HomeMy WebLinkAbout939 Caroline St (27)ELECTRICAL PERMIT
CIry OF PORTANGELES
360-417-4735
.FiF
1
N
0
applicatior Number
Application pin number
Ploperty Address
ASSESSOR PAICEI NU}1BER:
Applicatsion tsype descripEioD
subdivision Name
ProperEy llse
Ploperly zoning
Applicatsion valuaEion
22-0OOOO13O Dare 2/A4/"2
026550
939 CAROLINE ST
05 30-00-1-0-3325 - 0000
ELECTRICAI, ONLY
PT'BLIC BUIIIDINGS & P]\RXS
0
Application desc
Feeder rooftop unil
Contrac!or
PUBIJIC AOSPITAI DISTRICT #2
939 CAROI,INE ST
PORT ANGEIES }iA 9€352
(350 ) 417-7170
OLYI.IPIC EIECTRIC CO INC
4230 TUMXATER
PORT ANGELES WA 98363
(360) 4s7-5303
Permit
Additional desc
PennrE lee
Issue Date .
ExplraEaon DaEe
14?.00
2/a4/22
8/a3/22
ELECTRICAI ALTER COMI',IERC l AL
00
0
oty Unit Charge Per
3.00 5.0000 ECH EL
1 .00 132.0000 EcI{ EL
BRANCH CIRCUIT W/FEEDER
COM O.2OO SRV FEEDER
Extension
15.00
132.00
Charged Paid creditsed Due
PermiE Fee Total
Plan Check Total
Grand Total
147.00
.00
147.00
147.00
.00
L47 -O0
00
00
00
.00
.00
.oo
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT wlLL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:TNSPECTOR:
DITCH
SERVICE
ROUGH-IN zls l2z .e./'#V
FINAL zlo)*dr d)
COMMENTS:
Signature of owner or Electrical Contractor X Date
G:\EXCHANGRBUILDING
Plan check Fee
ValuaLion
II
I
I
I
I
MU LTI-FAM I LY / COtM tM E RCIAL
ELECTRICAL PER MIT APPLICATION
Pr.rblie \Vorks and Lrtilities Departrnent
l2 I E. 5th Street. Poit Angeles, WA 98362
,1 6i).-+ I 7.-:l'7i 5 | *.wwcityofpa. us I electricalperm irs@cityofpa.us
!o
=
NN
-5
\,r.1
c.]
Project Address 939 Caroline St
Project Description Replace disconnect with 60amp sub panel. Feed 3 rooftop units.
E Multi-Family Residential E Commercial / lndustrial / Public Building Square footage
Name: Olympic Medical Center
l\4ailing Address 939 Caroline St., Port Angeles, Wa. 98362
Email
phone. 360-41 7-7000
Name Olympic Electric Co., lnc.lis6n59; OLYMPEC2S5DI
Exp iration Date: 0313112023
Phone 360-457-5303
Mailing Address 4230 Tumwater Truck Route
Email. maureenm@olympicelectric.net
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 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 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp
Portalto Portal Hourly
Sign / Outline Lighting
Unit Charoe
$132.00
Charge)
1 $
$
$
$
132
$160.00
$225 00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
3
$88.00
Signal Circult/L m ted Energy - l\,4ultFFamily $88.00
Signal Circulul mited Energy/First 1500 sf - Commercial $96.00
(Note: $5 00 for each add'tional '1500 sf)
Re^e,,vabre Elec. Ene'gy shVA Slstem or less $113.00
Thermostat (Note $5 for each additional) $56.00
$147.00 rorAL
Owner as defined by RCW'19.28.261 : ('1) Owner will occupy the structure for t\r'vo 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 property 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-
468, The City of PortAngeles Munjcipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
0210312022 Michael L. Rutten Michael L. Rutten
Date Print Name Signature (F Owner p Electrical Contractor /Administrator)
IElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa. us otlaxedlo 360.417.47111
$
$
$ '15.00
$_
q
$_
q