HomeMy WebLinkAbout1029 Caroline St - BuildingElectical Permit
1029 Caroline St
12 -1259
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
9 2-911Z
,7
SERVICE
2I it l 7-
(154
77AP7
ROUGH-IN
/L t 1
FINAL
21 1
G
.prF
lrch4:'
COMMENTS:
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
200 amp service and 2 circuits
Owner
PUBLIC HOSPITAL DISTRICT #2
939 CAROLINE ST
PORT ANGELES
Permit
Additional
Permit Fee
Issue Date
Expiration
desc
Date
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 983623909
142.00
9/26/12
3/25/13
142.00
.00
142.00
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
12- 00001259
342811
1029 CAROLINE ST
06-30-00-1-0- 3326 -0000-
ELECTRICAL ONLY
COMMERCIAL OFFICE
0
Contractor
ELECTRICAL NEW COMMERICAL
142.00
.00
142.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
OLYMPIC ELECTRIC CO INC
4230 TUMWATER
PORT ANGELES
(360) 457 -5303
Plan Check Fee
Valuation
Qty Unit Charge Per
2.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER
1.00 132.0000 ECH EL -COM 0 -200 SRV FEEDER
Paid Credited
.00
.00
.00
Date 9/26/12
WA 98363
Due
.00
.00
.00
.0
0
Extension
10.00
132.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
N
c
DATE
)2 -1Z
OWNER/CONTRACTOR
ADDRESS
1
c 1 9 r L.rW1.1u4
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: 0:1 0 t �T�YZ��D S& 0)4j)
1qvg.0 Log./
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
PERMIT
I2-/ /Z 9
INSPECTOR
ALL oz-e. s C- Z 7 NC, .2 ✓148
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
OLYMPIC PRINTERS, INC. (360) 452 -1381
09/21/2012 10:09 FAX 360 452 3498 Olympic Electric Co.
CITY OF PORT ANGELES PERMIT APPLICATION RECE,FD
Building Division /Electrical Inspections
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date:
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 1 p2.1 Caroline. P4) 96' 36
Building Square Footage:
Description of above
Owner Information
Name: O /y/h ,pic' MedicA C4
Melling Address: C6t l/ n
City: -J A- State: fda, Zip: 3 7-
Phone: 1/f7 g 2 za ax:
License Exp,
Item Unit Charge
Service/Feeder 200 Amp. 132.00
Service/Feeder 201 -400 Amp. 160.00
Service /Feeder 401600 Amp 225.00
Service/Feeder 601 -1000 Amp. 288.00
Service /Feeder over 1000 Amp. 410,00
Branch Circuit WI Service Feeder 5.00
Branch Circuit W/O Service Feeder 74.00
Each Additional Branch Circuit 5.00
Branch Circuits 1-4 86.00
Temp. Service/ Feeder 200 Amp. 102.00
Temp. Service /Feeder 201.400 Amp. 121.00
Temp, Service /Feeder 401-600 Amp, 164.00
Temp. Service /Feeder 601 -1000 Amp 185.00
Portal to Portal Hourly 96.00
Sign /Outline Lighting 88.00
Signal Circuit/ Limited Energy— Multi- Family 64.00
Signal Circuit/ Limited Energy First 1500 sf Commercial 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy 5KVA System or Less 113.00
Thermostat 56,00
Note: $5.00 for each additional T -Stat
x ehaZtt i. s LeZ+n,
Multi- Family or Commercial*
Dated:
PA CITY INSPECT 16001/001
SEiP25212
ELECTRICAL
INSPECTIONS
Contractor Infgrmation
Name: O t /dye'
Melling Address; 0z3O 7iimpia
City: State: jpi_ Zip: g z.
ab
Phone: f -S o Fax: 4!r2.
License Exp.
Total (gib/ Multiplied by Unit Charge)
3Zio0
32,00 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, 1 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 Port
Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Cash I] Check
Credit card
01/0112012
WF0154827
REQ. DATE:
SCHED START
CREW:
LOCATION:
SUBDIVISION
REQ DEPT:
REQUESTOR:
REQ USER:
ELECTRIC
PRIMARY CONTACT INFORMATION
OLYMPIC MEDICAL CENTER
939 CAROLINE ST
PORT ANGELES, WA 98362
ELECTRIC METER INSPECTION
CATEGORY: CS- Inspections INSP
TASK: ELECTRIC METER INSPECTION ELMT
DEPT: FN- Customer Service FNCS
SCHED START: 09/26/12 SCHED COMPLETION:
CUSTOMER: OL MP C MEDICAL CENTER
CUST. PHONE: (360) 417 -7479
START TIME:
START DATE:
UNIT OF PRODUCTION:
001 City of Port Angeles
09/26/12
09/26/12 SCHED COMPLETION:
Electric Inspections CX EINS
1029 CAROLINE ST
PRIORITY: Medium
OLYMPIC MEDICAL CENTER ORIGIN: Staff
KEMERY AUTH USER:KEMERY WRK TYPE :Routine
METER INSPECTION
(360) 417 -7479
LABOR EQUIPMENT
DATE EMPLOYEE HRS OT NUMBER HRS
ISSUED
COMPLETION TIME:
COMPLETION DATE:
QUANTITY:
ITEM QTY
REPRINT PAGE 1
09/26/12 09/26/12
LOC ID: 100256
LOC. ZIP: 98362
CUSTOMER ID:
MATERIAL
09/26/12
23687
COST