HomeMy WebLinkAbout1943 E Lauridsen Boulevard - Building f
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ELECTRICAL PERMIT
4
CITY OF PORT ANGELES
'350-417-4735 N1
Application Number 17-00000227 Date 2/28/17
Application pin number . . 195412
Property Address 1943 W LAURIDSEN BLVD UTL REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-1-1-0700-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning PUBLIC BUILDINGS & PARKS (Location Code 0502)
Application valuation . . . 0
Application desc
Score board conduit, Extend outlet
Owner Contractor
CITY OF PORT ANGELES OWNER
PO BOX 1150
PORT ANGELES WA 983620217
(360) 417-4532
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc . 1-4 CIRCUITS
Permit Fee . . . 86.00 Plan Check Fee . . .00
Issue Date . . . 2/28/17 Valuation . . . . 0
Expiration Date . 8/27/17
Qty Unit Charge Per Extension
BASE FEE 86.00 ,
Fee summary Charged Paid Credited Due
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN f ) a 'Jr „1,„
FINAL x [J9 ))7 - i��;•�
COMMENTS: �J
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
I
71::::::/::::.:111%*171-
- 14RFsCITY OF PORT ANGELES PERMIT APPLICATIONBuilding Division/Electrical InspectionsR''' ^l321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 ' '"Ph: (360)417-4735 Fax: (360)417-4711
Date: Z- L7- 17 Multi-Family or Commercial*
*Plan Review May Be Required, Please Co lette Electrical Plan ReviewInfonotion Sheet
Job Address: `t otter V`j kiN /..,)I) _
Building Square Footage:
Description of above FT LP,4-y9'�- JO„c_r`T �"�dQ,C/A D. 20 4- £,i1'jj1 i7
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Owner Information Contractor Information
Name: Cl T1 3 0/C "4 Name:
Mailing Addre s:_ .-I E 5 7— Mailing Address:
City: fi state: ij- -Zip: `j,33gz__ City: State: Zip:
Phone: Fax: Phone: Fax:
License#/Exp. License#/Exp.
Item Unit Charge Qty 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/Feeder601-1000 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 f $ 86 `;'
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 $ a, ex)Total
U6-0
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.
Signaturp2of owner,electrical contractor or electrical administrator: ❑ Cash 0 Check
0 Credit Card#
CCI
X l�-1 Dated: 2-X7- / 7 01/0112012
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