HomeMy WebLinkAbout118 Fogarty Ave - Building To: Pa®a Z oP Z Z014_03..Z1 �3;3A;37 (f3 MY) '18884000383 From: peborah SFrfelcJn
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections RECEI
321 East Fifth Street—P.O. Box 11501 Port Angeles Wash' gton, 98362 g�
Ph: (360)417-4735 Fax: (360)417-4711 dt 2 1 2014
Date: 03/2112014 l-Family I "ECTRICAE
)V P CTIONS
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address; f 18 FOGARTY AVE
Building Square Footagge 1600 rk Desc6ptlon of above INT
Owner Information Contractor Information
Dame: TERRYMNES Name: ACT LLC
Mailing Address: 118 FGGARTY AVE Mailing Address: 11624 N GREEK PKWY N,BUTTE 4105
City: PORT 41GELE5 State: WA Zip: 98363 City: eOYMELL Stale. VIA Zip, 98011
Phone,360-052-5424 Fax: Phone.266-774-9499 Fax: eaaAao-ma3
License#I Exp. License#1 Ekp,AOTLLL•8810o EXP:MQ12014
Item Unit Charge (wit Total(Qty Multiplied by Unit Charge]
Service/Feeder 200 Amp, $132,00 $_
Service/Feeder 201400 Amp, $16000
Service/Feeder 401-600 Amp $225,00
ServicelFeeder 601-1000 Amp. $288.00 $
Service/Feeder over 1000 Amp. $410,00 $_
Branch Circ6t W!Service Feeder $ 5.00 $_
Branch Circuit WIO Service Feeder $ 74.00 $
Each Additional Branch Circuit $ 5.00 $ _
Branch Circuits 1-4 $ 86.00 $_
Temp.Service/Feeder 200 Amp. $102,00
Temp.ServicelFeeder 201-400 Amp. $121,00
Temp.ServicelFeeder401-600 Amp. $164,00 $
Temp.Service/Feeder 601-1000 Amp • $185,00
Portal to Portal Hourly $ 96,00 _ $_
SignlOutline Lighting $ 88,00 _ $_
Signal Circuit!Limited Energy-Multi-Family $ 64.00 $mm
Signal Circuil/Limited Energy I First 1500 sf-Commercial $ K00 $ _
Note: $5,00 for each additional 1500 sl
Renewable Electrical Energy-5KVA System or Less $113.00
$�
Thermostat $ 56.00 _ $
Note:$5,00 for each additional T-Stat
$ 64010 Tota I
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 slatement, 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.G.,RCW.Chapter 19.28,WAC. Chapter 296.468,The City of Part
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ Check
uu r.ai s,nna,3rrcw•m
N Credit Card g
Jennifer Covell'
rr,, x«,,,r,•.•,,.,r. 03/21/2014
X - u„1u:zow.nr.rso^s5az-or:+z� Gated: 0110112012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735 Q')
Application Number . . . . 14-00000353 Date 3/21/14 V�
Application pin number 2988.53
Property Address , , , 118 FOGARTY AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-20-09-5-2-2618--0000-
Application type description ELECTRICAL ONLY on your excise fax form
Suhdivi8ion Name
Property Use to the City of Port Angeles
Property Zoning , , . . , , . RSV RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . D
Application desc
.Alarm
-------------------------------------------------------------------- - ___--_
Owner Contractor
------------------------ ---------------------- --
TERRENCE AND JACQUELYN JONES ADT LLC
118 FOGARTY AVE 11824 N CREEK PARKWAY, N
PORT ANGELES WA 98362 STE 105
BOTHELL WA 90011
(206) V19-0347 V
Permit . , . , , , ELECTRICAL ALTER RESIDENTIAL V
Additional desc ,
Permit Fee. 64.00 Plan Check Fee .00
Issue Date 3/21/14 Valuation 0
Expiration Date 9/17/14
Extension
1100 64,0000 ECH EL-SINGE �i
Qty Unit Charge Per. E CIR LIMITED RES - - 64m00
--------- --
_----- ---- --------------
Fee. summary Charged - Paid Credited -Due -
Permit Fee 'Total 64.00 64.00 ,00 .00
Plan Check Total 00 .00 ,00 ,00
Grand Tcta1 64.00 64.00 ,CO 00
cc..�
.INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN y
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING