HomeMy WebLinkAbout1116 E Lauridsen Boulevard - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 17-00000196 Date 2/23/17
Application pin number . . 768200
Property Address 1116 E LAURIDSEN BLVD REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 08-30-11-5-1-0200-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning (Location Code 0502)
Application valuation . . . 0
Application deac
Low voltage
Owner Contractor
FIR LANE TERRACE CONVL CTR#259 INTEGRITY NETWORKS INC
ATTN: TAX DEPT 2220 LIND AVE SE #106
WILWAUKEE WI 53203 RENTON WA 98057 1
(425) 264-9400
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . 96.00 Plan Check Fee . . .00
Issue Date . . . 2/23/17 Valuation . . . . 0
Expiration Date . 8/22/17
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00
Fee summary Charged Paid Credited Due
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE j
ROUGH-IN ,�� / :a� ,���
FINAL 242/ )7 `r. _ l
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION •
Signature of owner or Electrical Contractor X Date:
R ECEIV Ell
tO‘v0krItiGf ��
CITY OF PORT ANGELES PERMIT APPLICATION '. A r
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 `' " �..�
Ph: (360)417-4735 Fax:(360)417-4711 €';;'n�, "l'�
Date:02--2l'11 _Multi•Famil,or Commercial*
*Plan Review May Be Required,Please Compl to 4[ectrica Plan Review l formation Sheet
Job Address: II( CaSr Au r,d-S0h Noor Yoy�' A5tle5/(4)fl Q1.133C2
Building Square Footage:
Description of above
Owner( form tion �+ ! Contractor Inform t on
Name: C.-Ce-S1-t.aoo4� (OkV4e5Lrv1 Clkrff Name:Tv.V �jf.t- L1t�,�cN lr-Ak _
Mailing Address: Maiting,Addrrss:'j, i.0 L.a, , vc.S kk't&t.
City: State: Tip: City: t(.tt4.t-o tet State' Zip: r
Phone: Fax: Phone: V• -Fax: Z -Z iq S
License#/Exp. License#iExp.rJ •g'/2.-'35-6. C- tom- it
Item Unit Charge Q,.rt Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $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/0 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 1 $ ft 0 a 9(22
Signal Circuit)Limited Energy 1 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
$$ .04 Total
Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permi 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 f 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: O Cash 0 Check
1114 CraditCard:
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