HomeMy WebLinkAbout223 E 8TH ST - Building (4) ELECMCAL PERMIT
CITY OF PORT'ANGELES
360417-4735
Application Number . . . . . 19-00001828 Date 11/19/19
Application pin number . . . 162556 REPOR]" TT SALES TAX
Property Address . . . . . 223 E 8TH ST x.;.
ASSESSOR PARCEL NUMBER:' 06-30-00-0-2-3080-0000- On yOt3t XC/se tax form
Application type description ELECTRICAL ONLY to the City Of Port Angeles
Subdivision Name . . (Location Code 0502)
Property Use
Property Zoning . . COMMUNITY SHOPPING DISTIL
Application valuation . . . 0
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Application desc
Wiring repairs by Al Oman
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Owner Contractor
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WILLIAM 'SHORE MEMORIAL POOL DI SIMPSON ELECTRIC
225 E. STH ST 243036 W HWY.101
PORT ANGELES WA;98362 PORT ANGELES WA 98363
(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 . . : 11/19/19 Valuation 0
Expiration Date 5/17/20
Qty Unit Charge Per . Extension
BASE FEE 86.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 86.00' 86.00 00 00
Plan Check Total .00 .00 00 .00
Grand Total 86.00 86.00 .06 .00
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INSPECTION TYPE DATE' RESULTS: INSPECTOR:
DTTCH
SERVICE
ROUGH-IN 17
FINAL �...
COMMENTS:
PERMfr WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION
Public Works and {l1 /i��S \l� O�
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3'1 F'. 5\h Street, Port /\iwele» Y"A983b2
36O4i7�4735 | »��v�cicyn6`^um | doc1dcu(pcnnits��ci(\o�mus
Project Address: Horizon CeOter223 East 8th St Port An | VVAS8362
Project Description: Updates
[] yNulti'Fami|yRenidandin| B] Commercial/Industrial/Public Building Square footage:
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Nome: William Shore Memorial Pool District Email:
Mailing Address: 225 E 5th St Port Angeles,WA 98362 Phone: 380-460-3526
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Name: Simpson Electric LLC License: SIMPSEL973RQ
Mailing Address: P.O.Box 1086 Expiration Date: 21/11/2021
Email: disimpson5l@gmail.com Phone:.360-457-9270
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 1-4_--' * 86.00
Temp. Service/Feeder 2UUAmp. $102.00 $-______-_'
Temp. Service/Feeder 2O14OUAmp. $121.00 '� $_----_--__-
Temp. Gomioe/Fooder401'08OAmp+ *164/00 ��'__�_@�_ `^� ~�� $
Temp. Service/Feeder 601-1000 Amp. ° � $185.00 ���^� �� �� $
Portal Vo Portal Hourly �� �� �� , .| �� � � ^~ �� $96.00 �� �� �� $=____~____
Sign/Outline Lighting $88.00 �� �--_-_-_ �� r� $___-__-_-_
Signo| Cirouit/Limi0od N| ^ $88.00
Signal Circuit/Limited Energy/First 1500 sf-Commercial $
Renewable Elec. Energy: 5KVASystem or less�' '�� " �r $--------_-_-
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Thonnoo�\(N�a� *5 for each add�onu|) � � "� - ��8�O �� $__________
$��l.00TOTAL
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-
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Date Print Name Signature(E] Owner ;? Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]