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HomeMy WebLinkAbout809 GEORGIANA ST - Building (2)ELECTRICAL PERMIT CITY OF PORT ANGELES 3604174735 Application Number . . . . . 18-00000862 Date 6/12/18 Application pin number . . . 353472 Property Address . . . . . . 809 GEORGIANA ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -00 -4 -2 -0010 -0000 - on excise tax form Application type description ELECTRICAL ONLY your Subdivision Name . . . . . . to the City of Port Angeles Property use . . . . . . (Location Code 05©2) Property Zoning UNKNOWN Application valuation . . . . 0 --------------------------------------------------------------- Application deac ------------ Nurse -call addition ---------------------------------------------------------------------------- Owner Contractor ------------------------ THOMPSON KIRK L/MAUREEN ------------------------ PROTECTION & COMMUNICATNS INC 811 GEORGIANA ST 19630 40TH AVE W PORT ANGELES WA 983623511 BRIER WA 98036 (425) 774-9099 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee .00 issue Date , . . . 6/12/18 Valuation 0 Expiration Date 12/09/18 Oty Unit Charge Per Extension 1.00 96.0000 BCH EL -LIMITED IST 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 -FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 ! www.cityofpa.us electnicalpermits(cUcityofpa.us Project Address: 809 Georgianna Street, Port Angeles, WA 98362 Project Description: Expanding existing nurse call system to accommodate for the added home training room on the 2nd floor. ❑ Multi -Family Residential LI Commercial / Industrial / Public Building Square footage: Name: Northwest Kidney Centers Mailing Address: 700 Broadway, Seattle, WA 98122 Email: randy.thompson@nwkidney.org Phone: 206-720-3765 Name: Protection & Communications, Inc. License: PROTEC11651.8 Mailing Address: 19630 40th Ave. W., Lynnwood, WA 98036 Expiration Date: 5/31/2019 Email: lylew@pro-comm-online.com Phone: 425-774-9099 PROJECT Item Unit Charae Quantity Total (Quantity x 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 $88.00 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial $96.00 1 $ 96.00 (Note: $5.00 for each additional 1500 so Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat (Note: $5 for each additional) $56.00 $ s96.00 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. 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 rega ing Electrical Permit Applications. 6/6/2018 Lyle Wells Date Print Name Signature (❑ Owner V Electrical Contractor/ Administrator) [Electrical Permit Applications maybe submitted to City Hall or electrical perm its@cityofpa.us or faxed to 360.417.4711 ] ELECTRICAL PERMIT CITY OF PORT ANOBLES .. . 31 747 Appli4ratic I�umk�e�-¢44Q"i5 62 Date 6/ �8 - ex'72 . ......... . ...... .N:., . -, .. „-.. ,.. m : �•� la A4 C4 'N ki6"�t=.QO 4-2.4.U"a-Q617tk= .' _ QR ' ti Applzcatz�7n type desaript do ELia'6iiieAL ONLY you. eXGfS Q1l7T Property Use - . . . , . ,3" S d �fF%!t Code Property Zoning .. . . _ UNKNOWN Application valuation 0 r,.." ,pplicat%on desc *4se call addition owner Contractor ; ---_ W_ ---•------ --- _ --- - --. TiioMPsou 'KI dK `F,/MAURERN PROTECT1,00 &. ;CE}IgiVNTCATNS INC 811 OEQR91A'NA. ST T-463,0 443 I `AYE W PORT AX69LES W& 98 623517. BA194 .". WA 98E236 (425). '7741-90§9 . ---------- _ Permit - F`bECTRICAL'A��R C©MMERCTAT; Addition0a . PernUt b`ee 96: Qa Plan Cheot Fee 100 - ISSue."Date, 6%12/18 Valuati�iu" Q Expiration Date ." ' . 12/09/18 . ".Qty, -Unit,, Char" , Per E�tensicixi pQ 96.()600 6 - O tl44" ECB E%-itlMl PED "ST 1500 SQ `F I6 ------------------------.------------ _ -... -- -. - - ------------ .. -- Fee summary Charged Paid, Credited Due . r , Permit kee Total 9K.,00 R6. Do .00. _ 00 Platz Glee& Tota S 4' -Go ,40' 5161. Grand Total 96.40 96.00 _00 .00 , INSk'ECTIQN TYPE DATE: DITCH SERNWE ROUGH -IN ` .... FINAL 1 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION F RESULTS - INSPECTOR.: Signature of owner or Electrical Contractor X Date: