HomeMy WebLinkAbout832 GEORGIANA ST - Building (2) ELECTRICAL PERMIT •�
CITY OF PORT ANGELES l
360 417-4735
Application Number 17-00000241 Date 3/03/17
Application pin number . . . 885333
Property Address . . . . . , 832 GEORGIANA ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3805-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the Cit of Port Angeles
Property Use . . . . . . . . y 9
Property Zoning . . . . . . . COMMERCIAL OFFICE (Location Code 0502)
i
Application valuation . . . . 0
--------------------------------------
Application desc
Furnace and T-stat
Owner Contractor
ROSECRANTS ANN M BLACK DIAMOND ELECTRICAL CONTR
832 GEORGIANA ST 502 BLACK DIAMOND RD
PORT ANGELES WA 9'83623512 PORT ANGELES WA 98363
(360) 565-1035
Permit ELECTRICAL ALTER COMMERCIAL - ---
Additional desc .
Permit Fee 130.00 Plan Check Fee .00
Issue Date 3/03/17 Valuation 0
Expiration Date 8/30/17
Qty Unit Charge Per Extension
1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ SIP 74.00
1.00 56.0000 BCH EL-LVT-THERMOSTAT 56.00
--------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 130.00 130.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 130.00 130.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS: Z
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
rORrq
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street—Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711
Date:
Multi-Family or Commercial* _Commercial Addition/Alteration 1 Remodel/R
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: sb�iq-
Building Square Footage:
Description of work
Owner Info Contractor Inf ation
Name: , o N C -4-—M W-1- Name: XDe
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone: Fax: Phone: Fax:
License#/Exp. License#/Exp.
Item Unit Charge Q_yt Total(Qtv Multiplied by 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 Circuits 1-4 $ 86.00 $
Branch Circuit W/Service Feeder $ 5.00 $ ��
Branch Circuit W/O Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $
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/First 1500 sf—Commercial $ 96.00 $
Note: $5.00 for each additional 1500 sf p�
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 $
$ Total j7j�
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 296466,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of own ,electrical contractor or electrical administrator: ❑ Cash ❑ Check
/ ❑ Credit Card#
x Dated: '! — 0110112012