HomeMy WebLinkAbout222 N LINCOLN ST - Building (3) ............
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3604174735
Application Number 19-0,0001360. Date 9/06/19
Application pin.number . . . 110560 REPORT S-TA TE ML Es T"
Property Address . . . . . . 222 N LINCOLN ST,103
ASSESSOR PARCEL.NUMBER: 06-30-00-5-0-0020-0000- on Your--&Xc1WW ftm
Application type description ELECTRICAL ONLY tO the City of PW AngeleS
Subdivision Name . . . . . .
Property Use . . . (Location�Code ow)
Property Zoning . . . .. . . . CENTRAL BUSINESS DIMICT
Application valuation'.. 0
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Application desc.
Ice Machine
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Owner Contractor
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HAP20RTOWM LLC SIMPSON ELEMIC-�'
84 HUNTERS GATELY 243036:WMY 101
PORT ANGELES WA 98162 PORT ANG'2=8 WA 98363
(808) 225-7194 (360) 457-R270
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Permit . . . . . . ELECTRICAL ALTRA COMMERCIAL
Additional-desc 1-4 CIRCUITS
Permit-� 86.00':
Fee Plan check Fee .00
Issue Date 9106/19, valuation 0
Expiration.Date 3/04/20
Oty Unit Charge Per Extension
BASS FEE 86'.00
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Fee summary Charged Paid Credited Due
---------- - -------r-- ---------- ---------- ----------
Permit Fee Total 4�'.-00 86.00 .00 .001
Plan.Xheck Total .40 .00 .00 .00
86.00 100 .00
DAM' 19SUTS. INSPECMR:
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SERVICE
ROUGH-IN
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JAST.
PERMrr WILL EXPME SIX,(4460W FROM
Signature of owner,or E Contra�tor X— Date:
AL
MULTI-FAMILY / COMMERCIAL CD
ELECTRICAL PERMIT APPLICATION 3
Public Works and I.-ifififics Departn"IC.11t
321 E. 501 Street, Port Anc�eles, W"A 983862
360.417.4735 1 ",-w,,v.cityofpa.us electricalpen-nits���)cityofl)a.us
Project Address: 222 N. Lincoln St. Port Angeles, WA
Project Description: Hook up new Ice Machine
El Multi-Family Residential E?3 Commercial/Industrial/Public Building Square footage:
NFORIVIATION
Name: Jasmine Bistro Email:
Mailing Address: Phone: 360-797-4601
ELECTRICAL CONTRACTOR INFORMATION
Name: Simpson Electric LLC License: SIMPSEL973RQ
Mailing Address: P.O. Box 1086 Port Angeles,WA 98362 Expiration Date: 12/11/2019
Email: dlsimpson5l@gmail.com Phone: 360-457-9270
PROJECT DETAILS
Unit Chacge Quantity JQW(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 1-4 $86.00 1-4 $ 8600
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 $
(Note: $5.00 for each additional 1500 sf)l
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat(Note: $5 for each additional) $56.00 $
s 86.00 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 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.
9/04/2019 Andrew P Simpson
Date Print Name Signature(E] Owner [:] Electrical CO"ntractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
,VOW
S ELECTRICAL INSPECTION
WIRING REPORT
417-4735
S&
DATEJW PERMIT# INSPECTOR
1 0 -1
-6111-1
CONTRACTOR
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ADDRESS '
APPROVED NOT APPROV
0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . .
0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . ...
E3. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . 0
0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 0
CORREC-nONSNEEDED:
Pr V-Lplo� 3, bz);:�l 14 Z,
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 05-6AYS
— 00 NOT REmovgi�l