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ELEPM--CAL PERMIT
CITY OF PORT ANGELES'
360-417-4735 l`)
Application Number 21-00001103 Date 9/07/21
Application pin number 101359
Property Address . . . 1235 E LAURIDSEN BLVD
ASSESSOR PARCEL NUMBER: 06-30'-00-0-2-7905-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . .
Property Use .
Property Zoning. . . . . . PUBLIC BUILDINGS & PARKS
Application valuation . . "0
-Application desc
Heat pump system
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Owner Contractor
PORT ANGELES COMMUNITY PLAYERS ALL WEATHER HTG & COOLING INC
ATTN: TREASURER 302 KEMP ST
PO BOX 2807 PORT ANGELES WA 98362
PORT ANGELES WA 98362 (360) 452-9813
(360) 452-6651
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Permit . . . ELECTRICAL ALTER COMMERCIAL
Additional desc .
Permit Fee . . . . 56.00 Plan Check Fee .00
Issue Date . . . . 9/07/21 valuation . . . . 0
Expiration Date 3/06/22
4ty Unit Charge Per Extension
1.00 56.0000 ECK EL-LVT-THERMOSTAT 56.00
------------------ --- --- --- --- -- --
Fee summary Charged Paid Credited Due
--------- -- - -- - -- -
Permit,- Fee Total 56.00 56.00 00 .00
Plan Check Total .00 .00 .00 00
Grand Total 56.00. 56.00 .00 .00
REPORT SALES TAX
on your excise tax form
- tO the City of Pat Angeles
(Location Code OS02)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPME SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street—P.O. Box 1150/Port Angeles Washington,98362 v
Ph: (360)417-4735 Fax: (360)417-4711
Date:08/13/2021 x Multi-Family or Commercial*
*Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet
Job Address: 1235 E.Laurdisen BEND Port Angeles WA 98362
Building Square Footage:
Description of above Ins a ion of a Carrier Heat Pump System
Owner Information Contractor Information
Name: Pert gelg�,ommuP Player-- Name: All Weather Heating&Cooling,Inc.
Mailing Address: PO Box 2807. Mailing Address: 302 Kemp Street
City:Part Angers State: WA Zip: 98363 City: Port Angeles State: WA Zip: 98362
Phone: 360 60-9455 Fax: Phone: 452-9813 Fax: 452-5177
License#/Exp. license#/Exp,ALLWEWH934MU 9/18
Item Unit Charge (sty Total IQty Multiplied by Unit Charge
Service/Feeder 200 Amp. $132.00 $
ServicelFeeder 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 $ 5.00 $
Branch Circuit W/O Service Feeder $ 74,00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 $ 86.00 $
Temp.Service/Feeder 200 Amp, $102.00 $
Temp.ServicelFeeder 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 Circuitl Limited Energy—Multi-Family $ 64.00 $
Signal Circuit!Limited Energy/First 1500 sf—Commercial $ 96,00 $
Note: $5.00 for each additional 1500 sf
Renewable Electrical Energy-5KVA System or Less $113.00 $
Thermostat $ 56.00 1 $ 56.00
Note:$5.00 for each additional T-Stat
$ 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 296-466,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: ❑ cash ❑ Cheek
❑ Credit Card#
x Megan Kellas Dated: 08/13/2021 01/0112012