HomeMy WebLinkAbout1122 W Lauridsen BLVD - Building (2) FLU"' CAL 1'ERMIT 1
CITY OF PORT ANGELES
360=4174733
Application Number . . . 21-00001116 Date 9/07/21
Application pin number . . . 195568
Property Address . . . . 1122 W LAURIDSEN BLVD
ASSESSOR PARCEL NUMBER: 06-30-08-5-8-0210-0000-
Appl cation type description ELECTRICAL ONLY
Subdivision Name . . .
Property Use . . . . .
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 0
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Application desc
Relocate service
Owner Contractor
GYOVAI S WON A ANGELES ELECTRIC
406 LEMON RD 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT AMBLES WA 98362
(360) 452-9264
Permit . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit;Fee . . , . 120,00 Plan Check Fee .00
Issue,Date . . . 9/07/21 Valuation 0
Expiration Date 3/06/22
Qty Unit Charge Per Extension
'1 44 120.0000 BCH EL-0-200 SRV FEEDER 120.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 120.00 120.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 120.00 120.00 .00 .00
c},
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPEC OR:
DITCH
SERVICE
4f z I
ROUGH-IN
FINAL
117W
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical{Contractor X Date:
GAEXCHANGSBUILDING
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1 - 2 SINGLE-FAMILY CD
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles,WA 98362
360.417.4735 1 www.cityof}pa.uS I electric�ilpermits Dtcityofpa.us
Project Address: jet LL, '
Proje Description:
Single-Family Residential ❑ Duplex/ARLI Building Square footage:
OWNER INFORMATION
Name; Email:
Mailing Address: Phone:
ELECTRICAL O. INFORMATION
Name: Angeles Electric, Inc. License:ANGELE1460RS
Mailing Address: 524 E. First Street, Port Angeles, WA 98362 Expiration Date:2/3/2022
Email:ksimpson@olympus.net Phone:360-452-9264
PROJECTDIETAILS
item Unit Charge Quantity Total(Quantity x 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 Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $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 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy:5KVA System or less $102.00 $
Thermostat(Note:$5 for each additional) $56.00 $
t First 1300"Square Feet $120.00 $
Each Additional 600 square feet" $40.00 $
Each Outbuilding./Detached Garage $74.00 $
Each SvAnming:Pool/Hot Tub $11,0 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 ity of Port Angeles Municipal Code, and Utility Specification and PAMC 14.05.050 egarding Electrical Permit Applications.
Ken Simpson
D e Print Name Signature(❑ Owner V Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]