HomeMy WebLinkAbout939 Caroline St (9)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4135
--,
Applicatsion Nunber .
Application pin number
Property Address
ASSESSOR PARCET NUI{BER:
Application type descri.ption
su.bdivision Name . .
Propertsy Use
Prope!tsy zoning
Applicatsion valuation
19 - 000012 00 Date
0192 0 0
939 CAROIINE S?
0 5 - 30 - 00 - 1- 0- 3325 - 0000 -
ETECTRICAL ONI,Y
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
8/t2/1-9
PUB]-IC BUILDINGS & PARKS
0
AppLicatsion desc
Low vofEage infants monitoriflg
Co tsractor
PUBLIC EOSPITA! DISTR]CT #2
939 CAROLINE ST
PORT ANGELES WA 98352
1360\ 411-'7\'tO
ANGEIJES COMMI]NI CATI ONS fNC,
102 ROSS lN.
PORT ANGELES, WA
PORT ANGEI]ES WA 983 52(350) 4 57 -4 3?S
Permit
AddiEional
Permits Fee
Issue Date
Erpiration
a...
oate
95.00
8/12/19
2/ oa /20
ELECTRICAI, ALTER COMMERCIAL
Plan Check Fee
valuation
.00
0
Qty U[it C]Erge Per
1.00 95.0000 EqH ErJ-LIMTTED 1ST 15OO SQ FI
Extension
96.00
Charged Pa id Creditsed Due
PerniE Fee Total
v.Lan Lneck'toiaI
Grand Total
96. OO
. o0
96. 00
95. O0
.00
96.00
.00
.00
.00
.00
- 00
.00
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN q)s/n ...ay
FINAL q )tlfr A-@,)/
COMMENTS:
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofo*ner or Electrical Contractor X Date:
)
hB,
TMULTI-FAMILY /COMMERCIAL
ELECTR ICAL PERMITAPP ICATION
Public \\brks and Utilities Depaltment
3: I E. sth Str€et. Port Angeles. WA 98362
160..+ I 7.47-1-s I wwu,.cityofpa.us I electricalperrnits@cityofpa.us
RT
Au6
1lo
3
t+
8aB
Project Address Olympic Medical Center 939 Caroline Port An geles , WA 98362 (3rd Floor O bstetrics)
I
Ng
Prolect Description Ethernet + Low voltage control and speaker wirin g for lnfant monitorino system
n Multi-Family Residential 0 Commercial / lndustrial / public Building Square footage
Name Olympic Medical Center
Mailing Address 939 Caroline St. Port Anqeles , wA 98362
Email amacieat@olVmD cmedical ,orq
P hone 3604177000
Name Anqeles Communications lnc License: 601386512
lvlailing Address: 102 Ross Ln Port Angeles, WA 98363 Expiration Date 30 April, 2020
Email don@an elescommunications.com P[6ne'3604574375
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -'1 000 Amp.
Service/Feeder over 1000 Amp
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp Service/Feeder 201-4OO Amp.
Temp. Service/Feeder 40't-600 Amp.
Temp. Servrce/Feeder 601 '1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal CircuiULimited Energy - Mutti-Family
Signai CircuiVLimited Energy/First jSOO sf- Commerciat
(Note: $5.00 for each additional 15OO s0
Renewable Elec Energy: sKVA System or less
Therrnosul (Note: S5 for each addrhonal)
B Aug,2019 Donald Sim
Ouantitv ]Otal (Quantlty x Unit Charge)Unit Charoe
$132.00
$160.00
$225 00
$288.00
$4'10.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$'185.00
$96.00
$88.00
$88.00
$96.00 961
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
B{qb TOTAL
owner as defined by RCW.19 28.261: (1) owner will occupy the structure for h,vo years after this electrical permit is finalized. (2) Owner isrequired to hire an electrical contractor if above said property isforsale. 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 electrjcal contractor Iam making the electrical installation or alteration io compliance with the etectricat taws, f.f .e.i., icwi cnapter tS.zA, mc. chapter 296-468, The city of Port Angeles lvlunicipal code, and utility specifications and PAMc 14.05.050 regaraing ilectricil eermit Applicataons.
pson Donald L Simpsoon B:U,iHffid by Donatd L Simpsoon
.08 10:10:52 -07 00'
Date Print Name S ignature (E Owner p Electrical Contractor / Administrato0
[Electrical Permit Applications may be submitted to city Hall or electricalpermits@cityofpa. us or faxed to 360.417.471i]
ELcoM
O-.(t
UNKNOWN
O\A/NER INFORMATION
ELECTRICAL CONIRACTOR INFORMATION
PROJECTDETAILS