HomeMy WebLinkAbout1017 E Lauridsen Blvd (2)Nt-
Nr.
ELECTRICAI PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number
Applicatsion pin number
Property Address
ASSESSOR PARCEL NUMBER :
Application type descriptsiofl
subdiwisioa Name
Propertsy Use
Property zoning
Applicatsion valuation
21-00001125 Datse 9/a9/2t
403092
1017 E I,AURIDSEN BI,VD
06-30-00-0-2 8270-0000-
ELECTRICTII ONLY
RS7 RESDNTI SINGI]E FA}4IIJY
0
Application desc
320 amp service
KATZ VIEW I,],C
1017 E IJAURIDSEN BIVD
PORT ANGEI,ES WA 983528034
S:'}JERGY ELECTRICAI CONTRNG I,LC
910 W 10TH ST
PORT ANGELES WA 98353
(350) 451-3954
Permi!
AddiLional
Permits Fee
Issue Date
146.00
9/ae/2L
3/08/22
ELECTRICAL AI,TER RESIDENTIAI,
desc
Plan Check Fee
Valuation
00
0
ExDiration Dare
OEy UniE Charge Per
1.00 145.0000 EcH Er,-201-400 sRv EEEDER 146.00
Fee surllnary Charged Paid Crediled Due
Pe}-mic Fee TotsaI
Plan Check ToLal
Grand ToEal
1.45.00
.00
L46.00
.00
.00
.00
00
00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS
DITCH
SERVICE n)a)s +r
ROUGH-IN
FINAI gl1 lL1-&
{i ./V
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X
GIEXCHANCE\BUILDING
Date
146.00
.00
146.00
INSPECTOR:
l?#
COMMENTS;
ELE TRI AL PERMI APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, \\A 98i62
-160.4 I 7.4735 I wrvw.cityotpa.us I electricalpermits@cityofpa.us
1017 E Lauridsen
1lo
3
+
F)
I
N
O.
Project Address:
Project Descripti on lnstall new MP service
tr Single-Family Residential E Duplex /ARU Building Square footage
O\AAIER INFORMATION
Name Joyce Underwood Email
Mailing 4661s5s 1017 E Lauridsen p6eng. 1-360-808-3549
ELECTRICAL CONTRACTOR INFORMATION
Name Synerqy Electrical Contractino, LLC License. SYNERECS29QM
it ChargItem
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 60'1 -1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O 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 Hourly
Signal CircuiULimlted Energy - 1&2 DU
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: 55 for each additional)
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.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
@
TOTAL
Owner as defined by RCW 19.28.261i ( 1) Ownerwill occupy the structure for two years after this electracal permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property js 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 lic€nsed 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 PAMC 14.05.050 regarding Electrical Permit Applications.
oeto8t2o21 Tracy Critchfield
Date Print Name Signature (! Owner F Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
1 - 2 SINGLE-FAMILY
Mailing Address: PO Box 1544 Port Angeles, WA 98362 Expiration Ads. 1'1114122
Emait synergyelectricalcontracting@gmail.com phone. 360461-3954
$120.00
$40.00
$74.00
$110.00
q
q
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q
$_
q
l{ew
Construction
Only
$_
$ _2
First 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
PROJECT DETAILS
$ 12&flO
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r ta- E,:tl 6
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ELECTRICAL. - ,ECTION
WIRING REPCIRT
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HOTIFY INSPECTOR WHEN CORBECTIONS
ARE COMPLETEO WITIIIN 15 DAYS
_DO NOT REMOVE-
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NSPECTON-sP
OWNER
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