HomeMy WebLinkAbout1016 W LAURIDSEN B - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
-4 -7,
Application Number 17-00000864 Date 6/26/17
Application pin number . . . 835424
Property Address . i . . . . .1616 W LAURIDSEN BLVD REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-08-5-8-9030-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name . . . . . . to the City of Port Angeles
Property Use . . . . . . . . (Location Code 0502)
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
---------------------- I -----------------------------------------------------
Application desc
Ductless heat pump
------------ 7 ---------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CIJARLES GARDNER AND JOANNE GAR CASCADE ELECTRIC & VAC INC
1016 W LAURIDSEN BLVVb PO BOX 369
PORT ANGELES VA 983637446 PORT HADLOCK
WA 98339
360) 379-5447
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee .00
Issue Date . . . . 6/26/17 valuation 0
Expiration Date 12/23/17
Qty Unit Charge .Per Extension
BASS PEE 86.00 rz
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Fee summary Charged Paid Credited Due
----------- ----- ---------- ---------- --------- ----------
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 66.00 .00 .00 it
INSP ECTION TYPE DATE:
DITCH
SERVICE
ROUGH -IN At
T
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MOMM FROM LAST INSPECTION
SignaWw of owner or ElectricAt Cvi#wtor X
RESULTS:'
a
Date:
INSP ECTQR:-
A.
Date:
CITY of PORT .ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street—P.U. Box 1.150 f Port Angeles Washington, 98362
Ph: (360) 417-/4735 Fax: (360) 417-4711 - -
Date: % 9 & 2 Single Family Dwelling
" Pian Review May Be Required, Ple se Complete Electrical plan Review Information Sheet
Job Address: 1014; W Q4rAtriSNIn
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Building Square Footage; r
Description of above ll L, l �'SS
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Owner Info tion J i
Name: rl C�cf �L'�
Contract Inforratio
Narne: `i SG,t
Mailing Address: _//�/C Zf/ tic.Lim,Si e -r Vlk 41
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City: r✓r_ .State: t..✓ Zip: i,'XJ
City Slate a-4
Phone&�p SfO diIyFax:
Phone: 53%
License # ! Exp.
License # t Exp_
Itern
Unit Charge
Total 10ty Multiplied by Unit: Chamei
SenricelFeeder 200 Amp.
$120.00
$
ServicelFeeder 201.400 Amp.
$146.00
$
ServicelFeeder 401-600 Amp
$ 205.00
$
Service/Feeder 601-1000 Amp.
$ 262.00
$
ServicelFeeder over 1000 Amp.
$ 373.00
$
Branch Circult'N/ Service Feeder
$ 5.00
$
Branch Circuit'h/O Service Feeder
$ 63.00
$
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1.4
$ 75.00
1 $
, emp. Servicer Feeder 200 Amp.
$ 93.00
$
, em p. ServiceFeeder 201.400 Amp.
$110.00
$
Temp. Service/Feeder 401-600 Amp.
S149.00
S
Temp. ServimFeeder 601-1000 Amp .
S168.00
S
Portal to Portal Hourly
$ 96.00
$
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
$ 64.00
$
Manufactured Home Connection
$120.00
$
Renewable Electrical Energy - 5K to System or Less
$102.00
$
Thermostat
$ 56.00
$
Note: $5.00 for earn additional T-Stat
NEW CONSMCT ION ONLY:
First 1300 Square Ft
$120.00
S
Each Additional 500 Square Ft. or Portion of
$ 40.00
$
Each Outbuilding or [Detached Garage
$ 74.00
5
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 finarized. (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 2964168, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
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Dated:? 64 ` .7
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