted to City Hall or electricalpermits@cityofpa.r,rs or faxed to 360.417.4711]
1
30
"I'EY
?x7'"
ELECTRICAL INSPECTION
WIRING REPORT
417473E
NOT APPROVED
DITCH)Ea f2-5 ) h L.=-- noucH I N/covER
D SERVICE
APPROVED
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NONFT INSPECTOR WHEI{ CORRECNOilS
ARE COMPLETED W?HIN 15 DAYS
-DO NOTREMOVE-
OWNEF
CONTBACTQF
coFF€cnoNS NEEoeo, I rht t- eAEIL
.'15.*14-"/rErY
%>;76'+.
ELECTRICAL INSPECTION
WTRING REPORT
417-4735
NOT APPROVED
DITCH
4r,*,r=€z.ec-\'*t, >J 6r
APPROVED
tr
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tr
tr
CORRECTIONS NEEDED:
(,
NOTIFY INSPECTOR WHEN CORRECNONS
ARE COMPLETED wlTHIN T5 DAYS
- DO NOT REMOVE-
-7b INSPECTOB
CONTBACTOB
l
3