HomeMy WebLinkAbout1102 E Front Street - Building • ELECTRICAL PERMIT '=" e.J
CITY OF PORT ANGELES v t
360-417-4735
Application Number 17-00000730 Date 6/07/17
Application pin number . . 676170
Property Address 1102 E FRONT ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-6-2-0385-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning . . . . .. . COMMERCIAL ARTERIAL - (Location Code 0502)
Application valuation . . . 0
Application desc
Lighting retrofit
Owner Contractor
PUBLIC HOSPITAL DISTRICT 2 SIMPSON ELECTRIC
939 CAROLINE ST 243036 W HWY 101
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 457-9270
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc . 1-4 CIRCUITS
Permit Fee . . . 91.00 Plan Check Fee . . .00
Issue Date . . . 6/07/17 Valuation . . . . 0
Expiration Date . 12/04/17
Qty Unit Charge Per Extension
BASE FEE 86.00
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
Fee summary Charged Paid Credited Due
Permit Fee Total 91.00 91.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 91.00 91.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN ‘(Z7//%, ,'7
FINAL -19/-267/11
COMMENTS:
M 1
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical.Contractor X Date:
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'YC.� f S'at
CITY OF FORT ANGELES PERMIT APPLICATION t h C ''
Building Division/Electrical Inspections �` r< �!`'
321 East Fi f h Street-P-O.Box 1150/Port An les Washin 98362 .` Q
Ph:(360)417-4735 Fax: (360)417-471.1
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Date: ,4-5- /1 \Multi-Family or Commercial{ ,
..._�.�,.�._ �h t 4 Car.
*Plan Review May Be Required Please Co pleEiectri I Pin Review Information Sheet �7
Job Address: `141,d ____Li I-E i).p__1!"oa'rgr /.../_0 0 8 e FeedtA -
Building Square Footage: yea�r
Description of 9bove ir�i� 12C: T - . "705- r r -- _
Owner Information Contractor Information
Name: CDIName: �j,._ ,t? cs-a 6/ee c_1_d_.„.
'
Halling bpd �% Meiling Address: Pit vt f
City:�fp .' .._State:_R np! . .. , CRY:—P—A. Stater:,ff&Zip. Z Z:-.
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Phone: Fax; Phone: JJ-/} 7()Fe>r ' -. -
Li #/Exp. License#/Exp. y /°5 ,
c b eir-t c,-.3,c- cl'Is sr' / em.g t17.
Una Chatga SIL Total tQty 1lluIU,Iied by Unl Clair e
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $
Service/Feeder 601-7000 Amp. $288.00 S
Service/Feeder over 1000 Hip. $410.00 $
Branch Circul WI Service Feeder $ 5.00 $
Branch Circuit WIO Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 ✓ $ "'C►
Branch Circuits 1-4 $ 86.00 ^ ;:✓ $ I?
Temp.Service/Feeder 200 Amp_ $102.00 $
Tamp.Service/Feeder 201-400 Amp, $121.00 $
Temp.Service/Feeder 401.600 Amp. $164.00 $-- —
Temp.Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $ 98.00 $ —
Sign/Outline Lighting $ 88.00 $
Signal Circuit/Limited Energy-Multi-Fantlly $ 64.00 $
Signal Circuit/Limited Energy I First 1500 sf-Commercial $ 96.00 $ ,_„
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-SKVA System or Less $113.00 $ ,—
Thermostat $ 56.00 $�
Note:$5.00 for each additional T-Stat
$ 9/:1''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 lnspectloa i.
After reacting the above statement,I hereby certify that I am the owner of the above named properly or a licensed electrical a mtracbor.I am making
the electrical installation or alteration in compliance with the electrical laws,N.E.C..ROW.Chapter 1928,WAC.Chapter 298*488,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
of owner,electrical ontractor or electrical administrator: D Cash CI Check
cc Credit Cards C9141. /
I. 4. / -