HomeMy WebLinkAbout301 E Lauridsen BlvdELECTRICALPERMM
CMY OF PORTANGELES
36G417.{735
\Is-Nt-
Application Number . .
Application pin rrudber
Prope!Ey Address
ASSESSOR PARCEIJ NU}IBER:
Appl j,catslorl, tl?e description
su.bdivision Name ...,
Property Use
Property Zoning
Applicalion valuation .
19-00000626 Date 4 /3o /19
45s112
301 E LAIJRIDSEN BLVD
06-30- 00 - 0 - 3 - €425 -0000 -
EIECTRICAL ON],Y
UN(NOWN
REFORTSTAIESAIES TAX
onl,?.re)Gbe taxrbrTt
to the Cfty of Fort Aagabs
(Locrffoa Oode050a
0
Application desc
construction poser
Contractor
CITY OF PORT ANGELES
PO BOX-1150
?ORT ANGEIJES WA 98362 0217
Oh'llER
Permit .
Addit ional desc
Permit. Fee
Issue Date
Expj.ratsion Date
ELECTRICAL AI,TER COMI4ERCIAL
1-4 CTRCUITS
85.00 Plan Check Fee
4 /3o/t9 valuat ion
1-o /27 /t9
00
0
Permi,t l'ee Tota]
Plan Check Total
Grand ?ota1
86.00
.00
86.00
86.00
.00
86. 00
.00
.00
.00
00
00
00
INSPBCTIONTYPE DAT&RESULTST INSPECTORT
DITCH
SERVIEE
ROUOH.IN ,bln *P
FINAL t)z) t1 P "p
eOMMENTST
IIIIIt
)'I
PERMM WEL BXPIRS StX (6) MONTHS FROM LAST INSPEfiON
Slgnan[e ofowner or Eleotdsel CoaEaator
Qty Unit Charge per Extensj.on
BASE F'EE 85. OO
Fee summaly Charged pald Credited Due
ELcoil MIt.il Tt-ATUIIY / COMII\/lFRCIAI
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, PortAngeles, WA 98362
364.417.4735 I www.cityofoa.us I electricalpermits@cityofpa.us
aUl4 C- L auri d.se*t 6 lvJ,
RECEIYED
APR 30 201.
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Project Address:
Project Description:I C o.(n
E [iult!Family Residential M Commercial / lndustrial / Public Building Square footage
Name:Email:
Mailing Address P hone
9
32t e. 5 .7bo 46 7- o./t)
O!\NER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name:License
Mailing Address
Email:
Expiration Date
Phone
PROJECT DETAILS
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{
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Porlal to Portal Hourly
Sign / Outline Lighting
Signal CircuiuLimited Energy - Multi-Family
Signal CircuiuLimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 1500 s0
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additaonal)
Quantitv Total louantitv x unit Charoel
9L, oo
unit Charoe
$'132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
s5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
t
$
$
$
$
$
I
$
$
$
$
$
$
$
$
$
s
$
$
$ 11 3.00
$56.00
$ _ TOTAL
Owner as defined by RCW 19.28.261 : (1 ) Owner will occupy the structure for two years after this electrical permit is finalized (2)Owneris
required to hire an eleclric;l contraclor if above said property is for sale, rent or lease. Permit expires after six months oI 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-
45B The City of Port Angeles Municrpal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
-36-tq 6oL e
Date Print Name ignature (E Owner Electrical Contractor / Administrato0
lElectrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
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