HomeMy WebLinkAbout228 E LAURIDSEN BLVD - Building (2) 1
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CITY OF:ART�GELES
350417-4735
Application Number . . . . 18-00000795 Date 5/24/18
Application pin number . . . 644655
Property Address 228 E LAURZDSEN BLVD REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-10-5-0-2308-0000-
Application type description ELECTRICAL ONLY on your excise tax form
subdivision Name . . . . . to the City of Port Angeles
Property Use . . . . . . . .
Property-Zoning . .. . . COMMERCIAL OFFICE (Location Code 0502)
Application valuation . . . 0
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Application desc
Wall addition
Owner Contractor
James Halberg BLACK DIAMOND ELECTRICAL CONTR
228 E BOULEVARD 502 BLACK DIAMOND RD
PORT ANGELES WA 983627821 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Plan Check Fee .00
Issue Date . . . 5/24/18 valuation 0
Expiration Date 11/20/18
Qty Unit Charge Per Extension
BASE FEE 86.0:0
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Fee summary Charged Paid Credited 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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INSPECTION TYPE DATE: RESULTS: INSPECTOR
DITCH
SERVICE
ROUGH-IN 6712
FINAL
COMMENTS:
PERmrr w)MzXMa=(6)MoNniS FROM LAST I NSPECMN
Sure of owner or Electrical Contractor X Date:
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• MULTI-FAMILY / COMMERCIAL ?"'
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ELECTRICAL PERMIT APPLICATION-
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362I(BON ;.
360.417.4735 j www.cityofpa.us I electricalpermits@cityofpa.us
Project Address:
Project Description: Z LIXACLt-
❑ Multi-Family Residential Commercial/Industrial/Public Building Square footage:
7--
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License: Z..
Mailing Address: Expiration Date:
Email Phone:q 61 — 9S'7
PROJECT DETAILS
item Unit Charge 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 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 Circuit/Limited Energy-Muni-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-
46B,The City of Port Angeles Municipal Code,and Uti' Sp cifications and PAMC 14.05.050 regarding Electrical Permit Applications.
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Date Print Name e�l Signature pkOwner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitt d to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]