HomeMy WebLinkAbout801 E Front St (3)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
18 - O0 00 0425 Dare 3 / 21 /1-8
177444
801 E ERONT ST
06 30 00 513a40 0000
EIECTRICAI] ONLY
COUMERCIAL ARTERfAL
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
*
\
-.L
t\Application Number .
Application pin number
Property Address
ASSESSOR PARCEL NT]I4BER:
ApplicaEion ts).pe descrlption
Subdivision Name
Property Use
Property zoning
ApplicaEion valuation
Application desc
AEs radio / Fire alarm
Owner
PUBL]C HOSPITAL DISTRICT 2
939 CAROLINE ST
PORT ANGELES WA 983 62
PERFORMANCE SYSTEMS
19310 NORTH CREEK PKWY
BOTHEI,L WA 98011
{,425) 36A-4201
Permit
Additsional desc
Permit Fee
I ssue Date
Expiration Date
95 .00
3/2i/J.B
e/23/L8
EI.ECTRICAI, ALTER COMMERCIAI,
Plan check Fee
Valuat ion
.00
0
Qty Unit Charqe Per
1 , OO 96. OOOO ECH EI,-I,IMITED 1ST 15OO SQ FT
Extens ion
96.00
Fee summary Charged Paid CrediEed Due
Permit Fee Total
P]an check ToEal
Grand TotaI
96.00
.00
96.00
96.00
.00
95.00
.00
.00
.00
00
00
00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGS-IN
FINAL
COMMENTS:FrlYtY/2-
I
T
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Conkactor X Date
MULT -FAIVI LY/C o fiTMERCIAL
AL PER ITAPPLI o
Pr.rbiic \\trrks and l.tilities llcpartrnunt
-1: I E. 5Ih Strcut, Porl.,tng.clcs. lt'A 98i6:,
160.4I7.4715 | rrrvrr'.c ity olpa us I slcctricalpcrmitsiri:i:i4-uli:a.us
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Projee t Add r€ E$q01F.f !:on! Street Port Angeles, WA 98362
Prolect Descr pton:
n Mufti-Family Re=identiai I Conrmercial I lndustrlal / Public Bu iding Square looiage:
Name:Olymplc Medical Center Email:
Marlin g Address 939 Caro n Street Port eles, WA 98362 Phone:
Name:Performance Systems Integration
Mailing Addfeos 19310 N. Creek Pkwv #'109 Bothell , wA 9801 I
Errl carissa@psintegrated.com
License PERFOS"9sO t\,44
Exprrati0 I Oale. 7127 hB
pnone 425-368-4201
Item
Servicer'FEeder 200 Arrp
ServicelFeeder ?01 {00 Amp
SeF,/ice/FEader 40 1 g0lJ Amp.
Service/Feeder 6,01-1 00$ Afip-
Service/Feeder otrer 1000 Amp
Brafich Cirlcuit WI Service Feeder
Branch Cirorit WO S€rvice Feeder
EEch Additionsl BrElrEh Circuit
Branch Circ{ ts 1-4
Iemp. SePie/Feeder 200 Amp
rEmp Ser.,Jic€/FEedar 201 -400 Aff p.
fsmp, Ser'ricE/FEedBr 401,600 Arnp-
refip S+rlrice/Feeder 601- I000 Arnp.
PonElto Portal Houdy
Signal Circuitrlim(sd Energy - Multi-Famiy
Signal Circuittirfiited EnergylFirst 150O si - Commercisl
lNote: $5-001o. each Edditional 1500 sfl
Renewable Elec. EnerEf sKVA Slst€m or less
Thermostst {[]Ete: $5 breach edd tionsl]
Unlr Chsro,
$132.m
$160 m
g:25.00
$268.00
$410 0o
$s.00
$74 00
$s oo
s86.00
sl0J.00
Gi64,00
s185,00
ss6.00
$8e,00
$s6 00
Quantitv Isbl (Queotity x Unit ChElgEi
$
s
$
$
iD
$
$
$
$
$
$
$
$
$
$
$
$
$
s
96.00
$113.00
$s6 00
96.00 TOTAL
ow.rer as dsfin€d by RCw.19.28.261 (l) (hme r'&ill occupy the slrudurE for tvro tears aRerUis electric{l pe[ril isfinal]zed. (2lOwnerrg
rcqlired to hir€ an electncal tonkaclor ii sbove sald prof€rty rs fcr sale- rent or leas€ Petfiitexplres dftersi, months rlf last iniFe.tiDn
Aftel reading the a60ve staGment, I hereby cedrty liat I am the o^,{rer 0f lhe sbdve rBfted Omoert/ or s liEens€d electrical mntrscto. I
am mak ng thE €lEctr cal inatallBtiqn or slter"ton iD complra nc€ with the electrical lav{E N. E.C , RCW C hapier 1 S :6, WAC Ci apte r ZJe-
458 Thq Cif/ ol PortAng+les Munrcrpa Cade rnd Utr itf Spe€ifrc4lrong end C 14.05,050 regardr ! Electical Fem]it A['pl catons,
312112018 Carissa Thomson
Pint Name Owner I Electracal ContrEctor / Administratori
lElectrica PermitApplications may be submitted to City Hall or elechicalpermits@ciLyotpa-us or faxed to 360 417,47111
ELcoi,t
lnstallation of AES radio to monitor existing fire alarm syslem
OI,tiIERINFORMA]ION
ELEGTRICAL COIITRACTOR INFORIIATION I
PROJECT DETAILS
1
Date