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ELECTRICAL PER.MiT �
GY OF PORT ANGELES
360-4174735 �
Application Number 21-00000984 Date 8/13/21
Application.pin number 938448
Property Address 2201 W-18TU ST;88
ASSESSOR PARCEL NUMBER: 06-30=-99-111=037.0-0000-
Applicaiion:type description -SLECT'R.I CAL, ONLY
Subdivision Name
Property Use . . . . .
Property Zcssing R$SIPENTiAI, Ita+S D$#STst
Application valuation .'. 0
Applicattion'desc T
Outlet, storage closet
{
owner Contractor
SERENITY HOUSE OF CLhI1LAM OLYMPIC SLECTRIC CO INC
PO BOX 4047- 4239 TCVWATER
PORT ANGELES WA 98362 PORT AMBLES WA 98363
(360) 452-1439 (3601 457-S303
Permit -------------ELECTRICAL ALTER COMMERCIAL. - ---- - - --- ----
Additioral desc .
Permit ;Fee . . . 74.b0 Plan Check Fee .00
Isbue bate 8/13/21 valuation . o
Expiration Date 2/09/22
Qtv Unit Charge Per 8xtension
1.00; 74.0000 BCH EL-COM BRANCH CIR WO/ S/F 74.00
Fee te rt"Wry Charged Paid Credited Due
Permi€ Fee Total 74.00 7400 .00 .00
Plan Check Total .00 .00 .00 100
Grand Total 74..00 14.00 .00 .00
REPORT SALES TAX
on ywr excise tax form
to-ft Oty of Port Angeles
(Locadon Crate 4542)
.i
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
s
DITCH
SERVICE
'ROUGH-IN ,
FINAL
COMMENTS: r. .
PERMYr WILL EXPIRE SIX(6)MON1TH FROM LAS'C"INSP N
Si��of owner or Electrical Contractor X Date:
G:� Xs KAN�GE1BUILDING
i s": lo Oil,
e
MULTI-FAMILY / COMMERCIAL CD
1
ELECTRICAL PERMIT APPLICATION 3
Public works and Utilities Department N
321 E. 5th Street, Port Angeles, W-k 98362 t
360.417.4735 1 www.cityofpa.us i eleetricalpermitsC?cityofpa.tis
Project Address: 2201 W 18th - Building B - Unit 8
Project Description: Add outlet in storage closet.
d Multi-Family Residential ❑ Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: Serenity House of Clallam County Email:
Mailing Address: P.O. Box 4047, Port Angeles,WA. 98362 Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: Olympic Electric Co., Inc. License: OLYMPEC285D1
Mailing Address: 4230 Tu►nwater Truck Route Expiration Date: 03/31/2023
Email: maureenm@olymp7icelectdc.net c.net Phone: 360-457-5303
PROJECT DETAILS
UM Unit Charge Quantity Total:(Quantity x Unit Charge)
Service/Feeder 200Amp. $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 1 $ 74.00
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 $
Temp. Service/Feeder 200 Amp. $102.00 $
Temp. Service/Feeder 201-400 Amp. $121.00 $
Temp. Service/Feeder 401-600 Amp. $164OQ $
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'15,00 sf)
Renewable Elec. Energy: 5KVA System or less $11300 $
Thermostat(Note: $5 for each additional) $56.OQ $
$ 74.00 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.
08/11/2021 Michael L. Rutten Michael L. Rutten ° "`�by_0
ON:rnMltluel L R—,o�l,ngt EYNk,ou.
emallvnMN�al,mpkeled.lc.rot,c=US
OMe:2018 08.2015 SO:A-0i00'
Date Print Name Signature(V Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111