HomeMy WebLinkAbout228 E Lauridsen Blvd (2)ELECTRICAL PERMIT
CITY OF PORTANGELES
360-417-4735
18-00000795 Date S/24/tB
644655
228 E I.ASRIDSEN AIJVD
05-30 10 - 5 - 0 - 2 3 0 8 - 0 0 0 0
ELEC?RICAI, ONIJY
COMMERCIAI OFFICE
0
REPORT STATE SALES TD(
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
s\)
\$
\Application Number
Application pin nunber
Property address
ASSESSOR PARCEII NUMBER:
AppLicatiorl t]'pe descripEion
subdivigion Name .
Property Use
Property zoning
Applicalion vafuation . .
Applicaiion desc
lra 11 addi.tsior
Olrne r Contractor
James Halberg
228 E BOULEVARD
PORT ANGELES
BI]ACK DIAMOND ELEC"RICAI, CONTR
502 BI]ACK DIA}IOND RD
'ORT
ANGELES WA 98353
(3Eo) s5i-103s
wA 98352 7821
Permit
Addilional desc
PermlE t'ee
fssue Date
Expirati.on Date
ELECTRICAL AIJTER CO},II.{ERCIAIJ
1-4 CIRCUITS
85.00 PIan Check Fee
5/24/t8 Valualron
at/20/18
BASE FEE
.00
0
Extension
86.00
QEy Unit Charge Per
Charged Paid credited Due
Permit Eee 1otsaf
PIan Check Total
Gr:and ToEal
86 .00
.00
86 .00
85 .00
.00
86.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SD( (6) MONTHS FROM LAST INSPECTION
INSPECTION T\?E DATE:RESTJLTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN alzq )ta w €"
FINAI
COMMENTS:E\
Signature ofowaer or Electrical Coutractor X Date
IVULT I-FAMILY / COMMERCIAL
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 ] wr,rrN. cityo fpa. us electricalpermits@cityofpa.us
Project Address ZZ8 L L*uz IDSD,-/ 7(5
N
\
^...1
-$
\POect Description A.oD z t'xl-J
E Multi-FamilyResidential Commercial / lndustrial /Public Building Square footage
Mailing Address Phone
Mailing Address
Email:
Li6ense
ExDiration D
cn n..Ll L 1 -3?f7ate
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40 1 $00 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Servic€/Feeder 200 Amp.
Temp. Service/Feeder 201{00 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Houdy
Sign / Outline Lighting
Signal CircuiULimited Energy - Mutti-Family
Signal CircuiVLimited Energy/FiEt 1500 sf - Commercial
(Note: $5.00 for each additional 1500 st
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Ouantitv IqEl (Quantity x Unit Charge)Unit Charoe
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
s86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$95.00
-K-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$113.00
$56.00
Chapter 19.28, WAC. Chapter 296-
TOTAL
Owner as defined by RCW 19.28.261: (1) Ownerwill occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, .ent or lease Permit expires after six months of last inspection.
Afrer reading the above statement, I hereby certity 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
468, The City of PortAngeles Municipal Code, and S ons and PAMC 14.05.050 regarding Electrical Permit Applications.
f-tt-ty
Print Name Signature Owner ! Electrical Contractor / Administrato0
[Electrical Permit Applications may be submi to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
tl !ol
Name:
Name:
ELECTRICAL CONTRACTOR INFORMATION
l5a_
PROJECT DETAILS
Date