HomeMy WebLinkAbout1102 E FRONT ST - Building (2) ELECTRICAL PERMIT
CITY OF PORT ANGELES •�
360-417-4.735
Application Number . . . . . 18-00000427 Date 3/27/18
Application pin number . . . 253018
Property Address . . . . . . 1102 E FRONT ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-6-2-0385-0000- On your eXC/Se tax form
Application type description ELECTRICAL ONLY y
Subdivision Name . . . . . to the City of Port Angeles
Property Use . . . . (Location Code 0502)
Property Zoning COMMERCIAL ARTERIAL
Application valuation . . . . 0
Application desc
AES radio / Fire alarm
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Owner Contractor
PUBLIC HOSPITAL DISTRICTT 2 PERFORMANCE SYSTEMS
939 CAROLINE ST 19310 NORTH CREEK PKWY
PORT ANGELES WA 98362 BOTHELL WA 98011
I (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:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
:,�,
F 4
MULTI-FAMILY / COMMERCIAL
RECE, ip� 3
ELECTRICAL PERMIT APPLICAT16 VU
Public Nkbrks and I A.111(les Department
- -A 983 62
3"1 E. 5th St=(,Port Angcles. NV
360,417.4735 1 ww'v.cityofpa.us I c1cctricalpertnits,'
Project Address 1102 East Front Street Port Angeles, WA 98362
Project Description, Installation of AES radio to monitor existing fire alarm system
El Mufti-Family Residential 121 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*980M4
Mailing Address: 19310 N. Creek Pkwy#1 9 Bothell, WA 98011 —Expiration Date: 7/27/19
Email: carissa@psintegrated.com Phone: 425-368-4201
PROJECT DETAILS
Unit ChaW Quan1b Total(Quantity x Unit Charge)
ServicelFeeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.DO $
Servic*Faeder 401-600 Amp. $225.00 $
ServioetFeeder 601-1000 Amp. $288.00 $
ServicalFeeder over 1 DOG Amp. $410.00 $
Branch Circuit W1 Service Feeder $5.00 $
Branch Circuit W10 Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 586.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Tamp Service/Feeder201-400 Amp. 5121.00 $
Temp.ServicelFeeder 40 1-500 Amp- $164.00 $
Temp,Service/Feeder 501-1000 Amp. $185.00 $
Portal to Portal Hourly $96-00 $
Signal Circuit/Limited E nergy-Mulb-Family $68.00 $
Signal C ircuitIll-ifrifted E nergylFi Mt 1500 sf-Commercial "115.00 1 $ 96.00
(Note: $5-00 for each additional 1$00 sfi
Renewable E lec. Energy:5KVA System or less $113.00 $
Thermostat{Note:$5 for each additional} $515.00 $
$ 96-00 TOTAL
C)wner as defined by RCVS/.19.28.261:(1)Own e r will occupy the structure for two years aftec th is electrical permit is finalized.(2)owner is
required to hire an electrical contractor if above said property is far 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 installation or alteration in compliance with the electrical laws. N,E.C,,ROW.Chapter 19.28,WAC. Chapter 296-
4613, The City of PortAngeles Municipal Code,and Utility 5pecificatioris and MC 14.05.050 regarding Electrical Permit Applications,
3/21/2018 Carissa Thomson
Date Print Name Srgnaf�_;(EJ Owner 2 Electrical Contractor/Administrator}
(Electrical Permit Applications may be submitted to City Hall or electricalpermitr.Ccityofpa-us or faxed to 360-417,4711]