HomeMy WebLinkAbout200 W Lauridsen Blvd - BuildingElectical Permit
200 W Lauridsen Blvd
12 -483
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
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Application Number 12- 00000483
Application pin number 047256
Property Address 200 W LAURIDSEN BLVD
ASSESSOR PARCEL NUMBER: R6-30-00-0-0- 0000 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 0
Application desc
WDMS Wireless service
Owner
CITY OF PORT ANGELES
PO BOX 115.0
PORT ANGELES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
7
WA 983620217
ELECTRICAL NEW COMMERICAL
132.00
4/26/12
10/23/12
Qty Unit Charge Per
1.00 132.0000 ECH EL -COM 0 -200
132.00
.00
132.00
Signature of owner or Electrical Contractor X
G: \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Paid
132.00
.00
132.00
Contractor
SRV FEEDER
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
OLYMPIC ELECTRIC CO INC
4230 TUMWATER
PORT ANGELES
(360) 457 -5303
Plan Check Fee
Valuation
Credited
.00
.00
.00
Date 4/26/12
WA 98363
Due
Extension
132.00
.00
.00
.00
.00
0
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Date:
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division /Electrical Inspections
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date: 02/22/2012
1 Multi- Family or Commercial*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
W JA
Job Address: CHERRY ST. 15TH ST. 2D0 LAURA D' LV
4 D D /54) d p
1 y
Building Square Footage:
Description of above WIRELESS ACCESS POINT 087
Owner Information. Contractor Information
Name: CITY OF PORT ANGELES Name: OLYMPIC ELECTRIC
Mailing Address: 321 EAST 5TH STREET Mailing Address: 4230 TUMWATER
City: PORT ANGELES State' WA Z 98363 City: POR TANGELES State: WA Zip: 98363
132.00 Total
Phone: 457 -0411 Fax:
P hone: 36 0 -457 -5303 Fax: 360-452 -3498
License Exp. Licens Exp. 0LYMPEC28501
Item Unit Charge Q y Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 132.00 1 132.00
Service /Feeder 201 -400 Amp. 160.00
Service /Feeder 401 -600 Amp 225.00
Service /Feeder 601 -1000 Amp. 288.00
Service /Feeder over 1000 Amp. 410.00
Branch Circuit W/ Service Feeder 5.00
Branch Circuit W/O Service Feeder 74.00
Each Additional Branch Circuit 5.00
Branch Circuits 1-4 86.00
Temp. Service/ Feeder 200 Amp. 102.00
Temp. Service /Feeder 201 -400 Amp. 121.00
Temp. Service /Feeder 401 -600 Amp. 164.00
Temp. Service /Feeder 601 -1000 Amp 185.00
Portal to Portal Hourly 96.00
Sign /Outline Lighting 88.00
Signal Circuit/ Limited Energy Multi- Family 64.00
Signal Circuit/ Limited Energy First 1500 sf Commercial 96.00
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy 5KVA System or Less 113.00
Thermostat 56.00
Note: $5.00 for each additional T -Stat
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 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 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Cash Check
x MICHAEL L RUTTEN
Dated: 02/22/2012
fE Credit Card e cade451- 7199. 594 .6510. project CL0511. work order 170101
0110112012