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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 ";""~- ~ ~;-,-.-