HomeMy WebLinkAbout1502 Bldg N E Lauridsen Blvd GymApplication Nuiber
Application pin oumber
Proper:ty Address
ASSESSOR PARCEIT NUMBER:
Application. ts}?e descript.ion
Subdivision Name -
Propertsy Use
Property zoning
Application valuation .
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
PUBLIC BUTLDTNGS & PAR(S
0
19- 00000323 Dare 3 /21/19
645961
1502 BLDG N E I.AURIDSEN BI.!D GYM
06- 30- 14 - 2 - 1- 0000 - 00 00-
EI,ECTRICAIJ ONLY
REPORT STATE SATES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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t\N
NV
Applicat'ion desc
FEEDER + ADD CTR CYM
Owner Contractor
WA PENINSUI,A COLLEGE
1502 E 'I,AURIDSEN SLID
PORT ANGELES WA 983 52(350) 417-6553
NORTH PENINSUI.A ELECTRIC
761 FRESHWATER PAR( RD
PORT ANGELES WA 983 63
\36O) 411-1764
Permi E
Additional desc
PermfE !ee
lssue Date
ExpiraEion Dat.e
241 .04
3/21-/L9
9 /t7 /te
ELECTRICAI- A],TER COMI'IERC IAL
Plan Check Fee
valuati.on 0
Qty Unit Charge Per
23.00 5.OOOO ECH EL.ECH ADDNT BRANCH CIRCUIT
1.OO 1]2.OOOO ECH EL-COM O 2OO SRV FEEDER
BxEension
115.00
132 .00
Fee summary Charged Pa id Credited Ihre
Permit Fee ToEal
Plan Check Total
Grand ToEal
24't .OO
. o0
247 -OA
247
24'l
.00
.00
.00
- 00
.00
.00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPSCTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE <l,oln d -t-{>
ROUGH.IN i lLtln +k'+7
FINAL uh ln €)1"'i'
COMMENTS:
Signature ofowner or Elec'trical Contractor X Date
.00
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ELECTRICAL PER I\IIITA P PLICATION
Public Wbrks and tltilitics l)cpartment
12l F:. 5th Strce1, Pon Angeles, WA 98362
360 -4 17 .17 3 5 i wwlv.cityofpa.us i electricalpermitsf@.ciry-<rfpa.us
1502 E Lauridsen Blvd
1):
*
Project Address
Project Description feeder & added circ uits colleoe ovm
E Multi-Family Residenrial X commercial / lndusfial / Public Building Square footage:
::i]:csi,:. ;1.:+i1;1i;"'r.-'....i ,n ;i:::i::':::,;,:':,, ..i;
Name:enlnsu a ol e Email
Mailing Address 1502 E Lauridsen Blvd Phone:
License:northpe930mzr.'rame: North Peninsula Electric
Mailing Address 760 Freshwater Park
Emait: northpeninsulaelectric@yahoo.com
Exoiration Date
Phon;. 360 4 I t-\ ta4
Item
Service/Feeder 200 Amp.
Servic€/Feeder m 1-400 Amp.
Service/Feeder 40 1600 Arnp
Service/Feeder 601-1 000 Amp.
Service/Feeder over 1 000 Amp,
Branch Circuit W Service Fe€der
Branch Circuit WlO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Iemp Service/Feeder 201-400 Amp.
Temp. ServiceFeeder 401€00 Amp.
Temp. Service/Feeder 601 1000 Amp.
Portal to Portal Hourly
Signal Circuiulimited Energy - Mrrfti-Family
Signal Circuiylimited Energy/First 150O 6l - Commercral
(Note: $5-00 lor each additional 1500 sf)
Renewable Elec. Eneryy: SKVA System or bss
Thermoslat (Note: $5 for each additional)
Quanlitv IOE1 (Quqnlity x Uoit Charge)
132.00
tJnit Charoe
$132 00
$160-00
$225-00
$288.00
$410.00
$5 00
$74.00
$5.00
$86.00
s102.00
$121.00
$164.00
s't85.00
$s6.00
$88.00
536.00
1
23
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
115.00
5113.00
$s6.00
$
$
, 247.00 for^L
Owner as delined by RCW19-28.261: (1) O'erer will occl]py the structure for two years after this eleclrical permit is final;zed. (2) Owner is
.equired to hire an electrical contacbr if above said property is lor sale, rent or lease. Permit expires after six months of last inspectjon,
After reading the above statement, I hereby certily that I am lhe owner of the above named property or a liceosed eleclr,cal contraclot I
am making the eleclrical 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 Cede, and Utility Specifications and PAMC 14.05.050 regarding Ehctrical Permrt Applicationa.
March 04 2919 Kimberly Rae Walker Klwb Raa Walkar
Print Name Signature Owner E Electrical Contrastor / Administrator)
lElectrical Permit Applications may be submitted to City Hallor electricalpermits@cityofpa.us or faxed to 360.417.4711]
Date
APPROVED NOTAPPROVED
DITCFi
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COFIRECTIONS NEEDEDI
SERVICE. . .
,-)D
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WTHIN 15 DAYS
- DO NOT REMOVE -
PEFMIT4fi-izz INSPECTOR
CONTBACTOB
ADDRESS
ELEGTRICAL INSPECTION
VI'IRING REPORT
417-4736,
tr.
D... . . FINAL
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