HomeMy WebLinkAbout939 Caroline St (20)Application Number
Applj.cation pill number
Propelty Address
ASSESSOR PARCE! NUMBER:
ApplicaLlon type desclipEion
Subdivision Name .
Property u8e
Properly Zoning
Applica!ion vafuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
18 - 000 00424 Date 3/21/18
026416
939 CAROLINE ST
05 -30- 00 - 1- 0-3325- 0000 -
ELECTRICAT ONLY
PUBLIC BUIITDINGS & PAR(S
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
cO
NA
Appllcation desc
AES raofo / !',1re alarm
Owner Con!ractor
PUBI,IC HOSP]TAIJ DISTRICT #2
939 CAROLINE ST
PORT ANGELES WA 9A]52
(360 ) 41?-71?0
PERFORMANCE SYSTEMS
19:10 NORTII CREEK PKWY
BOTHEI,I, WA 9801].
(425) 368 - 4201
Permi I
Addil ional
Pernit Fee
Issue Date
Expi rat j. on
95 .00
3/2't/18
9/23/18
EIECTR]CAI] ALTER COMMERCIAL
Plan Check Fee
valuation
00
0
Qty Unit Charge Per
1.00 96.0000 EcH Er. LIMITED 1ST 1500 SQ rT
Extension
96.00
Fee summary Charged Pa 1d Credited Due
Permit Fee To!aI
Plan Check ToEal
Grand Total
96.00
.00
96.00
95.00
.00
96.00
.00
.00
.00
00
00
00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TT?E DATE:RESTILTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN n)e l,a B --rP
FINAL nhla w (w
COMMENTS;
Signahrre ofowner or Electdcal Contractor X Date:
M U LTI-FAIVI I LY / COfiTM ERCIAL
ELESTRICAL PER IT APPL ICATIO N ECIEflWEM
Puhlir: \Vrrrks untl l,tilitirs l)eparlrnenl
tudA
121 E. sth Srrcct, Porl .(ngclcs, \\'A 98361 '".R :l
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idO,417..1715 | $1r,i\'.citlolpfl.us I clcctricalpcrmirsia)cir1<.:li:rr.us
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=trProject AddreBs 939 Caroline Street Port An geles, WA 98362
Frolect DescrLplio n. lnstallation of AES radio to monitor existing fire alarm system
E 1!luhi-Fanily Residentiai E Commercial/ lndustriall Public Euitding Square lootage
Name Olympic Medical Center Email
Name. Performance Systems lntegration License PERF os.980M4
Mailing Address 1931 0 Nl. Creek Pkwy #109 Bothell, WA 9801 1
Email carissa@psi rated.com
Exprrer o1 Oale. 7l27l1A
716np 425-368-4201
llro
Service/Feeder 200 Amp
Service/Feeder 20 l-400 Arrp
ServioeIFEeder,lOl$00 Ampl
Service/Feeder 6,il l J 000 Arnp.
Service/Feeder ouer 1000 Amp
Brafich OrdJit Wi Seadir:e F€eder
B.anch Cirsrit WIO S€rvice Feeder
EEch Add.tionel BlEnDh C irc! it
Branct] Circ0 ts 1{
Iemp Serir=/Feeder 200 Amp
fBmp Se.vic€lFEEdsr 201-400 Arnp,
TEmp Servi€s/FEedar 401 600Arnp-
Tenrp. Seruice/Feeirer 601- l000 Amp.
PortEIto PBrtEl Houdy
Sigrul GrrcuitilinritEd Energy - Ivtuiti-Family
Signal Ckcuiiti.rited Energy/FilBt 1500 sf - Comrnerctal
iNob: 9s.00 lor eEch rdditional 1500 rS
Renel#able Elec EnerEy: SKVA Stslem or iess
ThermEstst lNote: $5 fur eech eddibonal)
Unit Chira€
$160 m
$225 00
$288.00
$410 00
$s 00
$74 00
$s.uo
$46.00
s121,00
$'164,00
$185,00
$96.00
sBs,00
$E6 00
Ouantitv Iqlel (Questity x Unit ChengEl
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$ 96.00
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$
g 96.00 1s111
Owrer as d€fin€d by RCW 19.28.161: (1) Ouner,,rjll occupy the strqclurB for hflo yeats anef $is etectrical pemit is fina ired. (2) Owner igleqlired to hir€ afi eledricaL contlactol if aSove said pmp€rly is for sale- rent or lease. Peamit erpires dlter six months nf last insFrectior
Afrel leading the above stateffert, I hereby ced t/ thal I am the ot^,ae I of the gbo,re n emed prDpeaty or s iDen s€d electrics I contredor I
am making ths €lactrrcal in+tallat on or altEratian in compllanc€ wilh the eleclrical tawE. N.E.C , RCW Chapter 1S 2E, WAC. Chapter ZgB-
468, rhe Ct/ ol PortAngsles Municjpfll Cade and U[]ity SpEcific€ligns s PAMC 14.05,050 regarding El€ctical Pem(AFplications,
3121t2018 Carissa Thomson
Pr nt Nafire Owner E Ele{tric€ ContrEclor / Adminisi.ator}
sr13.00
uJr.w
IElectrica Permit ApPlications may be sutlmtted to City Hall or elecl calpRnnits@cityofpa.us or faxed to 360 417 ,fIi1l
ELcom
O\r/l-lER tN F0RIViATION
Marlrng Address 939 Caroline Street Port Anqeles. WA 98362 phone:
ELECTRIC"AL CONTRACTOR INFORIIIA?IOH
Date