HomeMy WebLinkAbout1014 W LAURIDSEN'I - Building ELE 'RI�AL PERMIT
CI1"'�f�F PbR'P.A.NGELES � r.
360-417-4735 N
Application Number . . . . 19-00001425 Date 9/20/19
Application pin number 867375 REPORT STATE SALES.TAX
Property Address . . . 1014 W LAURIDSEN BLVD
ASSESSO* PARCEL NUMBER: 06-30-08-5-8-4020-0000 On youreXCfSe tax form
Application type description ELECTRICAL ONLY t0 the City Of Port Angeles
Subdivision Name (Location Cade 0502)
Property Use . . . .
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Service change Z71
------------------------------------------------------ - --------- ------Owner Contractor
------------------------ -
NOEL JOSHUA/RACHEL SHAMP ELECTRICAL CONTRACTING
1014 W LAURIDSEN BLVD PO BOX 383 I
PORT ANGELES WA 98362PORT ANGELES WA 9.8362 l
-(360) 452-160
-------------- -- --------- ------------- -------------------
Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional dese
Permit Pee . . . . 120.00 Plan-Check"Pee .00
Issue Date . . 9f2019 Valuation 0
Expiration Date 3/18/20`
Qty Unit Charge Per . Extension
1.00 120.0000 BCH EL70-200 SRV FEEDER 120.00
- -- ---__`----------------- ---- -------
Fee summary Charged Paid Credited Due
Permit Fee Total 120:00 12'0.00 .00 .00-,
Plan Cheek Total .00 .00- .00 00
Grand Total 120.00 120.00 00 00
1
INSPECTION TYPE DATE. RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS: -
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or,Electrical Contractor X Date:
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SINGLE-FAMILY
OR I AN SEP 1 ? 3
ELECTRICAL PERMIT APPLICATIONPublic Works and [/1i}i1iCs Department
32l F. 5(h Street, Port Angeles, \\`A 98362
360A|7.4735 | n�wvvcitym6p»us ' c|ocoica\pcuni\s��citvo[ou.uo
Address1014VVLaU[idGQn
Project Description: Panel Change Out
[] Single-Family Residential [] Duplex ARU Building Square footage:
Name: Rachel Noel Email:
Mailing Address: Phone:
Name: Shamp Electrical Contracting,Inc License: SHAMPECO23B3
Mailing Address: pOBox 383 Expiration Date: 02/ 3/2020
Email: shampelec@olypen.com Phone: 360-452-1689
&M Unit Charge Quantity 12W(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $ 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 o75.00 ____--- s_______--_
Temp. Service/Feeder 20OAmp. , *
Temp, Service/Feeder 2U1'4OOAmp. , $110.00 $____�__-'
Temp, Sorvime/Feoder401"0ODAmp. ��= ' $14800 - $
Temp. Service/Feeder 80 $168l0 ,u
Portal toPuUa| ' ' � ��� $96.00 ^�-��
Signal Circuit/Limited Energy y1&2DU.^'"��m« �+�»�^� $64.00 '`���___ �����m,�` $__-�_----_
Manufactured Home Connection ' $1 � m__---------
Renewable Elec. Energy:5KVA System or less -- $102.00 ^ ^� $
Thermostat(Note:$5 for each additional) $56.00 $
TOTAL $ 120.00
Owner as defined by RCW 19.2&261:(1)Owner will occupy the structure for two years afterthis 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,TheChyofPort Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
9/16/2019 Ronda Adams
Date Print Name Gignatuna(�� Owner QY Electrical Administrator)
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[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]