HomeMy WebLinkAbout1034 W Lauridsen BlvdELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4'135
RS7 RESDNT], SINGLE SAI,]ILY
0
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a0Application Nunber
Application pin nun rer
Property Address
ASSESSOR PARCEI! NUlvlEER.
Application ll'pe description
subdiwision Name
Properly Use
Properry zonj.ng
Application valuation
22-OOOOO2O8 Datse 3/02/22
1034 I'] LAURIDSEN B],!'D
06 - 3 0 - 08 -5 -9 - 004 0- 0000 -
ELECTRICA', ONI]Y
Application desc
DiIP
S!{ARON PIERCE
1034 W I,AURIDSEN BLVD
PORT ANGEIES WA 983637446
BLACK DIA.IIIOND EIECTRICAI CONTR
502 BLACI( DIAMOND RN
PORT ANGELES WA 98353
(360 ) 555-1035
PermiL
AddiLional desc
PemiE Fee
Issue DaEe
ExpiraLion Date
63 .00
3/A2/22
e /29 /22
Plan Check Fee
Valuation
ELECTR]CAL ALTER RESIDENTIAL
00
0
Qly Unit Charge Pei
1.OO 63.0000 ECE EL R BRANCH CIR WOl SER FEED
Extension
63 .00
Charged Paid Credited Due
Permi! Fee Total
Plan Check Tolal
Grand Total
53.00
.00
63.00
00
00
00
.00
.00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTlON TYPE DATE:RESULTS INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAL
COMMENTS
PERMIT WILL EXPIRT SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contlactor X Date
63 .00
.00
63 .00
1 - 2 SINGLE.FATMILY
L T RICAL P PP
Public'.Vrlks and tjLiljties Deparlnrent
.j2l Lr.. 5dr SLreet. Port Angeles, !Vr\ !)8,.1(rl
16().117.4135 ] ,'r,wrv.cityo flta us I electrrciLlltcrnritsi2t.,. ityofp;r.us
(AW) 1034 W Lauridsen Blvd
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Project Address
Project Descriptionl
E Single-Family Residential ! Duplex / ARU Building Square footage
Name Pierce Email:
Mailing Address:Phone .360-504-3872
Name; Black Diamond Electrical LLC Ljcense; BLACKDE79509
Expiration Date:
Phone: 360-461-3957
Mailing
Email;
Address: PO BOX 2335
llnit Chzrge
$120.00
$146.00
s205.00
$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
qlanl'ly Iqltal (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
I
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) 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 conlractor. 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 Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical permit Applications.
2-23-22 Benjamin Shamp
Print Name Signature (! Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.usl
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1 -600 Amp.
Service/Feeder 601 -'l 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Se.vice Feeder
Branch Circuit WlO Service Feeder
Each Additional Branch Circuit
Branch Circu;ts 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Arnp.
Portal to Podal Hourly
Signal CircuiULimited Energy - 1&2 DU-
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First '1300 Square Feet $..
$-
$ . 1,,
$,. -.
$63
Each Outbuilding / Detached Garage
Each Swimmiirg Pool lHot Tub
Date