HomeMy WebLinkAbout934 W Lauridsen Blvd Ste 122 - BuildingMar 13 2015 11:06AM Olympic Electric Co., Inc 3604523498
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 Past Fitch Street — P.O. Boa 11501 Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 417 -4711
Date
Multi- Family or Commercial*
page 1
R
MAR 13 n1
Plan Review May Be Reaui d, Please Complete E actrcal Plan Review Information Sheet
Jab Address:
zz-
Building Square Footage'.
Description of above '1
Owner I formation
Name ,
hAailing ddress:
City: State: Zip: k'e Z
Phone: Fax
License #/ Exp.
Item
Unit Charge
ServicefFeeder 200 Amp.
$132,00
ServicefFeeder 201400 Amp.
$160.00
Service /Feeder 401.600 Amp
$ 225.00
Service /Feeder 601.1000 Amp.
$ 28.8,00
Service /Feeder over 1000 Amp.
$ 410.00
Branch Circuit W1 Service Feeder
$ 5,00
Branch Circuit W/0 Service Feeder
$ 74.00
Each Additional Branch Circuil
$ 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
Porte I to Portal Hourly
$ 96.00
SignlOuaine 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 Electric-at Energy -5KVA System or Less
$113.00
Thermostat
$ 56.00
Note: $5.00 for each additional T-Stat
MCIRICAL
INSPECDONS
Contractor Information
Name: OLYMPIC ELECTRIC
Mailing Address: 4230 TuMwATEA
L? Off' T�+1'{��'
City: PORTANGELE9 State: WA Zip, M63
phone : 389 -057.5795 pax: x84452.3495
License #I Exp, OL- PEC29 -1
Qty Total (k Multiplied by Unil Charnel
$
$
$
$'°'f otat
Owner as defined by RCW.19.28.261: (1) Ownerwill occupy the structure for two years after this electrical permit is finalized (2) Owner is required
to hire an electrical contractor 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 propertyor a licensed electrical Contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, KE,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,
Signature of owner, electrical contractoror electrical administrator: ❑ cash ❑ Check
Q Credit Card#
0110112012
,J)
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , , .
15- 00000245
Date 3/16/15
Application pin number
064465
DITCH
Property Address
934 W LAURIDSEN BLVD 122
ASSESSOR PARCEL, NUMBER;
06-30-09-5-0- 0100 -0000-
Application type description
ELECTRICAL QNLY
Subdivision Name . . . .
ROUGH -IN
Property Use
Property .Zoning . . , , . . .
UNKNOWN
Application valuation , . , .
0
COMMENTS:
Application desc
Panel replacement
Owner
Contractor
PENINSULA HOUSING AUTHORITY
OLYMPIC ELECTRIC
CO INC
2603 S FRANCIS 'ST
4230 TUMWATER
PORT ANGELES WA 98362
PORT ANGELES
WA 98363
(360) 457 -5303
Permit ELECTRICAL
ALTER COMMERCIAL
Additional desc .
Permit Fee 132.00
Plan Check Fee
00
lesue Date . . . . 3/16/15
Valuation . .
, , 0
Expiration Date . . 9/12/15
Qty Unit Charge Per
Extension
1100 132,000Q 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
100 ,00
.00
Grand Total 132,00
132.00 .00
.00
t4
di
tV
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
l�
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPM SIX (6) MONTI -IS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEIBUILDING