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HomeMy WebLinkAbout2284 Al 4TH ST. - Building WqF u - _ COY OF PORT ANGELES 1 -4-1.74735. Application Number . . . 19-00001307 Date 8/29/19 Application pin number . . 752686 RPOR7"STAT�SALES TU TIf'' Property Address 2184 W, 47ii ST d/� E)IIY a 3e fcu n ASSig'SOR PARCEL-NUMBER: 06-30-004-4-6024-0000- y Application type description ELECTRICAL, ONLY t4 the City of Port Angeles Subdivision Name . . . , . (Location Code 0502) Property Use Property Zoning . . . RS7 RE SINGLE FAMILY Application valuation . -. . _---------- -------------- --------- Application desc, DRP ----------------------------- -- --------- ------- --------------------- Owner Contractor ------------------------ ----------- _ JOHN S AND JUDY C YANG BLOLCK DIAMfB,ID LECTRICAL CONTR 95756 MAIARU ST 5 SLAM D2AMOND RD MILILANI. Hl 95789 PT ANGELES WA 98363 (808) 386-6875 (3,60) 565-1935 ` elirt3 -. . . . . 'RFJSID------- A----------------------- NTTAL --- ------ ---- ------ P . BLBCiJ:6AL ALTER Additional desc . Permit Fee _ 63.00latn Check Fee w .00 Issue hate 8/29/19 :,Valuation 0 Expiration Date 2/25/20 Oty Unit Charge Per Extension 1.00 63.0000 BCH EL-R- BRANCH CIR WO/ SSR FEED 63.00 ------------------------------------------------------- Fee summary Charged Paid, Credited Due - _------ ------ ---------- Permit Fee Total 63.`0.0 6a- M .00 .00 Plan Check Total OA. q0 00 00 Grand Total 63.00 63.40 00 - .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH a ROUGH-TN WAI. FERMrr WELL EXPIRE SIX(6)MMT4!S FROM Sipat um of anti mer or Electrical Contract'X Date: .:,� �'nir ����1 �#"«,r�<`s z 2�:P,'3.>��- w..�i` ,„��'' � _?,_� 2`�- z� ..,'�:.?i "5:��yr s`�' 5 � ,. t r "n` i i ... I i _. I .... i. . -� ,. �a a ���, L F. 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 L 360.417.4735 1 www.cityofpa.us ( electricalpermits@cityofpa.us Project Address: Project Description: 1 G �f Single-Family Residential ❑ Duplex/ARU Building Square footage: OWNER INFORMATION Name: O Email: Mailing Address: 2- Tr4 Phone: ?off— 3,m� 7� ELECTRICAL CONTRACTOR • ' • Name: License: Mailing Address: Expiration Date: Email: Phone: Zb -ZZ "PROJECTDETAILS Ian Unit Charae Quantity Total(Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal Circuit/Limited Energy-1&2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy:5KVA System or less $102.00 $ Thermostat(Note:$5 for each additional) $56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding/Detached Garage $74.00 $ Each Swimming Pool/Hot Tub $110.00 $ 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 certify that I am the owner of th ab named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with ele i laws, N.E.C., RCW.Chapter 19.28,WAC.Chapter 296- 466,The City of Port Angele Municipal Code nd Utility Speci ns AMC 14.05.050 regarding Electrical Permit Applications. t� —1 Date Print Name Si toe( Owner ❑ Electrical Contractor/Administrator) [Electrical Permit Applications maybe submitted to ' Hall or epermits@cityofpa.us or faxed to 360.417.4711] r, CITY`OC1RT ANGELES '- E ltcation Number . . . 19-OD0012tI0 Date 8/12/19 x e non pin number . . ol9xoo REPORT STATE SALES TAX Address 939 CAROLINE ST r y on your excise tax form $j, NUMBER: 06-30-00-1-0-3325-0000- Appliaa tyke descriptip i ELECTRICAL ONLY to the City of Fort Angeles S ubdivision":1 (Location Code 0500 Property Use MIKEWM Property Zoning PUBLIC SE)ILDtSGS & PAR&R Pxpplication valuation 0 Appliciti*x-desc Loi 6iiage_iant monitoring Owner Contractor ------------ - -- - PUBLIC HOSPITAL DISTRICT #2 ANGELES COMMUNICATIONS INC. 939 CAROLINE ST 102 ROSS LN. PORT ANGELES [QfA 98362 PORT ANGELES, WA (360) 417-7170 PORT ANGELES WA 98362 (360) 457-4375 Permit ELECTRICAL ALTER COMMERCIAL -. - Additional desc Permit Fee . . . . 96.00 Plan Check'Fee 00 Issue Date 8/12/19 valuatiod, 0 Expiration Date 2/08/2Q Qty Unit Charge Per Extension 1.00 96.0000 BCH EL-LIMIT= IST 1500 SQ FT 96.00 --- ---------- Fee summary, Charged Paid, Credited Due Permit Fee Total 96.00 96.00 --.00 ------ .00 Plan Check Total .00 .00 00 00 Grand Total 96.00 96.00 00 .00 yINOWTION TYPE DATE: RESULTS: INSPECTOR DITCH SERVICE 'ROUGH-IN_ FINAL CON MENTS: PERmrrW1LLMq0kk MONTHS FR©M LAST.INSPEGTION SjpatuM4owner or Electrical Contra Date: 1 � � 1 � .. - - ... �t.4 FtM..i �> MULTI-FAMILY / COMMERCIAL CD 1 ELECTRICAL PERMIT APPLICATION REQ `;.Y 3 Public Works and Utilities Department AUG 321 E. 5th Street,Port Angeles, WA 98362 360.417.4735 1 www.cityoufpa.us ! eleetricalperinits@.cityofpa.us N Project Address: Olympic Medical Center 939 Caroline Port Angeles, WA 98362 (3rd Floor Obstetrics) Project Description: Ethernet + Low voltage control and speaker wiring for Infant monitoring system ❑ Multi-Family Residential 9) Commercial/Industrial/Public Building Square footage: UNKNOWN OWNER INFORMATION Name: Olympic Medical Center Email: amacfeat@olympicmedical.org Mailing Address: 939 Caroline St. Port Angeles,WA 98362 Phone: 3604177000 CONTRACTOR INFORMATION Name: Angeles Communications Inc License: 601386512 Mailing Address: 102 Ross Ln Port Angeles,WA 98363 Expiration Date: 30 April,2020 Email: don@angelescommunications.com Phone: 3604574375 PROJECTDETAILS Item Unit Charas Quantity Total(Quantity x Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp. $225.00 $ Service/Feeder 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 Circuits 14 $86.00 $ 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/Outline Lighting $88.00 $ Signal Circuit/Limited Energy-Multi-Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $ 96 (Note: $5.00 for each additional 1500 so Renewable Elec. Energy: 5KVA System or less $11'3.00 $ Thermostat(Note: $5 for each additional) $56.00 $ $ Q 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 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 Electrical Permit Applications. 8 Aug, 2019 Donald Simpson Donald L Sim Soon Digitally signed by Donald L Simpsoon P p Date:2019.08.08 10:10:52-07'00' Date Print Name Signature([-] Owner V Electrical Contractor/Administrator) [Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]