HomeMy WebLinkAbout2521 Columbos AveApplicatioo Number
Application piu number
Property Address
ASSESSOR PARCET NI]MBER:
Application type description
subdivi.sion Name
Property Use
Propert.y Zoning
Application valuation
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
RS? RESDN:TI] SINGLE FA}4II.Y
0
19 - OO0OO738 Date 5/21-,/19
454246
2521 COTUMBUS AvE
06- 30- 09- 5 - 8- 0062 - 0000-
ELECTRICA], ONLY
REPORT STATE SATES IAX
on your excise tax form
to the City of Pori Angeles
(Location Code 0502)
x
I{
$
Application desc
Bathroom additiol
Contractor
TAMARA L WOOIJDRIDGE
2521 COIJUMBUS AVE
POR" ANGELES
1350) 460 -221O
OWNER
wA 9 83 5225 05
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
EIECTRICAL AIIrER RESIDENTTAL
1-4 CIRCUITS
75.00 Plan Check Fee
5/2L/19 valualion
tt/ L7 /19
00
0
QEy Unit Charge Per
BASE FEE
Exlension
75.00
Fee sunrnary Charged Pa id Credited Due
Permit Eee Tot.al
Pfan Check Total
Grand Total
?5.00
.00
?5.00
75 .00
.00
75 .00
.00
.00
.00
.00
.00
,00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN '?.tR-11 AE ,*A)
FINAL abz lH .N @-
COMMENTS:- a 't t
Signatur€ofowner or Electrical Contractor X Date:
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 I www.cityofpa.us electricalpermits@ciryofpa.us
RECEIVED
tlAY t 7 20tg
1'o
1
=*
.-0i
\N
CO
POect Address Z52l Coturt
Project Description
Name
r^/+ qt Lp.
Ex I +FA 0{r
Mailing
Single-Family Residential E Duplex / ARU Building Square footage
Email:
Address:2{2r CoDAbE A,lr P.A r^tk ofrry-2-Phone ga 460-2z70
O\i\NER INFORMATION
ELECTRICAL CONTRACTOR INFORMATION
Name
[,lailing Address
Emaill
License
Expiration Date
Phone:
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Servace/Feeder 201{00 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1 000 Amp.
Service/Feeder over '1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Servace/Feeder 200 Amp.
Temp Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 60 1-1 000 Amp.
Portalto Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energyr 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet '
Each Outbuilding / Detached Garage
Each Swimming Poot/ Hot Tub
{-
LJnit Charqe
$'120.00
$146.00
$205.00
$262.00
$373.00
$5 00
$63.00
$5.00
$7s.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
Ouantitv leta! (Quantity x Unit Charge)
ministrator)
$
$
I 7{-
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Owner as defined by RCW 19.28.261: (1 ) Owner will occupy the struclure fo. two years after this eleclrical permit is finatized. (2) Owner isrequired to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of tast inspection.
TOTAL -7 d, oo
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contracto. Iam making the electrical installatjon or alteration in compliance with the etectrical N WAC Chapter 296-
468, The City ol PortAngeles Muni Code, and Utility s and it Applications.
-t
Oale Zt)7mn
[Electrjcal Permit {,submitted to C
Si
ore @c us or to3 4 7111
l=1-2 SF
\.r--
1 - 2 SINGLE-FAMILY
'TAl.tAV
..#5*u."ftErY
%x=r"
ELECTRICAL INSPECTION
WIRING REPORT
4'.t74735
ROUGH IN/COVEF
SEFIVICE . .tr
APPROVED
D
o
tr
D .,..FINAL,...
CORRECTIONS NEEDED:-I*r',.€E-:Z Vw,q (<-n-ArS-f
b*.1 lA6_-A,r:^. rLED N*c_ lOL.1Z_
NOTIFY INSPECTOR WHEN CORHECTIOI{S
ARE COMPLETED WTHIN 15 OAYS
- DO NOT REMOVE -
DA'IE
)
Iq PERMIT Ct1^18 *"ffi>
CONTRACTOF
AODFESS
DITCH