HomeMy WebLinkAbout240 W Front ST - Building (4) v b
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ELECTRICAL PERMIT
CITY OF PORT ANGELES 1
360-417-4735
Application Number . . . . . 20-00001312 Date 11/13/20
Application pin number . . . 503712
Property Address . . . . . 240 W FRONT ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1405-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
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Application desc
Exterior outlets
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Owner Contractor
OLYMPIC MEDICAL CENTER OLYMPIC ELECTRIC CO INC
240 W. FRONT ST., STE. A 4230 TUMWATER
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 457-5303
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Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee 86.00 Plan Check Fee .00
Issue Date . . 11/13/20 valuation . . . . 0
Expiration Date 5/12/21
Qty Unit Charge Per Extension
SASS FEE 86.00
- `Fee summary Charged Paid Credited Due
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
i
DITCH
SERVICE
ROUGH-IN -T 2Z. Z
FINAL ,
COMMENTS:
PERMrr WILL EXPME SIX(6)MOMM FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGI SUR DING
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MULTI-FAMILY 1 COMMERCIAL ;
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360,417,4735 1 www.cityofpa.us I eIectrlcaIperm1ts@c]tyofpa.us
cityofpa.us
Project Address: NOHN, 240 W FRONT, PA, 98362
Project Description: ADD (2) OUTLETS ON EXTERIOR OF BUILDING AND (2) IN GEMBA AREA
O Multi-Family Residential 0 Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: NOHN Entail: treid@n0hn-ps.org
Mailing Address: 240 W FRONT ST,PA, 98362 Phone 360-452-7891 X2842
ELECTRICAL CONTRACTOR INFORMATION
Name: Olympic Electric Co.,Inc. License: OLYMPEC285D1
Mailing Address: 4230'fumwaterTruck Route Expiration Date: 03/31/2021
Email: maureenmC�otymplcelectric.net Phone: 360-457-5303
PROJECT
1te—ni ,. ?tit(CW*htlty x unit Charge)
Service/Feeder 200 Amp. $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 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 �_ $ 86.00
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feeder401-600°Amp. 41e4.00
Temp. Service/Feed6i 601-1000 Amp.
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Fantily $88.00 $
Signal CircuitlLimited Energy/First 1500 sf-Commercial $96 00 $ _
(Note:$5.00 for each additional 1500 sf}
Renewable Elea Energy:SKVA System or less $113.00 . $
Thermostat(Note:$5 for each additional) $5800 $
$ 86.00 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.
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Christine M. Brown
h a+,MF.*wdl ttiem. 2+r,.ia�E4ewe w.
Date Print Name Signature(V Owner IP Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111