HomeMy WebLinkAbout1017 Georgiana St - Building
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
17345
Port Angeles. washlngton..___.......K::.::..~__L_______.._______._.____.. 19:-:[9
. '
In accordance with the City Ordinance to regulate the installation. extension. or repair of elec-
trical equipment in, on. or about any building or other structure in the City of Port Angeles. per-
mission is hereby granted to d6 electrical work as listed below.
Address nnn/_t2L2_7~!!_'1.!'-(.~"'''__''''<=nnn___.___n___ Occupancy.n.nn_nn.nn___n_.______..______________
~:7:~ ~.~:~~~~~-~-:za;;;J;:!;?::::~e;;.Y?'~~~_:~~~;::-.::::::::::.---------~::::::::::=::::=::::::::::::=:::::::::::::::::::
Light outlets__uum.;;2__u=__.uuu_u____.. Service. volts u,/c?.~L~.!'!.q,u. Type of Wiring:
~ . '
Receptacle Outlets....,'?:................___.. No. wires ........................___............ Armored Cable .............---..............
SI 1 Non-Metalllc mm__uum____umm______
Dryer, KW _____n...........nn.................... ze w res..................._.............._..
Knob & Tubem__mmmu__umm.__m_
Range, KW...........nm..n.............._
Water Heater:
Main fuse .......................................
Enclosure .......................__..............
Heat~:~:::::f5:z.f..:;;g~
Type of wiring:
Entrance Cable .......---...................
Motors: size. volts and phase:
Rigid Conduit ...............___.............
MetalUc Tubing ...___...........
Current transformers:
No. & Size.......................................
Ser. No.........._............................__....
Ser. No..............................................
Ser. No..............................................
Total Load.................______......
Ser. No..............................................
RIgid Conduit mu_m____u.m____.u_m
Metallic Tubing ...........................
Raceway ..............................._.__._
Circuits. LighL.................................._..
UtlUty uuuummuu__m_muu____uuuu.
Heat ................................._...._..__
Range ............................._...............
Water Heater _..............................
Motor _._........................................
Dryer ..............................................__
Furnace .........................,~......_...........
Total.......................................
Rema~ks: _____/J,e.~_C<,_____.-,4,~7.?..~.nn-er.'Lf2'~~n------...-----------nnn-------.----mmm____nm...__
____._.._u___._______._________n________...___________----.-------------.--.------------.---.--.----.------------------------.---------------.-.---------------.-.-----.....-
Permit Fee
Treas. Receipt
...___nn...nnUnnn.nn.n__n_nn_nn_n.nnhUn__n.nnnn_.Un.n_nnhn....n__.uu..n.n.n___hun_nn_u__n.n._nnn_nnn._n.u__nn__.nnn
Byn~t..~~&~.~~_~
/r V / .
NOTICE-Current must not be turned on unUI Certificate of Inspection has been issued. If work is to be con-
cenled due noUce must be given the Inspector so that work may be inspected before concealment.
$_..__________mm________n________.
No.__......_________.....______
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
Address
...................-...................................................................-...............................................
Owner..................................._......_.._......_......_.._.............._...........................................Tenant........................................................-..........
Dateh._.........._.._.._........___......_U._.___......_
N?
17345
Wiring Contractor ................................_.._......................_............................................................. By..............................................................
\. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work ls to be con-
chled due notice must be given the Inspector so that work may be Inspected before concealment. ..
1M Olympic Printers, Ine.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
14921
Port Angeles, Washlngtonoooool.n~_2_oooooo___n______ooo__ooo_ooo_ooomoom, 19:!.?'"
In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address /t?7i.Zc:ll~_:!_4~::tR.;''::'':;1::f..'moom_oon_____mm_ OccupancYh"'_~!.:oo~!"'____u_oon___m__,____m____
[AJ. rfI
OWI:er __r_40"'""":&_m_,'-90__:;:.:nm__________mm_mu'um Tenant____n_nu_n__n___ooooomm___n__oomu_mm_moon__oo__n__oo
Wiring Contractor m.,j::roo1<!::!~~__m_n__nn_m_____nn_m'oo By___m_mm_oo___nn_m________mm_nn__oooo_mmoo__nuh_
Ligh': Outlets.....______________..........__...........
ReCf ptacle Outlets.........__.._.________..___...
Service, volts n___n_............nn__._...........
No. wires __nn_'___"''''''''_nn__.n.n.....
Dryer. KWI......un__nnn_.nnn_.n__..______ -
Size wires.............mm____._.......m_n
Rang!, KW..nn.h.nn..._nnn
Main fuse ....hnhnnm...........___.mm.
Wat lr Heater:
Enclosure ____m__.m............mm.____...
1:W.,mh________n___n____
Type of wiring:
Entrance Cable _mm__m..m_...._._....
Heat: RW,._........n___nnn.._.._.___............
Rigid Conduit m_mm_..__.......n..mn
Metallic Tubing ...nm..m_._nn.......
Current transformers:
No. & Size_....nmnmnn...._........_mn_
Moters: size, volts and phase:
Ser. No.__.........__._...........________.____......
Ser. No.._._..._....__.......___.___._____._____......
Ser. No.,___...____._................_____...._....._.
Type of Wiring:
Armored Cable "__"mm
Non-Metallic mnmm..__m_m___mm._
Knob & Tube___......_......_.................
RIgid Conduit m_'____nn______'_'____nm
Metallic Tubing nnmm..........mm_
Raceway ...._......._........._................__
Circuits, Light.....mh..-___.mmn...nn.......
Utillty n'_n__mm__n_n____mh_____u'_______
Heat
Range .______.___________._______.___.____________.
Water Heater "nnnnnn..nnmmn...
Motor ___.____n___...__............_............._
Dryer...--........-.................._.._....__.....__.
Furnace .n..._nn.__nnnnn.'_....__..._...._
Total Load._nnnnnnnn.__.n.... Ser. NO.n....nn...........nn.nn_n.n.......n Total .n..n...............__......nn.nn
- , ~ 7
::::::::___:::::::~=~:~~:::::~::::::i:::::~=::f/..~:::=::::::~::~::~::~~:t..:~~~:::::::::::::::::::::::::::::::::
-i~_~~_~~__~~~-_~~~-__~-~~~_~~~-n~moom-i:~_~_~~~~~_~_~~i_~_~~-_~~~--------m-m---:~-::_;yl~~;.;~;~::_::f~::~:=::::-
l'OTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
ceate i due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
14921
Date called for inspection........................................_....._...._.........._.........._.............._..............._....................__._____.................._....._.......___...._..
PreU: ninary inspection dates......................__...___..........................._.._._.........._..__........_.....__........__......................._.._._._............_.._............_
Total Load mmm____nn__'n__mn_..n________________mmn_mnm_m_n_mnh___m__
Inspe::t1oncompleted._______...___......_._.........._..............._...._.................................................hd.~................___....._............__...__..._.........
1M 3.72 Olympic Printers, Inc.
Application Number . . . . . 22-00001437 Date 11/16/22
Application pin number . . . 594906
Property Address . . . . . . 1017 GEORGIANA ST
ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0225-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL OFFICE
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Copier outlet
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
OLYMPIC MEDICAL CENTER JOHNSON ELECTRIC COMPANY
939 CAROLINE ST 3129 S REGENT
PORT ANGELES WA 983623917 PORT ANGELES WA 98362
(360) 728-4327
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee . . .00
Issue Date . . . . 11/16/22 Valuation . . . . 0
Expiration Date . . 5/15/23
Qty Unit Charge Per Extension
BASE 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
MULTI-FA MILY/ COMMERCIAL
ELE CTRICAL PERMIT APPL ICATION
Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------
Project Description:--------------------------------------â–¡Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _
OWNER INFORMATION
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRICAL CONTRACTOR INFORMATION
Name: License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
llim!
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy -Multi-Family
Signal Circuit/Limited Energy/First 1500 sf -Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Total (Quantity x Unit Charge)
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _ $ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _
$ ____ _
$ _____ 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.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
lJ CD
PREPARED 11/15/22,14:35:44 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001437 1017 GEORGIANA ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 86.00
TOTAL DUE 86.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Copier
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
11/28/2022 22-1437
TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
1017 Georgiana St