HomeMy WebLinkAbout1225 Georgiana St - Building
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15192
Port Angeles. washlngtonh....q.::nmn~n.S:.m.....h.mm...oom. 19n2m y
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.
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LIght Outlets....................mm................
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ServIce, volts .... m....mm.m.n~___~..'
No. wires .........;t;l...........m..m..m..
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Size wiresuul~4...-~uu~
Main fuse ........~...,d)..:~..mm
Receptacle Outlets..m................m.......
Dryer, KWj.h.h.....nm....h...m.
Range, KW un"'mn'
Water Heater:
Enclosure ___...mm___..........
Type of wiring:
Entrance Cable ......mnn.........
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Rigid Conduit ........mm..m..mm....
Motors: size, volts and phase:
Metallic Tubing ......m....mmmm..
Current transformers:
No. & Size.......................................
SeT. No.......................................__.....
Ser. No...............................................
Ser. No..........................,....................
Total Load.......m......m.m......
Ser. No..............................................
Type of Wiring:
Armored Cable m........m............___
Non-Metallic ................mm....m....
Knob & Tube...
Rigid Conduit .m............._h........___
Metallic Tubing ...m....'m..mmnm
Raceway '...00....................................
Circuits, LighLm....................m.....___m.
Utility .........00..........00......................
Heat
Range .......'............_"....................,.
Water Heater m.mn......................
Motor h...........................................
Dryer..................................................
Furnace . m...m.mm.m...
Total.......................................
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Permit Fee
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Treas. ReceIpt
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NOTICE--Current roust not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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ELECTRICAL PERMIT
N?
15192
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Date called for inspLtio~---ft-----5tn;~1..4!;1~-#.,h.nunnm.qu=::un2-Vn:~unm.J.----y
Preliminary inspection 1.~efA~1.~:.:;;t:;;.:=~:::::::!;-!=Un.---n---...-.....-----------n..nn---_______....._....n.____________________
InspectioncomPleted......._._l~._.4.r~......-.................................,...........................".................-..........._........_..................___d._.__._..__.....
T'otal Load ..n.n.................nnh...........................n.hnhh..................n_ .......h.............
1M 3-72 Olympic Printers, Inc.
Application Number . . . . . 22-00000767 Date 6/23/22
Application pin number . . . 362118
Property Address . . . . . . 1225 GEORGIANA ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-1075-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
House rewire
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Owner Contractor
------------------------ ------------------------
MARJORIE L MADTSON JOHNSON ELECTRIC COMPANY
1025 E 3RD ST 3129 S REGENT
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 728-4327
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 220.00 Plan Check Fee . . .00
Issue Date . . . . 6/23/22 Valuation . . . . 0
Expiration Date . . 12/20/22
Qty Unit Charge Per Extension
20.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 100.00
1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 220.00 220.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 220.00 220.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------â–¡Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ Hot Tub $110.00 $
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-
468, 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]
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ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Remodel
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
6/30/2022 22-767 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
1225 Georgiana St
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Remodel
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
7/28/2022 22-767 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
1225 Georgiana St