HomeMy WebLinkAbout707 S Chase St (3)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-473s
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Appl ication Number
ApplicaEion pin number
Property Addr.ess
ASSESSOR PARCEI, NI]I4BER:
22 -00000181 DaEe
5 31515
707 S CITASE ST
05-3 0-00 -0 -2 -2925- 0000
E],ECTRICAI, ONI,YApplication t),pe descriptsion
subdiwision Nane , ,
ProperEy Use
Proper:ty zoning
Application valuation
2 /t8 /22
Applrca!acn desc
Nurse call / Intercom
NCRTHWEST KIDNEY CENTERS
7OO BROADWAY
SEA'T'ILd NA 981224342
PROTECTION & COMMUN I CASNS INC
19630 4OTH AVE W
LYNNWOOD WA 98036
1425) ',t 14-9099
Permi L
Addirional desc
PermiE Pee
I ssue Dale
Expir.ation Date
106.00
2/18/22
I /a1 /22
ELECTR]CAL NE'i COMMERICAI
00
0
Qry Unit Charge Per
1.00 96 . 0000 ECII
2 .0Q 5.0000 ECII
95. 00
10. 00
EL-L]M]TED 1ST 15OO SQ FT
EI ADDNT LIMITED 15OO SQ FT
Charged Paid credited Due
PermiL Fee Total
Flan Check Total
Grand Total
105.00
.00
105.00
.00
.00
.00
.00
.00
.00
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SER\1CE
ROUCH-IN alilzc-#sp
FINAL elilze-,tp
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signahrre of owner or Electrical Contractor X
6:\EXCHANGABUTLDING
Plan Check Fee
Valuation
106.00
.00
105.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
RESLTLTS:
\r+-
Date:
MULTI-FAM ILY / COMM ERCIAL
ELECTRICAL PERMIT APPLI CATION
Public Works and Utilitrcs Dcpartntent
.12I E. 5rh SLleel. Porr r\ngeles, W\ 9ll-162
-l (r{)..1I 7.-171j rvrvrv. citvo l'pa. us ]elecLricall:el'nrits(r'r.cityofpa.us
707 S Chase St, Port Angeles, WA 98362
1'oj
NN'l
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Project Address
lnstalling Nurse Call & lntercom systems for Northwest Kidney CenterProject Description
fl Multi-Family Residential Commercial / lndustrial / Public Building Square footag e: 4000
Name: Nodhwest Kidney Cenler Email
Mailing Address ' 707 S Chase St, Po,-t Anqeles , wA 98362 Phone:
Name: Protection & Communications lnc License: PROTECI65LS
Mailing Address 19630 40th Ave W, Lynnwood, WA 98036 Expi ration Date: 0s13112o23
Phone 425 774,9099Email: PC@orocommwa.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp, Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal CircuiuLimited Energy - Multi-Family
Signal Circuit/Limited EnergylFirst '1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable EIec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
unit Charge Ouantitv
$132.00
$160.00
$22s.00
$288.00
$410.00
$s.oo
$74.00
$s.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00 3
$113.00
$56.00
IqlAl (Ouantity x Unit Charge)
106.00
s
$
$
$
$
$
$
$
$
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$
$
$
$
$
$
s
$
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s '106.00 rorAL
Owner as defined by RCW.1s.28.261: (1 ) Owner will occupy the structure fortwo years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor rf above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical lnsiallation or alteration in compliance with the electrical laws, N. E.C., RCW, Chapter 19.28, WAC. Chapter 296-
468, The City of Port Angeles 14unicipal Code, and Utility Speciflcations and PAMC 14.05.050 regarding Electrical Permit Applications.
02t17 t2422 Jared [,4arkewicz Jared Markewicz
Date
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.usl
Print Name Signature (E Owner Electrical Contractor / Administrator)
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