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Home My WebLink About932 E Lauridsen Blvd - Building 04/05/2012 15: 46 FAX 360 452 3496 Olympic Electric Co. 3 PA CITY INSPECT 16 001/001 �i 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; !„0512012 n 1812 Single Family Dwelling Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address; 012 e.LAURIDeEN Z ft- L. �U Building Square Footage: Oescriptlon of above 29 AMP CIRCU178 FOR oUCTL1558 9f LIT SYSTEM AND BERYIGB RECEPTACLE Owner information Contractor Information Name; ELIWETH BORRONE game; GLYMM ELECTRIC Melling Address; 032&LAURI08614 Mailing Address: 4234 TUMWATER TRUCK ROUTE City, PORT•ANGMV Slate,. WA Zlp; 00362 City; PORTANGCLES State; WA Zip: L353 Phone; DSS Fax; Phone;980.457.6908 Fag 360462.3495 License 0/Exp. License 01 Exp,OLYMPEUBSD1 Item UnitCharae dyyt Total (Q!y Multiplied by Unit Charge) ServlcelFeeder 200 Amp. $120.00 $ ServicolFeeder 201-400 Amp. $146,00 — $ — Service/Feeder 401.600 Amp $205,00 $---� ServicelFeeder 601-1000 Amp. $262,00 $ Service/Feeder over 1000 Amp. $373,00 S Branch Circuit 1Nl Service Feeder $ 5,00 Branch Circuit W10 Service Feeder $ 63.00 i Each Additional Branch Circuit $ 5.00 Branch Circuits 1.4 $ 75.00 $� Temp,Sonilcol Feeder 200 Amp, $ 93.00 $� Temp, ServiopTeeder 201-400 Amp. $110,00 $ Temp.Service/Feeder 401-600 Amp. $149.00 $— Temp. Service/Feeder 601.1000 Amp , $166,00 S Portal to Portal Hourly $ 96.00 $-�--- Signal Circultl Limited Energy-1 $2 Family Dwelling $ 64.00 $ Manufactured Home Connection $ 120.00 $ Renewable Electric6 Energy-5KVA System or Less 102,00 $ Thermostat $ 56.00 $ Note:$5.00 for each addltional T-Stet NEW CONSTRUCTION ONLY: First 1300 Square Ft, $120,00 $ Each Additional 600 Square Ft,or Portion of $ 40.00 $� Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ oo,00 Total Owner as defined by RCW.1918 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 tease. 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,D,C,,RCW, Chapter 19.28,WAC, Chapter 296-4613, 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, D Camh ❑ Check Cradlt Card 4 Dated: 04/05/2012 01101/2012 ELECTRICAL PERMIT 1 CITY OF PORT ANGELES 360-4174735 Application Number 12-00000396 Date 4/06/12 Application pin number , . . 161444 Property Address . . . . . 932 E LAURIDSEN BLVD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-10-5-1-0105-0004- on our excise tax form . Application type description ELECTRICAL ONLY y Subdivision Name . . . . . , to the City of Port Angeles Property Use . , . . . . . . (Location Code 0502) Property Zoning , . , , . RS7 RESDNTL SINGLE FAMILY Application valuation , . . , 0 Application desc Ductless heat pump Owner Contractor BORRONE ELIZABETH J OLYMPIC ELECTRIC CO INC 932 E LAURIDSON BLVD 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 457-5303 ------ -- ---=-=---------------------_-----------Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee 68.00 Plan Check Fee .00 Issue Date . . . , 4/06/12 . Valuation 0 .Expiration Date 10/03/12 Qty Unit Charge Per Extension 1.00 5,0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5100 1.00 63,0000 ECH EL-R- BRANCH CIR WO/ SER .FEED 63,00 Fee summary -_ Charged Paid Credited Due --------- ---------- _- -- Permit Fee Total 68,00 68,00 .00 00 Plan Check Total 00 .00 .00 00 Grand Total 68,00 58.00 00 .00 N INSPECTION TYPE DATE, RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL " COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Eleetxical.Contractor X _ Date, T __ G:\EXCHANG2\BU1LDFNG Electrical Permit 932 E Lauridsen Blvd 13 -003 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN /1411) FINAL I lie 6 COMMENTS: 0 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Owner BORRONE ELIZABETH J 932 E LAURIDSON BLVD PORT ANGELES WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc CARPORT LIGHT/ 1 -4 CIR. Permit Fee 75.00 Plan Check Fee Issue Date 1/03/13 Valuation Expiration Date 7/02/13 Qty Unit Charge Per Fee summary Charged Permit Fee Total Plan Check Total Grand Total 75.00 .00 75.00 13- 00000003 430671 932 E LAURIDSEN BLVD 06-30-10-5-1- 0105 -0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 BASE FEE Contractor 75.00 .00 75.00 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 KIRSCH ELECTRIC INC. P. 0. BOX 3396 SEQUIM (360) 683 -6819 Paid Credited Due .0 .00 .00 Date 1/04/13 WA 98382 .00 .00 .00 .00 0 Extension 75.00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: VCI r\7' 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: ld -aS -f� Plan Review May Be Required, Pleage Complete Electrical Plan Review Information Sheet Job Address: q 3 L.au r i 2 eel P/ri Building Square Footage: Description of above e ip t 1a Owner Information Name: F /IZa 6 e rh A r 4. Mailing Address 43Z Lc2Uri l .7 /uC( City: Pa-^r ylr5 State: Wee Zip: qt 34 2_ Phone:J ySa -2tbZ Fax: License Exp, grm Service/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401-600 Amp Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 114 Temp. Service/ Feeder200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service /Feeder 401-600 Amp. Temp. Service/Feeder 601 -1000 Amp Portal to Portal Hourly Signal Circuit/ Limited Energy -1 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat Note: 55.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub 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 -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 Cheek /1& 2 Single Family Dwelling 120.00 40.00 74.00 110.00 cQ c r-f& c e fora Unit Charge Total KIN Multiplied by Unit Charge) 120.00 $146.00 205.00 262.00 373.00 5.00 563.00 5.00 ..75.00 7s, ct 93,00 110.00 149.00 $168.00 96.00 64,00 120.00 $102.00 56.00 Dated: t 41A7adit Card t# ]Y La AlenrA-sir ru O. 75 `So Total 01n112012 Contractor Information Name: K /r5Cdr aac fn Tic Mailing Address: D 01C City: ,52G 04- State: 44)4 Ziip• 9F 3 f Phone: ?�,a`- �r1= 3-SP/5r Fax: 300 -6k 3 0.fr License Exp.