HomeMy WebLinkAbout1021 Caroline StELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COMMERCIAI OFFICE
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Applicalion Number .
AppLication pin nuflicer
Property Address
ASSESSOR PARCEL NU}IBER:
ApplicaEion trce description
Subdi.vi6ion Name
ProperLy Use
Property zoning
ApplicaEion valuation
21- OOOOOS94 Date 5/20/2L
8 98 936
1021 CAROTINE ST
06 -30- 00 -s-3 -0440-0000 -
ELECTRICAL ONLY
ApplicaEion desc
olynpic t{edical center
939 CAROLINE ST
PORT ANGEI,ES WA 98352390I
DATSKIY ELECTRIC LLC
190 8 ISLAND VIEII PLACE
ANACORTES WA
(350 ) 941-4754
9822L
Permit
Addilional de6c
Permi! Fee .
Issue DaLe .
Expiration DaLe
125.00
s/20 /2L
tt/L6 /2L
ELECTRICAL ALTER COMMERC]AL
Plan Check Fee
valuation
.00
o
Qty Units charge Per
1.00 96.0000 EcH5.00 5.0000 EcH
EL.LIMITED 1ST 15OO SQ FT
EL.ADDNT LIMITSD 15OO SQ FT
Extension
96.00
30.00
Charged Paid Credited Due
Permi! Fee 'fotal
Plan Check Total
Grand ToEal
126.00
.00
125.00
125. 00
.00
126.00
.00
.00
.oo
. o0
.00
. o0
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
REPORTSALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS:6j'
G:\EXCHANCR,BUILDTNG
Date:
tVI U LTI-FAM I LY / COM M E RC IAL
ELECTRICAL PERTVIIT APPLI CATION
Public Works and Utilities Departrnent
321 E. 5th Srreet, Pon Angeles, WA 98-362
i60.4i 7.471-5 | rvrvn..cit.,-ofpa.us I electricalpermilsiZlcil ofpa.us
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Project Address 1021 Caroline St
Project Descriptio 6 Relocate (1 0 ) Heat Detectorslnstall (1) new Strobe and ('1 ) new Horn/Strobe
E Multi-Family Residential E Commercial / lndustrial / public Building Square footage
Namel
Nlailing
Olvmpic Medical Center1021 Caroline StPort Anqeles, WA 98362 Email
Address: 102'l Caroline St Phone:(360) 417-7000
Name Datskiv Electric L LC License DATSKELS20JT
Mailing Address: 1908 lsland View Pl Anacortes Wa g 8221 Exp iralion Date. 4l3Ol22
Phone 360-631-9875EmailWylie.H datskiyelectric.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuivlimited Energy - Mutti-Famity
Signal CircuiULimited Energy/First 15OO sf - Commercial
(Note: $5.00 for each additionat l SOO sD
Renewable Elec. Energy: SKVA System or less
Thermostat (Note: $5 for each addjtional)
Quantity Total (Quantity x Unit Charge)Unit Charge
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$ 102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00 $ _$56.00 S ./ rDsrdl rcr^L 1,26"
structure for two years after this electrical permit is finalized. (2) Owner is
for sale, rent or lease Permit expires aftersix months oflast inspection.
Owner as defined by RCW 19.28.261: ('l ) Owner will occupy the
required to hire an electrical contractor if above said property is
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 taws, N. E.C., RCW Chapter .19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PANIC 14.05.050 regarding ilectrical permit Applications.
5t18t21 Wylie Hubbard Wylie M. Hubbard E.wri. H€a,s&rkE@h. etubrry l:lft rc .
Date Signature (n Owner p Etectricat Contractor FAdrnifibtrator)
lElectrical Permit Applications may be submltted to Caty Hall or electricatpermits@cityofpa. us or faxed to 360.417.4711]
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*t
10000
OWNER INFORMATION:
EEUITmiHilIE
Print Name