HomeMy WebLinkAbout1203 E Lauridsen Blvd Elec2ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
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AppLj"calion Number
Applicalion pin nwrlcer
Property Address
ASSESSOR PARCEI] NT]MBER:
Appllcation lype descriPlion
subdivision Name .
Propertsy use
Properly zoning
Applica!ion vafuation
22 -00000142 DaEe
t47814
1203 E I,AURIDSEN BLVD EL,EC2
05 - 30 - 00-0-2 -2 04 0- 0000-
EIECTRICA! ONIY
2/08/22
PUBI,IC BUIIDINGS & PARKS
0
ApplicaEion desc
Sub Panel alrd oullets
Permi!
Addirional desc
Permit Fee
Issue Dace .
Expi!acion Date
152. 00
2/08/22
B /07 /22
ELECTR]CA! AITER COMMERCIAI,
Plan Check Fee
Valuation
.00
o
Qly goit Charge Per
4.00 5.0000 EcIt
1. 00 132 . 0000 EcIr
ETJ'BRANCH CIRCI'IT W/FEEDER
EIJ'COM O-2OO SRV FEEDER
Extension
20.00
132.00
Permits Fee Total
Plan Check ToEal
Grand ToEaI
152 .00
.00
152 ,00
152.00
.00
152 .00
.00
.00
.00
.00
.00
.00
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X
INSPECTION TYPE DATE INSPECTOR:
DITCH z)n)zz-*uI)
SERVICE
ROUGH-IN zJar lzz-a -xp
FINAI,2\il)22
COMMENTS:
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CITY OF PORT ANGEI,ES .]OI{NSON ELECTRIC COMPANY
321 E sTH ST 3129 S REGENI
POR? ANGELES WA 98]620217 PORT ANGEI'ES I4A 98362
1350) t2e-4327
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Date:
MULTI-FAMI I LY / COMMERCIAL
ELECT RICAL PERMIT APPLICATION
Public Wolks arrd Utilitics Dcpartntenr
-121 E. 5th Street. Porl r\ngeles. \\A 9li-162
.160.-117.4?35 rvr.vrr.cityol'pa.us jelccrricallterntiLs(a,cityotpt.us
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1203 E Laundsen
Project Address:BLVD., Pod Angeles, WA 98362
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Project Description:New sub pane n park wilh ouuels
E Multi-Family Residential I Commercial / lndustrial / Public Building Square footage:
;1smg; Port Angeles Parks & Recreation ( Attn: Corey
Mailing Address 1203 E. Lauridsen Blvd., Port Angeles, WA 98362
f s16i1; cdelikat@cilyofpa.us
p6eng. 360-417-4551
Name: J nson Electric Company
Mailing Address 3',29 S. Regent Street, Port An les, WA 98362
Email: admin@johnsonelectric36O.com
License; #JOHNSEC817K4
E xpi ration Date: 5 131 12023
Ph on e:360_47 7 _4594
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 Amp.
Service/Feeder 401600 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. Sewice/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuivlimited Energy - Multi-Famity
Signal CircuiULimited Energy/First 1500 sf - Commercial
(Note: $5.00 for each additional 15OO s0
Renewable Elec. Energy; SKVA System or less
Thermostat (Note: $5 for each additional)
Unit Charoe Ouantitv Iglal(Quantity x Unit Charge)
1?2$132.00
$160.00
s225.00
$288.00
$410.00
$s.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
s56.00
$
$
$
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$
$
$
$
$
$
$
$
$
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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 conuactor. I
am making the electricai installation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapte||9,28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC '14.05.050 regarding Electricat Permit Applications.
2t7 t2422
Print Name Sign re (! Owner E Electrical Contractor / Administrator)Date
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
OWNER INFORMATION
PROJECT DETAILS
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