HomeMy WebLinkAbout830 W Lauridsen Boulevard - Building ELE rFRMTT
CITY 3RT"GELES
3 1`1' 4735
i
Application Number . . 4,0-00000577 DaWEPOMTATE SALES TAX
Application pin number . . . 479973
Property Address . . . . 830 W LAttRIDSEN BLVD MA3 Wr On YOUr eXCISe taX fOfM
ASSESSOR PARCEL IUJMB R: 06=30-09-5-0-9190-0000- to the City of Port ARgeleS
Application type description ELECTRICAL ONLY
Subdivision Name . . (Location Code 0502)
Property Use . . . . . . .
Property Zoning . . . . UNKNOWN
Application valuation . 0
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Application dese
Tire balancer
Owner Contractor
CLALLAM TRANSIT SYSTEM OLYMPIC,ELECTRIC 00 INC
830 LAURIDSEN BLVD 4230 TUMMATER
PORT ANGELES SPA 98363 PORT ANGELES WA 98363
(360) 457-5303
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Permit . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . . 74.00 Plan Check Fee .00
Issue Date 5/28/20 valuation . . . 0.
Expiration Date 11/24/20
Oty . Unit Charge Per Extension
1.00 74.0000 BCH EL-CORM BRANCH CIR NO/ SIP 74.00
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Fee summary Changed Paid Credited Due
Permit Fee Total 74.00 74.00 .00 .00
PINY Check Total .00 - .00 .00 .00
Grand Total 74.00 '74.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMrt WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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MULTI-FAMILY COMMERCIAL
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PORT AV
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
321 E. 5tbStreet, Port Angeles, WAg03h2
360.417.4735 v/vvvvoitvn[na.uu | electriuo|perunkxgcitvoBm.us
Project Address- m3uvvLaw/idue"" Blvd w*=// em,/n'e Shop
Project Oam:hpUon: 20amp Circuit 6k Receptacle for Tire Balancer
[] Multi-Family Residential 81 Commercial/Industrial/Public Building Square footage:
OWNER INFORMATION
Name: Clallarn Transit Email:
Mailing Address: 830VVL hdme Blvd, Port Angeles,VVm 08383 Phone: 380-453-4511
ELECTRICAL CONTRACTOR INFORMATION
Name: o Uumneo:
Mailing Address: 4230 Turnwater Truck Route Expiration Date: 03/ 1/2O21
Email: Phone: 360-457-5303
PROJECT DETAILS
Him Unit Charge Quantily J2W(Quantity x Unit Charge)
Service/Feeder 20Amp. $132.0 $______
Service/Feeder 201-400 Amp. $100M $
Service/Feeder 4O1-60OAmp. m225.00 $__________
Service/Feeder 6V14UOUAmp. $288.00 $__________
Service/Feeder over 1OOQAmp. $410.00 ------_ *_--------_
Branch Circuit wW Service Feeder $5.00 ___---- $_____----_
Branch Circuit W/O Service Feeder n74.00 _]__-_- s 74.0�J---_-
Each Additional Branch Circuit $5.00 $__________
Branch Circuits 1'4 *OO.DV --_---- o______--_
Temp,Service/Feeder 2OOAmp. %102.00 $_________
Temp. Service/Feeder 2O140OAmp. $121.00 $_____-_--_'
Temp.Service/Feeder 4O1'6OUAmp. $184.00 $_______--_.
Temp.Service/Feeder 8O1-1OOOAmp. $185.00 $--___--_-_
Portal to Portal Hourly $96.00 $_________
Sign/Outline Lighting $88.08 $__--_----_
Signa|QnoittLimited Energy'Multi-Family $88.00 $____------
Signal CimuittLimdod Energy/First 15UOof'Commercial $96.00 $____-----'
(Note:$5.80 for each additional 15OOsV
Renewable Elec. Energy:5KVA System orless $113.00 $____------
Thennosto (Note:$5 for each additional) $56.00 ___---- $---__------
$_74. 10---_TOTAL
Owner wp defined uxmCW 1V.28.os1:(1)Owner will occupy the structure for two years after this electrical permit io finalized.<2>Owner io
required ho hire on 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..RCVK Chapter 18.28.VVpxC.Chapter 29D-
46B.The City ufPort Angeles Municipal Code,and Utility Specifications and PAMC14.V5.050 regarding Electrical Permit Applications.
Date Print Name Signature(V Owner;? Electrical Contractor/Administrator)
[E|ectdom| PmnnitApp|icsgmnmmoybemubmitbpdtoUhyHaUorapennita@chyofpauoor0axedbn3QO.417.4711]