HomeMy WebLinkAbout1021 Caroline ST - Building ECAL PERMIT
CITY+Pfi ANGELES
3 7-4735
Application Number . . . 2I-000002s5 Date 3/03/21
Application pin number . . 221790
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
Ethernet wiring
Owner Contractor
Olympic Medical TCenter -ANGELES COMMUNICATIONS INC.
939 CAROLINE ST 102 ROSS LN.
PORT ANGELES WA 983623901 PORT ANGELES, WA
PORT ANGELES WA 98362
(360) 457-4375
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Permit ELECTRICAL ALTER COMMIERCIAL
Additional ,desc .
Permit Fed 96.00 Plan Check Fee .00
Issue Date` 3/03/21 valuation . . . 0
Expiration Date 8/30/21
Qty Unit Charge Per Extension
100 96.0000 ECH EL-LIMITED 1S'T 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
Plan Check Total .00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the CiNy of Port Angeles
(Locadon Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE
ROUGH-INAe
FINAL 70
Aii!
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEcRON
Signature of owner Ot Electrical Contractor X Date:
G:IEXCHANWBUI1DING
J. t
MULTI-FAMILY / COMMERCIAL CD
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department �
321 E. 5th `'street, Part Angeles, `VA 98362 �
360.417.4735 1 www.c:ityofpa.us I electricalpert�its(4 cityofpa.us N
Project Address: 1021 Caroline St. Port Angeles, WA 98362 (Wound Care Clinic)
�1
Project Description: Add and move ethernet wiring, install access control wiring in remodeled building (Phase 2)
❑ Multi-Family Residential ® Commercial/Industrial/Public Building Square footage: Approx 3000
Name: Olympic Medical Center Email:rgale@olympicmedical.org
Mailing Address: 939 Caroline St,;Port Angeles,WA 98362 Phone: 3604177000
Name: Angeles Communications Inc. License: 601386512
Mailing Address: 102 Ross Lane Port Angeles,WA 98363 Expiration Date: April 30, 2021
Email: don@angelescommunications.com Phone: 3604574375
Unit Charge 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 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 1 $ 96
(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 $
$ 96 TOTAL
Owner as defined by RCW.1928.261:(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 1 am the owner of the above named property or a licensed electrical contractor. 1
am making the electrical installation or alteration in compliance with the electrical law ,N.E.C.,RCW.Chapter 19.28,WAC.Chapter296=
46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 1 5.050 r af4ing Electrical Permit Applications.
Feb 26, 2021 Donald Simpson
Date Print Name Signature(❑4Owne� trical Contractor Administrato
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