HomeMy WebLinkAbout1014 W Lauridsen BlvdELECTRICAL PERMIT
CTTY OF PORTANGELES
360-4t7-4735
RS7 RESDNTL SINGI,E FA.T,IILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
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Applicatsion Nulnber
Application pin number
Property Address
ASSESSOR PARCEIT NUMBER:
Applicatsion E!?e description
Su.bdivision Name
Property Use
Property Zoning
Appficatsion valuation
19- 00001425 Date 9/20/79
867315
1O],4 W IAI'RIDSEN BI,1D
06 - 30 - 08 - s - s - 9020 - 0000 -
EI]ECTRICAI, ONLY
Application desc
Service change
Contsractor
NOEL JOSHUA/RACI{EL
].014 W I.AURIDSEN BL!'D
PORT ANGELES WA 98352
SI,IAI.'P ELECTRICAI, CONTRACTING
PO BOX 383
PORT ANGEI]ES WA 98352
(360) 452-1689
Permit
Additional desc
Permits Fee
Issue Date
ExpiraEion Datse
120 . O0
9 /20/L9
3 /tB /20
ELECIRICAL AITER RESIDENTI]IL
Plan Check Fee
val.uation
00
0
Qty UniE Charge Pe!
1.00 120.0000 EcH EL-o-200 sRv FEEDER 120.00
Fee summary Charged Pa i.d CrediEed Due
Permit Fee Total
Plan Check Total
Grand Total
120
L20
00
00
00
120 . O0
.00
120.00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM I-A.ST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE ilsn Jte +Y #a
ROUGH-IN
FINAL q)* ftq &6
COMMENTS
Signature of owner or Electrical Contractor X Date:
-2SIN G LE-FAIUILY
ELECTRI CAL PERIMIT APPLICATION
Public Works and Utilities Department
3l I n. -ith Streer, Pofl Anseles, \\A 98-162
160.4 I 7.4 7-1 -s I u,rvwc itvofpa. us I electricalpennits@c ityofpa.us
1 FECEIVEI
sEP 17 20tg
llo
l
Proj ect Address: 1014 W Lauridson
-s\
-+.
N)-t\\\
Project Descript ;on Panel Change Out
Name Rachel Noel Email
[/ailing Address Phone
Name Shamp Electrical Contractinq, lnc License sHAMPEC02383
Expiration Date 02t03t2020
Ph66s 360-452-1689
[/ailing Address PO Box 383
Email shampelec@olypen.com
lJnit Charoe
$120.00
$146.00
$205 00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64 00
$120.00
$102.00
$56.00
Auatrlito,
1
fglal (Quantity x Unit Charge)
$ 120.00
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Owner as defined by RCW 19.28.261: ('1) Owner will occupy the structure for two years after thjs 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 PortAngeles Municipal Code, and Utility Specifications and PA[4C 14.05.050 regarding Etectrical Permit Applications.
911612019 Ronda Adams
Date Print Name Signature (! Owner p Electrical Contractor / Administratoo
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
E Single-Family Residential n Duplex / ARU Building Square footage: _
OWNER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 40'l -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 Servrce/Feeder 201-400 Amp
Temp Servrce/Feeder 401-600 Amp
Temp. Service/Feeder 601 -'1 000 Amp.
Portal to Portal Houriy
Signa ClrcuivLirnited Energy - 1&2 DU.
l\,4anufactured Home Connection
Renewable E ec. Energy: 5KVA System or less
Thermostat (Note $5 for each additional)
First 1300 Square Feet
EachAdditional 500 square ieet"
Each Outbuilding / Oetached Garage
Each Swimming Poot / Hot Tub
s
rorAL $ 120.00