HomeMy WebLinkAbout1203 E Lauridsen Boulevard - Building ELECTRICAL PERMIT
CITY OF Pt RT ANGELES
360417-4735
Application Number 17-00001124 Date 8/10/17
Application pin number . . 495776
Property Address 1203 E LAURIDSEN BLVD REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-2040-0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning PUBLIC BUILDINGS & PARKS
Application valuation . . . 0
Application desc •
Sub panel and DP's
Owner Contractor
CITY OF PORT ANGELES CASCADE ELECTRIC & VAC INC
PO BOX 1150 PO BOX 369
PORT ANGELES WA 983620217 PORT HADLOCK WA 98339
(360) 379-5347
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . , 147.00 Plan Check Fee . . .00
Issue Date , . . 8/10/17 Valuation . . . . 0
Expiration Date . 2/06/18
Qty Unit Charge Per Extension
3.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 15.00
1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00
Fee summary Charged Paid Credited Due
Permit Fee Total 147.00 147.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 147.00 147.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN11
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FINAL ehti7
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COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION ''`'
Building Division/Electrical Inspections _ , , ., ,,; 111lr__. 3 �\
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 -
Ph: (360)417-4735 Fax: (360)417-4711 IIIIIIIIIPr ,-.1.—
Date: $/q/1.1 Multi-Family or Commercial*
*Plan Review May Be Required, Ple��a se Com ete Electrical Plan Review nform tion Sheet
Job Address: 1103 & �K wt �5c �'t rS l v d.
Building Square Footage:
Description of above Fine e ri-5 Grp 7'Z o-
jptiU)-les (-lel- r pti ptps
Owner Info(niation Contracto Information
Name: V1 PLC. Or LI ZT-A-41/14-- Name: 5C4.0 e e-kctti'/C..-
Mailing Aggress: 1 3 k- Lnwvi cce#i opci Mailing Addres • j1 t6 (.t S 1 i
City: V(- State: Zip: City: kttK State: 6✓-&Zip: ?'13
Phone: Fax: Phone: 0 3' ) Fax: '3 7 3 f0 V)
License#/Exp. License#/Exp. C4 c Coq EV/ K d,vt
Item Unit Charge Total(Qty Multiplied by Unit Chargel
Service/Feeder 200 Amp. $132.00 $ 13Z—u0
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 3 $ /5-i J
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
$ N-1 .041 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. 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 Spe ifications and PAMC 14.05.050 regarding Electrical Permit plications.
Signatur- of o ner,electric. ontr tor or electrical administrator: 0 cash Check
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0 Cred' Card 0
LX / ' i Allem Dated: 1 <, 01/0112012