HomeMy WebLinkAbout1021 Caroline St (2)Applicat.ion Number
Appl.icaf ion pin nufiiber
Property Addresg
ASSESSOR PARCEL NUMBER J
Applicalion t],?e description
subdivision Name
Property gse
PIoPerty Zoning
ApplicaLion valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604t7-4735
18-00000428 Date 3/271L8
32A552
10 21 CAROIJ]NE ST
06 - 3 0 - 0 0 - 5 - 3 - 044 0 - 0 0 0 0 -
ELECTRICAL ONLY
COMMERCIAI OFFICE
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
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00
Application desc
AES radio / Fire alarm
REED A WENDEL/J F
1O 21 CAROLINE ST
PORT ANGEI,ES
F],OWERS
wA 983623901
PERFOR!4ANCE SYSTEMS
19310 NORTH CREEK PKI{T
BOTT'ETL WA 98011
1425) 36A- 4201
Permit
Addilional desc
Permi! Fee
Issue DaEe
Expiration Date
96. 00
3/2'7 /tB
9/23 /LB
Pl an Check Fee
Valuat ion
EI.ECTRICAL ALTER COMMERCIAL
00
0
oty unit charge
1.00 96.0000
Per
ECH EI,-I,IMITED 1ST 15OO SQ FT
Ext.ension
96.00
Charged Credited Due
PermiE Fee Total
Plan Check Total
Grand Total
96. 00
.00
96.00
95. 00
.00
96.00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:7*Ytv#-
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
Signatule ofowner or Electrical Contractor x Date
LTI-IVIM RECEIUED
ELECTRICAL PER IV]IT APPLICATION
['ut:liu \\trrks unrl 1, tilitics l)eparlmenL
l2 I E. 5Ih Strcct. Forl .,\rtgcl*s. 1\i\ 983 63
idil.+ i?..1715 | rr$,rv.cityolpa,us elcctriealpcrmitsiiz.lciLl'oli:u.us
I -E
Ou
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MAR 2 7 2010
EITCIRIII.
fi{sPtfftoN$
ProiEct Address 1021 Caroline Street Port eles wA 98362
Project Descriplion lnstallation of AES radio to monitor existing fire alarm system
n MuhiFanrily Residentiai E Commercial I lndustrial / Pub ic Bu ding Square rootage:
Name- Olympic l\4edical Center
Mailing Address 939 Caroline Street Port An eles, WA 98362
En]ail
Phone
Name. Performance Systems lntegration
Mailing Addfe8s: 19310 N. Creek Pkwy #109 Bothell, WA 980'1 1
Email carissa@psintegrated.com
Licerse PERFOS.980lil4
Exprrar,or )ale 7 t271'18
enone 425-368-4201
Item
ServicelFeeder 200 Amp
Service,Feeder ?01 -400 Amp
Sereioe/FBeder .lO l+O0 Arnp
Service/Feeder 6O1 -1 000 tunp,
SeGrice/Feeder over 1 O00 Amp
Branch Ci s.rit W/ Servr:e Feede.
Eranch Cin lt W/O S€rvice Feeder
Esch AddiiionBl BrEnrh Cirftit
Eranch Cirqrlts 1-4
Iemp. Serrice/Feeder 200 Amp
TFmp SEr,ricsrFEsder 201{00 Aflp-
Ternp, SeRiae/FEedEr 401 600 tunp-
TEfl p. SeririoelFeeder 601 - l 000 Amp,
Partal to Portal Hourly
Signsl CircuitrLimit€d Energy - Muifi-Family
Signal ChtuitLifiited Energy/Fir{t 150O Ef -Comrnerclal
iNoh: $5,00 foreEch Edditional 1500 stl
Renewable Elec. EnerEy: sKVA Sysl€fir or less
ThermE8tat {NEt€r $5 fo. each add lion.l}
Qurfltltv Isb!(Quratity r Unit Chergcl
96.00
Unit Cirrae
$132 m
$ 160 00
$225.0!
$28E.00
$410 0{
s5.00
$74 00
$s 00
$66.00
S1o:.oo
s121,00
s164,00
$185,00
$98-00
$88.00
$86 00
$
s
$
$
s
$
$
$
$
$
$
$
s113.00
ilitr.Lru
$_
$
$96.00 TOTAL
Ow,rer Es dBfined by RGW.t9.28.:51 (l) O',rrle r will occupy the Etru€turE for tlro years afief Uis electricaltelmrr isilnalEed. {2lOs/nerig
leqlired to hir€ all e ectneaL contractot if above sa d proFe(y is ior lale rentff l€as# Petfirlexpires slt€r six months of ast inapedtion
Aiel reailing the above staGmenl, I hereby ced i/ thal I anr the o^,6er of lhe obove n Hmed propefl'/ 'lr 6 jiDer sEd eleclricdl {Dntracto I I
Em makng thF e lEctrical installation or altarafio.I in complieDc€ wth the electncal lswE. N.E.C , ROW Chapter l$ 28, WAC Chapter296-
458 Th€ t;iq ol PortAngEles MuniqrpslCode and UolLty Epeaiai(4liq|ls erd 14.05.050 regardan! Eh,;trical PemttAFplicariors,
3t21t2018 Carissa Thomson
Pr nt Narn€Qwner Electrical Cofltr€ctor I AdminElratorl
[Electrical PermrtApp rcations may be submitted to City Hall or elechicalpermits@cilyofpa.us or faxed to 360 417.4]'l1l
ELqat'I
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