HomeMy WebLinkAbout1821 E Lauridsen Boulevard - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 N
Application Number 17-00001623 Date 11/03/17
Application pin number . . 265691
Property Address 1821 E LAURIDSEN BLVD REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-14-5-8-0350-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0
Application desc
Furnace / Heat pump
Owner Contractor
BERNICE APSENS AND JAMES BUSEK CASCADE ELECTRIC & VAC INC
1821 E LAURIDSEN BLVD PO BOX 369
PORT ANGELES WA 983624923 PORT HADLOCK WA 98339
(360) 662-6233 (360) 379-5347
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Pee . . .00
Issue Date . . . 11/03/17 Valuation . . . . 0
Expiration Date . 5/02/18
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
•
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN //AI/ 7441; I'`j
c �
FINAL y j/6 p
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
1.
CITY OF PORT ANGELES PERMIT APPLICATION M
Building Division/Electrical Inspections ..- ,
03
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 Ni:;2111111111111,
Ph: (360)417-4735 'r
/ Fax: (360)417-4711
Date: /t3/ /7 _1 &2 Single Family Dwelling
*Plan Review May Be Rekiired, Please Complet Electrical�'I n Review Inform tion Sheet
Job Address: /321 C 4 g y i-1 d 5 e k/ Li /1'(
Building Square Footage: /
Description of above 7 / ek t d (!r C 0/ .1'S F /- hg G C r-/e4 T P4/77/,
Owner InformationContractgr Information 9
Name: T/44. 0 41 S C/C Name: Lci SCcf1P /r;,�"/C, 1 4- c--
Mailing Address: Mailing Addres : ?.6 • fs'61C 36 9
City: P r4- State: '-- Zip: 13 4 Z- City: Ng c'talc State: Zip: 47/33
Phoned 0X62 6173 Fax: Phone•?46 571 O3:5'S lax: 3 6 37q 7/4'3
License#/Exp. License#/Exp.G cr SGA t l/ '3'4 d
Item Unit Charge gfy Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $ .
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 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 $
Branch Circuits 1-4 $ 75.00 L $7 C".6 6
Temp.Service/Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp. $168.00 $
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 Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$7c,0 6 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 Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrica •ntr:. •r or electrical administrator: 0 cash(CrCheck
//`` / ❑ Credit Card f
/I/1:/ 41(1 A/_r Dated: 0 /? 01/01/2012
V-