HomeMy WebLinkAbout939 CAROLINE ST - Building (3) ELECTRICAL PERMIT v0
CI'T'Y OF PORT ANGELES �
360-417-4735
Application Number . . 18-00000424 Date 3/27/18 .�
Application pin number 026416
Property Address . . . 939 CAROLINE ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-1-0-3325-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . .
Property Zoning . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation . . . . 0
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Application desc
AES radio / Fire alarm
Owner Contractor
PUBLIC HOSPITAL DISTRICT #2 PERFORMANCE SYSTEMS
939 CAROLINE ST 19310 NORTH CREEK PKWY
PORT ANGELES WA 98362 BOTHELL. WA 98011
(360) 417-7170 (425) 368-4201
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Permit . . ELECTRICAL ALTER COMMERCIAL —
Additional desc . .
Permit Fee . . 96.00 Plan Check Fee .00
Issue Date 3/27/18 valuation . . . 0
Expiration Date, . 9/23/18
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED IST 1500 SO FT 96.00
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Fee summary Charged Paid Credited Due
-----------=---- ---------- -------- ------- -----------
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DI'T'CH
SERVICE
ROUGH-IN L 11'a
FINALalk
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
a "
MULTI-FAMILY / COMMERCIAL
3
ELECTRICAL PERMIT APPLICATIC T
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321 E. 5th S=t (,Port Angela;. WA Q 8 3 62
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Project Address, 939 Caroline Street Port Angeles, WA 98362
Project Description- Installation of AES radio to monitor existing fire alarm system
1771 Muki-Family Residential M Commercial I Industrial/Public Building Square footage:
OWNER INFORMAMN
Name: Olympic Medical Center Email:
Mailing Address: 939 Caroline Street Port Angeles, WA 98362 Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name, Performance Systems Integration Lioense: PERFOS*98OM4
Mailing Address: 19310 N. Creek Pkwy#109 Bothell, WA 98011 Expiration Date: 7/27/18
Email: carissa@psintegrated.com Phone: 425-368-4201
PROJECT DETAILS
jtanp Unit Charge Quanw Total�Quavfty x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
ServioefFeeder 201-400 Amp $160.130 $
ServiceiFeeder 4011$00 Amp. $225.00 $
ServioelFeeder 601-1000 Amp. $288.00 $
ServicelFeeder over 1000 Amp. $410.00 $
Branch Circuit Wf Service Feeder $5.00 $
Branch Circuit W10 Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00
Temp.Service/Feeder 200 Amp. $102.00
Temp.SerAcelFeeder 201-400 Am p. 5121,00 $
Temp. ServiceiFeeder 401-500 Amp- $164.00 $
Temp, Service/Feeder 601-1000 Amp. $185.00 $
Ports I to Portal Hourly $96.00 $
Signal CircuiKimil:ed Energy-Multi-Family $88.00 $
Signal C ircuiaimited Energy/First 1500 sf-Commercial $96-00 1 $ 96.00
(Note:$5-00 for each additional 1600 4
Renewable E lec. Energy:5KVA System or less $113.00 $
Thermostat Note:$5 for each add itia n at) $56-00 $
$ 96-00 TOTAL
Owner as defined by RCW.19-26.26 1:(1)Own e r will occupy the structure for two,years aftec th is electrical permit is finalised.(2)Owner is
required to hire an e leath cat contractor if 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 properly or a licensed electrical Contractor. I
am making the electrical installation or alteration in compliance with the electrical laws.N.E.G,,RCW.Chapter 19.28,WAC. Chapter 296-
4615, The Co of PDFtAngelesMunicipal Code, ion d Utility Specifications a rA PAIVIC 14-05.05 0 regarding Lieckrica I Permit Applications.
3/21/2018 Carissa Thomson
Date Print Name Siilii"re Ownero Electrical Contractor I Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalperTnits@cityafpa-us or faxed to 360 417.4711]