HomeMy WebLinkAbout1021 - Building EL ALP Z
CITY OF PORT ANGELES
360-4I7475
Application Number . . . 20-00001245 Date 10/29/20
Application pin number . 210185
Property Address . . . . 1021 CAROLINE ST
ASSESSOR PARCEL NUMBER-, 06-30-00-5-3-0440-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . .
Property Use . . . . . . . .
Property Zoning . . . . COMMERCIAL OFFICE
Application valuation . . . 0
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Application desc
HVAC control
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Owner Contractor
Olympic Medical Center EPIC ELECTRIC INC
939 CAROLINE ST _PO BOX 357
PORT ANGELES WA 983623901 SNOHOMISH WA 98291
(360) 568-5985
Permit . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee . . . . 106.00 Plan Check Fee .00
Issue Date . . . . 10/29/20 Valuation . . 0
Expiration Date 4/27/21
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00
2.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 10.00
y-
Fee summary Charged Paid Credited Due
Permit Fee Total 106.00 106.00 .00 .00
Plan Check Total 00 00 .00 .00
Grand Total 106.00 106.00 .00 .00
REPORT SALES TAX
on your excise tax fo m
to the City of Pat Angeles
(Location Cade 0A02)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROI7GH-IN
FINAL
COMIV ENTS:
PERMrr WILL WME SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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MULTI-FAMILY / COMMERCIAL -
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. Sth Street. Port Angeles. 98362 �
360.417.4735 1 WWW.cityofpa.us 1 electricalpet•inits(4-,cit}"ofl)a.us
Project Address: Wound Care Clinic- 1021 Caroline Street
Project Description: HVAC Low Voltage Controls
❑ Multi-Family Residential R) Commercial/Industrial/Public Building Square footage: 3500
OWNER INFORMATION
Name: Olympic Medical Center
Email:
Mailing Address: 939 Caroline Street Port Angeles,WA 98362 Phone:
ELECTRICAL ! •A ! ' INFORMATION
Name: Epic Electric Inc. License: EPICEI'033LF
Mailing Address: P.O.Box 357 Snohomish,WA 98291 Expiration Date: 06/06/21
Email: Epicelectricinc@aol.com or Steve.brown@epicelectricinc.com Phone: 360-568-5985
PROJECT DETAILS
Um Unit Charge. Quantity JaW(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201400 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 201-400 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 3 $ 106
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less $113.00 $
Thermostat(Note: $5 for each additional) $56.00 $
$ 106 TOTAL
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
I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28,WAC. Chapter 296-
46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
10/27/2020 Fred Smith
Date Print Name Signature(❑ O r V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]