HomeMy WebLinkAbout939 CAROLINE ST - Building (7) Application Number . . . . . 19-00000519 Date 4/10/19
Application pin ,number . . . 642283 JVVM1 WATE SAM TM
property Address 939 CAROLINE $T WA*M
ASSESSOR PARCEL NUMBER6 06-30-00-1-0-3325-0000
Application type description ELECTRICAL ONLY tOMOMYO(Po fA/i S
Subdivision Name . . . / *Code
Property Use R'
Property Zoning . . PUBLIC BUILDINGS.& PARKS .
Application valuation . . . . 0
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Application dese
Load bank generators
Owner Contractor
PUBLIC HOSPITAL DISTRICT #2- PACIFIC POWER, GROUP
939 CAROLINE ST 85 BROADWAY STREET #700
PORT ANGELES" WA;98362 VANCOUVER WA. 98660 :
(360) 417-7170 (253) 395-9077.
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Permit . . . • ELECTRICAL ALTER_COMMERCIAL
Add itonal'desc
Permit Fee 555.00 Plan Check Fee .00
Issue Date 4/10/19 Valuation 0
Expiration Date ,',: 10/67/19
Qty Unit Charge Per . Extension
3.00 185.0000 ECH EL-.COMM-601-UP 'TEMP SRV/FDR555,00
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Fee summary Charged I Paid Credited Due
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Permit Fee Total 555:00 555.00 .00 .00-
.Plan
Plan Check Total .00 .00 .00 00
Grand Total 555.00 555`.00 .00 .00
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MULTI-FAMILY / COMMERCIAL
REE EWED
ELECTRICAL PERMIT APPLICATION AIR q 101 W
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360,417.4735 1 www.citycifpams I electricalpertnits@citYofpa.us
ProjectAddress: 939 CAROLINE STREET , Port Angeles, we 98362
Project Description: Performing(3)4 hour load bank test of emergency standby Generators.Olympic Medical Center
0 Mufti-Family Residential 0 Commercial/Industrial/Public Building Square footage:
C - INFO-MAT19N
Name: Olymplc Med Ctr Email:
Mailing Address; 939 CAROLINE STREET,Port Angeles,WA 98362 Phone: 253-395-9077
A
fjN'Z:
Name: Pacific Power Group License: PACIFPG867D7
Mailing Address: 805 Broadway St,#700 Expiration Date: 03/28/20
Email: Service-Admin-Kent.P6en@PacificPowerGroup.com Phone: 253-395-9077
1kinUnit Charas Quaa#w JgW(Quantity x Unit Charge)
Service/Feeder 200 Amp. $132.00 $
Service/Feeder 201400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W1 Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 14 $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 5 $ 555
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Farnily, $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96-00 $
(Note:$5.00 for each additional 1500 9Q
Renewable Elec. Energy:5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $56.00 $
s555 TOTAL
Owner as defined by RCW19.28.261:(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 property or a licensed electrical cont-actor.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 Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
04/09/2019 Darrell Vardeman
Date Print Name Sig r1tune([-] Owner;ff Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or efectricalpermits@_cityofpa.us or faxed to 360.417.4711 J