HomeMy WebLinkAbout600 E Lauridsen Blvd - BuildingCJT'V' OF PORT ANGELES PERMIT APPUCATION RECEIVI
Building ONision1T,1 Iect.rico1 Inspections 94AR
321 Enst Fifth Street ^ P.O. Rex 1„t50 / Port Angeles WR4hiaf;tn ", 98362
Ph: (360) 41.7 -4735 Fax. (360) 417 -4711 ELECTRICAL
l7aEe: 2 — 7 Y 14ltfltWamily or Commercial*
rCeo4wy j,
" Plan Review May 1pe tmired, I' ease Complete Electrical Plan evew +f nfor ation Sheet
Job Address: - 5' . - —^ -/ C"- - _ , .� +� rr3
Building Square Footage: y
Description of above J 20 -6, �r�} r C� i _ z rr e. :
7 Owner Information
Name; —_y„ -„
Malling AddLess:
city:. irk A . Slate: _J& Zip:
Phone; T „- „•FaK: _
UcensefllExp. •,•„•,_
Item
Unit Cher-go
Service /Feeder 200 Amp.
$132.00
ServlcelFeeder 201400 Amp,
$160.00
SarvicelFeeder401 -600 Amp
$ 2.26.00
Servlce1Feeder601 -1000 Amp.
$288.00
ServicelFeeder over 1000 Amp.
$ 410,00
Branch Circuit W15ervlce Feeder
$ 5.00
Branch Circuit W/O Service Feeder
$ 74.00
Each Addlllonai granch Circuit
$ 5.00
Branch Circuits 1-4
$ 86.00
Temp, Servicel Feeder 200 Amp,
$102.00
Temp. Service /Feeder 201400 Amp,
$121.00
Temp, ServicelFecder401-600Amp,
$164.00
Temp. Service /Feeder 6014000 Amp .
$185,00
Portal to Portal Hourly
$ 96.00
SigrifCutllne Lighting
$ 66.00
Signal Circuitl Limited Energy - Multi- Family
$ 64.00
Signal Circuld Llmlted 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
Nate; $5.00 for each additional T -5tat
Contractor nformatio
Name; W 4 Gkvy-c_.. � L
Malling Address; a •• j,c�J,
city:
Phone; � -_%&%g Fax:
License it l Exp,- j7b,t0 5:C-
Qyt Total (Qty_Mu.l-tl.plGed by Unit „Chanel
$
Owner as defined by RCW,19,28.261: (1) Owner will occupy the structure for two years after this electrical permit i:; 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 conti 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 -46'3, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Slgnat a of owner, electrical Contractororelectrfcal administrator; ❑ Cash ❑ Cheek
/ 1P -
Cradle Card 0
Dated;
n�
�V
W
W
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . ... .
14- 00000332
Pate 3/19/14
App,]ication pin number . . ,
080588
DITCH
Property Address . . . .
600 E LAURIDSEN BLVD
ASSESSOR PARCEL NUMBER:
R6- 30- 00 -0 -0 -0000 -0000-
Application type description
ELECTRICAL ONLY
Subdivision Name . . .
Property Use , , , . . . , .
FINAL
Property Zoning , , . , . . .
UNKNOWN
Application valuation . , . .
0
-_
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Application desc
-------------------
- -- -
100 amp service century link
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Owner
Contractor
CITY OF PORT ANGELES
SIMPSON ELECTRIC
PO BOX 1150
243036 W HWY 101
PORT ANGELES WA 983620217
PORT ANGELES
WA 98363
(360) 457 -9270
Permit . , , . , , ET,ECTRSCAL
ALTER COMMERCIAL
Additional desc . .
Permit Pee 132.00
Plan Check Fee
.00
Issue Date 3/19/14
Valuation .
, . 0
Expiration Data . . 9/15/14
Qty Unit Charge Per
Extension
1100 132.0000 ECH EL -COM
0 -200 SRV FEEDER
132.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 132.00
132.00 .00
,00
Plan Check Total .00
,00 .00
.00
Grand Total 132,00
132.00 .00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR;
DITCH
SERVICE
a.,
ROUGH —IN
FINAL
r L
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEII3UILDING — -
X