HomeMy WebLinkAbout907 O - Building ELE PERMrr
CrTY OF�6RT ANGELES
360417-4"-35
_ Application Number . . . . 21-00001179 Date 9/17/21
w:. Application pin number , . . 792155
Property Address . . . . . '907 GEORGIANA ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-8-0145-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . . . . . . .
Property Zoning . . . . . . . COMMERCIAL OFFICE
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Load bank
----------------------------------------------------------------------------
Owner Contractor
CLALLAM CO HOSPITAL DIST #2 PRIME ELECTRIC INC
939 CAROLINE ST 3460 161ST AVE SE
'PORT ANGELES WA 983623909 BELLEVUE WA 98008
(425) 747-5200
Permit , ELECTRICAL ALTER COMMERCIAL
Additional desk
Permit Fee . 121.00 Plan Check Fee .00
Issue Date . . . 9/17/21 valuation . . 0
Expiration Date 3/16/22
Oty Unit Charge Per Extension
1.00 121.0000 ECH EL- COMM 201-400 TEMP SRV/FDR 121.00
--------------------------------t---------------------:----------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 121.00 121.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 121.00- 121.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX(6)MoNTIiS FROM LAST INSPEMON
Signature of owner or.Electrical Contractor X Date:
GAEXCHANGE\BUUjXKG
z
T
•
MULTI-FAMILY / COMMERCIAL 0
ELECTRICAL PERMIT APPLICATION
Public NVorks and Utilities Department lv
321 E. 5th Street, Port Anccles, Nk"A 98362
360.417.4735 1 www.cityofpaA1S I electricalpermits Ct�cityofpams
D
Project Address: 907 Georgiana St
Project Description: Temp power permit for load bank test for generator. Job#1007509
El Multi-Family Residential 171 Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: OMC Email:
Mailing Address: Phone:
L CONTRACTOR INFORMATION ELECTRICA
Name: Prime Electric License: PRIMEE1795NO
Mailing Address: 3460 161 st Ave SE Bellevue,WA 98008 Expiration Date: 08/20/2023
Email: permits@primeelestillC.COM Phone: 425-747-5200
PROJECT DETAILS
AtIn Unit Chase Quantlix Jam((Quantlty 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 $
Temp. Service/Feeder 200 Amp. $102.00 $
Temp. Service/Feeder 201-400 Amp. $121.00 $
Temp, Service/Feeder 401-600 Amp. $1164.001-,z'- $
Temp. Service/Feeder601-10,00 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy;-Multi-Family $88.00 $
Signal Circuiftimited Energy/First 1500 sf-Commercial -496.00 $
(Note:$5.00 for each additional 1500 sf}
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat(Note: $5 for each additional) $66.00 $
$ 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.
09/15/2021 Cody Meinberg Cody M. Meinbergj'n-�
Date Print Name Signature([-] Owner Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111