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HomeMy WebLinkAbout1021 - Building (2) ELECTRICAL PERMIT ? EL ES 3664 1-4735 i Application Number . . . 20-00000797 afRE0000 1Tf SALES TAX Application pin number . . 705999 Property Address . . . . 1021 CAROLINE ST ©nB.K�i%S@ tci7f:fDn ASSESSOR PARCEL NUMBER: 06-30-00-5-3-0440-0000- 'to the City of Port Angeles Appiicat type descript oft ion . ELECTRICAL ONLY Subdivision Name (LocOon Code 0502) Property Use . . Property Zoning . . COMMERCIAL OFFICE Application valuation 0 - ---------- Application desc 3 phase service ----------------------------------------------------------------------------- Owner Contractor - ------------------------ Olympic Medical Center SIMPSON ELECTRIC 939 CAROLINE ST 243036 W HWy'101 PORT ANGiELES WA 083623"1 PORT ANGELES, WA 98363 (360) 457-9270 - - ----------------------------------------------- Permit . . . . . ELECTRICAL'ALTER COMMERCIAL. Additional desc . :Permit Fee - 452.00 Plan Check Fee .00 Issue Date . . . . 7/21/20 Valuation . . . 0. Expiration Date 1/17/21 Qty - Unit Charge Per Extension 1--00 132.0000 SCH EL-COM 0-200 'SRV FEEDER 132.00 2.00- 160.0000 BCH EL-CON 201-400 SRV FEEDER 320.00 -- -- - - --------------- Fee" ,summary Charged Paid Credited Due -------- ---------- - ------ ---------- --- ---- 1'e7tOt4it` Pee Total 452.00 452.00 .00 00 Ply Check Total .00 .00 .00 .00 Grand Total 452..60 452.00 _00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL C 3WENTS PERMIT WILL 3IX(6)MONTHS FItOM LAST WSPBCMON Signature of owned or E1 _ Contractor X Date: ,, .� .. �Y... ` i .'-E ' ' ~ ~ MULTI-FAMILY / COMMERCIAL � ELECTRICAL PERMIT APPLICATION Puhlic \V0Fk,,., und (|iili\ieu Department �o �� '2| |' 5(h S|rccL Pnu /\n�c|c� Y`A Y876l � PS )604|747}� � x`�`��x>uh�x�u, | c|c�cn�a|p�nni|suci�`o|pou� ~J -- ' ~�> Project Address- /02/ Caroline St Port Angeles, WA 98362 Wound Care Building �0Am Me�rNa� 2 �OO amp Project Description: [] Multi-Family Residential 0 Commercial/Industrial/Public Building Square footage: OWNER INFORMATION Name: OMC Email: Mailing Address: 939 Caroline St Phmpe: 3OO-417-747G !L ELECTRICAL CONTRACTOR INFORMATION Name: Simpson Electric LLC License: Mailing Address: Expiration Date: 12n1 Email: dlsimpson5l@gmaii.com Phone: 360-457-9270 PROJECT DETAILS Unit ChAM 01jana JaW(Quantity x Unit Charge) Service/Feeder 200 Amp. $132.0 1 $]32.00__ Service/Feeder 201-40OAmp. $100.00 ��__-- 320.00 Service/Feeder 401'6OOAmp. *225.00 $____----_' Service/Feeder 8Ui-1OOOAmp. $288.00 $_____----_ Service/Feeder over 1OOOAmp. $410.00 $____---_- Branch Circuit NWService Feeder $5.00 $_____----_ Branch Circuit W/O Service Feeder $74.00 s Each Additional Branch Circuit $5.00 $_______--_ Branch Circuits 14 $86.00 $_____ Temp.Service/Feeder 2OOAmp. $102.00 ____--- $ Temp. Service/Feeder 201-4VVAmp. $131.00 $_____-----' Temp. Service/Feeder 4O1-60VAmp. $164.00 $____----_ Temp.Service/Feeder 6A1-1UODAmp. $185.00 $________ Portal bn Portal Hourly $96.00 $--__------- Sign/Outline Lighting *88.00 $_____---_ Signal Circuit/Limited Energy-Mufti-Family $88.00 $_____----- Signal Circuit/Limited Energy/First 1500of'Commercial $96.00 $ (Notu:$5.DO for each additional 15OUs0 Renewable Elec. Energy:5Hlx\System orless $113.00 $______---_ Thermostat(Note: $5 for each additional) $56.00 $________. s452.00----TOTAL Owner oadefined by RCW1 9.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Ownerio required to hire an electrical contractor ifabove said property is for sale,rent or lease. Permit expires after six months of last inspection, After reading the above statement,|hereby certify that|am the nwmo,of the above named property or a licensed electrical oontra*or.| am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296- 46B,TheC|,ynfPort Angeles Municipal Code, and Utility 8peuifinatiunoand FAMC14.US.O5O regarding Electrical Permit Applications. Andrew7/20/2020 P Simpson Date Print Name Signature(M Owner V Electrical C6ntractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711 J