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HomeMy WebLinkAbout933 E 1ST ST - Building (4) ELECTRICAL PERMIT w WN CTTY OF PORT ANGELES o� 360-417-4735 Application Number . . . . . 19-00000076 Date 1/15/19 Application pin number . . . 911464 REPORT STATE SALES,TAX Property Address . . . . 933 E 1ST ST or) our excise tax form - ASSESSOR PAROL NUMBER: 06-30-00-7-2-0260-0000- y Application type description ELECTRICAL ONLY to the City Of Port An9eieS Subdivision.Name . . . . . (LOcadon Code 0502) Property Use . . . . Property Zoning . COMMERCIAL ARTERIAL Application valuation . . . 0 --------------- -- -- ------ Application desc medical clinic upgrade --------------------------------------------:---------------------------- Owner Contractor HOWARDS VENTURES SIMPSON ELECTRIC• 253 FASOLA RD 243036 W HWY 101 SEQUIM WA 98382 PORT ANGELES WA 98363 . (360) 457-9270 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee 570.,00 Plan Check Fee .00 Issue,Date . . . 1/15/19 Valuation . . . . 0 Expiration Date 7/14/19 Qty Unit Charge Per Extension 30.00 5.0000 BCH BL-BRANCH CIRCUIT W/FEEDER 150.00 1.00 132.0000 BCH- EL-COM 0-200 SRV FEEDER 132.00 1.00 288.0000 ECH EL-COM 601-1000 SRV FEEDER 288.00 -- Fee summary Charged Paid Credited Due _ - ------ ---------- Permit Fee Total :, 570.00 570.00 .00 .00 Plan Check Total .00 .00 00; .00 Grand Total '570.00 570.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR DTTCH SERVICE , ROUGH-IN Z FINAL COMMENTS: PERMrr WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEtmN Signature of owner or Electrical Contractor X Date: 2'; • MULTI-FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATIO r , P m Public Works and Utilities Deparnnent 321 E. 5th Street. Part Am, tiles.lVA1.98361) -360.417.47' I x;-Nvw.cit-vofpa.us j electricalpei-mits4ein Ofpa.us iWFUPi` Project Address: 933 East 1st St Port Angeles, WA Project Description: 000 Amp Service, 200 Amp Feeder, Wire Dental Equipment, Lights, Switches, Outlet ❑ Multi-Family Residential El Commercial/Industrial/Public Budding Square footage: OWNER INFORMATION Name: North Olympic Health Care Network Email: Mailing Address: 240 W Front St Phone: 360-452-7891 Ext 2828 • - ' •� •- fflON Name: Simpson Electric LLC License: SIMPSEL973RO Mailing Address: P-O.Box 1086 Port Angeles,WA 98362 Expiration pate. 12/11/2019 Email: disimpson5l@gmail.com Phone: 360-457-9270 s R® t item Unit Chame Quarrtity Total(Quantity x Unit Charge) Service/Feeder 200 Amp. $13200 1 $ 13200 Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp. $225.00 $ Service/Feeder 601-1000 Amp. $288.00 1 $288.00 Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $5.00 10 $ 5 — Branch Circuit WIO Service Feeder $74.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $86.00 $ Temp.Service./Feeder 200 Amp. $102.00 $ Temp.ServkWFeeder 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/Outline Lighting $88.00 $ Signal Circuit/Limited Energy Multi-Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $ (Note:$5.00 for each additional 1500 sf) Renewable Elec.Energy:5KVA System or less $113.00 $ Thermostat(Note:$5 for each additional) $56.00 $ � $ TOTAL Owner as defined by RCW.1928261:(1)Owner will occupy the structure for two years after this electrical perrnit is finalized.(2)Owner is required to hire an electrical contractor if above said property Is for sale,rent or lease.Pemrit expires after six months of last inspection. After reading the above statement,I hereby certify that I am the owner of the above named property-or a licensed electrical contractor.I am maldng the electrical installation or atteration in compliance with the electrical laws,KE-C.,RCW.Chapter 19-28,WAC.Chapter 296- 466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Apprrcations_ 4 1/3/18 Andrew P Simpson , ,lzt�� Date Print Name Signature(❑ Owner Electrical r/Ad nistrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@Ck"Ofpa.us or faxed to 360.417.4711] fid;�"' ELECTRICAL INSPECTION WIRING REPORT & 417-4735 DATE: PERMIT# INSPECTOR OWNER CONTRACTOR ADDRESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ $ QZ5)P,�ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: ALL_ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE-- �ovow ELECTRICAL INSPECTION � WIRING REPORT 417-4735 DATE: PERMIT# INSPECTOR / Z OWNER CONTRACTOR cr ( —S— ADDRESS 0 ADDRESS 33 APPROVED NOT APPROVED $ . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: 5,_pT7G,f� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE--