HomeMy WebLinkAbout321 N CHAMBERS ST - Building (2) 'ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
�Application Number . . . . . 18-00000430 Date 3/27/18
Application pin number . . . 877730
Property Address . . . . . . 321 N CHAMBERS ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0125-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Pod Angeles
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN (Location Code 0502)
Application valuation . . . . 0
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Application desc
AES radio / Fire alarm
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Owner Contractor
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CLALLAM CO PUB HOSPITAL DIST 2 PERFORMANCE SYSTEMS
DBA OLYMPIC MEDICAL CNTR 19310 NORTH CREEK PKWY
PORT ANGELES WA 983623909 BOTHELL WA 98011
(425) 366-4201
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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 BCH . EL-LIMITED IST 1500 SO FT 96.00
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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
INSPECTIONTYPE DATE. RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COAMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST jNspEcrm
Signature of owner or Electrical Contractor X Date:
-U
MULTI-FAMILY / COMMERCIAL (D
3
ELECTRICAL PERMIT APPLICAT109f"CEIVEU
Public �k'urk,� and 11-tili(ies Depurtment
32 1 E. 5th Strc�A,PDrt Atigetc-s
� WA98362
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360.417.4735 1 NvwA-v.cityofpa.us I c1cetricalpermits-,' cityu 10a�u-, A
0321
Project Address, 4W N. Chambers Street Port Angeles, WA 98362
Project Description- Installation of AES radio to monitor existing fire alarm system
0 Mufti-Farnily Residential FX] Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Narne: Olympic Medical Center Email:
Mailing Address: 939 Caroline Street Port Angeles, WA 98362 Phone,
ELECTRICAL,,CONTRACTOR INFORMATION
Name: Performance Systems Integration License: PERFOS*98OM4
Mailing Address: 19310 N. Creek Pkwy#109 Bothell, WA98011 Expiration Date. 7/27/18
Emaili carissa@psintegrated.com phone. 425-368-4201
PROJECT DETAI LS 77
7
Unit Char" Quarlift Total(Quantity x Unit Cho rye)
ServiceiFeeder 200 Amp. $132.00
Servioe/Feeder 201-400 Amp. $160.DO
ServiceiFBeder 401--600 Amp. $225.00
ServioOFeeder 60 1-1000 Amp. $288.00
Service/Feeder over 1 floo Amp. $410.00 $
Branch Circuit W1 Service Feeder $5.00
Branch Ci rcu it 00 Se rvice reede r $74.00
Each Addition a I Bra nch C ircu it $5.00 $
Branch Circuits 1-4 S86.00 S
Te m p.Service/Feeder 200 Arnp. $102.00 $
To ni p.SeryiceiFeeder 201-400 Am p- S121.00 $
Tern p,ServioeiFaeder 401-500 Amp- $164.00 $
TO ni p,ServicelFeeder 601-1000 Amp. $185.00 $
Porta I to Portal Hourly $96-00 $
Signal CircuiKirrifted Energy-Multi-Family $68.00 $
Signal C ircuitUrnited E nergylFi ret 1500 sf-Commerciial $96-00 $ 96.00
(Note�$5.00 for each additional 1600 sf)
Renewable E lec. Energy:5KVA System or less $113.00 $
The rm astat J N ate:$5 f6r each add itia n all) $56-00 $
$ 96-00 TOTAL
Owner a4 defined by RCVV.19.28.26 1:(1)Clovm e r will occupy the structure for two years aftec th is electrical permit is final ized.(2)Owner is
req uired to hire a n e lectri cal.contractor if above sa id property is for sale,rent or lease.Perm it exp ires after six months of last inspect an.
After reading the above statement, I hereby oerhfy th at I am the owne r of the above n mmed property or a Ii cen sed electric&I contrar-10 r. I
am maki ng the a lectrical inate 11 ation or a Iteration i n compl is nce with the electrical laws N.E.C., RCW C hapter 19.28,WAC.Ch apte r 296-
4613, The City of Port Angeles Mtj n id ps I C ad e.arl d U01 ity Specificati d PAMC 14-05,06 0 regarding Lieckrica I Permit App Ii cation s.
3/21/2018 Carissa Thomson
Date Print Name Sf6r*-'5� Qwnero Ele-ctrical Contractor I Administrator)
[Electrical PermitApplications may be submitted to City Hall or electricalpLrTnitr,@cityofpa-us or faxed to 360-417,4711]