HomeMy WebLinkAbout1021 CAROLINE ST - Building (2) ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604 17-4735
Application Number . . . . 18-00000428 Date 3/27/18
Application pin number . . . 328552
Property Address . . . . . . 1021 CAROLINE ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-0440-0000-
Application type description` ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . to the City Of Port Angeles
Property Use . . . .
Property zoning . . . . . . COMMERCIAL OFFICES (Location Code 0502)
Application valuation . . . . 0
Application desc
AES radio / Fire alarm'
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I Owner Contractor
REED A WENDEL/J F FLOWERS PERFORMANCE SYSTEMS
1021 CAROLINE ST 19310 NORTH CREEK PKWY
PORT ANGELES WA 983623901 BOTHELL WA 98011
(425) 368-4201
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Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee 96.00 Flan Check Fee .00
Issue Date . . 3/27/18 Valuation . . 0
Expiration Date . 9/23/18
I
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ 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 v
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 wu L EXPIRE SIX(6)MONTHS FROM LAST INSPEG`rm
Signature of owner or Electrical Contractor X Date:
i
z _ -
MULTI-FAMILY 1 COMMERCIAL ,RECEIVED
ELECTRICAL PERMIT APPLICATION MAR
3
Public Works and I_Aili(ies i)epartment
ELECTRICAL
321 E. 5th Strcct,Part Angeles. WA 983 621 1N�.°ECTtON� �
360,417.4735 ��cti�i�'.iityafpfi.us� e1cetfica1perrnitS;ii'.eitycl'p��.0
Project Address: 1021 Caroline Street Port Angeles, WA 98362
Project Description_ Installation of AES radio to monitor existing fire alarm system
❑ Mufti-Family Residential 21 Commercial/Industrial/Public Building Square footage:
OWNER O'
Name: 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#109 Bothell, WA 98011 Expiration Date; 7/27/18
Email: carissa@psintegrated.com Phone: 425-368-4201
PROJECT
lt�m Unk Charoe Quanft Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.DO $
ServicefFaeder 401-600 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
ServiceFFeeder over 1❑00 Amp. $410.00 $
Branch Circuit WI Service Feeder $5.00 $
Branch Circuit wo Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 596.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp ServiWFeeder201-400Amp. 5121.00 $
Temp•ServiceiFeeder 40 1-600 Amp_ $164.00 $
To m p•ServioelFeeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiKimited Energy-Multi-Family $68.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $9a_40 1 $ 96.00
(Note:$5.00 for each additional 1$00 sfj
Renewable Elec. Energy:5KVA System or less $113.00 $
Thermostat(Nate:$5 for each add ibanat) $56.00 $
$ 96.00 TOTAL
Owner as defined by RCW.19.28.261:(t)Owner will occupy the structure for two years after this electrical permit is finalised.(2)Owner is
required to hire an elecincat contractor if above said property is for sale: rentor lease. Perm it 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 aReration in compliance with the electrical laws. N.E.C., RCW.Chapter 19.28,WAC. Chapter 296-
468,The City of Part Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit App li=ion s•
3/21/2018 Carissa Thomson
Date Print Name u_re�(V Owner® Electrical Contractor(Administrator)
I
(Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 380.417,4711]