HomeMy WebLinkAbout1122 Georgiana Street - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417-4735
Application Number . . . . . 21-00000937 Date 7/30/21
Application pin number . . . 792798
Property Address . . . . . 1122 GEORGIANA ST
ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0400-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . .
Property Zoning . . . . . COMMERCIAL OFFICE
Application valuation . . 0
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Application desc
Service
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Owner Contractor
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CARL LEE PETERS AND DUNE A W1L ANGELES ELECTRIC
106 OXENFORD RD 524 E. 1ST ST.
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 452-9264
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Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 120.00 Plan Check Fee . .00
Issue Date . . . . 7/30/21 Valuation . . . . 0
Expiration Date . 1/26/22
Qty Unit Charge Per Extension
1.00 120,0000 ECH EL-0-200 SRV FEEDER 120.00
-T-- Fee summary - -Chargedf- Paid Credited Due
Permit'Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port AngeleS
(Location Code 0502)
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 Date:
G:IEXCHANGSBUILDING
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department t-1
321 E. 5th Street, Port Angeles,WA 98362
360.417.4735 1 www.cityofpa.us I electricalperniiis(i�cityofpa.tis
Project Address: ///Z.........
Projec escription:
Single-Family Residential If Duplex/ARU Building Square S footage:
9
OWNER INFORMATION
Name: A/ Email:
Mailing Address: - iF- Phone4�n4 3 77
CONTRACTORELECTRICAL INFORMATION
Name: Angeles Electric, Inc. License:ANGELE1460RS
Mailing Address:524 E. First Street, Port Angeles,WA 98362 Expiration Date:2/3/2022
Email: ksimpson@olympus.net Phone:360-452-9264
PROJECTDETAILS
1L4s11 Unit Charge Quantity Total (Quan//tiitrtyx°°Unit Charge)
Service/Feeder 200 Amp. $120.00 _� $_�l��
Service/Feeder 201-400 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 1300Square 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-
46B,The Ci y of Port Angeles Municipal Code, and Utility Specifications a PAMC 4.05.050 regarding Electrical Permit Applications,
ltfl�j Ken Simpson `
e I Print Name Signature(❑ Owner V Ell5ctrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]