HomeMy WebLinkAbout939 Caroline St (24)PT]BLIC BUILDTNGS & PAR(S
0
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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-rNo(t
Application Nun cer
Application pin nu ber
Property Addless
ASSESSOR PA.R,CE], NUUBER:
Application t,,pe description
Subdivision Name
Property Use
Property Zoning.
Application valuation -
19- 00001203 Dare 8/O9/r9
42424A
939 CAROTINE S"
05-3 0 -00 - 1-0 - 3325 - 0000 -
ELECTRICAL ONI,Y
Application desc
Low voltage IIVAC coltrol sterilizatj.on
Owner
PUBLIC HOSPITAT DTSTRICT i2
939 CARO],INE ST
PORT ANGETES WA 98362
1350) 417-71?0
EPIC ELECTRIC INC
PO BOX 357
sNoHoursn
(360) 568 - 5 985
wA 9829r
Perrllit
Additsional desc
Permit Fee
Issue DaEe
Expiration Date
136.00
8/09/79
2/ 05 /20
ELECTRICAI AITER CO!,IMERCIAL
Plan check Fee
vafuation
00
0
Qty Unit Charge Per
1 _ O0 96 .0000 ECH
8 .00 s .0000 ECH
EL-LTMITED 1ST 1500 S0 PT
EL-ADDNT LIMITED 15OO SO FT
Extensi.on
95.00
40.00
Charged Paid Credited Due
PermlE !'ee'lota-L
Plan Check TotaI
Grand Total
00
00
00
00
00
00
.00
.00
.00
1f6
135
RESULTS INSPECTOR:DATE:INSPECTION TYPE
DITCH
SERVICE
ROUGH.IN
FINAL
w qhl )z-tCOMMENTS
III
TI
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST I'{SPE TION
Signature ofowner or Electrical Conaacbr X Date
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7 -4735
135 .00
.00
135.00
?oE
APPROVED
o....
ELECTRICAL INSPECTION
WIRING REPORT
4174735
NOT APPROVED
-.-.DITCH
X**Xl.X-RouGH lN/covER .
, . SERVICE
...FINAL.
cORFECTIONS NEEDEDI
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DATE
AYIC
AODRESS
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
_ OO NOT REMOVE -
tr.
tr.
APPROVED
CORRECTIONS NEEDED:
ELECTRICAL INSPECTION
WIRING REPORT
417-47s
NOT APPROVED
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. SERVICE
. . FINAL .
OATE
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CONTBACIOF
c-
ADORE
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
_ DO NOT REMOVE-
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!oBi
APPROVED
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COBRECTIONS NEEDED
,42.Yffi)>L_.
ELECTRICAL INSPECTION
WIRING REPORT
417-4736
NOT APPROVED
.....D|TCH
BOUGH IN,/COVER .....
....SERV|CE
tr
o
tr
trFINAL
7
DAI -fla INSPECT
CONIRACTON
a
NOTIFY INSPECTOR WHEN CORAECTIONS
ARE COMPLETED wlTHIN 15 DAYS
_OO NOT REMOVE_
APPROVED
tr ...
cpnlecrrorus Neeoeo,
tr
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ELECTRICAL INSPECTION
WIRING REPORT
4'.17-47$
NOT APPROVED
.......DITCH.....
.. ROUGH IN/COVER
SERVICE. .
.FINAL...
DATE
I I -'t?o 7 TNSPECT
EF
CONTRACTOB e.c-
AOOBESS
CL
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED wlTHIN 15 DAYS
_ DO NOT REMOVE -
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IV U LTI-FAIVI I LY / CONN NT E RC IAL AU6 1lo
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ELECTRICAL PERMIT APPLICATION
Pul:rlie Wbrks and Lltilities *eparlment
3:I D. 5th Stleet. Port Anseles, \li{ 98-162
160.4 I 7.4715 I u,rvw.citvofpa.us j elcctrir'aipermits@)cityofla.us
Project Address Olympic Medical Center - 939 Caroline Street , Port Angeles, WA 98362
Project Description OMC Central Sterilization HVAC Upgrade Project - Low Voltage HVAC Energy Management Controls
Olympic lvledical Center
Mailing Address 939 Caroline Street, Port Angeles, WA 98362
EmaiJ: www.olympicmedical.orq
Phone (360) 417-7000
Item Unit Charqe Ouantity
Service/Feeder 200 Amp. $132.00
Service/Feeder 201-400 Amp $160.00
Servlce/Feeder 401-600 Amp $225.00
Servlce/Feeder 601-1000 Arnp. $288.00
Service/Feeder over 1000 Amp $410.00
Branch Clrcuil W/ Service Feeder $5.00
Branch Clrcuit WO Service Feeder $74.00
Each Additional Branch Circu t $5.00
Branch Clrcuits 1-4 $86 00
Temp Servlce/Feeder 200 Amp. $102.00
Ternp Service/Feeder 20'1-400 Amp $121.00
Temp Service/Feeder 401-600 Amp $164.00
TeTo Servrce Feeder 60'-1000 Arrp. $i85 OO
Porta to Portal Hourly $96.00
Sign / Outllne Llghting $88.00
Signal Circu Ulimited Energy - Multi-Famity $88.00
Sig'al Ci'cLr t/L .nileo Energy/F;rst '1500 sf - Comnerciat $96.00(Note $5 00 for each additionat 15OO s0
Renewab'e Elec Enqlgy 5KVA Syste.n or less $113.00
Thermostat (Note: $5 for each additional) $56.00
08/08/2019 Steven P. Brown, President
Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
.$
$
$
$
$
$
136.00
136.00 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 properly or a licensed electrical contractor. 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 PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electricat permit Applicatjons.
;-r
Date Print Name Signature (E Owner p Electrical Contractor / Administratoo
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or fa xed to 360.417.4711]
E Multi-Family Residential E Commercial/ lndustrial / Public Building Square footage: Pro.iect NTE 12,750 Square Ft
Name:
Name Epic Electrlc lnc License: EP|CE|.033LF
l\4ailing Address: PO Box 357, Snohomish, WA 98291 Expiration Date: 06/06/2021
Ph.ine (360) 568-5985Email epicelectric@aol.com
PROJECT
8.5