HomeMy WebLinkAbout927 Georgiana St - Building
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This certificate is issue
certifYing that at the t'
regulating building
BusTnessname .-:-
Business address:
Property owner:
Property owner's
Automatic fire spri
Use & occupancy c
Building permit num
Type of construction:
Occupant load:
05-05-08
Re-issue Date
Post on the premises in a conspicuous place. ThIs
I not be removed except by the Building Official.
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. 3. 8 77
II / Ie) g--z-
I I
DATE
Site Address:
92- 7 t?6old:' / f\-1V A-
I nstalled By: /1 -r --I
f.// M t:::L-f?C;t(flAc.~
Owner/Business:
f3 j ~L- Fo LPEJJ
Owner/Business Address:
o READY FOR
INSPECTION
License Number:
'l'J'WILL CALL FOR
/INSPECTION
Phone:
"7 t;7po '7
Phone:
Sq. Ft.
o RESIDENTIAL
g COMMERCIAL
b BASEBOARD KW _
o FURNACE KW _
o FAN/WALL KW _
Jif HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
pg:' REMODEL
)!<t ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~ OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE: /;261(,2'/C
,g. SINGLE PHAS'E
o THREE PHASE
SERVICE SIZE 7..00 AMPS
Details/Description:
P 0->->.0 V E /t 1/ lit7-5"r .6 cJ m" J
7~tJs/~ II
/01'0
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If
'<--eRA/He E
/-k",/ Ii UM# ,
, /
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
g ~ Rough-in/cover O.K.
~ ~ O.K. to connect service
~ Final O.K.
Site Address:
.;2 7 6E.-h '11M/I!
_ '-f!C/f;-<.U
(/-01,*,./ )
'--
Permit/Receipt No.
6'77
~~t/ Id' Ir z
New Meters
.
Notify Port A geles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
- NO OCCUPANCY OR USE ESTABLlSHEO UNOER THIS PERMIT ;t. ~ L'} t!'O
.I ~ $ f5!..v
Electrical Inspector
Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Halt
OLYI.1PICPRINTERSINC
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . .
15- 00001355
Date 10/27/15
Application pin number
290235
DITCH
Property Address I I 1
927 GEORGIANA ST
ASSESSQR PARCEL NUMBER;
06-30- 00_5 -8- 0180 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
FINAL
COMMENTS:
Property Zoning . , , . , .
COMMERCIAL OFFICE
Application valuation
0
Application desc
Temp service
Owner
Contractor
PUBLIC HOSPITAL DX8TRICT #2
OLYMPIC ELECTRIC
CO INC
939 CAROLINE ST
4230 TUMWATER
PORT ANGELES WA 983623909
PORT ANGELES
WA 98363
(360) 457 -5303
Permit , . , . . , ELECTRICAL
ALTER COMMERCTAL
Additional desc .
Permit Fee 102,00
Plan Check Fee
00
Issue Date 10/27/15
valuation
0
Expiration Date 4/24/16
Qty Unit Charge Per
Extension
1100 102,0000 ECH -FL-
COMM 0 -200 TEMP SRV / FDR 102.00
Fee summary Charged
Paid Credited
que
Permit Fee Total 102,00
1.02.00 .00
.00
Plan Check 'Total 00
.00 .00
00
Grand Total 102.00
102.00 .00
.00
REPORT SALE'S 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:IEXCHANGEIEiUILDING
Oct 26 2015 09:23AM HP Fax
page 1
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -3735 maxi (360) 417 -4711
Date:
Q Multi - Family or Commercial"
? a
OCT � �, �
GF
IF
Name:
NSPEC-fl()hlfs
Mailin Address'
o
Mailing Address: a23TUMwATER
w Plan Review May Be Required, Please Complete Electrical Plan Rev €ew Information Sheet
Jcb Address:
building Square Foctage T.
Oescript'on of above
Owner information
Contractor Information
Name:
Name: OLYMPIC ELECTRIC
Mailin Address'
o
Mailing Address: a23TUMwATER
City: / State: 4i4 Zip: �
c�
City POR IANGELES State; wA zip! 89363
Phone,y/,� Fax:
Phone 380457.5301 Fait. 30045 &3499
License 4, Exp.
License #I Exp, MYWEC295oI
Iter Unit Charrae
Qty Total (gly Multiplied by Unit Charge)
Service/Feeder 200 Amp, $ 132,00
g
Service/Feeder 201 -400 Amp. $160,00
$
Service /Feeder 401 -600 Amp $ 225.00
$
Service/Feeder 601 -1000 Amp. $ 286,00
$
Service /Feeder over 1000 Amp, $ 410.00
$
Branch Circuil W1 Service Feede $ 5.00
$
Branch Circuit W10 Service Feeder $ 74.00
$
Each Additional Branch Circuit $ 5.00
$
Branch Circuits 1 -4 $ 86.00
$
Temp, Servioel Feeder 200 Amp, $102.00
$ f
Temp, ServlcelFeeder201.400 Amp. $121.00
$
Temp. Service /Feeder 401.600 Amp, $164.00
$
Tamp. Service/Feeder 601.1000 Amp . $185.00
$
Portal to Portal hourly $ g6.00
$�
SignlOutline Lighting $ 86.00
$
Signal Circuit/ Limited Energy— Mulli- Family $ 64.00
$
Signal Circuit/ Limited Energy) First 1500 sf— Commercial $ 96.00
$
Note: $5,00 for each addltlonal 1500 sf
Renemaole Electrical Energy - 51(VA System or Uss $113.00
$
Thermoslat $ 56.00
$
Note: $5,00 for each additional T -Stat
$� 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 19.2x, WAC, Chapter 296 -468, The City of Port
Angeles Municipal Code, and Utility Specifications and PANIC 14:05.050 regarding
Electrical Permit Applications,
Signature of owner, electrical contractor or electrical administrator:
E] Cash ❑ chock
and #
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