HomeMy WebLinkAbout303 - Building ELECMC L ERMTT ,.
CITY OF PORT ANGELES W
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Application Number . . 20-00001331 Date 11/18/20
Application pin number 518451
Property Address . . 303. WV,,8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3470-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . , . .
Property Zoning . . . COMMERCIAL NEIGHBORHOOD
Application valuation 0
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Application desc f
Door accesscontrol
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Owner Contractor
CLALLAM CNTY PUBLIC HOSPITAL SIMPSON ELECTRIC
DISTRICT 2 DBA OMC 243036 W HWY 101
939 CAROLINE ST PORT ANGELES WA 99363
PORT ANGELES WA 983623909 (360) 457-9270
(360)_417-7170
Permit . . , . . ELECTRICAL ALTER COMMERCIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . 86.00 Plan Check Fee .00
Issue'Date . . . .- 11J18/2o Valuation , . . 0
Expiration Date 5/17/21
Qty Unit Charge Per Extension
BASE FEE 86.00 '
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Fee summary Charged Paid Credited Due
Permit�Fee Total - �86.00 06.00 .00 .00
Plan Check Total .00 .00 .00 00
Grand Total 86.00 86.00 .00 .00
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REPORT SALES TAX
on your excise tax form
to the City of Part Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
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FINAL
COMMENTS.
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Signature of owner or Electrical Contractor X Date:
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MULTI-FAMILY / QQMMERCIAL Z
ELECTRICAL PERMIT APPLICATI0-
Pr ic ork-s aml thilities )ep rtrncn O
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321 11.. 5lh Srsesl, Port 4itg�eic:,.NVA 98 kr,2 t
('10.i i " 7 11.L;14,E 3i 'ttil r,i3� <Llt't '.11i"CC €Ytlw, t :1 a i3Ei.ta Vj
Project Address: 30
project Description: Circuit for Cherry St Clinic>Security Sy§tpM Door ArcAss
Punic Building
A Multi-Family Residential Commercial 1 Industrial fSquare footage:
OWNER I FOR XtION
Name: OMC Email:
Mailing Address: 939 Caroline St phone; 360-460-1284
Name: SqMpson Electror I I SIMPSFI A73RQ
Mailing Address: P 0 Rnir 1 Q86 Port Angeles WA 98gs,9 Expiration Date: 1211141091
Entail; disim son il. Phone:_,16t 457-9270
PROJECT DETAILS
Service/Feeder 20DAmp:Service/Feeder t{}44 P. $186,0'
Service/Feeder 401-60t3 $225.00 $
ServicelFeeder 601=1 Otlt1 AmAntp.p. $288.00
Servioe/Feederoveir 1000 Amp, $4%00 $
Branch Circuit W/Service Feeder
Branch Circuit W/O Service Feeder $74.00* "$
Each Additional:Branch Circuit $5.tit} $
Branch Circuits 1-4 $86.00 $ 86 no
Temp,'Servk:a/Feeder 200 Amp, 1 tt2 fl0 $
Temp.Service/Feeder 201.400 Amp. $12100 $
Temp,Service/Feedsrr 401-600 Amp. $164 00 $
Temp.Servica/Feeder 601-1000 Amp. $185 00 $
Portal to Portal Hourly 46 00
Sign/outline Ughting ,
Signal Girt l/i united Energy-Mu�FSMNY � ti
Signal Circultiumited Energy/First 1 '=04mm"
(Note:$5.00 for each adtlltiaeat 1 'i
Renewable Et6c.Energy:5KVA System"or fees $11100
Thermostat((dote:$5 for each additional) $66.06n. $
$ 86.00 TOTAL
Owner as defined by ROW.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 for if above said property Is for sale,root or lease.Permit ex ' after six months of last inspection.
After reading the suave statement,t hereby certify that l am the owner of the above named property or a licensed electrfeal contractor.i
am making the electrical Installation or alteration in compliance with the electrical laws,N.E,C.,-RCw,Chapter 19,28,WM,.Chapter 296
468,The City of Port Angeles Municipal Code,and utility Specifications and RAMC 14.05.050 regarding Electrical Permit Applications.
11/17/2020 Andrew P Simpson ,cQru� r/� rL
Date Print Name Signature((:] Owner R1 Electrical Con r IAdministrator)'
(Electrical Permit Applications may be submitted to City Hall or efectricalpermits@city4a.us or faxed to 36i1,417.47111