HomeMy WebLinkAbout1040 W 18TH ST - Building s
1.4
ELECTRICAL PERMIT l
CITY OF PORT ANGELES 47,
360417-4735
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Application Number . . . . 17-00001171 Date 8/23/17
Application pin number . 771172
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 . . . . .
Property Use to the City of Port Angeles
Property Zoning . . . . INDUSTRIAL LIGHT (Location Mode 05502)
Application valuation . 0
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Application desc
Adding mise. circuits
Owner Contractor
PORT OF PORT ANGELES SIMPSON ELECTRIC
PO BOX 1350 243036 W HWY 101
PORT ANGELES WA 983620251 PORT ANGELES WA 98363
(3.60) 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 . . 8/23/17 Valuation 0
Expiration Date 2/19/18
Qty 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
FINAL
CONOAENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST FNSPECTIQI`T
Signature of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections w y1
321 East Fifth Street-P.O.Box 1150/Port Angeles Washington,98362
Ph: (360)4174735 Fax: (360)4174711
Date: Multi-Family or Commercial*
Plan Review Ma Be Requir ,Please m ete Electrical Plan Review Information Sheet
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Job Address:
Building Square Footage:.
Description of above
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-r)�-a Owner 1pformation Contra ctgr information
Name, .Vle /I.—�C:11 T�:'--L - LC,
Name: 5--T-WASQAJ
Mailingddrek ,74-j!k Ur.-/e"W-Ct7 MailingtAddress: VO A )c I ORb
City* State: Zip:Zip:
Phone, 0 it ax: *0j If-57.7-700IYL PhonG8
License#/Exp. License Exp P-5-c—fL T 73 N
Item Unit Charne MY Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 $—
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $--
ServicefFeeder 601-1000 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 wits 14 $ 86. $
TiW.—Service/Feeder 200 Amp. 102.00 $—
Temp.Service/Feeder 201400 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 $
Si rffiutline Lighting $ 88.00 $
Signal Circuit/Limited Energy-Multi-Family $ 64.00 $
Signal Circuity Limited Energy I First 1500 sf-Commercial $ 96.00 $
Note: $5.00 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 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 inspection.
After reading the above statement,I hereby ow*that I am the owner of the above named property or a licensed electrical contractor.I am making
the electrical installation or atteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-4613,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Sign owner,electrical con or electrical administrator: 0 Cash 0 Chw*
lid! credit Card#
A/
Dated: 01101=2