HomeMy WebLinkAbout907 GEORGIANA ST - Building (4) ELECTRICAL PERMIT N
CITY OF PORI'ANGELES
3,61 17-4735 wI
Application Number 18-00001237 Date 8/07/18 V
Application pin number . 392077
Property Address . . . . . 907 GEORGIANA ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-8-0145-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . to the City Of Port Angeles
Property Use . . . . . . . (Location Code 0502)
Property Zoning. .• COMMERCIAL OFFICE
Application valuation . . . . 0
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Application desc
Access upgrade
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Owner Contractor
CLALLAM CO HOSPITAL DIST #2 EPIC ELECTRIC INC
39 CAROLINE ST PO BOX 357
ORT ANGELES WA 983623909 SNOHOMISH WA 98291
--------_---(360)-568-5985
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee 96.00 Plan Check Fee .00
Issue Date 8/07/18 Valuation 0
Expiration Date 2/03/19
` Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-TRIP FEE-INSPECT EX. INSTAL 96.00
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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
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 -!v Date:
MULTI-FAMILY / COMMERCIAL r.
V
ELECTRICAL PERMIT APPLICATIO � x14
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Public Works and Utilities Department `
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321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 www.cityofpa.us electricalpermits@eityofpa.us ^ ,.'n
Project Address: OL2MQ�') 0 - <
Project Description:b.0 Uy r f
❑ Multi-Family Residential _1a Commercial/ Industrial/Public Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: E License: 1`h 1 L E 1 05'.5(_P
Mailing Address: 'PC) c)k UL)t 9'S 2c� l Expiration Date: k,2- C - 12
Email: Phone: (,D . S(o'(S `S'T�5
PROJECT DETAILS
Item Unit Char9e 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 $ '
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less $113.00 $ j
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-
466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
O t nL� ) — 2J�' L<i��
Date Print Name Sig ature(❑ Owner Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]