HomeMy WebLinkAbout2138 W 18th St Bldg 1030 - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . . . . . 15- 00001367 Date 10/29/15
Application pin number 578045 ?D '� o
Property Address . . . 2138 BLDG 1040 W I$TH ST
ASSESSOR PARCEL NUMBER; 06 30- 00 -1 -1- 2]00 Application type type description ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use
Property Zoning INDUSTRIAL LIGHT
Application Valuation 0
Application desc
CIRCUITS FOR DOWN DRAFT TABLE
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 4502)
INSPECTION TYPE
DATE:
41)'-ow
Owner
DI'T'CH
Contractor
------------------ - - -
PORT OF PORT ANGELES
- --
------------------
SIMPSON ELECTRIC
- - ----
- -�
PO BOX 135D
243036 W HWY 101
FINAL
PORT ANGELES
WA 983620251
PORT ANGELES
WA 983x'3
(360) 457 -8527
(360) 457 -9270
Permit . . . . . .
ELECTRICAL,
ALTER COMMERCIAL
Additional desc
DOWN DRAFT
TABLE 1 -4 + 2
Permit Fee
96.00
Plan Check Fee
00
Issue Date
10/29/15
Valuation
0
Expiration Date
4/26/16
Qty Unit Charge
Per
Extension
BASE
FEE
96.00
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Fee summary Charged
Paid Credited
Dtt
Permit Fee Total
96.00
96.00 .00
.00
Plan Check Total
00
,00 0C
00
Grand Total
96.00
96.00 .00
.00
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DI'T'CH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PEF,MIT WILL EXPM F- SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
Q\EXCHANGEIBUILDFNG
t' 1 ^ ;�qC18TML'
CITY OF PORT ANGELES PERMIT APPLICATION �� � R � ���� � �� eta � �• �
Building Division /Electrical Inspections �
321 East: Fifth Street - P.O. .Box 11.50 !:Port Angeles Washington, 9$362 OCT 2 8 21) 15 �
Ph: (360) 417 -4735 Fax: (360) 417 -4711 ,
Date: a °;jZ 7 —• • t Niultl- Fartaily or Commerc(*
'Plan Review May Be Re uired eas om • late ectr9 I Plan Rev w Inform kion Sheet
Job Address; �. ���
Building Square Footage: �--- -. —
Descrlption of above
Owner Information Contra lnfomta ton
Name: C T' Namp: ��'.�
MnIlln Add ss;
$tat& UAL- rp; ] /�, Mailin• J�ddress; f' � � / c�
Pone: a�: Cat1+• 114 - State, wrr Zip:
icanae! Exp, 0
Stem Unit Charge fit Total.(gty Multi Iled-by_Unit Chanel
ServlcelFeeder 200 Amp. $132,00 $
Servicip0eeder 201400 Amp. $180.00 $_
ServicelFeeder401.600 Amp $ 225,00
Service/Fseder 601 -1000 Amp, $ 288.00" -
SeryloelFeeder over 1000 Amp. $ 410.00 $ ..
Branch Circuit W/ Service Feeder $ 5,00 -
Branch Clrcult W10 Service Feeder $ 74.00
Each Additional Branch Circuit 5 $
S .00
Branch Circuits 1-4 $ 86 00
Temp. Service/ Feeder 200 Amp. $ 102,00
Temp. 5etvicelFeeder 201400 Amp. $121.00 $""' �
Temp. ServicelFeeder 401-600 Amp, $164,00 _� $
Temp. Service/Feeder 601.1000 Amp , $185.00 $
Portal to Portal Hourly $ 811.00` $ --
Sign/041ne Lighting $ 88.00
Signal Circuit/ Limited Energy ---�-
rgY-Multl•FamilY $ 64,00 $�
Signal Circuit/ Limned Enorgy 1 First 1500 sf - Commercial $ 96.00
Note: $5,00 for each additional 1500 sf $- ----�•
Renewable Electrical Fnergy - SKVA System or Less $113,00
Thermostat $ 56.011
Note: $5.00 for each additional T -Shat $-
$ 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, Petmit explr,es after six months of last inspection,
After reading the apove statement, I hereby certify that I ant the owner of the 306ve named property or a licensed electrical c0ntr. actor. I am making
the electrical installation or alteration in compliance with the electrical laws, NEC -, RCW. Chapter 19.28, WAC. Chapter 296-461.1, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications,
Slgnature:of owner, electrical cont Cior or electrical administrator: 11 Cass, n Check
-` CPO card _�-
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