HomeMy WebLinkAbout934 W LAURIDSEN BLVD - Building (2) ELECTRICAL PERMIT r
CITY OF PORT ANGELES -
360-417-4735
Application Number . . . . . 19-00001816 Date 11/20/19
Application pin number . . 836800 REPORT STATE SALES TAX
Property Address . . . . 934 W LAURIDSEN BLVD o/1our excise tax form
ASSESSOR PARCEL'NUMBER: 06-30-09-5-0-0100-0000- y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name `. . (Locaflon Code 0502)
Property Use . . . . .
Property Zoning . . . . RESIDENTIAL HIGH DENSITY
Application valuation . . . . 0
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Application desc
Pole light wiring
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Owner Contractor
PENINSULA,HOUSING AUTHORITY OWNER
2603 S FRANCIS ST
PORT ANGELES WA98a62
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Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee 74.00 Plan Check Fee .00
Issue Date . . . . 11/20/19 Valuation . . . 0
Expiration Date 5/18/20
Oty Unit Charge Per Extension
1.00 74.0000 BCH EL-COMM BRANCH CIR WOj SIF' 74.00 '
Fee summary Charged Paid Credited Due
Permit Fee Total 74.-00 74.00 .00 .00 .
Plan Check Total . .00 .00 .00 .00
Grand Total 74:00 74.00 .00 .00
I
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINALSRI
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COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST QYSPEC'TION
Signature of owner or Electrical Contractor X Date:
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MULTI-FAMILY / COMMERCIAL CD
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department OV 20
321 E. 5th Street, Port Angeles, WA 98362 ZOj;,
360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us
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Project Address:
Project Description: �c2 2 l i t'\
❑ Multi-Family Residential ❑ Commercial/Industrial/Public Building Square footage:
OWNER
Name: Email:
Mailing Address: �21',0 Phone: 5&0 "Lt5 D (,0, f
ECTRI
y 14 N"
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Name: License:
Mailing Address: Expiration Date:
Email: Phone:
jkin Unit Chargg Quantityy IQ,W(Quantity x Unit Charge)
Service/Feeder 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. $410.00 $
Branch Circuit W/Service Feeder $5.0 $
Branch Circuit W/O Service Feeder $
74.00
Each Additional Branch Circuit $
Branch Circuits 1-4 $86.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201-400 Amp. $121.00 $
Temp.Service/Feeder 401-600 Amp. $164,00 $
Temp. Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Sign/Outline Lighting $88.00 $
Signal Circuit/Limited Energy-Multi-Family $88.00 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 $
(Note:$5.00 for each additional 1500 so
Renewable Elec, Energy:5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $56.00 $
$ TOTAL
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. 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 Applications.
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Date Print Name Signature((K Owner❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]