HomeMy WebLinkAbout516 W Lauridsen Blvd - BuildingElectical Permit
516 W Lauridsen Blvd
13 -089
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
Z ii t 3
14P
'IrW
FINAL
1463
,J 7
Y'r/
COMMENTS:
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
Bath heat and fan
Owner
THOMAS AND DEBORAH COX
61 DUNGENESS GREENS WAY
SEQUIM WA 98382
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty
1.00
1.00
Unit Charge
5.0000
63.0000
ELECTRICAL ALTER RESIDENTIAL
Permit Fee Total
Plan Check Total
Grand Total
Per
ECH
ECH
Fee summary Charged
68.00
1/24/13
7/23/13
68.00
.00
68.00
13- 00000089
194315
516 W LAURIDSEN BLVD
06-30-09-5-2- 0228 -0000-
ELECTRICAL ONLY
RESIDENTIAL HIGH DENSITY
0
Contractor
EL -ECH ADDNT BRANCH CIRCUIT
EL -R- BRANCH CIR WO/ SER FEED
68.00
.00
68.00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:\EXCHANGE\BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Plan Check Fee
Valuation
Paid Credited Due
.00
.00
.00
Date 1/24/13
EXTRA MILE TECH ELECT., LLC
418 N. RACE ST.
PORT ANGELES WA 98362
(360) 457 -0198
.00
.00
.00
.00
0
Extension
5.00
63.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Date:
iT
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711
Date; 1 9 3 13
2 Single Family Dwelling
Dated:
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: ti-1 4. et c.. te-.; d+ s .e I V Z
Building Square Footage:
Description of above r-
Owner Information Contractor Information
Name: 'Do AI cam Name: EXTRA M 11.E Tg trl
Mailing Address: t 1]wr., -cnJ zs s ,,J y Mailing Address: 441e hi R ke s r CF -t 1
States l.lr Zip. C I T a U _ta!h-ap P
Phone:
Cty: c4- et Fa hD P State
Ucense l Exp. Ucens I E _S i Fax:
Ucense /Exp, '"x TRR e�
t em Unit Charge at Total (Qty Charge)
Multiplied by Unit Char
Service/Feeder 200 Amp. 120.00
Service/Feeder 201.400 Amp. 146.00
Service/Feeder401.600 Amp 205.00
Service/Feeder 601-1000 Amp. 262.00
Sennce/Feederover 1000 Amp. 373.00
Branch Circuit W/ Service Feeder 5.00
Branch Circuit W/O Service Feeder 63.00
Each Additional Branch Circuit 5.00 I (0 3 j oo
Branch Circuits 1.4 75.00 5 0
Temp. Service/ Feeder 200 Amp. 93.00 5
Temp. Service/Feeder201.400 Amp. 110.00
Temp. Service/Feeder 401 -600 Amp. $149.00
Temp. Service/Feeder 601 -1000 Amp $166.00
Portal to Portal Hourly 96.00
Signal Circuit/ limited Energy .1 2 Family Dwelling 64.00
Manufactured Home Connection 120.00
Renewable Electrical Energy 5KVA System or Less 102.00
Thermostat
56.00
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. 120.00
Each Additional 500 Square FL or Portion of 40.00
Each Outbuilding or Detached Garage 74.00
Each Swimming Pool or Hot Tub $110.00
�S. 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 contractor. l am making
the electrical installation or alteration in compliance wi l 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.
Signature of owner, electrical contractor or electrical administrator: cash tame
CreditCard#
0110112012