HomeMy WebLinkAbout1502 Bldg D E Lauridsen BlvdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t',7-473s
t
Application Number . -
Appl.ication pin number
Property Address
A.SSESSOR PARCEL NUMBER:
AppI icatsion t).pe description
Subdivision Name
Property Use
Property zoning
Appticalion valuation
19-00001305 Date
587380
1502 B]-DG D E LAURIDSEN BLVD
06 - 3 0 - 14 - 1- 2 - 0 000 - 00 00 -
ELECTRICAI ONLY
PUBLfC BUILDINGS & PARKS
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
B/27 /L9
Application desc
LED can lights
Contractor
WA PEN]NSULA COj,IEGE
1502 E I.AURIDSEN B!!'D
PORT ANGELES WA 983 52
(350 ) 417-5ss3
SIMPSON ELECTRfC
243035 W HWY 101
PORT ANGELES
(350) 4s7 -92'7A
wA 98353
Permits
Additional desc
PermlE Fee
Issue Datse
Expiration Date
ELECTRICA], ALTER COMMERCIAL
1-4 CIRCUITS
85.00 Plan Check Fee
a/27 / t9 va.LuaEion
2/23 /20
BASE FEE
.00
0
ExEension
86.00
Qty Unit Charge Per
Charged Paid Credited Due
PermiE Fee Total
PIan Check Tota]
85.00
.00
86 .00
85.00
.00
85.00
.00
. o0
.00
.00
.00
.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESLTLTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN #-&)
FINAL I '//tls ,!f ,4t)
COMMENTS:
r/
Signature of owner or El€ctrical Contractor X Date:
IVI U LTI-FAM I LY / COMM E RC IAL PFC
E LECTRICAL PERTVI IT APPLI CATI O N AUO 2
PLrblic Works and t-ltilities l)epar"tmentr
-rl1 [. "5th Sne.-r. Po|t Anseles. \tr'A 98.!a):
I (t0..+ I 7,.t7l-i u,*'n,.cil],r:1ltit.us:clcctl^ical;:ermitsri:i,r;it;olpa.us
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19
Project Address 1502 E Lauridsen Blvd Port Angeles,Peninsula Colleqe Building D Veteran Career Center
Project Description Extending Circuit for 3 LED Can Lights
tr lVulti-Family Residential E Commercial / lndustrial / Public Building Square footage
Name Peninsula College
Mailing Address 1502 E Lauridsen Blvd Port Angeles, WA 98362
Email
Phone:
Name Simpson Electric LLC ligsnss SlMPSEL9T3RQ
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 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-'1000 Amp
Portal to Portal Hoirrly
Sign / Outline Lighting
Signal CircuiVLimited Energy - Multi-Family
Signal CircuiULimited Energy/First 1500 sf -
(Note: $5.00 for eac h additional
System or IRenewable Elec. Energy: sKVA
Thermostat (Note: $5 for each additional)
1-4
$
$
$
$
$
$
$
$
$
$
86.00
$56.00
s
s
$86.00 rorAl
Owner as defined by RCW 19.28.261: ('1) Owner will occupy the structure for h,.,/o 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-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
812612019 Andrew P Simpson ,{"Az** p
Date Print Name Signature (E Owner p Electrical C ontractor / Adminiskator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
360-417 -7967
tbwNEn rNFoRIAAfloN
l\4ailing Address: P.o. Box 1086 Port Anqeles, WA 98362 Expiration Date'. 1211112019
Email dlsimpsonsl @gmail.com phone: 360-457-9270
Ouantitv Iqbl (Quantity x Unit Charge)
$_
$_
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
$'185.00
$96.00
$88.00
$88.00
$96.00