HomeMy WebLinkAbout1502 BLDG BP E LAURIDSEN BLVD - Building ELECTRICAL PE `Y'
MY OF PORT ANGELES
Application Number . . 16-00001550 Date 10/03/18
Application pin number . . 421500 REPMt STATE SALES TAX
Property Address . . . . 1502 BLDG BF E LAURIDSEN BLVD your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-14-1-2-0000-0000- ony,a.
Application type descxiptori ELECTRICAL ONLY tt3 the tiityOfPort Analas
SubdProperty
Name . . . . . (Location Code 0502
Propert Use
Property Zoning . . PUBLIC BUILDINGS & PARKS
Application valuation . . . 0
----------------------------------------------------------------------------
Application desc
Stand sport field light poles
------------------------------------------------------ - ------------------- I
Owner Contractor
--------------------- -- ----------------- ------
WA PENINSULA COLLEGE LIGHTWORKS ELECTRIC COMPANY
1502 E LAURIDSEN BLVD 20915 SW 105TH AVE.
PORT ANGELES WA 98362 SUITE A
(360) 417-6553 TUALATIN OR 97062
(503) 691-2959
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee . . . 96.00 Plan Check Fee .00
Issue Date . . 10/03/18 Valuation . . . . 0
Expiration Date 4/01/19
i
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-TRIP FEE-INSPECT EX. INSTAL 96.00
-- ---------- -------- ------- ---- -------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96,00 96.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
4 4F
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX(6)MONTHS FROM LAST INSPEc nON
Signature of owner or Electrical Contractor X Date:
RECEPWib
MULTI-FAMILY / COMMERCIALS . �' '�� s`
• ELECTRICAL PERMIT APPLICATION FtECtR►CUAL
T
I'ti('Iit SPF(,lf I
�\ �il�� �1!!t: I 1il!II�� I)�'�kllllllt'lll S �
,0! f!_ f
ryry1
Project Address:1502 PCC Wesf- 6 l.&Vf'ic62.n lz�tyrL_ (15e -cr.y' Id��a�ih.L,L Cnl1Pa�� V
Project Description:_q+ntiA - oJA I,-ok 4 oS '4,0,te 's r)hlu. ALL &mr �t rjucl war{ c�o+nd t�rg
❑ Multi-Family Residential Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: Wih {ar,%nrAj,oa, Cjbl J4_ Email:
Mailing Address:15e2 E Laur, Ivd RorklnN AiOA gg'SUZ Phone:(3(6n)U11- (oz'�
ELECTRICAL CONTRACTOR INFORMATION
Name: License:EC LIGHrEOZZ L4
Mailing Ad ress:?e$d SA., M-6b Are- S,,;4t.. fl T";rte. VOW2Expiratiion Date:_7/23/19
Email: CD01 Phone:t663)(6/-295a
PROJECTDETAILS
Jjgm Unit Charge Quantity bjW(Quantity x Unit-Ch a-rg—e)
Service/Feeder 200 Amp. $132.00 $
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 $
Branch Circuit W/Service Feeder $5.00 $
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 CircuittLimited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note:$5.00 for each additional 1500 sf)
Renewable Elec.Energy:5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $56.00 $
$ 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.
iol
Date nt Name Signature(❑ Owner PffElectrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]