HomeMy WebLinkAbout1102 E Front StApplication Nunicer
Application pin nuhber
ProperEy Address
ASSESSOR PARCEI, NUMBER:
ApplicaEion type description
Subdivision Name
Property Use
Property ZoDing
Application valuaEion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-477 -4735
COMMERCIAL ARTERIAL
0
18-00000427 Date 3/27/Lg
253018
1102 E FRONT ST
06-30- 00-5-2 -03s5-0000 -
EIEC?RICAI, ONI,Y
REPORT STATE SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
sOt
N
-..I
Application desc
AES radio / Fire alarm
Contractor
PUBI]IC EOSP]TAL DISTRICT 2
939 CAROIINE ST
PORT ANGELES WA 983 62
PERFORMANCE SYSTEMS
19310 NORTH CREEK PKWY
BOTHELL WA 98011
i.425) 368-42A\
Pe r_rdt
Additional desc
Permit Fee
Issue DaEe
Expiration DaEe
96 .00
3/2't /18
9/23/L8
Plan Check Fee
Valuation
EIECTRICAL ALTER COMMERCIAL
00
oty unit Charge Per1.00 96.0000 Ectr EL-r,lMrTED 1ST 1500 SQ FT
E).tension
96.00
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check To!a]
Gr:and Tota]
96. 00
.00
95 .00
96.00
' 00
96.00
00
00
00
00
00
00
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
FINAI
COMMENTS:rti,firAA
PERMIT WILL EXPIRE Slx (6) MONTHS FROM LAST INSPECTION
Signa ture ofowner or Electrical Contractor X Date
0
ROUGH-IN
E
M U LTI-FAh/ I LY / CO[fi M ERCIAL
P yEe
-E
q
1*
l-oolr+t\
\
Puhliu \\trrks antt t.rilitirs DeparlrncnL illAR 2 ,i ,:iii:
321 E. sth lLrcct, Port:\ngclcs. \L\ 9816.1,
160,41?.4?15 | rtryt'.citlolps,us f "1.-.lr-Jfp"r*ir.<'"iLi "lir-.-1rfff[B0ft
Pruiect Addreee
Project Descriplo n. lnstallation of AES radio to monitor existing fire alarm system
E [,luhi-Family Resid€nt]al E Comnrercial/ lndustriall Public Building Square tootage
Name. Olympic Medical Center
Mailing Address:939 Caroline Street Port Anqeles. WA 98362
Eraail
Ph0ne:
Name: Pefformance Systems lntegration
Mailing Address : 19310 N. Creek PkwV #109 Bothell , wA 9801 1
Email carissa@psintegrated.com
Lieense: PERFOS.980M4
ExFiratio I Oale 1127118
p66ns 425-368-4201
Itein
Service/Feeder 200 Arnp.
SerYicei Feeder ?01+00 Amp.
Servrce/FE+der.lO 1$O0 Amp
SerYicei Feeder 601-'1000 tunp-
Sergice/Feeder over 1O00 Amp
Branch Cifi:rit W Setuice Feeder
Branch Cirsjit W/O S€rvice Feeder
Each Addrtional Branch CirclJ t
Branch Circ{its 1 4
Temp Service/Feeder 200 Amp.
TBlnp Servic€/F88d€r 281,400 Amp-
TEnrp SepicE/FEed€r 40'f -600 AIn?-
Temp. Seraice/Feeiler 501 -1 000 Amp,
PsrtElto Portal Hourly
Signal GircuitllimitEd Energy - f*ult-Famiy
Signal Circuittirnited EnergylFil3t 1 50O sf -Commercisl
iNob 55-00loreEch rdditional tS00 s!
Renewable Elec Eneruy: sl(VA System or less
Thermostai {N01€: $5 for each eddrUonel}
Unit Chira€
$132.00
$160.0o
$225.r10
$288 m
$410 0{
$s 00
$74.00
$86.00
sj02.00
5121.00
6164,00
s'185,00
$s8.00
$88,00
$EB r)0
OuEdttty l-olel (Quaotity r UnitChelgrl
$
s
s
$
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$113 00
ss6.00
96.00
96.00 TOTAL
owner tss d€frn€d by RCW lg-28 261 (11 O'].,ne lxill eccupy the structure br t^,o years aterfiis electricalpemit is finalred. (2JOwneris
lequiEd tl hirc a[ e]ecfricdl contractirr rf above sald propea{y is forsale. reftor leare Perifl texpirEs dltsrsi, moFths,lf i6st insFecti0n
Afrel reading $e 3boYe statement, I iercby cediF/ that lam the o#del ofthe sbore n6rrEd Orooelty ors liEEnsed eeEtricsl contre'1lor I
em maki.g thE € lEctrical ansta llat on or altEratiqn in 4qorp ianc€ r ,ith the electn{al tev{s N. E. C., RCW Chapter I g 26, WAC Ct aple r 2gB-
468, ThB C ty of FortAngslas Mvnicipal Cadp and Ufility Speciticaiions g 14,05 050 regsrding Ele ricai Pemit AFplications,
312112018 Carissa Thomson
Date Pr nt Name sig Owier E Elertrlcsl Contrector /Administrator)
[E ectrical PeImitApp]icalions may be submitted to City Hall or eleclricalpermits@cityofpa,us or faxed to 360.417 ,t7 l1l
ELcom I
a
1102 East Front Street Port Anqeles, WA 98362
OWNER INFORMAT]ON
ELECTRIC.I.L COIITRACTOR INFORMATION
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