HomeMy WebLinkAbout1040 W Lauridsen Boulevard - Building ELECTRICAL PERMIT
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CITY OF PORT ANGELES
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360-417-4735
5 .plication Number 17-00001639 Date 11/07/17
pin number . . 691560
,y Address 1040 W LAURIDSEN BIND
PARCEL NUMBERREPORT STATE 'TAX,
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: : 06-3008-5-9-0050-0000-
tion type description ELECTRICAL ONLY on your excise tax form
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SubdivisiUseon Name to the City of Port Angeles
Prope
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0, •
Application desc
Ductless heat pump
Owner Contractor
RICHARDSON GUY A/SHIRLEY A SIMPSON ELECTRIC
1040 W LAURIDSEN BLVD 243036 M HWY 101
PORT ANGELES WA 983637446 PORT ANGELES WA 98363
(360) 457-9270
Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . . 1-4 CIRCUITS
Permit Pee . . . . 75.00 Plan Check Fee . . .00
Issue Date . . 11/07/17 Valuation .
Expiration Date . 5/06/18
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
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DTCH
SEIWICE
11111' II? igi2 *T"6-1?
FINAL
COMMENTS:
PERMIT WILL EXPDRIMIX(6)MON'lla ilt(014 LAST INSPECTION
Signature of owner*Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 w
Ph:(360)417-4735 Fax:(360)417-4711
Date: %/—( / 7 )C. 1 &2 Single Family Dwelling
Plan Review May Be Required,Please��Electrical Plan Review Information Sheet
Job Amoss: )t)`f 0 ,��. iia
Building Square Footage:
Descxiption of above ea e--i-l'e S V I- 1'
Owner Infonnatipn y Contractor
Name: 5-h,4-0,' I N';C�/14-vd s 07.--) Name: 5f 11�E le +r'C. LL C.-
Mailing .. �..• / 'fo L-) I Qac.r.dSe 1 Mailing Address: PO Bvk i oE/b
Cly: .,, ,a,,- '• State: big- Trp: 5',Y,443 City:PcN-{-gnaw lt.s Stye: t,04 Zip: C1 g-_--3l6
Phon( : .- : _ Fax: Phoneytc)y5'1-9t Fax('-31c 1 Lt57-9,2 7 0
License ft/Exp. License#/Exp. S17.471 p L.9 7 3 /f Q
Item Unit Charge Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120_00 $
ServicelFeeder 201-400 Amp. $146.00 $
Servs Feeder 401.600 Amp $205.00 $ .
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit WI Service Feeder $ 5.00 $
Branch Circuit WI0 Service Feeder $ 63.00 $
Each Additiorkl Branch Circuit $ 5.00 $
Branch Circuits 1-4 .$_75.00- l-Ot $ 75Oz:
Temp.Service/Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Tarp.Service/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit/United 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 Swin rtirg Pod or Hot Tub $110.00 $
$ 75 On Total
Owner as defined by RCW.1928261:(1)Owner will occupy the structure for two years after this electrical permit is%armed.(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.
Atter reading the above statement,l hereby certify that I am the owner of the above named property or a licensed electrical contractor.lam 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.
_ of owner,electrical '-..• , or electrical ackn�bator: 0 CEA )( Cheek
' J Credit Cad# - n
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4,0ii — e 0 Dated: 1/-4-/7 /1012