HomeMy WebLinkAbout2138 BLDG 1040 W 18TH ST - Building (2) ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
'Application Number . . . . . 18-00001194 Date 7/31/18
Application pin number . . . 378752
Property Address . . . . . . 2138 BLDG 1040 W 18TH ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-1-1-2100-5001-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . INDUSTRIAL LIGHT (Location Code 0502).
Application valuation . . . . 0
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Application desc
TV outlet and server room outlets
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Owner Contractor
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PORT OF PORT ANGELES SIMPSON ELECTRIC
PO BOX 1350 243036 W HWY 101
PORT ANGELES WA 9836202SI PORT ANGELES WA 9 8363
(360) 457-8527 (360) 457-9270
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Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee .00
Issue Date . . . . 7131/18 Valuation 0
Expiration Date 1/27/19
Oty Unit Charge Per Extension
BASE FEE 86.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN -t/14 AR
FINAL
CONDAENTS:
PERMIT WILLEXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:—
MULTI-FAMILY / COMMERCIAL CD
3
ELECTRICAL PERMIT APPLICATION X:
PuHlic Works and Utilities Departmelit
- I F. 5th Street. Poi-tAn�-'eles. 983-02
-,00.4 17.4735 %�%N N\.c't\-ofpa.us electricalperillits 4-161\oflpa.us
Project Address: 2138 W 1 8th St Port Angeles, WA 98363
Project Description: circuits for TV Outlet, changing outlet in Server Room
0 Multi-Family Residential El Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: ACTI Email:
Mailing Address: 2138 W 18th St Port Angeles,WA 98363 Phone: Matt 360-477-3276
ELECTRICAL CONTRACTOR INFORMATION
Name: Simpson Electric LLC License- SIMPSEL973RQ
Mailing Address: PO Box 1086 Expiration Date: 12/11/2019
Email: disimpson5l@gmaii.com Phone:.360-457-9270
PROJECT DETAILS
Rem Unit Charce Quaritity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225M $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W1 Service Feeder $5.00 $
Branch Circuit W10 Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 1-4 $ 86.00
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Serviceffieeder 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 1 Outline Lighting $88.00 $
Signal Circult/Limited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note:$5.00 for each additional 1 SW so
Renewable Elec.Energy:5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $56-00 $
s86.00 TOTAL
Owneras defined by RCW.19.28-261:(1)Ownerwill occupy the structure fortwo years afterthis electrical permit is finalized.(2)Owneris
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 statemeM 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 Elecwcal Permit Applications.
7/30/2018 Andrew P Simpson
Date Print Name signature(ff—Owner V EIecfifca1'C6ntra#r/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111