HomeMy WebLinkAbout1021 Caroline Street - Building (2) , 3 t
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Application Number . . 20-00001208 Date 10/21/20
Application pin number . . 679656
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:deac
Fire alarm
Owner Contractor
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Olympic Medical Center DATSKIY ELECTRIC LLC
939 CAROLINE ST 1908 ISLAND VIEW PLACE
PORT`ANGELES WA 983623901 ANACORTES WA 98221
(36,0) 941-4754
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Permit, . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . 96.00 Plan Check Fee 00
Issue 'Date . . 10/21/20 Valuation . . . . 0
Expiration Date 4/19/21
Oty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00
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Pee 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
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REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(l.ocMkn Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE
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FINAL
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COMMENTS:
PERMrt WILL mem SIX(6)MONTHS FROM LAST INWECTION
Signature of,owner or Electrical Contractor X DaW
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' ~MULTI-FAMILY / COMMERCIAL CD
ELECTRICAL PERMIT APPLICATION �
Public Works and Tltififie3 Department ~-
321 E. 5Lh 81ueeL Port Angeles, WA 98362 "
360.417.4735 | p/vnpckyofbo um | ckztricahpcnuds(�i?,odvoG`o.uo
Project Address: 1021 Caroline Street, Port Angeles, WA 98362 . _
Project Description:
Replace existing FA devices and wiring with new- Low Voltage
[] Multi-Family Residential Bq Commercial Industrial Public Building Square footage: 3000
Name: Omc Email: arnadeat@olympicmedical.org
Mailing Address: 939 Caroline Street Phone:
Name: Datskiy Electric License: DATSKEL820JT
MailingAddress: 1908 island View Place,Anacortes,WA98221 Expiration Date: 4/22/2022
Email: Charlie.L@DatskiyElectdc.com Phone: 360.420.0782
Item Uhit Charge Quantity JaW(Qu4nitity x Unit Charge)
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 Se
/omp. uonxmsFaeo
Portal ho Portal Hourly
Sign/Outline Lighting
Signal Ci it/Li Energy-Mufti-Family $88.00
(Note: $5.00 for each additional 1500so
Renewable Elec. Energy: 5KVA System or less "4113-00
Thermostat(Note: $5 for each additional) $
$__ 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, | hereby certify that| om the owner of the above named property nra licensed electrical contractor. |
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW.Chapter 19.28,WAC. Chapter 296-
46B,ThaCdyofPurtAmgoleeMunicipo|Code. angVh|dy8pecifioadunoondRAMC14.O5.050mgandingE|acthoo|PonndApp|iooUonu
10/20/2020 Charlie Leese LZZZ
Date Print Name Gignatuna([] Owner BeotricalCuntnootor/Adminiot�do�
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[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]