HomeMy WebLinkAbout1502 Bldg BF E Lauridsen Blvd (2)PUBLIC BUILDINGS 6. PAR(S
0
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REPORT STATE SALES IAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
CD
s
Application Number
Application pin nufiiber
ProperEy Address
ASSESSOR PARCEI NUMBER:
Application tl?e descripaion
Subdivision Name
Proper:ty Use
Property zoning
Application valualion
18-000015s0 Date 10/03/18
421500
1502 BtDG BF E I]AURIDSEN BL\D
o6 - 30 -14 12-0000-0000-
EIJECTRICAL ONIJY
ApplicaElon desc
Sland sporl field liqht poles
WA PENINSULA COLI]EGE
1502 E I,AURIDSEN BLID
PORT ANGELES WA 983 62(350) 417 655:
LIGHTWORKS EIJECTRIC
20915 S1,t 105TH AVE.
SUITE A
TUALAT]N
(s03 ) 691 2959
COMPANY
oP 97062
Permit
Additlonal desc
PermiL Eee
Issue Date
Expination Date
96.00
aa/a3/t8
4/a\/re
Plan Check Fee
Valuation
ELECTRICAL ALTER COMMERCIAL
EL TRIP FEE INSPECT EX, INSTA!
00
0
Qty Units Charge
1.00 96.0000
Per
ECH
Extension
95.00
Charged Pa id Credited Due
Permlt !ee 10ta1
Plan Check Total
Grand Total
96. 00
.00
95. 00
96.00
.00
95.00
.00
.00
.00
00
00
00
INSPECTION T\?E DATE:RESIJLTS:INSPECTOR:
DITCH
SERVICE
ROUGH.IN tol>t Itg N lHP
FINAL i /zil rs w
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS EROM LAST INSPECTION
Sigllature of owuer or Electrical Contactor X Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t'7-4735
fiECHl,Efi
MULTI-FAMILY / COTUMER CIAL ocl. 2 2I/18 !o
3ELE
Name:
Mailing a
Email
,lem
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
SeNice/Feeder 401 600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service F€eder
Branch Circu,t W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. SeNice/Feeder 201400 Amp.
Temp. SeNice/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Houdy
Sign I Outline Lighling
Signal CircuiUlimited Energy - Multi-Family
Signal Circuiulimited Energy/Firsl 1500 sf- Commercial
(Note: $5.00 for each additionat '1500 s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Notei $5 for each additional)
ERN/IT APP EIECINOAT
NSPECItoitsPtrblic \\i,rk.',rrrd Itilitic' [)eparlltent
il I I itlr \lr.'tt. I'ort \lS.lc. \\ \ ()I lhl
1f(l-ll- l7li \\\\\\ (rt\(,llrrt u\ rlL(ltir.tllrr l)ll\r/ rtl\r)tilir Us
h
*{$\
OLProject Address
Project Description
E Multi-Family Residential F Commerciali lndustrial/ Public Building Square footage:
Name Email:
Mailing Address Phone
r.)a/L
License: 6c Lt^krEcg 2ZL1
d,iration 1 lzs ltg
Phone
Ouantitv L9lal (Quantity x Unit Charge)
ai@
c,tt fl
LJnit Charoe
s132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164-00
$185.00
096.00
$88.00
$88.00
$96.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
s
$
$
$r13.00
$s6.00
$_
$_
$
.^r W-
LV1 TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electricat permit is finatized. (2) Owner is
required to hire an electrical conaactor if above said property is for sale. renl or lease. Permit expires afler six monlhs 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 inslallation or alteratlon in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chaplor 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Eleckicat permit Apptications.
Date Name Signature (E Electrical Contractor /Administrator)
PROJECT DETAILS
ELECTRICAL CONTRACTOR INFORMATION
OWNER INFORMATION
lElectrical Permit Applications may be submitted to City Hall or eleclricalpermits@cityofpa.us or faxed to 360.417.47i1]
ELcoM
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