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HomeMy WebLinkAbout907 GEORGIANA ST - Building (5) m.=x, ✓ . F 71 ELECTRICAL PERMIT CITY OF FORT ANGELES 34Ifi-4135 Application Number . . 19-00000846 Date 10/18/19 Application pin number 818010 REPORT STATE SALES TAX Property Address . . . . . . 907 GEORGIANA ST our excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-5-8-0145-0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . . . . (Location Code 0.02) Property Use . . . . . . Property Zoning . . . . . . COMMERCIAL OFFICE Application valuation . . . . 1 0 ---------------------------------------------------------------------------- Application desc Plan review Owner Contractor CLALLAM CO HOSPITAL,DIST #2 OWNER 939 CAROLINE ST PORT ANGELES WA 983623909 Permit ' ELECTRICAL PLAN REVIEW Additional desc BALANCE Permit Fee 361.73 Plan Cheek Fee .00 Issue Date . . . . 6/25/19 Valuation D Expiration Date . Qty Unit Charge Per Extension BASE FEE 111.73 250.00 1.0000 ECH EL-PLAN REVIEW 250.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 361.73 361.73 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 361.73 361.73 .00 .00 i i INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-1N FINALhe ILI COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: i ✓L. .� J Invoice No. 19-846 ,1pic Medical Center ,an: Rockie Lee 939 Caroline Street Port Angeles WA 98362 Electrical plan review final fee. MOB X-ray Quantity Description Unit Price Total 1.5 BHC consultant fee WOO 135.00 1 BHC Postage 35.03 35.03 1 City shipping FedEx ground 12.63 12.63 1 Labor City of Port Angles 97.65 97.65 1 Penprint copies 34.24 34.24 15% Administrative fee 47.18 Sub Total 361.73 Cost estimate deposit 250.00 Balance Total 111.73 Due upon receipt Thank you for your business! City of Port Angeles sk Tel 360 417 4735 tpeppard@cityofpa.us Fax 360 417 4711 ELECTRI,CAL PERMIT At CITY OF PORT ANGELES N 360=4174735 App oasition Number . . . 18-00001210 Date 8/02/18 Application pin number 483130 Property Address . . . . . . 428 ORCAS AVE REPORT STATE SAL, S TAX ASSESSOR PARCEL NUMBER: 06-30-10-5-0-1708-0000- 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 RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 -- ---------------- Application desc Rewire house ---------------------------------------------------------------------------- Owner Contractor RUGGED RENOVATION LLC UPPER LEFT ELECTRIC LLC 4502 S MT ANGELES RD 1306 ROOK DR -PORT ANGELES WA 98362 PORT ANGELES WA 98362 . (360) 912-3409 (360) 461-7720 , Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc 1-4 CIRCUITS Permit Fee . . . . 135.00 Plan Check Fee .00 Issue Date . . . 8/02/1B Valuation 0 Expiration Date 1/29/19 Qty Unit Charge Per Extension BASE FEE 75.00 12.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 60.00 ---------------------------------------------------------------------------- Fee summary Charged " Paid Credited Due Permit Fee Total '135.00 135.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 135.00 135.00 .00 .00 ;r INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH t. SERVICE t ROUGH-IN FINAL COMMENTS: FERMrr*ILL EXPIRE SIX(6)MONTHS FROM LAST`fNSPWTIOI+i'. Signature of owner or Electrical Contractor X Date: r ' � R 1� ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMIT# INSPECTOR 18t 21 - OWNER CONTRACTOR ADDRESS Lilt APPROVED NOT APPROVED 0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . .: . .= E3. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 13 C3. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 13 0. . . . . . . . . . . . . . . . . . . . . Flt,,AL . . . . . . . . . . . . . . . . . . . . 0 14)CORREC*nONS NEEDED: la R1t. YLPM&st -yAtag I , hkx- --,Cb loA% -4- C-&.Z-,� X6 a- Kne!jdLaQ 14 j,Q 1,V W-r--7 Sl,M NL O. f4,L, � NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 16 DAYS -DO NOT REMOVE- ELECTRICAL INSPECTION lo;"s&v 417-4735 WIRING REPORT lb DATE: PERMIT#_oL INSPECTO t) le I -2 21 D OWNSFif v CONTRACTOR ADDRESS � APPROVED NOT APPROVED 0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . ROUGH IN/COVER E3. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . E3 0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: �8 F-2, NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE- &-jigvcmT ELECTRICAL INSPECTION , WIRING REPORT 417-4735 DATE: PERMIT# INSPECTOR OWNER CONTRACTOR ADDRESS APPROVED NOT APPROVED 0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . 0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: ltsouN-L...... NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE— ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE PERMIT INSPECTOR -7 Z44 OWNER CONTRACTOR ADDRESS APPROVED NOT APPROVED 0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 1-3. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . 13 0. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . CORRECTIONS NEEDED: WIEZ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE- 1 - 2 SINGLE-FAMILY CD ELECTRICAL PERMIT APPLICATION Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362ILI , r' 360.417.4735 i www.cityofpa.us 'i electricalpermits@cityofpa.us N Project Address: y Z43 0g c, iS AV}tji d Project Description: Q C -,J:V-1- V\c :) C�Single-Family Residential ❑ Duplex/ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR • ' • Name: �L License: Mailing Address. 1 z u G Se Go-1c, t Expiration Date: Email: 4 i ej Lt k! v\ . Phone: PROJECT Ism Unit Charae Quantity Total(Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 �_ $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp.Service/Feeder 201-400 Amp. $110.00 $ Temp.Service/Feeder 401-600 Amp. $149.00 $ Temp.Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal Circuit/Limited Energy-1&2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy:5KVA System or less $102.00 $ Thermostat(Note: $5 for each additional) $56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding/Detached Garage $74.00 $ Each Swimming Pool/Hot Tub $110.00 $ 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 ndUtility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 7. i Cj/\O_C _. CJ (� Date Print Name Signature(❑ Owner q Electrical Contractor/Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]