HomeMy WebLinkAbout236E LAURIDSEN BLI - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 16-00001890 Date 12/28/16
Application pin number . . . 383150
Property Address . . . . . . 236 E LAURIDSEN BLVD 3
ASSESSOR PARCEL NUMBER: 06 -30 -10 -5 -0 -2300 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . , . . UNKNOWN
Application valuation . . . . 0
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Application desc
Dryer Circuit
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Owner
Contractor
------------------------
ROBERT S STODDARD
J,2-
2FINAL
------------------------
KIRSCH ELECTRIC INC.
4207 FAIRMONT AVE
P. 0. BOX 3396
PORT ANGELES
WA 983638327
SEQUIM
WA 98382
(360) 457-4538
(360) 683-6819
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Permit . . . . .
. ELECTRICAL ALTER RESIDENTIAL
Additional desc
1-4 CIRCUITS
Permit Fee
75.00
Plan Check Fee
.00
Issue Date . . .
. 12/28/16
Valuation . . . .
0
Expiration Date
6/26/17
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
4
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
IINSPECTION TYPE DATE: RESULTS: INSPECTOR:
i DITCH
SERVICE
ROUGH -IN
J,2-
2FINAL
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
z
CITY OF PORT ANGELES PERMIT APPLICATION
Huff tog Aivision/EIeetrical Inspections
321 East Fifth Street — P.O. Box 1150 / Part Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date. 9
1 & 2 Single Family [Dwelling
x Plan Review May Be Required, Please,Cpmplete Electrical Pla,�
Job Address; 31- C Lc cl j—/ swill_ B I V Tl
Sulking Square Footage;
Description of above
Ownerf&rna#�Orl
Name: l 1
s l
.
y
Mailing A dress:
City:
State: Zip;
Phone:
Fax
License # / Exp.
Item
Service/Feeder 200 Amp.
Seivlce/Feader 201.4W Amp.
Service/Feeder 401.600 Amp
SaMWFeeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Cim uk W/ Service Feeder
Branch Circuit W10 Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp_
Temp_ ServicelFeeder 401-600 Amp.
Tamp. Service/Feeder 601-1000 Amp .
Portal to Portal Hourly
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
Manufactured Home Connection
Renewable Electrical Fnergy - 5KVA System or Less
Thermostat
Note: $5,00 for each additional T-Stat
NEN/ CONSTRUCTION ONLY,.
First 1300 Square Ft.
Unit Charge
$120.00
$146.00
$ 205.00
$ 262.00
$ 373.00
$ 5.00
$ 53.00
$ 5.00
$ 75.00
$ 93.00
$110.00
$149.00
$168.00
$ 96.00
$ 64.00
$120.00
$102.00
$ 55.00
$120.00
ECEM:
ryZ�
is
i
lr��tittli,
iV"i FE C T 1 O N
Review Inforrr�6op Shi�et
UAL-
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i I
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iI
Contra4irl0ofmatiort�
Name, � d:f S C /A
Mailing Ad es ;f
�%CA
City: i State' Zip.,
Phone: 11 i Fax
I imn9 # I
Total (Qty Multialied by Unit Charoel
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 $
$ Total
Owner as defined by RCW_ 19.28.261: (1) Owner will occupy the structure for two years after tl :s gectncal permit is finalized. (2) Owner is required
to hire an electrical contractor 9 above said property is for sale, rent or lease. Permit expires al Dr Ax months of last inspection.
I
After reading the above statement, I hereby certify that I am the owner of the above named pr el1N or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N_E.C., RCW. Cha ter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical moit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ cad. ❑ check
� C7 Cres@ Card #
a%d; / aJo(� / / 01J01/2012
I
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