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HomeMy WebLinkAbout907 Georgiana St - BuildingELECTRICAL PERMIT MY OF Powr ANGELES 360-417-4735 Application Number 15-00001567 Date 12/15/1.5 Application pin number 607500 Property Address - , . 907 GEORGIANA ST ASSESSOR. PARCEL NUMBER: 06-30..00-5-8-0145-0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 0 Application desc Mechanical controls Owner Contractor CLAL1,AM CO Hosp:urAl, DIST #2 EC COMPANY 939 CAROLIKE ST PO BOX 10286 PORT ANG'E.LES WA 983623909 PORTLAND OR 97223 (503) 224-351.1. Permit . . . . . . ELECTRICAL NEW COMMERICAL Additional desc Permit Fee 642,00 Plan Check Fee :Issue Date 12/15/15 Valuation 0 Expiration Date 6/12/16 Qty Unit Charge Per ExLerision 1,00 96.0000 ECH EL. -LIMITED IST 1.500 SQ FT 96.00 26.00 5.0000 ECH EL ADDNT LIMITED 1500 SQ FT 140.00 1.00 56.0000 ECH EL.T.,VT-TIIERMOSTAT 56 00 70.00 5.0000 ECH EL-1.,VT ADDITIONL* THERMOSTAT 350.00 Fee summary Charged Paid Credited 1::):;Le Permit Fee Total 642.00 642.00 00 .00 Plan Check Total. .00 .00 Grand Total. 642.00 642.00 '00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 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 Contractor X...... . . .......... . Date,—. G:\EXCHANGE\BUILDING CITY OF PORT ANGELES PERMIT APPLICATION (1 Building Division/Electrical Inspections ! 1 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 lS\ 12/15/15 Date . _ Multi -Family or Commercial* . 1 * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Q Job Address: 8 t^St.PortAngeles,WA98362 „_.._ Building Square Footage: Description of above Olympic Medical Center installation of mechanical controls for new building mechanical equipment Owner Information Contractor Information Name: Olympic Medical Center Name:EC Company Mailing Address: _ 939 Carolina Mailing Address: 6412 Sth _– �St. Port Angeles, WA 98362 ----City City:— StateWA _Zip: _ 98032 Phone:., 360-417-7000 „Fax: _ 360.417-7082 Phone:- 2062423010 Fax: 2064366023 License # / Exp. ..... ...... _­--....--- License # I Exp.–ECCOM"' 148BA Item Unit Ch r a (3ty Total Multi lied b Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 Service/Feeder 401-600 Amp $ 225.00 Service/Feeder 601-1000 Amp. $ 288.00 $ Service/Feeder over 1000 Amp. $ 410.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit WIO Service Feeder $ 74.00 $�,m Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp. Service/ Feeder 200 Amp. $102.00 $p_ ...................-.......... Temp. Service/Feeder 201-400 Amp. $121.00 $ Temp. Service/Feeder 401-600 Amp. $164.00 $_ Temp. Service/Feeder 601-1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 _ _.._, $ Sign/Outline Lighting $ 88.00 Signal Circuit/ Limited Energy– Multi -Family $ 64.00 Signal Circuit/ Limited Energy I First 1500 sf – Commercial $ 96.00 _ 1 $._,, 96 Note: $5.00 for each additional 1500 sf 28 140 Renewable Electrical Energy - 5KVA System or Less $113.00 $_....,_, _uuu Thermostat $ 56.00 1 $'_56 Note: $5.00 for each additional T-Stat 70 350 $642.00 Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C,, RCW. Chapter 19.28, WAC. Chapter 296-4613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check Sfaw RowFed.dd- 12/15/2015 x Credit Card # 0110112012 T � n •� KCAL PERMrr C �dRT ANGELES 36419--473 Application lhmber 19-00600994 Date 7/23/19 Applicatib6'pin number . . 780680 REPORT STATE SALES`TAX Property Address . . . . . . 907 G$pRGIAKA ST On OUI G'XC/S@ tax form-ASSESSOR PAACHL NUMBER: 06-30-6¢-5-8-0145-0000- Application'type description ELHCTRIM- ONLY to 0]@ City Of Port AngeleS Subdivision Name Property Use (Location Code 0502) Property Zoning . .. . . . . . COMMERCIAL OFFICE Application valuation 0 - ----------------`--- Application desc X-Ray room ----------------------------------------------------------------------------- Owner Contractor . ---- -------- CLALLAM CO HOSPITAL DIST #2II+YMPIC HLECAtiC conic 939 CAROLINE ST 4230 ttE W,AiTXR" PORT ANGELES WA 983623909 "PEST,ALES WA 98363 (360)` 457-5303 - - - - - - -- ._ . Permit- ELECTRICAL ALTER COPSd3AL Add$ti al deSc Pexmit'_Bee -74,90 Plan.Check P`ee .00 Issue- 7;/23/19. Valuation ) Expiration Date 1/13/20 I sty Unit Charge ,:Per, tension 1:60 74.0000 BCH+' RL-COMM BRANCH CIR WO/ S/F 74.00 -- - - - ---------- -----------------------7----------------- Fee spry. Charged Paid credited Due ` -------` ---------- ------ =- ------ Permit Fee Total 74.'00 74.00 .00 00 Plan CheckTotal .00 .00 .00 .00, Grand Total 74.00 74,00 :00' 00 i i INSPECTION TYPE "RESULTS: wmR DITCH- ., ROUGH-IN} .. X< AL " x � 2 - } SixI.AS t WSPtrGTI�DN x ; G trical Contractor?C:- `� 4 ,d Date: 1�.�, `�``�= � ' .;? x `� ,,f', 19 CWT 0A.- ELECTRICAL INSPECTION ��{ WIRING REPORT 417-4735 DATE: PERMIT# INSPECTOR /D OWNER CONTRACTOR ADDRESS '70-7 APPROVED NOT APPROVED 0 . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . E3 [3. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 El . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 13 ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . .. CORRECTIONS NEEDED: Fi13c"Vltv-lt? NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - 00 NOT REMOVE- ELECTRICAL INSPECTION { y WIRING REPORT 417-4735 DATE:2PERMIT# INSP:�- c) - !T I f�- OWNER CONTRACTOR D L P ADDRESS � ®7 APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 13. �kt?. . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . El 0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: L -T- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 00 NOT REMOVE- ELECTRICAL INSPECTION WIRING REPORT �b 417-4735 DATE: PERMIT# INSPE OWNER CONTRACTOR ADDRESS 170-7 APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: k9ps LL Cali ��— NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE-- p,�,44�, ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE: PERMIT# INSPECTOR Z 7 OWNr=R CONTRACTOR ADDRESS 10-7 6 APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: i tJ*LL- 6,ou)'zr-- ©� CYF' Al v Y2 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE- MULTI-FAMILY I COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department a, 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us Project Address: ,eN MO 8 t 0 7 Project Description: New X- i i�d 0 WL !rl M 3 � d 1 ❑ Multi-Family Residential ❑ Commercial I Industrial 1 Public Building Square footage: f s` t► Name: IC. c Email: Mailing Address: T3 2 Oar,/,n e ST7 A4 83 b,2 Phone: -3 eO"1417 — 70 o d ELECTRICAL,CONTRACTOR INFORMATION Name: of YMPic ELEcTRic co. INc. License: OLYMPEC285D1 Mailing Address: 4230 TUMWATER TRUCK RTE..PORT ANGELES.WA gams Expiration Date: o3r31no1s Email: maureenmtgolympicelectric.net Phone: mo-452-s3o.3 PROJECT , + lamUWt chame SZusafltX Ill1Quantfty x Unn Charge) ServicerFeeder 200 Amp. $132.00 $ Service/Feeder 201.400 Amp. $160.00 $ Service/Feeder 401-600 Amp. $225.00 $ Service/Feeder601-1000 Amp. $288.00 _ $ Servioe/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $74.00 �_ $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $86.00 $ Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.Service/Feeder 401-+800 Amp. $164.00 $ Temp.Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $96.00 $ Signal Circuit/Limited Energy-Multi-Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $ .(Note:$5.00 for each additional 1500 sf) Renewable Elec.Energy:5KVA System or less $113.00 $ Thermostat(Note:$5 for each additional) $56.00 $ $ 7 00 ToTAL Owner-b&defined by RCW.19.20.261:(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. Atter 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.Chapter296- 46B,The City of Port Angeles Municipal Code,and Utility Specificatio and PAMC 14;0 .0 regarding Electrical Permit Applications. ��'' �*r✓� Date Print Name Signature(❑ Owner 5? Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711 j Application Number . . . . . 22-00001247 Date 10/19/22 Application pin number . . . 966062 Property Address . . . . . . 907 GEORGIANA ST ASSESSOR PARCEL NUMBER: 06-30-00-5-8-0145-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL OFFICE Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Data office remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CLALLAM CO HOSPITAL DIST #2 ANGELES COMMUNICATIONS INC. 939 CAROLINE ST 102 ROSS LN. PORT ANGELES WA 983623909 PORT ANGELES, WA PORT ANGELES WA 98362 (360) 457-4375 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee . . .00 Issue Date . . . . 10/19/22 Valuation . . . . 0 Expiration Date . . 4/17/23 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .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:--------------------------------------□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 10/03/22, 7:23:12 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001247 907 GEORGIANA ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 96.00 TOTAL DUE 96.00 Please present reciept to the cashier with full payment Application Number . . . . . 23-00000112 Date 2/03/23 Application pin number . . . 203760 Property Address . . . . . . 907 GEORGIANA ST ASSESSOR PARCEL NUMBER: 06-30-00-5-8-0145-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL OFFICE Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Parking lot time clock ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CLALLAM CO HOSPITAL DIST #2 JOHNSON ELECTRIC COMPANY 939 CAROLINE ST 3129 S REGENT PORT ANGELES WA 983623909 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 . . . . 2/03/23 Valuation . . . . 0 Expiration Date . . 8/02/23 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:--------------------------------------□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 2/02/23, 9:12:16 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000112 907 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 NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 3/14/2023 23-112 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 907 Georgiana St