HomeMy WebLinkAbout2515 Columbus Ave - Building ���y4Jfr14r I -
CITY OF PORT ANGELES PERTNIIT APPLICATION
Building Division/Electrical Inspectians
321 East Fifth,Street-P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417-4735 Tax: (360) 417-4711
Date: ^I &2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: �''.> Z 01-L., y-'auj AV C
Building Square Footage:
Description of above
A- C e- it ,QA-. €"���` ifs' 44 'N-""-tP ---
Owner Information Contractor Information
Name: � w Name, -
Mailing Address: o %j e-x. t- Mailing Ad ess'. '
City por State:WA� Zip' City: State: &_.OA_ Zip:
Phone: 44 S7-'3'17'4 Fax: Phone: Fax;
License#1 Exp. Licenss#I Exp. `13
Item Unit Charge Qty Total (Qty Multiplied by Unit Char e
Service/Feeder 200 Amp $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205,00 $
ServicelFeeder 601-1000 Amp. $262.00 $
ServicelFeeder over 1000 Amp. $373,00 $
Branch Circuit W/Service Feeder $ 5,00 $
Branch Circuit W10 Service Feeder $ 63,00 _r $
Each Additional Branch Circuit $ 5,00 $
Branch Circuits 1-4 $ 75.00 $
Temp. Service/Feeder 200 Amp. $ 93.00 $
Temp,Service/Feeder 201-400 Amp, $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp , $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit!Limited Energy-1 &2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Nate.$5.00 for each addltlonai T-Slat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. $120.00 $
Each Additional 500 Square Ft.or Portion of $ 40.00 $
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$:::4 Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this eiectricai permit is finalized, (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease Permit expires after six months of last inspection
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, i am making
the eiectricai installation or alteration in compliance with the electrical laws, N.E.C,, RCW.Chapter 19.28, WAC, Chapter 296.46B,The City of Port
Angeies Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications
Signature of ov, 0 , ei c rical contractor or electrical administrator: ❑ cash khack
❑ credit Card#
X Dated; 0110 !2012
jo � 7� n
F P ft
` ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 '
Application Number . . . , . 12--00001148 Date 9/05/12
Application pin number 146424 REPORT SALES TAX
Property Address . . , 2515 COLUMBUS AVE
ASSESSOR PARCEL NUMBER: 06-30-09-5-$-006A-OODp- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name . , . , , . to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning . . . . , . . UNKNOWN
Application valuation . . . . 0
Application desc
Ductless heat pump
----------------------------------------------------------------------------
Owner Contractor
LINDBERG JUDITH A BLACK DIAMOND ELECTRICAL CONTR
251.5 COLUMBUS AVE 502 2LACK DIAMOND RD .
PORT ANCIE14ES WA 983622505 PORT ANGELES WA 98363
(360) 565-1035
Permit , , , , ELECTRICAL ALTER RESIDENTIAL _ {0
Additional desc
Permit Fee 63.00 Plan Check Fee .00
Issue Date 9/05/12 Valuation . . , , 0 "�--
Expiration Date 3/04/13 � {�
Qty Unit Charge Per Extension
1140 63.0000 BCH EL-R- BRANCH CIR WO/ SER FEED 63,00
____°_---_-- ._..m_ - _-_--_ .___- .__----. -------------------------------------
Fee summary Charged Paid Credited Due
-
----------------
-- ----- - -- - '--- - --- -- -- --- -
Permit Fee Total 63:00 63.00 00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 63.00 63.40 00 Op
V
7
INSPECTION TYPE DATE; RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
F L
COMMENTS:
PERMIT WII,1,EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of o WI1er or Electrical Contractor X Date:
G:IEXCHANGB\BUILDING
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
:~21 F. AfiT 5TH STREET, PORT ANGEl. ES. WA 99362
ELECTRICAL PERMIT ISSUED: 5/23/2001 PERMIT NO 7263
OWNER/APPLICANT PROPERTY LOCATION
JUDITH LINDBERG 2515 COLUMBUS
2515 COLUMBUS Lot:
Port Angeles, WA 98362 Block: [] Long Legal
360/000-0000 Subdivision:
T: S: Parcel No:
CONTRACTOR ARCHITECT
ANGELES ELECTRIC N/A
524 E. 1ST ST.
PORT ANGELES, WA 98362-0000 , 98360-0000
360/452-9264 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: MOVE METER
Occupancy Group: Zoning Use:
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0 KW [] Overhead Service Voltage: 120,240
[] Heat Pump 0 KW [] TempService Phase: [] 1 []
[] Fan Wall 0 KW Service Size: 200
Feeder Size: 0
PROJECT NOTES
CONVERT TO UNDERGROUND
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: MOVE METER $33.50
TOTAL FEE: $33.50
AMOUNT PAID: $33.50
BALANCE DUE $0.00
(Lq,dt '~ I S'ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417.4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA I.'YFUL TO COVER.
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE
DITCH
ROUGH-IN ! COVER
SERVICE
FINAL I d:,t/~t/,:, ( I "~'q- ]
GENERAL COMMENTS:
"
~",
"
..
Site Address:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
..
ELECTRICAL PERMIT
PERMIT NO. /SS-O
';;"/.;?.3 /6' P
, ,
DATE
Installed By:
o READY FOR WILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
~ Residential /1.
Heat KW 9 W
'!'X,Baseboard 0 Furnace/Boiler
t Heatpump 0 Other
C Commercial/lndustrial/oad
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
t't New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground /
Voltage !,;J.()/..2'/O
f\Y1" 0 3 0
S'ervice sjzec52&-D Amps
o Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(iist below)
DetailslDescription:
NEu)
/1t9CLS E'-
1/'0
ke~
.-
W.S. No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
o Ditch inspection O.K.
.J,t\m Rough-in/cover O.K.
1W 'fb O.K. to connect service
b Final O.K.
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for instailation
o Fire Department notified of Inspection
o Plan Review approved/pending
Site Address:
Permit/Receipt No.
C.
Notify the Department 01 City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Ij;S tor in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
tfJ11I} NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~
.;sO
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
.
~\
OLYMPIC PRINTERS. INC.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
/3;]7
? /62 9/tY7
. . '" '
ELECTRICAL PERMIT
DATE
;;<~ IS-
:To ltJ
Owner/Business: V
1\.:
Installed By:
Co/'
B
}.\;'READY FOR
INSPECTION
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Phone:
Owner/Business Address: ~
~
Sq. Ft.
~ Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Totai Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
01.0 03.0
Service size
ft Temporary
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Amps
Details/Description:
~/Js4// -h~f}4j SueV(L.L
.
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough.in/cover O.K.
;KD O.K. to connect service
o Final O.K.
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Pian Review approved/pendi ng
Site Address:
PermitfReceipt No.
.
Installer: (
So rJ .F
Notify the Departmen of CitYLight by treet Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411EXT. 158 or EXT. 224.
~ J, NO OCCUPANCYOAUSE ESTABLISHED UNDER THIS PERMIT ~ /0 !:!?
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
,
/J;J
OLYMPIC PRIt.!TERS, INC.
- '--
-
ELECtRiCAL iNSPECTiON
WiRiNG REPORT
457-0411 Ext. 158
~
~~
APPROVED NOT APPROVED
o ................... DITCH ................... 0
o .............. ROUGH IN/COVER.. ... ......... 0
o .................. SERVICE .................. ~
o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0
CORRECTIONS NEEDED:
(}) SU.V lc.t.- Po l'i.
2-w
b~~
".5 N f) f- dU+ti .i~
('.A'rV\ 0 fUv.... I r4 i. ~ 'fon 0 .H' hut.. fA..) i~fS .
I ~ f
~ 100.. (.ll A-vlf -10 U 5(.. ~,~ -f'u..sc..
_hol M....~ lid: locJ:-f4,..b!r-'; loet- ;1-
. I
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PAINTERS, INC. (206)452-1381
-
ELECTRICAL INSPECTION
WIRING REPORT
457-0411 Ext. 158
PERMIT 1/
/~$O
INSPECTOR
T~
G2s15 Ce
APPROVED NOT APPROVED
D ................... DITCH ................... D
D .............. ROUGH IN ICOVER .............. D
D .................. SERVICE .................. D
'!'J .................... FINAL. . . . . . . . . . . . . . . . . . .. D
CORRECTIONS NEEDED:
(J) (J/14-11 ,;4# ~ ~ e#
I
~) r!}JU;-..2. t'~ MlJ-k UK.'
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS. INC. (206) 452.1381
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