HomeMy WebLinkAbout1130 Georgiana St - Building RECEIV E ...- K
CITY OF PORT ANGELES PERNIIT APPLICATION
Building Division/Electrical Inspections N'JV 0 6 201 �
321 East Fifth Street—P.O.Box 1150 /Port Angeles Washington, 98362
Ph: (360)417-4735 Tax: (360)417-4711 -�. CiF3If;AL
IN� _� �✓ INSPECTIONS
Date: _Multi-Family mercial*
*Plan Re vi w M y Be Re iced, Please Complete El trical Plan Review Information Sheet
Jab Address: -e
Building Square Foo age'
Description of above
Name: ®lion f„? p��� Name: o r anon,
Name: J} / �
Mailinciddress Maili dress r 01 O..
city: r _�State: Zip; City: State: zip: VX 5K
Phone: Fax: Phone: ax;
License#1 Exp. License#i ExpT P11-
Item Unit Charge Total kQtX Multi Unit Ctt r e
ServicelFeeder 200 Amp, $132.00 $ ro
ServicelFeeder 201-400 Amp, $160.00
ServicelFeeder 401-600 Amp $225.00 $
ServicelFeeder 601.1000 Amp. $288,00 $
ServicelFeeder over 1000 Amp. $410.00 , $
Branch Circuit W1 Service Feeder $ 5.00 $
Branch Circuit W10 Service Feeder $ 74,00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 86,00 $
Temp.Servicel Feeder 200 Amp. $102.00 $
Temp.ServicelFeeder 201-400 Amp. $121,00 $
Temp.ServicelFeeder 401-600 Amp, $164.00 $
Temp.ServicelFeeder 601-1000 Amp, $185.00 $
Portal to Portal Hourly $ 96.00 $
SignlCutline Lighting $ 8$,00 $
Signal Circuit]Limited Energy-Multi-Family $ 64.00 $
Signal Circuit]Limited Energy!First 1500 sf-Commercial $ 96.00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113,00 $
Thermostat $ 56,00 $
Note;$5.00 for each additional T-Stat
$a� Total
Owner as defined by RCW.19.28.261: (1)Owner will occupy the structure far two years after this electrical pe it 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 malting
the electrical installation or alteration in compliance wlth 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.
Signature of owner,electrical contractor or electrical administrator: ❑ cash ❑ Check
C,edit Card tk
X V� 4ated: � �� 0110112412
ELECTRICAL PERMIT t
CITY OF PORT ANGELES
360-417-4735
Application Number , , , , . 13-00001293 Date 11/07/13 �BV
Application pin number 976355
Property Address . , . 11.30 GEORGIANA ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-1210-0000-
Application type description ELECTRICAL ONLY on your excise tax form
subdivision Name . . . . . . to the City of Port Angeles
Property Use , . . . . . . ,
Property Zoning , . . . , . . COMMERCIAL OFFICE (Location Code 0502)
Application valuation , . . . 0
Application desc
Complete remodel service and circuits
Owner Contractor
THOMAS C ELORE CR HEST ELECTRIC -�
PO BOX 1272 P.C. BOX 2445 �7
SEQUIM WA 983821272 SEQUIM
(360) 683-7814 SEQUIM WA 98382
(460) 2248
--------------------_-----------------------------__-------- - -------------- r�
Permit , . . , ELECTRICAL ALTER RESIDENTIAL 1,
Additional desc . . Lv
Permit Fee 205..00 Plan Check Fee .00
Issue Date . . . . 11/07/13 valuation 0 m
Expiration Date 5/06/14 �Y
Qty Unit Charge Per Extension
17.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 85,00
ECH SRV FEEDER 120.00 n
------------------ - - 00
120.0000 ----- - - -----__ ----_--_.-----------------
Fee summary Charged paid Credited Due
._- _._____---.-- ---------- -------,-__ ----------_--- ----------
Permit Fee Total 205.00 205.00 00 .00
Plan Check Total .00 .00 DO 00
Grand Total 205.00 205,00 00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT`WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contrac(or X Date:
G:IEXCI4ANGEIBUILDING