HomeMy WebLinkAbout907 GEORGIANAST - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES N
360417-4735
Application Number . . . . . 18-00000423 Date 3/27/18
Application pin number . 950882
Property Address . . . 907 GEORGIANA. ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-8-0145-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . to the City of Port Angeles
Property use . . . (Location Code 0502)
Property Zoning COMMERCIAL OFFICE
Application'valuation . . 0
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Application desc
AES radio / -Fire alarm -
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Owner Contractor
CLALLAM CO HOSPITAL DIST #2 PERFORMANCE SYSTEMS
939 CAROLINE ST 19310 NORTH CREEK PKWY
PORT ANGELES WA 983623909 BOTHELL WA 98011
(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 1ST 1500 SQ FT 96.00 1
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Fee summary Charged Paid Credited Due
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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
DITCH
SERVICE
ROUGH-IN
FINALlip 4i42
COQ:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
t �:
1
MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATIO,
Public \kbrks and t"tilitles Department
321 E. 5th Street, Port Angelet;. WA 9836?
360,417.4735 1 Nvivt-N%cityofpa.us I cicctricalperrnits,' cityulp' ZUINI
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Project Address: 907 Georgiana Street Port Angeles, WA 98362
Project Description: Installation of AES radio to monitor existing fire alarm system
11 Mufti-Family ResidentialIN] Commercial/Industrial/Public Building Square footage:
-OWNER INFORMATION
Narne: Olympic Medical Center Email:
Mailing Address: 939 Caroline Street Port Angeles, WA 98362 Phone:
ELEGTRONTRACTCR INFORMATION
Name: Performance Systems Integration License: PERFOS*980M4
19310 N. Creek Pkwy Bothell, WA Mailing Address.. Expiration Date; 7/27/18
Email: carissa@psintegrated.com Phone 425-368-4201
F
PROJECT DETAILS
Unit Charlie Quantillix Total(Quantity x Unit Cho r9a)
Servicer Feeder 200 Amp. $132.00 S
ServioelFee-der 201-400 Amp. $160.00 $
ServicefFaeder 401-600 Amp. $225.00 $
ServioelFeeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit Wi Service Feeder $5.00 $
Branch Circuit W10 Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Q rev its 1-4 506.00 $
Temp.Service/Feeder 200 Amp, $102.00 $
Tamp ServicalFeeder201-400Amp- 5121.00 $
Temp. ServiceiFeeder 40 1-500 Amp. $164.00
Temp. ServicelFeeder 50 1-1000 Amp. $185.00
Portal to Portal Hourly $96-00
Signal C ircuiVU mited Energy-Multi-Farnily $88.00 $
Signal C ircuitJLifriked E nergytFi r9t 1500 sf-Commercial "15.00 1 $ 96.00
(Note:$5-00 for each additional 1500 sFj
Renewable E lec. Energy,5KVA System or Im $113.00 $
Thermostat{Note:$5 for each additional) $L56-00 $
$ 96-00 TOTAL
C)wner as defined by RCVV,19.28.261:(1)Own e r will occupy the structure for two years alter th is electrical permit is finalized.(2)Owner is
required to hire an e lectri 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 property or a licensed electrical contrarlo r. I
am making the electrical installation or alteration in compliance with the electrical laws N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
4613,The City of Port Angeles Municipal Code,an U Utility Specifications an PAMC 14-06.05 0 regarding Electrical Permit Applications,
3/21/2018 Carissa Thomson
Date Print Name OwnerFxl Electrical Contractor I Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417,4711]