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HomeMy WebLinkAbout519 S Peabody Street - Building ELECTRICAL PERMIT c .-) CITY OP PORN ANGELES 360417-4735 Application Number 17-00001577 Date 10/27/17 Application pin number . . 283670 Property Address 519 S PEABODY ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1-9845-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name to the Cityof Port Angeles Property Use . . . . . . , 9 Property Zoning . . . . . . COMMERCIAL OFFICE (Location Code 0502) Application valuation . . . 0, Application desc IT dedicated circuits Owner Contractor CLALLAM CNTY PUB HOSP DIST 2 SIMPSON ELECTRIC DBA OLYMPIC MEDICAL CENTER 243036 W HWY 101 939 CAROLINE ST PORT ANGELES WA 98363 PORT ANGELES WA 983623909 (360) 457-9270 (360) 417-7170 Permit ELECTRICAL ALTER COMMERCIAL Additional desc . 1-4 CIRCUITS Permit Fee . . , . 86.00 Plan Check Fee . , .00 Issue Date . . . . 10/27/17 Valuation . . . . 0 Expiration Date . . 4/25/18 Qty Unit Charge Per Extension BASE FEE 86.00 Fee summary Charged Paid Credited Due Permit Fee Total 86.00 66.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 s INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN /1)/5/11 - - 7 • FINAL 11 ! /51i -7 .9•;', ,g COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: 41!, CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections / 1� 321 East Fifth Street-P.O.Box 1150/Port Angeles Washington,98362 Ph:(360)417-4735 Fax:(360)417-4711 Date://-- 7 --/7 4 Multi-Family or Commercial* *Plan Review May Be Phase�ple Electri,al Review Information Sheet Job Address: 5/ 5' e-44,,,c,c, 0-F r`a-c- Budding Square Footage: Desaipbon of above /-- 7'4/64'r C -sf) Cc -,c- Owner Informationt'_r` n- Contractor Information r► Name: 0/ �r`C aleoe � s 1 Name: SZm r0 5�J /J'ec4"i'e. -I LC „ 93g - 8©k /pp b 01y: City:.. State: um rip: . .- 6s State:/2,./A• rip:_�� �s`Z �360-f 1 -744Fax: •' --•- oFax -- . 70 N/Exp. License#/Exp. AP P Fl -7. ,Tors'- "Fpctr,c(5 Item Unit Charlie gtL Total tQty MultinNed by Unit Charnel Service/Feeder 200 Amp. $13200 $ Service/Feeder 201.400 Amp. $160.00 $ Service/Feeder 401-600 Amp $225.00 $ . Service/Feeder 601-1030 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ 94'-,-r Temp.Service/Feeder 200 Amp. $102.00 $ Temp.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 $ 96.00 $ Sign!Outfne Lighting $ 88.00 $ Signal Circuit/Limited Energy-Multi-Family $ 64.00 $ Signal Circuit/Limited Energy/First 1500 s1-Commercial $ 96.00 $ . Note: $5.30 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat $ ' — Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is firmed.(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 ahspec tion. After reading the above statement,I hereby certify that 1 am the owner of the above named property or a licensed electrical contractor.l am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-468,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. ',!, n re of owner, .--,' , -,' or electrical administrator: 0 CashAl Cheek f 44 54 a 0 0 Credit Card* 4. .1111111' Adair oma: /0 426'/7 mu+►2o1s