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Home My WebLink About122 W LAURIDSEN B - BuildingELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . 17-00001730 Date 11/28/17 Application pin number . . . 336490 Property Address . . . . . . 122 W LAURIDSEN BLVD ASSESSOR PARCEL NUMBER: 06 -30 -09 -5 -2 -9030 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ HUBERT E HERTZOG BOB'S ELECTRIC INC 122 W LAURIDSEN BLVD 2293 DEER PARR RD. PORT ANGELES WA 983627752 PORT ANGELES WA 98362 (360) 452-1952 (360) 457-6887 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 86.00 Plan Check Fee .60 Issue Date . . . . 11/28/17 Valuation . . . . 0 Expiration Date . . 5/27/18 Qty Unit Charge Per Extension BASE FEE 86.00 ------------------------------------------------------------------------ -- Fee summary Charged Paid Credited Due ------------------------------------ --------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS: DATE: RESULTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: Signature of owner or Electrical Contractor X Date: J c\ CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections` ' 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 ��,,�, ► Ph: (360) 417-4735 Fax: (360) 417-4711 Date: ji et 1 .1-`-Multi•Family or Commercial* Plan Review a Be Required, Pleasq_Gomplet� ctrical Plan Review Information Sheet Job Address: war en �' Building Square Footag / Description of above ( [�'¢ny7�` OVW ci e e,%o Aeo- v Owne form#tio ,�I tt}} , Contra ri fo �ion Name: 094 /la^�t D�lCi/� Itf�jp,�/^�T Name: 1C c -.77n Mailin A ess. 6vlOv_N vl Mai1i A d s: �6 Y" %�-1! Islgt `�` City: State: Zip: w� b City: _ S'a-e: ty_ ¢L` Zip: 4" Phone: Fax: Phone: FaY: License! Exp. License # f Exp. Item Unit Charae 0yt Total (Otv Muitiolied by Unit Charae), ServiceiFeeder 200 Amp. $132.00 $ 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, S 41 HD _ S Branch Circuit W/ Service Feeder S 5,00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Adoitional Branch Circuit S 5.00 $ Branch Circuits 1-4 S 86.00— $ _ Temp. Servicei Feeder 200 Amp. $102.00 S Temp. Service/Feeder 201-400 AmD. $121.00 $ Temp. Service/Feeder 401-600 Amp. $164.00 S Temp. Service!Feeder 601-1000 Amp . $185.00 IS Portal to Portal Hourly $ 96.00 S Sign/Outline Lighting $ 88.00 S Signal Circuit/ Limited Energy — Multi -Family $ 64.00 $ Signal Circuit] Limited Energy / First 1500 sf -- Commercial $ 96.00 $ Note: 55.00 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 B Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical pem+it 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, l 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 Application Signature of owner, electrical contractor or electrical administrator: 0 Cash 0 Check / 0 Credit Card # x Dated: —� �� 01101=2 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 17-00001730 Date 11/28/17 Application pin number . . . 336490 Property Address . . . . . . 122 W LAURIDSEN BLVD REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -09 -5 -2 -9030 -0000 - on tax form Application type description ELECTRICAL ONLY your excise Subdivision Name . . . . , . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 Owner Contractor HUBERT E HERTZOG BOB'S ELECTRIC INC 122 W LAURIDSEN BLVD 2293 DEER PARK RD. PORT ANGELES WA 983627752 PORT ANGELES WA 98362 (360) 452-1952 (360) 457-6887 ----------------------"------------------------------------------------------ Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional dese . . Permit Fee 86.00 Plan Check Fee .00 Issue Date . . . . 11/28/17 Valuation . . . . 0 Expiration Date . . 5/27/18 Qty Unit Charge Per Extension BASE FEE 86.00 --------------------------------_-------------------------------------------- Fee summary Charged Paid Credited ---------- Due ----------------- ---------- ---------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL I COMMENTS: 1 1 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: