HomeMy WebLinkAbout2504 Columbus AveI
\.o
'N'
0
ApplicaEion Number
Application pin nunber
Property Addres6
ASSESSOR PARCEL Nt}lBER:
Application ll.tr)e descriplion
subdivision Name . .
Property use
Properly zoning
Appticariolr valuation
21- 00000960 Date
49L520
2504 COTUI.IBUS AVE
06 - 3 0 - 09-5 - 8 - 0028 - 0000 -
ELECTRICAIJ ONLY
8/19/2L
RS7 RESDI{AIJ SINGIE FAMIIY
0
Applicatioa deac
Fur!}ace / lieaE pump
DEBRA A HUNT/I4ARK KEI,LY OHMAN
1720 E WOODI,IAVEN L,ANE
PORT ANGEIES IdA 98352
(350) 6?0-5912
BI,ACK DIAMO\D EI,ECTRICAL CON?R
502 BI.ACK DIAIV1OND RD
PORT ANGEI,ES WA 98363
(360) 565-103s
PermiE
Additional desc
Permil Fee
Issue Dale
Expiralj.on Dale
58.00
e/ts/2L
2/Ls/22
ELECTRICA! AI,TER RES]DENTIAI
PLan Check Fee
valuatsion
00
0
Qty unit Cbarge Per1.00 5.0000 EcH
1. 00 53 .0000 EcH
E],-ECH ADDNT BRANCI{ CIRCUIT
EI-R- BRANCH CIR IIO/ SER EEED
5.00
51. 00
Charged Crediled Due
Permit Eee Total
Plan Check ToEal
68.00
.00
58.00
68 .00
.00
58 .00
.00
,00
.00
00
00
00
REPORT SALES TN(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS;INSPECTOR:
DITCH
SERVICE
ROUGH-IN ulnl-zt F =d/
FINAL il6bt
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
ClEXCHANCRBUILDINC
Date:
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
I
I
I I
1 - 2 SINGLE-FAMILY
ELECTR ICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angcles, WA 98362
160.41 7.4735 | www.cityofpa.us I electricalpennits@cityofpa.us
1lo
=I
+
!-:<..
tJ)$.o
Project Address:2504 Columbus Ave
Project Description Furn HP retro
E Single-Family Residential E Duplex /ARU Building Square footage
Name Ohman Email
Mailing Address Phone:360-670-5912
1{2mq.BDE 1;ssngs blackecS94d2
Expiration Date
phone. 360461-3957
Mailing Address
Email:
Item
Service/Feeder 200 Amp.
Service/Feeder 201400 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 l-4
Temp. Service/Feeder 200 Amp
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 60'1 -1 000 Amp.
Portal to Portal Hourly
Slgnal Circuivlimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy. 5KVA Syslem or less
Thermostai (Note $5 for each addrtional)
Ouantitv f-Olal (Quantity x Charge)ll[ircIalce
$120.00
$146.00
$20s.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110.00
$149.00
$168.00
$96.00
$64.00
$120.00
$
$
$
$
s
$
$
$
$
$
$
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 PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical permit Applications.
8-5-2021 Benjamin Sham p
Date Print Name Signature 1@ Owner E Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]
OWNER INFORMATION
: ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
First 1300 Square Feet
Each Additional 500 square feet"
1
1
,,,':i.
.$_
$_
$_
$_
$_s_
$120.00
$40.00
$74.00Each Outbuilding I Detached carage
Each.Swimming Pool/ Hot Tub $110.00 .:$,.
$68