HomeMy WebLinkAbout534 E Lauridsen Boulevard - Building ----,,
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EL;•:t. .,,, " CAL PERMIT ---- k
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402ication Number 17-00001589 - Date 10/31/17
Application pin nuMber„ . . 176589
Property Address „,,, —. . . 534 E LAURIDSEN BLVD . REPORT STATE SALES TAX
ASSESSOR PARCEOROMBER: ." 06-30-10-4-3-0200-0000-
Application type description ELECTRICAL ONLY on your excise tax form
subdivision Name
to the City of Port Angeles
Property Use
Property Zoning •-.„ :. (Location Code 0502)
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Application valuation . ,. . .
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Application desc
Ductless heat pump
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,AtOlisr :-.;,-: • ',- - Contractor
PRIbLIii THOMAS ,I/NANCY ' ' BLACK DIAMOND ELECTRICAL CONTR
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04 E LAURIDSEN BLVD 502 BLACK DIAMOND RD
PORT ANGELES WA 983627954 PORT ANGELES WA 98363
(360) 565-1035 •
Perit . . . . . . ELECTRICAL ALTER RESIDENTIAL
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63.00 Plan Check Fee . . .00
10/31/17 , Valuation. ,'- -'- 0
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Expiration Date .' . 4/20/18,,
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Qty Unit Charge Per ' ..: -1<',.: Extension /
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1.00 63.0000 BCH EL-Rz:1000496-CIR ,A. FEED 63.-00
Fee summary ' CharT1 Paid Credited Due
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Permit Fee Total y- 63.. ,, 63.00 .00 , .00„.
Plan Check Total , '-''' ' , .00 -_'=, _ .00 ,04i1,.,
Grand Total ,,,'• 63.00 -x -• 63,00 .00
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INSPECTION TYPE DATA'.
,... RESULTS: : RqSPECItR:
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DITCH .2. . .
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SERVICE -.„• .,:l* .
ROUGH-IN ' ' ' - • oli ' .J7 .
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• . COMMENTS:
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PERNO WILL EXPIRE SIX(6)MONT4OROM LAST'INSPIttPN
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Signature of owner or Electrical Contractor X . Date:
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CHT OF PORT ANGELES PERMIT APPLICATION i rt;..
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Building Division/Electrical Inspections I
321 East Fifth Street— Port Angeles Washington,98362 : `_ _ 'r....3`
Ph: (360)417-4735 Fax: (360)417-4711 '!
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Date: I 0-30-17 X1 &2 Single Family Dwelling
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 53'4 LAO ILLDSEN
Building Square Footage:
Description of above
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Owner Information Contractor Informaon
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Name: .0-‘'Lip s Name: lite--
Maling Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone: 11S79.S2f Fax: Phone: F
License#/Exp. license#/Exp. �Q�Gax: —
Item Unit Charge 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 Feed $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 Only $ 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 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 $ / ��
$ 3 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 C.de, . d Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature - ,wn• ,e, ctrical contractor or electrical administrator: ❑ Cash Check
0 Credit Card#
X // di Dated: /b-30-17 0210612012