HomeMy WebLinkAbout240 W - Building ' c PERMIT
crry ` "�ANGELES
360417-4735
Application Number . . 20'=00000827 D-*EPORPSTATE SALES TAX
Application pin number . 332288 pj/r excise tax form
Address . . 240 W 'FRONT ST ( Y.
ASSESSOR PARCEL NUMBER_ 06-30-00-0-0-1405-0000- t0 the City of Port Angeles
Application type description ELiCTRICAL ONLY
Subdivision Name . . . . (Location Code 0502)
Property Use . . . . .
Property Zoning- . . . . . CENTRAL BUSINESS DISTRICT
Application. valuation . 0
Application desc
Service repair
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Owner Contractor
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OLYMPIC MEDICAL CENTER OLYMPIC ELECTRIC Co INC
240_W. FRONT ST., STE. 'A 4230 TUMWATER
PORT ANGELES WA 98362 PORT ANGELES WA 9$363
(360) 457-5303
Peru . ELECTRICAL, ALTER COMMERCIAL
Additional desc .
Permit .Fea . . . . 288.00 Plan Check Fee .00
Issue:Date. . . . 7/27/Z0 Valuation 0
Expiration Date 1/23/21
Oty Unit Charge Per Extension
1'.00, 288.0000 ECH ELrCOM 601-1000 SRV FEEDER 288.00
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Fee Summary Charged Paid Credited Due
---- ------ ---------- --+-------
Permit Fee Total 288.00 288.00 .00 .00
Plan Check Total .00 .00 .00 .06
Grand Total 288.00 888.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
: DITCH
SERVICE 7 L7 1-0
ROUGH-IN
FINAL
COA10,4ENTS:
P 1tM2i' t i.: i1�E XE EOM .AST iNSPWMN
Signature of owner or Efectricat C ctor X Date:
~ .
�
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5dh8tnsmt Port Angeles, WAV@362
360417-47351vvnnw nn/n)ec|d ts@cnxdpmuo
ProjontAddreoo: 24ONiFront St., PA 98362
New ^
[] Multi-Family Residential 0 Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: NOHN Email:
Mailing Address: 88362 phone: 360-452'7891
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: 4230 Tumwater Truck Route Expiration Date: 03/3112021
Email: «p Phone: 360-457-5303
PROJECT DETAILS
8omicnFvndm30UAmp. $132.00 _---__ o__—__—___
Service/Feeder 2014nnAmp. $160.00 *_________
Service/Feeder 401'800Amp $225o0 $_________
Service/Feeder WV1-1000Amp. $286.00 � $ 2�}8. }0___
Service/Feeder over 1VuOAmp. $410.00 g_--__—___
Branch Circuit NV Service Feeder $5.00 $________
Branch Circuit W/O Service Feeder $74�00 u
Each Additional Branch Circuit $e.00 $________
Branch Circuits 1'4 $86.00 $________
Temp. Service/Feeder 2VVAmp. o102.00 $__---____
Temp, Service/Feeder 301-*uVAmp, *121,00 $__----___-
7emp, Service/Feeder 4V1'6VOAmp, $164.00 *____—___'
Temp. Service/Feeder 6V1'10V0Amp. $185.00 $__---____
Portal tp Portal Hourly 898.00 $_________
Sign/Outline Lighting $88.00 $_—______
Signal Circuit/Limited Energy-Multfmmoy $88.00 $__ _.........
Signal CincuixumitmdEnergy/First 15O0sY-Commercial $86.00 $_-_.
(Note:$5on for each additional 1500of)
Rrneweb|wEum.Energy:sKvA System nrless $113.00 $____—___
Thermostat(Note:$5 for each additional) $56.00 $_____
*_288^00__.TOTAL
Owner as defined by RCW.19.28.26 1:(1)Owner wi I I occupy the structure fo r two years after this el ectri cal permit i s final iz ed.(2)Owner i s
required to hire on electrical contractor|,above said property is for sale,rent o,lease. Permit expires after six months m 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,TheQty«[PortAogo|oeMvnicipo|Cnde. andUti|ity8p,cificohvnsandR*Mc14.05n50rvya,dimgBoctriva|PermhApp||uedmno.
7/24/20 Christine M. Brown