HomeMy WebLinkAbout717 E 4th St - BuildingApplication Number . . . . . 25-00001082 Date 8/27/25
Application pin number . . . 108184
Property Address . . . . . . 717 E 4TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-6-0-0072-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
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Application desc
Temp power
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Owner Contractor
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CLALLAM COUNTY YMCA JOHNSON ELECTRIC COMPANY
675 N 5TH AVE 3A 3129 S REGENT ST
SEQUIM WA 98382 PORT ANGELES WA 98362
(360) 504-0526 (360) 477-4594
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Permit . . . . . . ELECTRICAL NEW COMMERICAL
Additional desc . .
Permit Fee . . . . 190.20 Plan Check Fee . . .00
Issue Date . . . . 8/27/25 Valuation . . . . 0
Expiration Date . . 2/23/26
Qty Unit Charge Per Extension
1.00 190.2000 ECH EL- COMM 0-200 TEMP SRV / FDR 190.20
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Fee summary Charged Paid Credited Due
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Permit Fee Total 190.20 190.20 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 190.20 190.20 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
ELCOM MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$237.75 $
$265.75 $
$332.85 $
$427.95 $
$523.05 $
$5.30 $
$95.10 $
$5.30 $
$125.10 $
$190.20 $
$237.75 $
$285.30 $
$332.85 $
$95.10 $
$142.65 $
$190.20 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service 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 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy - Multi-Family
Signal Circuit/Limited Energy/First 1500 sf - Commercial
(Note: $5.60 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.60 for each additional)$95.10 $
$ TOTAL
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 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-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
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[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Slab Conduit cover
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
8/29/25 25-1082 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
717 E 4th St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN / COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
09/15/2025 25-1082 TMC
OWNER
Clallam County YMCA
Contractor
Johnson Electric Company
ADDRESS
717 E 4th St