HomeMy WebLinkAbout214 E Lauridsen BlvdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7 -473s
COMMERCIAI OFEICE
0
\)
N\
\n
Application Nunber
Application pin numlcer
Property Address
ASSESSOR PARCEI, NUMBER:
Applicalion E).pe descriprion
subdivision Name -
Proper:Ey Use
ProperEy Zoning
Appficatsion valuation
22- 00000031 DaLe !/13 /22
633233
214 E LAI'RIDSEN B]-VD
06 -30-10 -5- 0-2315- 0000 -
ELECTRICAI ONIJY
Application desc
service / Remodel
PENINSULA BEIIAVIORAL HEAITH
114 E AfH ST
PORT ANGELES WA 98352
(360) 477-3753
BI,ACK DIAMOND ELECTRICAL CONTR
502 BLACK DIAI'4OND RD
PORT ANGELES WA 98353(350) s5s 103s
PermiE
Additional desc
Permi! Fee
Issue Date
Expiration Date
488.00
\/\3/22
'1/L2/22
ELECTRICAJJ AITER COMMERCIAI
Plan Check Fee
Valuarion
00
0
QEy Unia Charge Per
40.00 5.0000 EcH
1.00 288.0000 EcH
EI, BRANCIt CIRCUIT W/FEED'R
EI, CCM 601-1OOO SRV FEEDER
Charged Paid Credited Due
Pernit Fee Total
Plan Check Totsa1
Grand Tolaf
488.00
.00
488.00
488
4AA
00
00
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 RESULTS:NSPECTOR:
DITCH
SERVICE sllh /zz 4p
ROUGH-IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
GJEXCHANGRBUTLDINC
Date
200.00
288.00
DATE:
%P
,
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
.......D|TCH.....
. . ROUGH INiCOVER
......SERV|CE....
tr
tr
tr
u .......FINAL
o
tr
D
tr
)COBRECTIONS NEEDED:?-,r-*\rr< Y D 1b Aq-Edl
t/ztlzz-
DATE;
4o r-z 1
INSPECTORa6D
CONTFACTOR
ADD
--/
4 tZ*r-*'^a- ^*ra*. A* <"**-., ,. r'Z*,
ftt-7.sK *.tr- .A -a ' ,2-- lP i L rtttni -?arrLt0 <"71
NOTIFY ITISPECTOR WHEN CORRECNONS
AFE COMPLETED WITHIN 15 DAYS
_ OO NOT REMOVE -
,,'^xrt.eAa'r*)
D *r/ *, "*rb ft* **-v
MULTI-FAMILY / COMMERCIAL
ELECTRICAL PERMIT APPL ICATION
Public Wolks and Utilitics Dcpartnrcnt
-l2l E. 5th Stt-eet. Porl r\ngeles. \[A 98-]62
-l(rt).-117..1735 rvrvrv. citvo fpa. us jelecLricalperntits(ri.cityotpa.us
!o
=
;
\
\tl
214 E Lauridson
Project Address
Project Description:
n N4ulti-Family Residential ! Commercial / lndustrial / Public Buitding Square footage:
Name: BDE Email:
Mailing Address:Phone: 360-452-2357
t,tame: BDE License: blackde79509
Expiration Date
Phsns; 360-4613957
Mailing Address:
Email:
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 601-'1 000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuivlimited Energy , [rulti-Family
Signal CircuiVLimited Energy/First 1500 sf - Commerciat
(Note; $5.00 for each additional 1500 s0
Renewable Elec. Energy; sKVA System or less
Thermostat (Note: $5 for each additional)
LJnit Charoe Ouantitv
$132.00
s160.00
$22s.00
$288.00 1
$410.00
$5.00 40
$74.00
$s.oo
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
Ielal (Ouantity x Unit Charge)
26d
$
$
$
$
$
$
$
$(
$
$
$
$
s
$
$
$
$
$
200
$113.00
$56.00
$ 4BB ,oral
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. Permil expires afte. six months of last inspection.
After reading the above statement, I hereby certiiy 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-
458, The City of PortAngeles Municipal Code, and Utility Speciflcations and PAMC 14.05.050 regarding Etectrical Permit Applications.
1-12 2021 Benjamin Shamp
Date
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
Print Name Owner E Electrical Contractor / Administrator)
Service and remodel
Signature (@