HomeMy WebLinkAbout 934 W LAURIDSEN BI - BuildingELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000876 Date 6/12/18
Application pin number . . . 431028
Property Address . . . . . . 934 W LAURIDSEN BLVD 215
ASSESSOR PARCEL NUMBER: 06 -30 -09 -5 -0 -0100 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 0
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Application desc
Fire damage repairs
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Owner Contractor
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PENINSULA HOUSING AUTHORITY SIMPSON ELECTRIC
2603 S FRANCIS ST 243036 W HWY 101
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 457-9270
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Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee . . . . 75.00 Plan Check Fee .00
Issue Date . . . . 6/12/18 valuation 0
Expiration Date . . 12/09/18
Qty Unit Charge Per Extension
BASE FEE 75.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE '
ROUGH -IN
FAL
PERMrr WILL EXPIRE SIX (6) MONTHS
FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
1
1 - 2 SINGLE-FAMILY _
ELECTRICAL PERMIT APPLICATIONECEIVED
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362 jo
360.417.4735 ( www.cityofpa.us I electricalpermits@cityofpa.us EE'ECTRICK
INSPECTIONS
Project Address: 934 W Lauridsen Blvd Wildwood Terrace Apt C-215
Project Description: altered circuits for Small fire Repair
❑ Single -Family Residential LI Duplex /ARU Building Square footage:
Name: Peninsula Housing Authority
Mailing Address: 2603 S. Francis St Port Angeles
Email:
Phone: 360-452-9631 Ext. 21
Name: Simpson Electric LLC
License: SIMPSEL973RQ
Mailing Address: PO Box 1086 Port Angeles, WA 98362
Expiration Date: 12-11-2019
Email: disimpson5l@gmail.com
Phone: 360-457-9270
PROJECT
DETAILS
Item
Unit Charag
Quantity JaW (Quantity x 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
1-4 $ 75.00
Temp. Service/Feeder 200 Amp.
$93.00
$
Temp. Service/Feeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder 401-600 Amp.
$149.00
$
Temp. Service/Feeder 601-1000 Amp.
$168.00
$
Portal to Portal Hourly
$96.00
$
Signal Circuit/Limited Energy - 1&2 DU.
$64.00
$
Manufactured Home Connection
$120.00
$
Renewable Elec. Energy: 5KVA System or less
$102.00
$
Thermostat (Note: $5 for each additional)
$56.00
$
First 1300Squarefeet
$120.00
$
Each Additional 500 square feet—
$40.00
$ .
Each Outbuilding I Detached Garage
$74.00
$
Each Swimming Pool / Hot Tub
$110.00
$
TOTAL $ 75.00
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.
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
4613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
5/22/2018 Andrew P Simpson
MXI-ew �'Siwvson
Date Print Name
Signature (❑
Owner V Electrical dontractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
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