HomeMy WebLinkAbout907 Georgiana St (9)ELECTRICAL PERMIT
CIry OF PORT ANGELES
3604t74735
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ApplicaLion Number . -
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type deEcriPlioD
subdivision Name . ..
Property Use
Property zoning
ApplicaEio[ valualion . .
21-ooooo238 DaEe 2/26/2L
132A64
907 GEORGIANA ST
06-30 - 00-5 -8 -014 5 - 0000 -
EI,ECTR]CAI, ONLY
COMMERCIAI OEFICE
0
Applica!iol1 desc
Oenerator
CI.ALI.AM CO HOSPITAI. DIST *2
939 CAROLINE ST
PORT ANGEIJES }IA 983623909
PRIME ETECTRIC INC
3460 151ST AVE SE
BELLEVUE(425) 7 47 -5200
I{A 9a008
Per_mit .
Additional desc
Permit Fee
Issue Datse
Expiralion Dale
EI,ECTRICAI AITER COI4MERCIAL
1.4 C]RCUITS
1159. oO Plan Check Fee
2/26/2t valuaLion
8/25 / 2L
00
0
Qty UdiE Charge Per
1.00
1.00
r.00
1.00
160.0000 Ecrr
225.0000 ECH
288 - 0000 ECI{
410.0000 EcH
BASE FEE
EL-COM 201'4 OO SRV FEEDER
EI,-COM 4 OI- 600 SRV FEEDER
EL-COM 601-10OO SRV FEEDER
EL-COM 1OO1 UP SRV FEEDER
Extension
85.00
150.00
225-AA
288.00
410.00
a
charged Paid Credited Due
t
Permit Fee total
Plan Check Toral
craBd Total
1159.00
.00
1169 .00
1169
LL59
00
oo
oo
.00
.00
.00
.00
.00
.00
REPORTSALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE
ROUGH-IN 1r|-t lz tr Y*>
FINAI g / nTzr dF
COMMENTS
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Cootractor X
G: EXCHANCE BUILDING
Date
RESULTS:
I
I
lw
;
..r5so"/'EY
! \r- etl E"*XKJ
ELECTRICAL INSPECTION
WIRING REPORT
417-4736
NOT APPROVED
DITCH
APPROVED
o....
&<. fliFrtx<-. . BoucH rN/covER . .
.....SERV|CE..
tr . FINAL
CORRECTIONS NEEOEO: f.AC. D+*^Y AZ,-S ,
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tr
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AOOFESS
NOT]FY INSPECTOR WHEN CORRECTIOT{S
ARE COMPLETED WTHIN 15 DAYS
_ OO NOT REMOVE-
I 9f7 {--aF.Ctx>-lt Ay
..#5S.t
Yth.-Y
%x#+.
ELECTRICAL INSPECTION
WIRING REPORT
4174735
NOT APPHOVED
DITCH
b-T;*-n nL . . . BouGH lN/covER
SERVICE
tr . . FINAL
L-)xtz-+ Lo af> -I-qA NgfaF-
APPROVED
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tr
dl -r* /-t
DATE 2r-z3z wINSPECTOF
?n,*=- Et-e<-
CONTBACIOF
qb-7 G,EDei ) AN E
ADDBESS
cor{qecrols ruEroEo:
'5'atfCFl B<?)
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED W]THIN 15 DAYS
- DO NOT REMOVE-
I
ELECTRICAL INSPECTION
WIRING REPORT
417-473E,
SERVICE
FINAL
TLr-I.)zt - t50 - t*)B(
CONTBACTOB
9D1 btotl*rftJ*
APPROVED NOT APPROVED
DITCH
D
tr
tr
tr
o
tr
tr
CORRECTIONS NEEDED:
NOTIFY IilSPECTOR WHEN CORRECTIONS
ARE COMPLETEDW]T}IIN 15 DAYS
_ DO NOT REMOVE -
ff*tnV- V,E-c,.rlY rz-
lAboaEss
ROUGH IN/COVER . ,....
ELECTRICAL INSPECTION
WIRING REPORT
4174796
NOT APPROVED
DITCH
.&'&en+'L- RouGH tN/covER .
tr SERVICE
. FINAL .E
CORRECTIONS NEEDED:
".15S..q"/'EY
! ll- lE]tl.
%x#s
APPROVED
tr ....tr
tr
tr
tr
L _27 INSP
CONTBACTOF
AOORESS
NOTIFY IMiPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- T'O NOT REMOVE-
| 1o7 LE-bzct.p.A+-
&tJ ?r qtz L-n,"lrDtNC-
..r5so"/'EY
%V.""
ELECTRICAL INSPECTION
WIRING REPORT
4174736
NOT APPROVED
DTTCH
%'fi;;s,<6"',r.*. RoucH rfucovER . . . .
APPROVED
tr tr
tr
tr
tr
tr
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SERVICE
FINAL . . .
CORRECTIONS NEEDED:
'Ei#zl=o tzt
DATE 2\-zffi
ADDRESS
A
L1 1
NOTIFY INSPECTOR WHEN CORBECTIONS
ARE COMPLETED wlTHIN 15 DAYS
-DO NOT REMOVE-
CONTRACTOF
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bhlrtz;Llop t-.oAp <)>t5
MULTI-FAMILY / C O[/INNERCIAL
ELECTRICAL PERMITAPP LICATION
Pubiic Works and Utilities Department
321 E,. 5th Street. Port A.ngeles, \&',A' 98162
360.117.47 35 | wrvw.cityofpa"us I electricalpermits@cityofpa.us
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P roje ct Address: 9*C€{eEBe Street Port Angeles, WA 98362
Project Description Provide new generator for optiona! standby power to the medical office building
E Multi-Family Residential E Commercial / lndustrial / Public Building Square footage '16880
Name' Rockie Lee (Olympic [4edical Center)Email rl.6@o ympicmedie .org
Mailing Address 939 Caroline Street Port Angeles WA, 98362 Phone:360-417 -7 478
Name Prime Eleclric lnc License PRIIVEEIl34BT
Mailing Address 3460 16LstAve SE Bellevue WA 98008 Expiration Date 1t30123
PhOne 425-747-s200Email carolyn.brownl
Service/Feeder
Service/Feeder
Service/Feeder 401-600 Amp.
Servicei Feeder 601-1000 Amp.
Service/Feeder ovef 1000 Amp.
Branch Circuit W S;rvice Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Serv;celFeeder 200 Amp.
Temp. Service/Feeder 201-4OO Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp
Portal to Portal Houdy
Sign / Outline Lighting
ljnit Charqe Quantity
$132.00
$160 OO 1
$225.00 1
$288.00 1
$410.00 1
nit C harge)
$
$
$
$
$
$5.00
$74.00
$5.00
$86.00
$102.00
s12'1 .00
. $164.00
$185.00
$96.00
$88.00
$88.00
$96.00
410
86
$
$
$
$
$
$
o
Signal Circuivlimited Energy, Multi-Family . ..:.,.. .
Signal CircurVLimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 sfl
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note. $5 for eacn additional)
'l '169 TOTA L
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 eleckical laws, N.E.C., RCW Chapter '19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
2115121 Carolyn Brownlow Carolyn Brownlo
$_
$113.00
$56.00
Date Print Name Signature (! Owner p Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.471'l]
PROJECT DETAILS
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