HomeMy WebLinkAbout907 GEORGIANA ST - Building (3) J.
ELECT AL PERMIT
CITY OF SRT ANGELES
360417-4735 `'
Application Number18-00001151 Date 12/06/18
Application pin number . . 539728 REPORT STATE SALES TAX
Property Address . . . . 907 GEORGIANA ST on excise tax`form
ASSESSOR PARCEL NUMBER: 06-30-00-5-8.0145-0000- y
Application,type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . . . (LOcatlOR Code 0502)
Property Use
Property Zoning . . . . . ., COMMERCIAL OFFICE,
Application valuation . . . . 0
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Application desc
Ethernet and Access control
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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
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Permit . . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee .. . 126.00 Plan Check Fee .00
Issue Date 12/66/18 Valuation . . . . 0
Expiration Date. 6/04/19
Oty Unit Charge Per Extension
1.00 96.0000 ECH EL�LIMITI3D IST 1500 SO FT 96.00
6.00 5.0000 ECH EL-ADDNT LIMi 1500 S4 OT 30.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 126.00 126.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 126.00 126.00 .00 .00
INSPECTIONTYPE 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:
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MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATIJ � -'-
Public
Public Works and Utilities Department
321 E. 5th Street,Port Angeles,WA 98362 CJ�
360-417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: 20-�- 9-eC/C iC; , P 2 iI! � e7�-� { q
Project Description: Fc-c-{c s c'os-,f r, 1'r, n S
❑ Multi-Family Residential cEil-Commercial J Industrial/Public Building Square footage: Ui'i ,� F
OWNER INFORMATION
' r�ntr'E`)c t
Name: � +"� t� M� r c-,'YL Email:__��-,�r��nt ,as, > ra
Matting Address: Ani k, ref- Phone: %
ELECTRICAL CONTRACTOR
- !- INFORMATION. #
Name: ., L v��; i:-�, c a License: -
Mailing Address- l`f L2 PAd<_-H I L "Elle ,r ,j _ Sly- on Date: '3,' ol-r2 z )
Email: GL Kone: '
PROJECT DETAILS
Unit Charce Quantity IqW(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 40100 Amp. $164.00 $
Temp,Servioe/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/Umited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note:$5.00 for each additional 15W at) 3 f'
Renewable Elea Energy:5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $56.00 $
$ 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-
46 ,The City of Port Angeles Municipal Code,and Utility Specifications and MC U50 regarding Electrical Permit Applications.
D to Print Name VSignature(❑ 6wnerb, Electrical Contract Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111