HomeMy WebLinkAbout430 E Lauridsen BlvdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
COl,lIr4ERCIAl, OFFICE
0
\1
I.l
tl
\r{
\Application Number
Appficatsion pin number
Property Address
ASSESSOR PARCEL NI]MBER:
Applicatsion t}?e descripEion
subdivision Name
Pr.operty U6e
Property zoning
Application valuatsion
22-0000033s Date
242250
430 E I,AURIDSEN BI,VD
05 -30-10 -5 - 0-210 0 -0000 -
EIECTR]CAI ONLY
3 /23 /22
ApplicaEion desc
Furnace / HeaE pump
ANGELES DEVELOPMENT IJLC
13?1 T1IREE CRABS RD
SEQUIM WA 98382
BI.ACK DIA],1OND EI,ECTRICAN CONTR
502 BIJACK DIA]VIOND RD
PORT ANGELES WA 98363
(360 ) s6s-1035
PeImits
Additional desc
Pennit Fee
Tssue DaEe
Expiralion Date
'79.00
3/23/22
e /19 /22
EIECTRICAL AI?ER COMMERCIAI]
Plan Check Fee
valuation
00
0
oly unit Charge Per
1.00 ?4.0000 ECH
1 .00 5.0000 Ecli
EI,-CoMM BR.ANCH C]R wo/ S/F
EL-EC]] AIDNT BR]\NCH C]RCUIT
Charged credi!ed Due
Permit Fee Total
Plan check To!aI
Grand Total
79.00
.00
?9.00
.00
.00
- 00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE RESLTLTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMTT WILL EXPIRE SIX (6) MONIHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
C:\EXCHANGABUILDING
Date:
Extens ion
74.00
5.00
'19 . AA
.00
79 .04
DATE:
MULTI-FAM ILY / COMM ERCIAL
ELECTRICAL PERMIT APPLICATION
Public \lbrks and Utilitics Dcpaltnrcnt
-l2l E. 5th StreeL. Porl r\ngeles. WA 98-162
.l60.rl17.r1735 rvrvw.cilyo l'pa. us IelccLricalpernrits(rr..cityotpa,us
1'ol
[,4air 430 E Lauridsen Blvd
N
$\tn
\Project Address:
Furn/HPProject Description:
OWNER INFORMATION
Name: Jim Haguewood Email:
Name:Black Diam ond Electrical License : BLACKDE79509
Mailing Address
Email:
Expiration Date:
Ph6n9 360461-3957
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp, Service/Feeder 401-600 Amp.
Temp. Service/Feeder 60'1 -1 000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal CircuiULimited Energy - Multi-Family
Signal CircuiVLimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional '1500 s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
IolEl (Ouantity x Unit Charge)
$ 79 roral
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 afier 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 electical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specilications and PAMC 14.05.050 regarding Electrical Permit Applications.
3-2-2022 Benjamin Shamp
unlt Charoe Ouantltv
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00 1
s5.00 I
$86.00
$102.00
$121.00
s164.00
$185.00
$96.00
$88.00
$88.00
$s6.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$1 13.00
$s6.00
$
$
Date Prjnt Name Signature ([ Owner E Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.usl
ELcoM
D Multi-Family Residential E Commercial / lndustrial / Public Building Square footage;
---
Mailing Address: Phone: 360-808-8433
ELECTRICAL CONTRACTOR INFORTVIATION