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Home My WebLink About321 N Chambers Street - Building ELECTRICAL PERMIT e►• s CITY OF PORT ANGELES 360-417-4735 t Application Number 17-00000273 Date 3/09/17 Application pin number . . 209901 Property Address 321 N CHAMBERS ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0125-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use Property Zoning UNKNOWN (Location Code 0502) Application valuation . . . 0 Application desc TI switches and outlets Owner Contractor CLALLAM CO PUB HOSPITAL DIST 2 SIMPSON ELECTRIC DBA OLYMPIC MEDICAL CNTR 243036 W HWY 101 PORT ANGELES WA 983623909 PORT ANGELES WA 98363 (360) 457-9270 Permit ELECTRICAL ALTER COMMERCIAL Additional desc . 1-4 CIRCUITS Permit Fee . . . 116.00 Plan Check Fee . . .00 Issue Date . . 3/09/17 Valuation . . . . 0 Expiration Date . 9/05/17 Qty Unit Charge Per Extension BASE FEE 86.00 6.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 30.00 Fee summary Charged Paid Credited Due Permit Pee Total 116.00 116.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 116.00 116.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 51 J/ 17 FINAL 6)30'ifr' COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION 6 Signature of owner or Electrical Contractor X Date: — nt.:4,4= , 5 di ' ' • OrnfrorParrAnszutshauffrAnucamarf .,i, ,, 1 -Nzz-t-77Z- I'7:- e''Ztt 1--_ ., .L Ralirmisifiviiimillkdried leepetems 4 MIL Rod nklakeet—P.O.Ram115110P1urtAandeeWasibrimefts,9111362 :1 rk two 417.4L1SPa=pi*417-4711 ---___---' 7-) 7 _Yllialareounimiar 4 -pr s e c-roar. eit;.-ei 4(744-0.-00-Asi PmRodawlday Be Iftecili: -- .01 Reim kftildidi Sheet A / MOONS4 0 4---n-a-rz 4e--frs Meg SigineFiest 1-- Detamilims o • , 1 .'r .... , ' 0 % - ', - IFAINTrnrAW . _ . 1 . !Ism II1 - el. e; E-iec ._ MI UniegIgiviiic 0 #.,7,-)1.1, , Cilg 1-1. A.. -• f+ ______ #...,. •r.4:7,SLT,--:- 1.: ,•ix "Altitg .-, Mew Li I 7 (///1 Jim 21:7,._ - Vey. umworiTh ;. '4#-RitAZIEC.,.4. ,. '7iiiXilr.-VIN 0,4t_no b &of-A-, ikeikimpsdh " . Q- M WARM iiKkVSANO erlairiollsra - Semiceraiderai4011fte. ' MN — - Senifterader411114110ftp $M10 $ ____, Seivicereedeffe14011816.. $3/1100 $ _ — Sembiffeedlerever11180/049. $41ftle — $s—— awn*CIONITIStektereeder - $ s.on ______ - bath CialtVilefkolke fissi* ' $ PLISI 4 Estitadlimillboadiacol $ Ela ffi_.___170 ThimliCialls 14 $ M •Otriz Tamp.ertissfRediellibilwip. . $1112DI __ 1._ _ _ __ low ankffeador2D1411011k* MOO L.__ — Top.Switeervalirlitillikip, $IMO _ lemp.ankirfiraladel-liellthe. $11151111 - S.-- _ _ Mal broallfaly $ % WellikeWalli $ SO • 1.....__ . 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T,,y5 APPROVED NOT APPROVED ❑ DITCH .ROUGH IN/COVER ❑ 0 SERVICE El 0 FINAL 0 CORRECTIONS NEEDED: (.f PLC-4_ _ ) /) t i Imo' a' AL1 ' '�7, ip NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE-- • ELECTRICAL PERMIT • CITY OF PORT ANGELES 360-417-4735 Application Number 17-00000658 Date "5/22/17 Application pin number . . 261668 Property Address 321 N CHAMBERS ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0125-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name to the City of Port Angeles Property Use Property Zoning UNKNOWN (Location Code 0502) 1 Application valuation . . . 0 • Application desc • Feeder circuit Owner Contractor CLALLAM CO PUB HOSPITAL DIST 2 SIMPSON ELECTRIC DBA OLYMPIC MEDICAL CNTR 243036 W HWY 101 PORT ANGELES WA 983623909 PORT ANGELES WA 98363 • j (360) 457-9270 . Permit ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . 132.00 Plan Check Fee . . .00 Issue Date . . . 5/22/17 Valuation . . . . 0 Expiration Date . 11/18/17 Qty Unit Charge Per Extension 1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00 Fee summary Charged Paid .Credited Due Permit Fee Total 132.00 132.00 .00 .00 Plan Check Total .00 .00 .00 ' .00 Grand Total 132.00 132.00 .00 .00 • • • { • - I INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH SERVICE ROUGH-IN 7)011-7 )j `-7 ti FINAL COMMENTS: PERMTT=WILL EXPIRE SIX(6}MONTHS FROM LAST INSPECTION Signature of a ' ,.or Electrical Contractor X Date: G\EXCHANGEIB G ELECTRICAL INSPECTION 0rwa WIRING REPORT ifrORKS Os- 417-4735 DATE: IINEMSEI OWN CONTRACTOR GO ADDRESS APPROVED NOT APPRO D o DITCH o ROUGH IN/COVER o SERVICE O FINAL 0 . 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