HomeMy WebLinkAbout801 E FRONT ST - Building (4) ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4.17-4735
Application Number . . . 18-00000426 Date 3/27/18
Application pin number . . . 177484
Property Address . . . . . . 801 E FRONT ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3840-0000-
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 IAL
COMMERCIAL ARTER
Application valuation . . 0
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Application desc
AES radio / Fire alarm
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Owner Contractor
PUBLIC HOSPITAL DISTRICT 2 PERFORMANCE SYSTEMS
939 CAROLINE ST 19310 NORTH CREEK PKWY
PORT ANGELES WA 98362 BOTHELL WA 98011-
(425)
8011(425) 368-4201
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Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . 96.00 Plan Check Fee .00
Issues 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 1
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Pee Total 96.00 96.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total96.00 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:
MULTI-FAMILY / COMMERCIAL ECEIVEU
3
ELECTRICAL PERMITAPPLICATI
Ptiblic, \N'brks and I 1-611ties I)eparlmtnt
WS
321 E. 5th St=t,Port AngcIct;. WA 9836?
360,417.4735 1 Nv%Ni-v.ci(yofpi.US I c1cctricalpermits�' eityufpa'LIN
proiectAddressm 801 E. Front Street Port Angeles, WA 98362
Project Description: Installation of AES radio to monitor existing fire alarm system
El Mufti-Family Residentiai IZI Commercial I Industrial/Public Building Square footage:
1777--7---
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, WA 98011 Expiration Date: 7/27/19
Email: carissa@psintegrated.com Phone. 425-368-4201
PROJECT DETAILS
item Unit Cha= Quarift Total(Quatifty x Unit Cho rge)
Service/Feeder 200 Amp. $132.00 $
ServioefFeeder 201-400 Amp. $160.1)0 $
Service/Feeder 401-4500 Amp. $225.00 $
Servic;OFeeder 601-1000 Amp_ $288.00 $
Service/Feeder over 14100 Amp. $410.00 $
Branch Cirouit W1 Service Feeder $5.00 $
Branch Ci rcu it W10 Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $06.00 $
TE m p.Servio-e/Feeder 200 Amp. $102.00 $
Tamp.Service/Feeder 201-400 Am p- 5121.00 $
Temp,ServiceiFeeder 401-500 Amp- $164.00 $
Temp. Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiKirnited Energy-Multi-Family $88.00 $
Signal Circuit/Limited EnergylFirat 1500 sf-Commercial $96-00 1 $ 96.00
(Note:$5.00 for each additional 1500 sfi
Renewable E lec. Energy:5KVA System or less $113.00 $
Thermostat(Nate:$5 for each additional) $56-00 $
$ 96-00 TOTAL
owner as defined by RCVV 19.28.261:(1)owner will occupy the structure for two years aftecthis electrical permit is finalized.(2)Owner is
required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires atter 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 PDFtAngeles Municipal Code,and Utility Specifications and PAMC 14.06.050 regarding Electrical Permit Applications,
3/21/2018 Carissa Thomson
Date Print Name Sig OwnerF.] Electrical Contractor I Administrator)
(Electrical Pe rm it App I icati ons may be submitted to City Hall c r ellectrica I p erTnits@ci tytyf p a-u s or faxed to 360-417,4711]