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Home My WebLink About819 GEORGIANA ST B - BuildingELECTRICAL PERMrr CITY OF PORT ANGELES 3W417-4735 Application Number . . . . . 16-00000790 Date 6/02/16 Application pin number . . . 839060 Property Address . . . . . . 819 GEORGIANA ST B ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -3770 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Panels replacements ---------------------------------------------------------------------------- Owner Contractor VOLUNTEERS IN MEDICINE BOTERO & SON ELECTRICAL 819 GEORGIANA ST 940 TAMARACK WAY PO BOX 639 PORT ANGELES WA 98362 PORT ANGELES WA 983623511 (360) 452-4766 (360) 457-4431 ------------------------- -- Permit . . . . ELECTRICAL ALTER_ COMMERCIAL Additional'desc . . Permit Fee . . . . 160.00 Plan Check Fee .00 Issue Date . . . . 6/02/16 Valuation . . . . 0 Expiration pate 11/29/16 Qty Unit Charge Per Extension 1.00 160.0000 ECH EL -COM 201-400 SRV FEEDER -160.00 ------------------------------------- Fee summary Charged Paid Credited Due ------------------------------------ - _ Permit Fee Total 160.00 160.0.0 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 160.00 160.00 .00 •00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTIONTYPE DATE. RESULTS:. iNSPECTC)R: DITCH SERVICE ROUGH --IN FINAL CONO&ENTS: PERMIT WILL EXPIRE SIX(6) MONTHS FROM LAST U4SPBMON Signature of 0wner or Electrical Conaw" X Date: O EXCEfiANCa "UILd M ELECTRICAL PERMIT CITY OF PORT ANGELES - 350417-4735 Application Number . . . . . 16-OOOOfl790 Date 6_/02/16 Application pin number . . . 839060 Property Address. . . . 819 GEORGIANA ST B. ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -3770 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 Application desc Panels replacements ---------------------------------------------------------------------------- Owner Contractor VOLUNTEERS IN MEDICINE BOTERO & SON ELECTRICAL 819 GEORGIAN_A ST 940 TAMARACK WAY PO BOX 639 PORT ANGELES WA 98362 PORT ANGELES WA 983623511 (360) 452-4766 (360) 457-4431 -------------.------ Permit . . . . ELECTRICAL ALTER COMMERCIAL , Additional desc . Permit Fee 160.00 Plan Check Fee .00 Issue Date 6/02/16 Valuation . . . . 0 Expiration iFnate 11/29/16 Qty Unit Charge Per-, Extension 1.00 160,0000 ECH EL -COM 201-400 SRV FEEDER -160.00 ----------------------------------------- - Fee summary Charged Paid Credited Due Permit -Fee Total 160,00 160.00 .00 .00 Plan Check Total .00 .00 •00. .00 Grand Total 1601-00 160.00 •00 .00 I NSPLCTTON TYPE DATE: :". RESUM S: DITCH SERVICE {_ ROUGH -IN 1 4 i D !I� FINAL COMMENTS: PERMir WILL EXPME SIX (6) MOMM FROM LAST INSPEMON Signature of owner or Electrical Crs ":X - C:IEXCHANCeBUU DING REPORT SALES TAX on your excise tax form to the City of Port Angeles (Locadon Code 0502) INSPECTOR: Date: o*40Rr ELECTRICAL INSPECTION WIRING REPORT waRS & 417-4735 DATE: PERMIT s INSPECTOR �_� I t OWNER- CONTRACTOR WNER CONTRACTOR �v-T—rw-o -d— h( ADDRESSpc? 6-4-c>r–&lqy4A 4-3 APPROVED NOT APPROVED ❑ ....................DITCH.................... ❑ 1-3 ................ ROUGH IN/COVER ............... ❑ l/❑....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ r CORRECTIONS NEEDED: _ iJt NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washingto 62 Ph: (360) 417-4735 Fax: (360) 417-4711 a Date: � - i - ,�%6 _ Multi-Famil or Commercial* *Plan Review May Be Required, Plea� e Complete Electrical Plan euie+a�I f ?-Jorm Shee Job Address: l / : P/) eC-f / /t n ri ,a 8 / Building Square Footage: CCC✓✓✓ Description of above i n A. .'C_ "' r j,7 ( ;?; A. - Owner Information a Name: i , , i ) C_ Maili dA�1ress: t>2. ti �' City: Sta Zip: Phone: Fax: License # / Exp. Item 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 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 401-600 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 / 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 AM 41t.tiC� r l"e Contracto ormation / Name: 1 ©) e- T r, C' y l r YL.. Mailing A dress: _Yv T�„ City: oStatez—,4A Zip: —U -se- t/ Phone:c, Fax: License # / xp. QtV Total (Qtv Multiplied by Unit Charae) �— $ $ 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. Signature of wrier, electrical, ontractor or electrical administrator: Dated: Z_ 'v t --a ❑ Cash ❑ Check Credit Card # oFpoRT4NGF ELECTRICAL INSPECTION �y C110 if L r WIRING REPORT V G � to °woRKS 417-4735 DATE PERMIT # INSPEUTOR OWNERICONTRACTOR --477z-;A ? ADDRESS APPROVED NOT APPROVED ❑ .. .................DITCH.................... ❑ ❑. /: ..4^ ... ROUGH IN/COVER ............... ❑ ❑ - ................SERVICE................... ❑ 0.....................FINAL.................... ❑ CORRECTIONS NEEDED: &2, NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS, INC. (360) 452-1381