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Home My WebLink About939 Caroline St (30)Applicatsion Number . . . . Application pin number Property Addless ASSESSOR PARCEL NUMBER I Application type description Su.lrdivision Name . . Property Use Property Zoning Applicat j.on valuation ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4'135 PT'BLIC BUILDINGS & PARKS 0 19-00000758 Date 5 /23 /L9 939002 939 CAROLTNE Sr 06-30- 00 - 1- 0-3325 - 0000 - ELECTRICAL ONI,Y REPORT STATE S,AIES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) P.?a^l +1-7 SsOg Jrr*- ?4O b??z- :e\0 t {\}\ o0' Application desc Centraf sEerilization Owner Cootsractor PUBLIC HOSPTTAI DISTRICT #2 939 CAROLINE ST PORT A]{GELES WA 983 62(360) 417-71?0 OIYMPIC ELECTRIC CO INC 423 O TUMWATER PORT ANGELES WA 98363 (360 ) 457- 53 03 Permit addilional desc Permi! Eee lssue Datse Expiration Datse '/45 . a0 s/23/t9 Lr /19 /19 ELECTRICAI ALTER COMMERCTAL PLan Check Eee Valuation 00 0 Oty Unit charge 0000 0000 0000 0000 Per ECH ECH ECH ECH Extension 110.00 444.40 50.00 132.00 22 .OO 5 .00 12 .00 r.00 5 74 5 t12 .- Eee summary charged Credited Due PermiE Fee Tota] Plan Check Tocal Grand ?otal 746.OO .00 146.OO 745.O0 .00 745 .00 00 00 00 00 00 00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPEGTTON INSPECTION TYPE DATE:RESULTS:INSPECTOR: DITCH SERVICE ROUGH.IN ,E )zo le.o * FINAI U ),n')*4>:fA COMMENTS Signature ofowner or Electrical Coetr4ctor x Date EL-BRANCH CIRCUIT IiIFEEDER EL-COMM BRANCH CIR WO/ S/F E!-ECH ADDIIT BRANCH CIRCUIT EL-COM O-2OO SRV FEEDER ! I ."#5.\u- YTETY %V6'" ELECTRICAL INSPECTION WIRING REPORT 417-4735 NOT APPROVED DITQH,.... ROUGH IN/COVEF . . APPBOVED D... <ElTr,crr tr n o tr ....,.SERVICE FINAL CCORHEC]]ONS NEEDED: 5o? vTa-x t-Dh.J- 4a./ Ba A P/-?T w*L!-C-ovh-tc.- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED wlTHIN 15 DAYS - DO NOT REMOVE - 'Tln ln t1-7ffi INSPECTOR\6D CONTRACTOF t^'/'l (_ ADDBESS L ELECTRICAL INSPEGTION WIRING REPORT 417-4735 '^bb/n "'W)758 TNSPECTOL OWNEF CONTEACTOR OUV aaal 2 ,L.r--r4 1- 9?1 d-brr-c)r--\ F{:E- fOFI APPROVED tr ..., D ....D|TCH.... NOT APPROVED .......,D EROUGHIN/COVER.... SEFTVICE FINAL .... tr D tr COBRECTIONS NEEDED:zlt)Lt .oOYz:*8 NOTIFY INSPECTOR WHEN CORREGTIOITIS ARE COMPLETED WTHIN 15 DAYS _ DO NOT REMOVE- APPROVED tr.. tr CORRECTIONS NEEDED:u)*LL- ELECTRICAL INSPEGTION WIRING REPOHT 4't7-4735 NOT APPFOVED DITCH.... t*L-,.aouan rN/covER SERVICE FINAL tr o tr 0 NOTIFY I}ISPECTOR WHEN CORRECTIONS ARE COMPLETED WTHITI 15 DAYS - DO NOT REMOVE- OATE:ECTOB 6*\?n^V)e- #( €-e-CONTBACTOB iZ? a-ap.ol-uA €-ADOBESS ELECTRIEAL INSPECTION WIRING REPORT 417-4735 Sf@(LtztfiQ"! APPROVED NOT APPROVED SERVICE,----.. tr tr n tr coqdE6norus rurroror LJ^^ror3 L.<lJ 57 NOTIFY INSPECTOR WHEN CORRECTIOHS AHE COMFLETED }I'ITHIN 15 DAYS - OO NOT REMOVE- 'Vlz-t?/? *gPEP,MTI e / J t'.2 INSP OWNEB Dtc/an-Ptc EaZArez<: CONTBACTOB *-6;,,?,-t,k ADDFESS E. D.... . FINAL t, /a*c B{R H€^t< 1:A.EA BqeA t-uJonatvs .4u,** d I 37 A APPROVED ELECTRICAL INSPECTION TIYIRING REPORT 4174736 NOT APPBOVED DITCH F=.qtAA h). . . RoucH rN/covER D SERVICE CCRFTECTION9 NEEDED:-'f NOTIFY INSPSCTOR II'HEN CORRECTIONS ARE COMPLETED WITHIN 15 OAYS _ OO NOT REMOVE- tr tr D tr tr DAIE: 1 )nltt n --743 INSPECIOfl-TFP owNdF CONTI]ACTOB ? ADDNESS { ]+hLJ- 44\tG-E- a-HFrv-eP LJ*.l\_ ELECTRICAL INSPECTION WIRING REPOBT 4,t7-4735 APPROVED NOT APPHOVED n DITCH p'Seffiixu.=..-ROUGHIN/COVER Db b-f- z-e028 Q*-tt-av+€c vi'ff1- <- NOTIFY INSPECTOH WHEN CORRECNONS ARE COMPLETED wlTHIN 15 DAYS _DO NOT REMOVE- tr n n tr '\)q,/,q tj -718 INSPECTOS@ owNEH 6.1* *3 tr CONTRACTOR )-*2<a AODRESS . ,. SEHVICE .. . . FINAL tr. tr. coHREcnoNS NEEDEDT ta-L!-'tr1!- C owLV- fn?- Q|-qHrnL fZ\,a,L< cL,(. 6,t'L-l fu '31 -rY- +4 bu* tpnlttp-*d-oyzg <ttec- ezz,y,rYwe-=-p: ELECTRICAL INSPECTION WIRING REPOHT 4'17-4736 DATE'IN/a- OWNEB CONTRACTOB o,1-7v1_<.<- ?1q & APPROVED tr ..... NOT APPROVED DITCH..-.-.-tr tr tr n v . .. BOUGH IN/COVER , . SERVICE ....FiNAL n tr...... CORRECTIONS NEEDED E- 33 L^J*i-4: NOTIFY INSPECTOR WHEN CORHECTIONS Af,E COMPLETED h'ITHIN 15 DAYS * OO NOT REMOVE_ APPROVED ELECTRICAL INSPECTION WIRING REPORT 417-4735 NOT APPROVED DITCHjaffxeflAt -. RoucH tN/covER NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WTTHIN 15 DAYS - OO NOT REMOVE - D tr n D tr OAIE -752,INSPECTOF L a- AODRESS connEcTroNs NEEIEo. C-a\ L\ *L, f.-VEh G-Z? ELECTRICAL INSPECTION WIRING REPORT 4',t7-4736, . . . DITCH D ROUGH IN/COVEH SERVICE D FINAL APPROVED EI C tr D L NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS _ OO NOT REMOVE- OATE ' Itp/z /B )q-7qF NSPECTOR OWNEF 2dvtrtt--2t-z.c-- CONTRACTOR ADDRESS dl, T APPROVED ,-*-- y/connecrror.rs r'reeoeo, ?r>flDffi +fa+1+f t 14 *Zt-t..X-_ a qonT ELECTHICAL INSPECTION T,IIIRING REPOHT 417-4735 NOT APPROVED DITCH *COFIRECTIOi{S NEEDED:t- rNAr-l3d>. er' NOTIFY INSPECTOR WHEN CORREGTIOII'S ARE COMPLETED wlTHIN 15 DAYS - OO NOT REMOVE- DATEI 7n PEBlvl T i l7 -76?)]NSPECTOB oW'.lEE ,1:7 CONTBACTOR ADD A tr o D tr -l COFIRECTIOJ{S NEEDED: ELECTRICAL INSPECTION WIRING REPORT 417-4755 pzffa"{ys,FINAL...,., NOT APPROVED ,,"::-f:;{ I n tr tr n 8, F,r..r xz- t{M.: frr-a-&\-gtp- NOTIFY INSPECTOR WHEN CORRECTIOI{S ABE COMPLETEO WITHITTI 15 DAYS - DO NOT REMOVE- DATE: . i roln lf,?EBt\411+ )2-c\ !NSPECTOI] t*w OWNEF w){_CON'TRACTOE '.4ar\... ADDFESS & APPROVED ELECTRICAL INSPECTION I,VIRING REPORT 4't747# NOT APPROVED DITCH.... A:p*es-l al'.=. . BOUGH |N/COVEF QOET APPROVED B .....tr tr tr n COFIRECTI oNs NEEDED: ?al)g-,: r <, I- r.9 >.Ll- ,4.otte-v NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED wlTHIN 15 DAYS - DO NOT REMOVE - CATE l@ 7 *, e zrtzl y'CONTRACTOR fa -Y-,t-,t?'t { - ADDFESS TJ y\I {oBt APPROVED ELECTRICAL INSPECTION ITI'IRING REPORT 417-4735 NOT APPROVED DITCH ts- Fl"zX-.far-* . RouGH tN/coVER tr D SERVICE tr n tr oD. FINAL w€)e NONFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED wlTHIT{ 15 DAYS _ OO NOT REMOVE- DATE /l 5B O!\]NER CONTBACTON ,'.r ADDBESS conREclcnrs NEEDeo, fb VV.fi I , c fZ + I -A Z,E4z toil APPROVED NOT APPROVED .. .. . DITCH D COFIRECTIONS NEEDED:g)1a fr *t - qlP D n tr n L F \, e-3- NOTIFY INSPECTOR WHEN CORRECTIOT{S ARE COMPLETED wlTHIN 15 DAYS - OO NOT BEMOVE - DATE n INSPEC CONTRACTOR ADDBESS ELECTHICAL INSPEQTION WIRING REPORT 4,t7-4735 ..,.,..ROUGHIN/COVER . . . sEFl!/tcE ....FINAL n tr. tr. tr. ELECTRICAL INSPEOTION WIRING REPORT 417-4735 NOT APPROVED OITCH fr-qm-t +>>t.. RouGH tN/CovER CORRECTIoNS NEEDED: h -3r4l ,<' 2) NOT]FY INSPECTOR WHEN CORRECTIONS AFE COMPLETED wlTHIN 15 DAYS - OO NOT REMOVE - "ffi- llL EJ6 %**\K'" APPBOVED D tr n tr o DATE: (> OWN COMIBACTOB ADDFESS CORRECTIONS NEEDED:YA ELECTRICAL INSPECION WIRING REPORT P 4'.t7-4735 DITCH ROUGH IN/COVER SERVICE. . . . FINAL NOT APPROVED tr 0 D o tr tr D o E- NOTIFY INSPECTOR WHEN CORRECTIONS ABE COMPLETEO UTHIN ,5 DAYS - OO NOT REMOVE_ ,-7 O!1]NEF pt-+zCOIITRACTOB t- ADDBESS MULTI-FAMILY /COMMERCIAL ELECTRICAL PERMIT APPLICATION Public Works ard Utilities Departnent 321 E. 5th Street, Pon Argeles. WA 98362 360.4 17.4135 I www.cir_vofpa. us I electricalpernrits@cityofpa.us !o =t+ frf':,oo,. t ?08 stt\t \ 0aProject Address: Project Descripti on. Remodel of Central Sterilization in Basement O\^/I{ER INFORMATION Name Olympic Medical Center N4a iling Address. 939 Caroline St. Port Angeles, Wa. 98362 Email p6ens. 360-417-7000 ELECTRICAL CONTRACTOR IN FORMATI ON Name: Olympic Electric Co., lnc License. oLYt PEC285D1 pftsn6; 350-457-5303Email maureen lympicelectric.net Item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401S00 Amp. Service/Feeder 60'l - 1000 Amp. Servlce/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additronal 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 Signal CircuivLimited Energy - Mult-Famity Signal CircuiuLimited Energy/First 1500 sf - Commercial (Note $5 00 for each additionat 1500 s, Renewable Elec. Energy: 5KVA System or less Thermostat {Note: $5 for each additional) Unlt Chame $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 s74.00 $5.00 $86.00 $'102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 Ouantitv Total 6 12 harge)ft, 14u* x Unit C $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ .000 00444. 60.00 $113.00 s56.00 Owner as deflned by RCW.19.28.261: (1) Owner will occupy the structure lor two years after this required to hire an electrical contractor if above said property is for sale, rent or lease. permit ex pires afte 00 TOTAL permit is finalized. (2) Owner is r six months of l6t inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electical contractor. I am making the electrical installation or alteratjon in compliance with the electrical laws, N. E.C., RCW Chapter 19.2g, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PA[rC 14.05.050 regarding Etectrjcat permit Apptications. Michael L. Rutten j PROJECT DETAILS Date Print Name Signature (gl Owner @ Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or epermits@cityoDa.us or fuxed to 360.417 .47111 ELcoM !c, r! 939 Caroline St fl Multi-Family Residential 0 Commercial / lndustrial / Public Building Square footage: _ Mailing Address: 4230 Tumwater Truck Route Expiration Date: 0313112O21 I eoil ELECTRICAL INSPECTION WIRING REPORT 417-4735 NOT APPROVED DITCH...... . . . ROUGH IN/COVER . .......sERVtcE..... ....FINAL tr o D tr o U tr tr CORRECIIONS NEEDED f ,lr+Z--9-1-7F DATE 7-o NSPECTOF CONTRACTOR L c- PRO E-a-n7 -47ht NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WTHIN 15 DAYS _ DO NOT REMOVE- ELECTRICAL INSPECTION WIRING REPORT 417-4735 NOT APPROVED tr o n D t1-7#*w'tlro lrp Dc\*€)./ E>.e2. CONTRACTOR 1V1 c-xrzo1) otL.vADDFESS CORRECT1ONS NEEDED a--c_ NOTIFY INSPECTOB WHEN CORRECTIONS ARE COMPLETED wlTHIN 15 DAYS _ OO NOT REMOVE - APPROVED tr tr COBR€CTIONS NEEDED ELECTRICAL INSPECTION WIRING REPORT 417-4735 NOT APPHOVED DITCH .. BOUGH INiCOVER ......SERV|CE.... ....... F|NAL..... tr o D tr ?F(p)a)t DATEL R n -7qB CONTRACTOB c-- AODFESS (> t.o NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS _ OO NOT REMOVE- ioil APPROVED tr ..., tr.... tr.... CORRECTIONS NEEOED: F-Y*reslAL- ELECTRICAL INSPECTION WIRING REPORT 417-47$ NOT APPFOVED DITCH ROUGH IN/COVER . , SERVICE. . . .FINAL.... tr tr D D o '^'2)a lr..n-ty'e--B.tr dlilrAt- *- €t E-c-- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WTHIN 15 DAYS _ OO NOT REMOVE- 9V1 r Ad,...\') \r,t.E...-' goBT APPROVED C ELECTRICAL INSPECTION WIRING REPORT 417-4735 NOT APPROVED .....D|TCH..... ROUGH IN/GOVEH ....SERV|CE... tr D o tr.......F|NAL... co RRECT]ONS NFEDFD .IFBJgt ?lJezrJ ,Tw4 rr zlElzo t9 4,5d .& /)-V1,.,? l(- VL-s-c-CONTAACTOB q3a Cs<*oH t\ fr- g-4? F ak+Q to .Ll i-Co,,t Zr7^ € +7 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED wlTHIN 15 DAYS _ OO NOT REMOVE_ f;kta<-- tr. t2a al7\lfi--q Y- ?a ca--*4 4 v 4ZA C*;t-. st- 1^va-*- 9z-38 \B 1"^.) t ELECTRICAL INSPECTION WIRING REPOHT 417-473E, )I ) DATE z7 Z-D n-758 -radJ a-".-t' l.1P1a- E-L+=-c-- 139 /,hzot-tl.tE- 41'-ADDBESS D E@.vrPrr6AT--NOT APPROVED tr tr tr tr tr tr D tr D|TCH._.... )CORREC'IlONS NEEOED Gatz- Zaa),Z) a rlO Fur=c- Af /2o\@ e 1-s14- r, r*91) NOTIFY INSPECTOR WHEN COBRECNONS ARE COMPLETED WITHIN 15 DAYS _OO NOT REMOVE_ I !onT APPROVED ELECTRICAL INSPECTION WIRING REPORT 417-4735 NOT APPROVED DITCH b:z .&,sir xz--. BoUGH rN/covEB NOTIFY IilSPECTOR WHEN CORRECTIONS ARE COMPLETED WTHIN 15 DAYS - OO NOT REMOVE- tr tr o E tr coBFEcTtoNsNEEDED: T,JAUL /AVE-f2_ b-B,-7 z- )1-2i DATE PEBlvllT+ t1.758 INSPECTOF-BD OWNEE o\-a. flY L(- Y-t-Ec- CONTRAqTOH Ah 4brLDL-tt-tQ- ADDRESS