HomeMy WebLinkAbout939 Caroline St (10)Applicatsion Number
Application pin nunber
Property Address
ASSESSOR PARCEL NUMBER:Applicalion tr!'e descriprion
Subdivisron Name -
Pr:operty Use
Property zonlng
ApplicaEion valuation
ELECTRrcALPENMIT
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PI'BLIC BUII,DINGS & PAR(S
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19 - 00000519 Date 4/tO/19
642243
939 CAROIJINE S"
06- 3 0- 00-1- 0-3325 -0000 -
ELECTRICAI ONIY
BEFOETSTATESAT.B TAX
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Owner ConEractor
PUBIJIC HOSPITAL DISTRICT #2
93 9 CAROLINE ST
PORI ANGETES WA 983 52i.360) 477 -7t70
PACIFIC POWER GROI'P
85 BROADWAY STREET *7OO
VANCOWER wA 98550
l2s3) 395- 9077
Permi ts
Additi.onal desc
Pernit Fee
Issue Dale
Expiratsion Date
555.00
4/LO / L9
Lo/o7/19
Plan Check Fee
Valuation
Permit Fee Total
PLan Check Total
Grand ToEal
555
555
00
00
00
555 .00
.00
555.00
.00
.00
.00
00
00
00
ELECTRICAL ALTER coM}itERcIAL
00
0
Qty Uni! Charge per
3.oo 185.0000 ECH EL- coMM 601_up TEMP SRV/FDR
Extenaion
s55 .00
Fee summary Charged Paid Credi.ted Due
DATE:RESULTS:INSPECTOK
DITCH
SERYICE
ROUGH.IN
FINAL
COMMENTS:A*,]ot(a^ - DL D t{D<-' C-o-t-t -Foe
III
TI
PERMIT WILL EXPIRE StX (6) MO{IIIS FROM IAST INSPECTION fiq9Ya 4torL
Sigmhue ofovrner or El€ctrical Conkactor X Date:
Appli.catlon desc
Load bank gelrerators
INSPECIION TYPE
ULTI-FAMILY /MMER IA RECEIVED
RICALPERMITAPPLICATION 4i,\I2U9
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E LECT
Public Works and Utilities Department
321 E. sth Street, Port Angeles, WA 98362
3 60.4 l 7 .47 3 5 | wu w.ciry-oflra.us I clectricalpermits@cityofpa. us
Project Address 939 CAROLINE STREET,Port Angele s, wa 98362
Project Description:Performing (3) 4 hour load bank test of emergency standby Generators. O lympic Medical Center
E Multi-Family Residential E Commercial / lndustrial / Public Building Square footage:
Name:Olymplc Med Ctr
Mailing f,(d1ss5; 939 CAROLINE STREET, Port Angeles, WA 98362
Email:
Phone 253-395-9077
Phone: 25$39'9077Email:
It6m
Ssrvic€r'Feeder 200 Amp.
Sorvice/Faeder 201 -400 Amp.
Service/Fe€der 401 €00 Amp.
Service/Feeder 601-1 000 Amp.
SeMce/Feeder over 1 000 Amp.
Branch Circuit w/ Service Fseder
Branch Circuit w/O SeMce Fesder
Each Additional Branch Circuil
Branch Circuits 1-4
T6mp. Sorvic€/Feedsr 200 Amp.
Temp. Service/Fe€dar 201400 Amp.
Tamp. Service/Feeder 401600 Amp.
T6mp. Service/F€eder 601 I 000 Amp.
Portal to Portal Hourly
Sign / Oudine Lighting
Signel Circuit/Limited Energy - Mutli-Family
Signal CircuiuLimited EnergylFirst 1 500 sf - Commercial
(Nots: $5,0O for each additional 1500 s0
Renewablo Ebc. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
s132.00
$160.00
$225.00
$288.00
9410.00
$5.00
s74.00
t5.00
$86.00
$102.00
$121.00
$164.00
s185.00
$96.00
$88.00
$88.00
s96.00
$113.00
$56.00
Ouentitv IgEl (Ouantlty x Unlt Chrrye)
555
$
$
$
$
I
$t
t
$
$
$
$
$
$
$
$I
$
s 555 TOTAL
Owner as defined by RCW 19.28.261: (1) Owner will occupy the slructur6 for two y€ars after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above sail property is for sale, rent or lease. Permit €xpires after six months of last inspcction.
After reading the above statement, I hereby certify that I am lhe owner ofthe above named property or a licensed eleclrical contractor. I
am making the electrical installation or alteration in compliance with the olectricel laws, N.E.C., RCW. Chapte|I9.28, WAC. Chapter 296-458, The City of PortAngeles Muniopal Cod€, and Utility SpecificaUons and PAMC 14.05.050 regarding Ebctrical permit Applications.
04/0912019 DarrellVardeman
Date Print Name (! Owner p Eleclrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or alectricalparmits@cityofpa.us or faxed to 36O.412.471U
ELcoM
OWNER INFORI,,IATION
ELECIR}CAT CON"TRACTOR I NFORMATION
Name: Pacific Power Group Llcense: PACIFPG867D7
Mai li n g Add ress : aos e."o*t, st, *- Erpir"tion-61l-@
PROJECT DETAILS
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