HomeMy WebLinkAbout1943 W Lauridsen Boulevard - Building •
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
Application Number 16-00000574 Date 4/22/16
Application pin number . . 839916
Property Address 1943 SHED W LAURIDSEN BLVD
ASSESSOR PARCEL NUMBER: 06-30-00-1-1-5100-0000- REPORT SALES TAX
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation . . . 0
Application desc
Feeder to new shed .
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . 152.00 Plan Check Fee . . .00
Issue Date . . 4/22/16 Valuation . . . . 0 •
Expiration Date . 10/19/16
Qty Lit Charge Per Extension
4.00 5.0000 ECH —EL-BRANCH CIRCUIT W/FEEDER • 20.00
1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00
•
Fee summary Charged Paid Credited Due
Permit Fee Total 152.00 152.00 .00 .00
• Plan Check Total .00 .00 .00 .00
Grand Total 152.00 152.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN SP'?
FINAL4DOXF2
. �� _
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION 00111.4104*-
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Building Division/Electrical Inspections e. 9
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 „i11
Ph: (360)417-4735 Fax: (360)417-4711
Date: ZO —/(p _Multi-Family or Commercial*
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: /94-13 .SNF (..). LAL442J/1 N g541,
Building Square Footage: �/
Description of above .Sit B -- ,i9-�lt�. 70 /YEra) .SJ#& w/ 4/i.i.Je 144.,cr'S
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Owner Information Contractor Information
Name: GTy QF PA Name:
Mailing Address:1 Mailing Address:
City: State: Zip: City: State: Zip:
Phone: Fax: Phone: Fax:
License#/Exp. License#/Exp.
Item Unit Charge Qty Total(Qtv Multiplied by Unit Charge)
Service/Feeder 200 Amp. $132.00 _l___ $ /3 2.00
Service/Feeder 201-400 Amp. $160.00 $
Service/Feeder 401-600 Amp $225.00 $
Service/Feeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410.00 $ p
Branch Circuit W/Service Feeder $ 5.00 H $ Z&D
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 / 2 Ob
tal '
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, I 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 296-46B,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: 0 Cash 0 Check
0 Credit Card#
X C Deg'"C --...— Dated: 4/Z4Vi 40 01/0112012
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