HomeMy WebLinkAbout1029 COLUMBIA ST - Building (2) ELECMCAL PERMIT
CITY OF PORT ANGELES S
360=417-4735 N
Application Number . . . . . 18-00000425 Date 3/27/18
Application pin number . . . 101950
Property Address . . . . . . 1029 COLUMBIA ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-0345-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use . . . . .
Property Zoning . . . . . . PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation . . 0
----------------------------------------------------------------------------
Application desc
AES radio/ Fire alarm
----------------------------------------------------------------------------
Owner Contractor
OLYMPIC MEMORIAL HOSPITAL PERFORMANCE SYSTEMS
939 CAROLINE ST 19310 NORTH CREEK PKWY
PORT ANGELES WA 98362 BOTHELL WA 98011
(425) 368_4201
-------------- - -----
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee . . -96.00 Plan Check Fee .00
Issue Date . . 1/27/18 Valuation . . . . 0
Expiration Date 9/23/18
Qty - Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED IST 1500 SQ FT 96.00 1
----------------------------------------------------------------------------
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: I
PERM1 T WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
M
>T- Tt .
MULTI-FAMILY 1 COMMERCIALn: 3 5
ELECTRICAL PERMIT APPLICATIOPORP
Public bkbrk anti IAilibe Department
X21 E. 5th Strc4(,Port Atigcics. WA 98362 I
3) .417.4735 1 wivi'v�.cityc�fpu.us cicctr calperrtlits cuc<city+,lpa.
Proiect Address 1029 Columbia Street Port Angeles, WA 98362 �(1
Project Description: Installation of AES radio to monitor existing fire alarm system
El Multi-Family Residentiai <] Commercial/Industrial 1 Public Building Square footage:
OWNER INFORMNTtON
Narne: Olympic Medical Center Email:
Mailing Address: 939 Caroline Street Port Angeles, WA 98362 Phone:
ELECTRICALi + !' INFORMATION
Name: Performance Systems Integration License: PERFOS*98OM4
Mailing Address: 19310 N. Creek Pkwy#109 Bothell, WA 98011 Expiration Date: 7/27/18
Email: carissa@psintegrated.com Phone: 425-368-4201
PROJECTDETAILS
jtgm unit ChaW2 Quaff Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service?Feeder 201-400 Arnp. $180.00 _ $
ServicalFBeder 401-600 Amp. $225.00 $
ServicelFeeder 601-1000 Amp_ $288.00 $
ServicelFeeder over 1 U00 Amp. $410.00 $
Branch Circuit WI Service Feeder $5.00 $
Branch Circuit WIO 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/Feeder201-400Amp_ 5121,00 $
Tamp.5ervioelFeeder401-600 Amp_ $164,00 $
Te m p.ServioelFeeder 501-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Signal GircuitlLimited Energy-Nfulti-Family $88.00 $
Signal CireuitLirnited EnergylFirst 1500 sf-Commercial $96.00 1 $ 96.00
(Note:$5.00 for each additional 1500 sP
Renewable Elee. Energy: 5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $56-00 $
$ 96.00 TOTAL
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years afterthis 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 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-
468, The City of P❑rtAngeles Municipal Code,and Utility Specifications an RAMC 14.05,050 regarding Electrical Permit Applications.
3/21/2018 Carissa Thomson
Date Print Mame Sig u Owner® Electrical Contractor lAdministrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa_us or faxed to 360 417,4711]