HomeMy WebLinkAbout1017 E Lauridsen Boulevard - Building e..
ELECTRICAL.PERMIT
. CITY OF FORT ANGELES i'`'
360417-4735
Application Number 17-00000803 Date 6/19/17
Application pin number . . 826190
Property Address 1017 E LAURIDSEN BLVD REPORT STATE SALES TAX '
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-8270-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0
Owner Contractor
GILBERT JACK UPPER LEFT ELECTRIC LLC
1017 E BOULEVARD 1306 ROOK DR
PORT ANGELES WA 983628034 PORT ANGELES WA 98362
(360) 461-7720
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc . FURNACE
Permit Fee . . . 75.00 Plan Check Fee . . .00
Issue Date . . . 6/19/17 Valuation . . . . 0
Expiration Date . 12/16/17
Qty Unit Charge Per Extension
BASE FEE 75.00 .
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
d
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN `bin /7 _,!' -,IP ,
FINAL f 12•Ii7
y_i�►
COMMENTS: t l
PERMIT WILL EXPIRE WC 0)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
f
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CITY OF PORT ANGELES PERMIT APPLICATION -, --. • 3 '+w....... 0
Building Division/Electrical Inspections --S-ii WZ�
321 East Fifth Street—P.O. Box 1150/Port Angeles Washington,98362 N,,,,,;,, ir
Ph: (360)417-4735 Fax: (360)417-4711 - NIIIIPOr
LAI
Date: 7 _1 &2 Single FamilyDwelling Frsp,: ;:;.
*Plan Review May Be Required, Please Complete Electr' al Pk Review Information Sheet
Job Address: 10 L 1 ' ( 0‘.Jf A i5�') Via V
Building Square Footage:
Description of above �+
e \ -tv f+t\z..-c..C% (IA tc_LJ7-
Owner Information Contractor Information
Name: C_K1`5 6; /.(J' c':4 Name: U(fel Ce c 4- ' cCC ( i C
Mailing Address: Mailing AdO ess: t 3 C Co g-cc, 0 f
City: State: Zip: City: V"4 State: cd-44- Zip: 18 3( z
Phone: Fax: Phone:c # E - '�'Ca( ( �0 31-"
License#/Exp. License#I Exp. k C..
Item Unit Charge $7, Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $ .
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 75.00 _L__ $ -1.-'"L)
Temp.Service/Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$ 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,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: ❑ Cash 0 Check
, �(�✓� r / � Credit Card#
e./ L". _ -
Application Number . . . . . 23-00000824 Date 8/03/23
Application pin number . . . 358904
Property Address . . . . . . 1017 E LAURIDSEN BLVD
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-8270-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Garage rough and trim / House trim
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Owner Contractor
------------------------ ------------------------
KATZ VIEW LLC SYNERGY ELECTRICAL CONTRNG LLC
1017 E LAURIDSEN BLVD 910 W 10TH ST
PORT ANGELES WA 983628034 PORT ANGELES WA 98363
(360) 461-3954
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS X 2
Permit Fee . . . . 150.00 Plan Check Fee . . .00
Issue Date . . . . 8/03/23 Valuation . . . . 0
Expiration Date . . 1/30/24
Qty Unit Charge Per Extension
BASE FEE 150.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 150.00 150.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 150.00 150.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ Hot Tub $110.00 $
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, 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-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD
PREPARED 8/02/23,15:13:10 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000824 1017 E LAURIDSEN BLVD
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 150.00
TOTAL DUE 150.00
Please present reciept to the cashier with full payment
?oet ELECTRICAL INSPECTION
WIRING REPORT
417-4736
NOT APPROVED
DITCH.....tr
.. ROUGH IN/COVER
APPROVED
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CORRECTIONS NEEDED:
. SERVICE
FINAL
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
- DO NOT REMOVE -
'^-7/?'l lz3 PERMIT #
27 - oooecz"(INSPECTOR
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OWNER OuJu*.,u)O+d
coNTRACTOI/-)v*xra-o
ADDFESS
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m iker@olym picelectric.net
From:
Sent:
To:
Cc:
Subject:
Ken Haman < Khaman@cityofpa.us>
Wednesday, August 23,2023 9:15 AM
m i ker@olympicelectric. net
Mike Healy
1017 E Lauridson
Good morning Mike,
We had one fly under the radar, that didn't get noticed.
Jeremy from Synergy called for the above address. They would like an electrical inspection done on the house (final) and
a rough-in inspection done for the garage.
Permit# 23-00000824
Let me know when you can get to this and I will let Jeremy know.
Thank you much!
Ken Haman
Deputy Director of Light Operations
City of Port Angeles
(360)417-47 31 office
kha ma n @citvofpa.us
NOTICE: This email and any attachments may be subject to disclosure as a public record under the Public Records Act,
RCW Chapter 42.56
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
9/11/2023 23-824 TAP
OWNER
CONTRACTOR
Synergy Electric
PROJECT ADDRESS
1017 E Lauridsen Blvd