HomeMy WebLinkAbout907 Georgiana StELECTRICAL PERMIT
CMY OF PORT ANGELES
360-417-4735
18-00000423 Dare 3/27/tg
950442
907 GEORGIANA S"
06-30-00-5-8-0145 0000-
EI,ECTR]CA], ONLY
COMMERCIAL OFFICE
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
SO
1
Nt.l
Application Nunbe!
Application pin number
Property Address
ASSESSOR PARCEI NWBER:
Application trce description
Subdlvision Name
ProperEy Use
Propertsy Zoning
Application valuaLion
ApplicaEion desc
AnS radio / Fire alarm
ConLractor
CLALI,AM CO HOSPTTAL DIST #2
939 CAROL]NE ST
PORT ANGEI]ES WA 983623909
PERFORMANCE SYSTEMS
19 310 NORTH CREEK PKWY
BOTHEIT! WA 98011
\425') 368 420a
AddiE ional
Permit Fee
fssue DaEe
95.00
3 / 2'7 /7e
e/ 23 /a8
ELECTRICAI] ALTER COI'IMERCIAL
Plan Check Fee
Valuation
00
0
Expira!ion Date
Qly Unit Charge Per.
1.00 95.0000 ECH EL,-LIlylfTED 1ST 1500 S0 FT
Extsens ion
96. 00
Charged Pa id Credited Due
Permit Fee ToLaI
Plan Check ToEal
Grand Tolal
95. 00
.00
96.00
96.00
.00
96.00
.00
.00
.00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN r-2-lb lR .g =DFINAIp)u/R dR
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contactor X Date
1,6)
ELcofri MULTI-FAhI ILY / COfiIMERCIAL
E CAL P
['r.rbl ic \\ crrks and 1.. ri lities l)eparlmrnt
12l E. 5th Strcc(, Porl.,\trgclcs. }\]\ 98363
3 6U. 4 I 7..1715 | xun'.c ity olpa us I clcctricslpcrmitsf.T*it_vo li:.r.us
ECIHIUED
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\)\Proiect Address 907 Georgiana Street Port An geles, WA 98362
Prolect Descflpto n. Installation of AES radio to monitor existing fire alarm system
E l\,lulti-Fanrily Residenlial E Commercial / lndustrial I Public Bu tding Square rootage
OVYNER INFORMATION
Nafne.Olympic Medical Center Ernail
ELECTRICAL CONTRACTOR INFORMATNN
Name:Performance Systems lnteqration
Mailing Address 19310 N. Creek Pkwy #109 Bothell , wA 9801 1
Emeil carissa@psintegrated.com
Lacense PERFOS-980 M4
Expr.3 torOaIe.7127118
p666s 425-368-4201
PROJECT DETAILS
Iterlr
Servioe/'Fe6der Zl0 Amp
ServioelFeeder ?01 -400 Amp
Servic6/FEeder dO 1 €00 Amp
Service/Feeder 60l-1 000 tunp-
ServEe/Feeder over 1000 A..np
Branch Cird,lt W Servic€ F€ede,
Branch Circrlt WlO S€Nice FE€der
Eech AddrtionBl BlEn.h Circ! t
Branch Circ{its 1{
Temp Service/Feeder 200 Amp
TEmp Ssrvic€/FBrder 201 -000 Amp.
TEmp, SePics/Feed6r 40r-600 Alnp.
Tem p. Serviae/Feeder 601 - 1000 Amp.
Portalto PDrtal Hourly
Sign3l Circuit/tinitEd Energy - Ntulo-Famity
Signal Ckcuittirnited Energy/Fir3t 1500 sl- Commercisl
iNob: $5.00 ior e8ch sdditionat 1500 s0
Renewable Elec En€rgy 5KVA Syst€m or less
The.mostst {Note $5 foreach addtonel}
Unit Chrroe
$132.m
$ 160 00
$225.0O
$26E.00
$410 00
95.00
$74 00
$5 oo
$E6.00
Sr02.0o
s12 t.00
616,1.00
$185,00
$E8.00
$88,00
$!8,00
Quanlity Iqlal (Quantrty x Unit Chezg.)
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$ 96.00
$113 00
656.m
$
$
g 96.00 roTAL
OwrEr ss dstn€d by RCW l9.28 261 (,)Ct,rneIwil occupythe structur? for luo years anerOis eteclricatpemtt is linatrue.d. (2lOwnerrE
rcquired tl hire an eledrical contraclor if above sa d piop€rty is for sale- rent or lease. Permit expir* afEr six months Df ast tnsp€chon
Aier r€ading t,le rtove glaiement, I i€rtby cediD lhat I air the owder of the abore nahed prupeag dr a licens€d electrical .Dntrr.tor t
am makrhg tha €lectrrcal inatallat€n or a1t.ra6on rn comp ianc€ wilh the electrical talvs. N.E.C., RCW Chapter 19 26, WAC Ch aDle r 298-
458 Ths Crb/ of PortAngal€s M!ncrpalCDde and Ullrty Sper:rficaliqns a PAMC 14-05,050 relardin! Electricat PeEnn Appt cariors.
3/2112018 Carissa Thomson
Pflnt Name ie Owner E Electric€t Contrector / Administratori
[Electrical PermitApp rca ons may be submrtted to City Hall or elechicalpermits@cilyofpa-us or fared to 360 417 4I'11]
Marlrng Address 939 Caroline Skeet Porl Anqeles. WA 98362 phone:
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