HomeMy WebLinkAbout907 Georgiana St (7)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7 -4735
COMMERCIAI, OFFICE
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
+s.L
Application Number -
Application pin number
Property Address
ASSESSOR PARCEL NI,r}{BER :
Application ty'pe descripEion
Subdivision Name
Property Use
Property Zoning
ApplicaEion valuation
19- 00000994 Date '7 /23 /L9
?80580
907 GEORGIANA ST
05-f 0-00-5-8-0145-0000-
ELECIRICAI ONLY
Application desc
X-Ray room
Contractor
CLALI,A]"I CO HOSPI?A! DIST #2
93 9 CAROLINE ST
PORT ANGEIES WA 98 3 623 909
O],YIqPIC EIECTRIC CO INC
423 O ]'IJMWATER
PORT ANGEIES WA 983 53
(360) 4s7-s303
Permit
Additional desc
Per:mit Fee
lssue Datse
'74 .00
1/23 /1-9
L/1-9/20
ELECTRICAL ALTER COMMERCIAL
Plan Check Fee
Valuation
00
0
Expiration Date
Cty unit charge
1.00 74 .0000
Per
ECl{EL-COMM BRANCH CIR Wo/ s/F
Extsension
74.00
charged Paid CrediEed Due
PermlE !'ee 1'otal
Plan Check ToEal
Grand ToEal
74 .04
.00
'74.OO
'/4.OA
.00
?4.00
00
00
00
00
o0
00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECITON
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN pltulYt P 3aF
FINAL P:lra'lPt N -d
Signature of owner or Electdcal Contractor X Date
COMMENTS:
"1s9!l1,v^+'rrah\q"/iBy
%V.c"
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVEDAPPROVED
DITCH....-
CORFECTIONS NEEDED:€ riq-vt r b ts1,tr.a\1,/zr€b
tr
n
u
o
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n
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I ri,a ta+v Dtec-^
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€
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COTI'PLETED WTHIT{ 15 DAYS
- OO NOT REMOVE-
DATE:
It/
II'ISPECTOB
OWNER
€- E-Ld-L
CONTNACTOR
AODNESS
....... HOUGH IN/COVER
. - . SERVICE
. . .. FINAL
Yo r>{r;r:t>e,-
-^.24ku""/'EY
%-".*6'"
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
F-+1=.. RouGH rN/covER
tr SERVICE . . .
APPROVED
D
FINAL
D
tr
tr
tr
CORRECTIONS NEEDED:
Ah,"t -T F,A-P A#e-n,,.€fr(?
DATE:
O"fi,-NSP
owN
DLCONTFACTOF
1o7 LtF* at
DITCH. "
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED W]THIN 15 DAYS
_ DO NOT REMOVE_
?oRl ELECTRICAL INSPECTION
WIRING REPORT
4174735
NOT APPROVED
DITCH
gr-"$gwt *i- . RoUGH lN/covER
tr SERVICE. .
u FINAL
W,l\l--L
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS-
-DO NOT REMOVE-
n D
n
tr
tr
DATE:NSP
CONTRACTOF
ADORESS
APPROVED
COBRECTIONS NEEDED:
uOWNEF
Ot-cspPl t- €t.sZ-
?oHl
APPROVED
n DITCH
gE ,&fr*k=. . . FoucH lN/covER . . . . .
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
tr
n
trSEBViCE
tr . . FINAL .tr
COFIBECTIONS NEEDED:
''/z' or Noe:i'>l t;vtw-t +49e2-T' &r+2,
NOTIFY IIiISPECTOR WHEN CORRECTIONS
ARE COMPLETED wlYHIN 15 DAYS
_ OO NOT REMOVE-
DATE:
fi-xqH
]NSPECTCRw
owNEn
CONTFACTOB
bt-Yr^P!/€.us,afKat c
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ADDFESS
t,.lP.d- t*vtz*- oE a<ea{
IU U LTI.FA[4 I LY / COM [.4 E RC IA.L
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Streel, Port Angeles, WA 98362
360.417.4735 I wwvi.cityofpa.us I electricalpermits@cityofpa.us
dI*
Pro,e cteaaress. CAe NOB.101 6*^*,-n,.
Project Description Nelrt X- Br, eri r*TPtos Bu,futt^a
E [rulti-Famity Residential Ecommercial/Indu3tri8l/PublicBUildingSquarefootage:-
Name
Mailing Address
Emall
8ib2, phone 4bo-Llt7 -70e o
PROJECT DETAILS
ltain
Sorvico/Feeder 200 A.np.
Servace/Feeder m 1-{00 Amp.
Servica/Feeder 40r600 Amp.
S€rvic€/Feeder 601 -1 000 Arnp.
Service/Feeder over 1000 Amp.
grandr Circuit W Service Feeder
Branch Circuit W/O SeNice Feeder
Each Mditional Branch Circuit
Branch Clrq/lb t-4
Temp. Servioo/Feoder 200 Amp.
Temp. Servico/Fesder 20 1 {00 Amp.
T6mp. Servico/Feeder 401{00 Amp.
Temp. Service/Feeder 601-'1000 Amp.
Porlalto Portal Houdy
Signal CirqiyLimited Energy - Mufii+amily
Signel ClrcuiyLlmltod Enorgy/First '1500 st - Cormercisl
(Nob: 05.00 for e8dr edditonal 1500 80
Renewable Elec. Energy: SKVA System or less
Thermost l (Note: $5 frlr each sdditional)
IgEl (Qu.ntlty x Unlt Ch.B!)
$132.00
s160.00
$225.00
$288.00
$4 r 0.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
s164.00
s185.00
s96.00
$8E.00
$96.00
$r13.00
$s5.00
$
$
$
s
$
$
s
$
$
$
$
6
$
s
$
$
$
3
7rl. e o
7F. oo TOTAL
Owneraldefined by RCW19.2E.261: (l ) Owner will occ1]py the struclure for two years aferthis eloclrical permil is finalized. (2) Owner is
requirBd to hke an electical contractor il abovc said properly is for s8le, lent o.lea8e. Permit expires afler Eix months of last insplction.
Afrer reading the above statement, I herEby certify that I am the gwner of the aboye named prcperty or a licen8ed eleclrical conlraclor. I
am making the electrical installalion oralteration in complian0e with the elcclric8l laws, N.E.C., RCW Chapter 19.2E, WAC. Chapter 296-
408
6
, The Crty of PortAngeles MunicipBlCode, and Utillty Specil
z7 lfl Chnshte Fraa,rt
and PAMC 14 regarding Electrical Perm,( Applicalions.
Date Print Name Signature (l] Owner [f Electrical Contractor /Administratoo
lElectrical Permit Applicafions may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417 47111
{7r n
U
NSme: olvMpll: ELECTR|C co lNC License: oLyMpEc2sspl
Mailing Addtess: .230 ruMr,vATER TRUcx FTE FoRT ArcEr,€s wA s6363 E4iralion Date: -.!E|4lL__
Email 6aur.€p'r@dy"p,cdedric rEl Phone: l6!Jflj$t__