HomeMy WebLinkAbout939 CAROuINE ST - Building � A .Pt
CI'T'Y OF kT AXGEL'ES
360-417-4735
Application Number 19-000013155 Date 9/04/19
Application pin number . . 817440 REPORT STATE SALEM-X-, i
Property Address . . 939 CAROLINE ST on your @xchse'tax f8r
ASSESSOR PARCEL NUMBER: 06-30-00-1-0-1325-0000=
Application type description ELECTRICAL. ONLY to the City of Port Angeles j
Subdivision Name (.00?t%0I1 Code 0502)
Property Use
Property Zoning . . . PUBLIC BUILDINGS & PARKS
Application valuation . .
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Application desc
Access control / Infant monitoring
--------------------------------------------- ------------- ----------- --Owner Contractor
PUBLIC HOSPITAL DISTRICT #2 DAIrmaP ELECTRIC LLC
939 CAROLINE ST 1908,ISLAND VIEW PLACE
PORT ANGELES WA 98362 ACORTES WA 98221
(360) 417-7170 (3�0) 941' -4754
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Permit ELECTRICALALTER cola RCTRL
Additional desc ,
Permit Fee 170.00 01an Check Fee .00
Issue Date 9/04/19 Valuation 0V
Expiration=Date 3/02/20
Oty Udif Charge PerI I Extension
1.00 74,0000 ECH EL-COMM BRANo CIR WO/ S/P 74.00 L
---1_00---_---96.0000 BCH EL-LIMITED 1$T 1500 SQ FT 96-00_
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Fee summary Charged Paid Credited Due`
Permit Fee Total 170.00 170.06 00 .00
Plan;Check Total .00' 0 .00 .00
Grand Total 1'70.00 170.6 (Fb .00
INSPECTION'T` E -RESULTS: INSPECTOR
DITCH
SERVICE
ROUGHI ,..
1�`INAL
COMl1�il±"IVTS:
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PERMIT WU L EXPME SIX(6)MONTHS FROM LAST RaPECMN
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Signature of owner or Electrical Contractor X Date:
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MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPLICATION 'Pe�F
Public Nkorks and Utilities Department ��
- 321 E. 5th Street, Port Angeles, N A.98362
360,417.4735 1 Nvww.c1t5-ofpa.us elects-icalpernlitsii�cityofpa.us Ltd
Project Address: 939 Caroline St.Port Angeles, WA 98362 3V,y �
Project Description: mounting (10)Low Voltage Devices, mounting(1)Control panel,and modification of(1)existing 120vac circuit
❑ Multi-Family Residential El Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: OMC Huqs Email:
Mailing Address: Phone:
ELECTRICALi • ' INFORMATION
Name: Datskiy Electric License: DATSKEL820JT
Mailing Address: 1908 Island View PL Expiration Date: 04-2020
Email: liana.b@datskiyelectric.com Phone: 360-941-4754
PROJECT DETAILS
&M Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 = $ _
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp. Service/Feeder 201400 Amp. $121.00 $
Temp. Service/Feeder 401-600 Amp. $164.00 $
Temp. Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Family, $88.00 $ _
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 _ $
(Note: $5.00 for each additional 1500 so
Renewable Elec. Energy:5KVA System or less 113.00 $
Thermostat(Note:$5 for each additional) $56.00 $ )
$ LTOTAL
OTAL
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this 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.,RCW.Chapter 19.28,WAC.Chapter 296-
466,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
9-3-19 Liana Borishkevich
Date Print Name Signature(ff Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111