HomeMy WebLinkAbout1235 E Lauridsen BLVD - Building (3) s
ELECTRICAL PERMIT
CITY OF PORT ANGELES 1
36 1'7-4735
Application Number . . 21-00001283 Date 10/06/21
Application pin number . . 256224 �+`•
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 & PARRS
Application valuation . . 0
' _- -- --- -------------------- ---- --------- --- ----
Application desc
Furnace heat pump
----------------------------------------------------------------------------
Owner Contractor
PORT ANGELES COMMUNITY PLAYERS BLACK DIAMOND ELECTRICAL CONTR
ATTN: TREASURER 502 BLACK DIAMOND RD
PO BOX.2807. PORT ANGELES WA 98363
PORT ANGELES WA 98362 (360) 565-1035
(360) 452.6651
-------------. ------------------------------- ---
Permit . . ELECTRICAL ALTER COMMERCIAL
Additional'desc .
Permit.Fee 79.00 Plan Check Fee .00
Issue Date . . . 10/06/21 Valuation . 0
Expiration Date 4/04/22
Qty, Unit Charge Per Extension
1.00' 74.0000 BCH EL-COMM BRANCH CIR WO/-S/F 74.00
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00
---- -- --------- ------- ---------- --- --- --
-Fee summary Charged Paid Credited Due
------- - --- ---- -- --- -- - --
Permit Fee Total 79.00 79.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 79.00 79.00 .00 .00
i
I
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
3
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN f
FINAL /AP
r,COMMENTS:
PERM]T WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature ofoir or Electrical Contractor X Date:
GAEXCHANGt J3MLMG
•
MULTI-FAMILY / COMMERCIAL _0
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department �
321 E. 5th Street, Port Angeles, N A 98362 z
360.417.4735 ( www.cityofpa.us ; e lectricalperin its a,cityofpa.us
Project Address: 22S-E Lauridsen (All Weather)
Project Description: HP/Furn
❑ Multi-Family Residential V) Commercial/Industrial/Public Building Square footage:
Name: PA Players `*0L_ " Email:
Mailing Address: Phone:
Name: BDE License: BLACKEC894D2
Mailing Address: Expiration Date:
Email: Phone: 3604613957
. . • CT DETAIL&�
"Unit Clharae Quantity Tatai(Quantity x Unit Charge)
Service/Feeder 20OArt p.
Service/Feeder 201400 Amp. $160.00 $
Service/Feeder 401-600 Amp. $125.00
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 1 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 14 $86.00 $
Temp. Service/Feeder 200 Amp. $102.00 $
Temp. Service/Feeder 201-400 Amp. $121.00 $
Temp. Service/Feeder 401=600 Amp. $16400 $
Temp. Service/Feeder 601-1000 Amp. $;18v.00 $
Portal to Portal Hourly
Sign/Outline Lighting $8&00 $
Signal Circuit/Limited Energy-MultkFamily $88.00
Signal Circuit/Limited Energy/FirstlSOOsf�=Cphimdtcial ,$ .00
(Note: $5.00 for each additiopat 15M sf) t
Renewable Elec. Energy: 5KVA Systeh "Mel l s $113 0 $
Thermostat(Note: $5 for each additional) $
M
s 79 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.
8-16-2021 Benjamin Shamp
Date Print Name Signature(o Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]