HomeMy WebLinkAbout301 B LAURIDSEN BLVD - Building ELBCrtX. A- L PERWr
ANGELES
jOkI47-4735
Application Number . . . . . 19-00000626 Date 4/30/19
Application pin number 455112 mrwrsartaw W
Property Address . . . . . . 301 9 LAURIt)SEN�RLVD
ASSESSOR PARCEL NUMBER: 06-30�60-0-3-8425-0000-
Applicatio4 type description ELECTRICAL ONLY
Subdivision Name .. . . . . .
Property Use. . . . . . (LO"ftft 00*OWN
Property Zoning . . . . . . ... UNKNOWN
Application valuation . . . . 0
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Application desc
Construction power
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Owner Contractor
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CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
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Permit ELECTRICAL ALTER COMMERCIAL
Additional dese 1-4 CIRCUITS
Permit,Fee 86.00 Plan Check Fee .00
Issue Date . . . . 4/40/19 valuation 0
Expiration Date 10/27/19
Qty Unit Charge Per Extension
BASE PER 86.00
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Fee summary Charged Paid Credi�,d Due -
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Permit Fee Total 86;00 86.00 .00 .00.
Plan Check Total , .00 .00 .00 .00
Grand-Total 86.00 86.00 .00 .00
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ELECTRICAL PERMIT APPLICATION E-C-E;!VF' 3
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Public Works and Utilities Department A PY
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321 E. 5th Street, Port Angeles, WA 98')62
360.417.4735 � www.cityofpa.us 1 electricalperrnitsg.cityofpa.us
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ProjectAddress: _:_9� L ex ar 1'd5en V
Project Description: A�J 50
El Multi-Family Residential Commercial/;ndustrial/Pu4blic Building Square footage:
OWNER INFORMATION
Name: �`.4�f ax- Email:
Mailing Address: Phone: 41:�77 - O 'I)J
ELECTRICAL CONTRACTOR INFORMATION
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Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJIECT DETAILS
Item Unit Charae Quantity Total(Quantity x Unit Charge)
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 14 $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 $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 defi ned by RCW 19.28.26 1:(1)Owne r will occupy the structu re for two years after th is electrical perm it is fi nalized.(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.
36 11 re 1-7-Y
Date Print Name Zi-9nature(E] Ownero Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711