HomeMy WebLinkAbout200 W 1st St (4)N
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Application Number -
Applicatsion pin number
Propertsy Address
ASSESSOR PARCEL NUMBER:
Application type descripEion
subdivision Name
ProperEy Use
Property zoning
Application valuaLion
22 - ooooo34 5 Date 3/24/22
51?505
200 w 1sT sT
06-30 -00-0 -0 -33 00- 0000-
ELECTRICT\! ONLY
CENTRAL BUSINESS DISTR]CT
0
ApplicaLion desc
2 circuits
JOHN ,] & ROE]N K M]LETICH
]12 RED DEER DR
PORT ANGELES WA 98352
\350) 452 -717 5
SIMPSON EI,ECTRIC
243016 W HWY 101
PORT ANGELES
l35a) 457-9274
wA 98363
Permi!
Addilional desc
Permit Fee
lssue Datse
Expiration Datse
EI,ECTRICAL AITER COMMERCIA]T
1-4 CTRCUTTS
85. Oo Plan check Pee
3/24/22 va.LuaL ion
9 /2a /22
00
0
Qly Unir charge Per
BASE FEE 85 .00
Cha.ged Paid credited Due
Permits Fee Total
Plan check Total
Grand Total
85.00
.00
86.00
.00
- 00
.00
.00
.00
85.00
.00
85.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION T\?E DATE;INSPECTOR:
DITCH
SERVICE
ROUGH-IN 2)21!zz-dP BP
FINAL i)q/z-^tr YP
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date
CTEXCHANGRBUILDING
EI,ECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
RESULTS:
MULTI-FAM ILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Wolks and Utilitics Departnrcnt
-.121 E.. 5th SLreet. Port r\ngeles. WA 98-162
-160.4 I ?.4735 rvrvrv.cityofpa.us I electricalpernritslTlcityofpr.us
Countryaire Natural Foods 200 W 1st St. Port Angeles, WA 98362
1'oj
\NIs
\
Project Address:
2- Circuits for outlets, f - in the meat department for meat g.inder, 1- outside outlet W side of awning coverProject Oescription:
E Multi-Family Residential I Commercial / lndustrial / Public Building Square footage:
Name: John [,4i]etich Email:
Mailing Address 312 Red Deer Dr Pod An les, WA 98362 Phone: 360-457-9348
Name:SimDSon Electric LLC Lice nse: SIMPSEL9T3RQ
Mailing Addre SS' P.O. Box 1086 Po.t Angeles, WA 98362 Expi '3li6n !216; 1211112023
Phsns; 360-457-9270Emait: dlsimpson5l @qmail, com
Item
Service/Feeder 200 Amp,
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp,
Service/Feeder 60'1-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601- 1000 Amp.
Portal to Portal Hourly
Sign / OuUine Lighting
Signal CircuiULimited Energy - Multi-Family
Signal CircuiULimited EnergyiFirst 1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy; SKVA System or less
Thermostat (Note: $5 for each additional)
3 23-2422 Andrew P Simpson
!figaEe----OrJaEfl&
s132.00
$160.00
$22s,00
$288,00
$410.00
$5.00
$74.00
$5.00
$86.00 1-4
$102.00
$121.00
$ 164.00
$185.00
$96.00
$88.00
$88.00
$96.00
Igtal (Ousntity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
0086
$1 13.00
$56.00
$_
s 86.00 ,oral
Owner as defined by RCW19.28.261: (1 ) Owner will occupy the structure for two years after this electrical permit is finallzed. (2) Owner is
required to hire an electrical contractor if above sajd 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, lhe City of Port Angeles Municipal Code, and Utility Specificalions and PAMC 14.05-050 regarding Electrical Pemit Applications.
-1"4r** PSr*r,po*
Date
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.usl
Print Name Electrical Contractor / Admanistrator)
.P. ROJECT DETAILS
$__
Signature (! Owner @