HomeMy WebLinkAbout939 Caroline St (22)Application Number
Application pin number
Property Address
ASSESSOR PARCEI, NUMBER:
ApplicaE j-on type descripEion
Subdivision Name .
ProperEy Use
ProperEy zoai g
Application vafuatsion
19 - 0OOO198 9 Date 2/12/20
445504
939 CAROLINE ST
06 -3 0- 00- 1- 0 -332 5 - 0000 -
EI,ECTRICAI, ONLY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-4735
PUBIIC BUILDTNGS & PARKS
0
REPORT STATE SAI-ES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application deac
Fire alarm relay for interface access controf
Contractor
PUBIIC EOSPITAL DISTRICT *2
939 CAROLINE ST
PORT ANGELES WA 983 52
.360) 4L1 -7a10
PERFORMANCE SYSTEMS INTGN LLC
19310 NORTH CREEK PARL'WAY
BUILDING 3 STE 109
BOTHELL WA 98011
(425) 360-4201
Pei_mlt
Additaonal
PermiE Fee
lssue DaEe
95 .00
2/!2/2a
s/la/20
ELECTRICAL ALTER COMMERCIAI,
desc
Plan Check Fee
Valuation
00
0
Explration Datse
oty Units Charge1.00 96 .0000 ECH EI-I,IMITED 1ST 15OO SQ FT
Extension
96.00
Fee summary Charged Paid Credited Due
Permit Fee TotsaI
Plan Check TotsaI
6rand Totaf
96.00
.00
95.00
95.00
.00
95.00
00
00
00
00
00
00
PERMII W1LL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR
DITCH
SERVICE
ROUGH.IN zln) zo $Y -sf
-')n-l"za d*.BP
COMMENTS:
Signature ofowner or Electrical Contractor X
FINAL
Date:
-
M U LTI-FAMILY / COMMERCIAL
ELECTRI CAL PERMIT APPLI CATION
Puh I r r., \!i>rks and l-,'til ities l)€psrtrnen r
321 E. sth SLrcc{, Porl r\ngclcs. \}i\ 98162
lo(.).4 i ?.471-i I tr.\vw.dity.)l'pr.us I clcciricslpurmirsiir:,.riLyolgt.us
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ProJecl Address 939 CaroLine Street Port. Anqeles wA 98362
Proiect c,escripton: Instal-] (8) f j-re alarm relavs for j-nEerf ace with access cont.rol
D Mstj-Frrlil, Rerijcntid E ConnlEr6ial,l tndusfiid / Pr6lc EuildtrE Squae hotage:
ttame: Olympic Medica] Cent.er Ema'l:
983[4dling Address 939 Caroline SE Port Anqeles WA
Narne: performance Systems Inteqrat 10n
Mailing Address , L9310 N. Creek pkwy *109 Borhell 980
ma$ cari ssa@ps i nE e grated. comE
License:PERFOS T 8 2NO
Dale
enane.425-368-4201
lhrlt
Servic€lFeed€4. 2m &r1o.
S:ervio€/Feede( 20 1 400 Afi p.
SeMci/F6eder {O15@ A.rrp.
Ssrvio€/F€eder 00 1- I 000 Arnp.
Se^ car'Fccder olcr 1000 Aafip
SrarEh Cirq.rit Wi Se.lioe Feed€(
B.a.Eh Clrsrit L'!ll} S€rvice Foc&r
EffJl Addaiofirl &Bo* Ci..!il
aranch Clrc0dis l-4
fsmp. Sorri-rfe€dcr 200 Amp .
f.mp. Sa,vicdF ds.2014@ Arnp-
f€mD, S€r.lo8/Fga@t 40, "[@ AIng
Temp SeNice/Fleder 501 - 1 000 Amp.
Portsl to Pntd HGrly
S'$al Grcuulimitad ErErg, - irfuIi-Fsriy
Signal Cicdltr-irtdld E.lergy/Fid I S0O if -Com{rE?ci8l
(Nob: l5-@ lcr cich rddligrd 15@ d)
R€reBabE Ebc. Emrly: S(VA Sylttrlr o, lels
fhr.mo.td (Hok: 15 6r r.ch .6dfillnrl)
t ntl Chr.n
s132.S
t160.00
$225.00
$26E.m
$.{'t o.tlo
$5.00
S7{.6
lli 00
388.00
s102.00
5121.@
616,1.00
8185.00
s6.00
t86.m
$sG.00
O!Enlilr/lgtsl {quln$ty r tJnit Chrrg.}
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!'t 13 CO
$6.00
I 96.00 TOTAL
Owie. as dJtr).d by RCW.i9.2E:51: (l) Owoer w& o€s,lpy the struduE tud t*o,€{s aief lrri! eb{irhal p€r 13 findtcd. (2) OwrEr6
rqured !r li€ an ebarr,cal coniradoa f aborle sairJ ploFarty B b 3€q l"ot or lea3a, PErfiI a$irEs dbr sn rnor E ot lelr h+€divt.
Aier rea<rir! l,le above staicf,ient. I h€Gby oedrt lllaa I rn the o*1or of ti€ sSare nrnad troDa.ty or. [e.' t€d eledrb.l €o.nrrdor I
t n rr*irg tiE €bclrEsl inslr{atroh gr 3lar.6oa rn coalglenca r&n th3 eldricC lavrE N.E.C., RCW Chr0ter 19.28,\ }AC Cha sr 296-
{6EI, Thr Cr9 ot Porr angrleE tkrn'srprl Code, .od U0lity Spr€ri€atrens and eAMC 1{.05.050 regardiig Eledaical Perne Appl6toos.
L2/12/L9 Carissa Thomson Ca ri ssa Th o m son*..]-#- * *'*-
Daie Pdnt Name SEndune (n O*,ner El Etecldcsl Contrach( / Ad ninbtetoo
{Eleddcal Permrt Applaations may b€ subrfitted to City HaI or elecl aalperErts@ity0{pa.us or faxed lo 360 4.17.47111
ELcon
ctAiNER |NFORII{T|ON
ELECTRICALCONT*ACTQR
8/20/2r
.PRCJECT DEISlLS
