HomeMy WebLinkAbout228 E Lauridsen BlvdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Js\application Number
Applicalion pi.n number
Property Address
ASSESSOR PARCE', NUMBER :
Application type descriPEion
subdiviaion Naire
Proper!y U6e
Property zoning
applicaEion valuaEion
21-OOOOO715 Datse 6/14/21
2119 00
228 E I.AURIDSEN BLVD
o6 -t 0- 10-5 - 0 -23 08 - 0000
EIJECTRICAL ONLY
COMMERC]AI, OFEICE
0
ApplicaEion aleac
Heat pul!tr)
.JA}'ES HALBERG
228 E ],AURIDSEN BI,VD
PORT ANGEI,ES }IA 983527821
1350l 45't-7576
BI,ACK DIAMOND ELECTRICAI COIITR
502 BIACK DIAMOND RD
PORT ANGEIES WA 98363
(360 ) 565-103s
Permit
Additiona] desc
Permit Fee
Issue DaEe . .
Expiration Date
?4.00
6/t4/2t
12/a!/2L
ELECTRICAL AITER CO!4'1ERC]A],
Plan Check Fee
Valuation
Qly Unit Charge
1.00 74 . 0000
Per
ECE EL-COi,$4 BRANCT1 ClR WO/ S/F
00
0
Extension
'7 4 .04
Fee summary
Permit Fee TotaL
Plan Check Tolal
Grand Tota]
14 -00
.00
'74.44
74-OA
.00
'74.40
o0
00
00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS L\
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
C:\EXCHANCE\BUILDINC
Date:
::::::: :iti :::i:::: :::
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I
tU U LTI-FAIVI I LY / COIM NN E R CIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. -rth Street. Polt Angeles. \{d 9$.162
160..117.47-1,s u'u,rv.citvofpa.us ielecrricaii;ern":its'@)cityofpa.us
228 E Lauridsen
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Project Address:
Project Descripti on: HP
E Multi-Family Residential Bl Commercial / lndustrial / Public Building Square footage
Mailing Address Phone
Name: BDE License: BLACKEC894D2
Expiration Date
Phone: 3604613957
lilailing Address
Email:
Item
Service/Feeder 2OO Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401€00 Amp.
Service/Feeder 60l -1OOO 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 -'l 000 Amp.
Portalto Portal Hourly ,ttt.,'
Srgn / Outline Lighting
Signal Circuivlimited Energy - Multi-Family .
Signal CircuivLrmited Energy/First 15OO sf - Commercial
(Note $5 00 for each additional '1500 s0
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: 55 for each additional)
Unit Charoe
$132.00
$160 00
$225 00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
Ouantitv IOlal (Quantity x Unit Charge)
$185.00
$96.00
$88.00
$88.00
$96.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
$ 74 rorAL
Owner as deflned by RCW'19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is Ilnalized. (2) Owner is
required to hire an electracal 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-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
6-10-2021 Beniamin Shamp
Date Print Name Signature (E Owner fl Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.471'1]
1'o
3
Name: Halberq chiro Email:
IOIVI\IER.INFORMAIION
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