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118 Fogarty Avenue - Building
ELECTRICAL PERMIT _ *! CITY OF PORT ANGELES 360-417-4735 Qkr Application Number . 16-00001883 Date 12/27/16 Application pin number . . 855805 Property Address 118 FOGARTY AVE REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2618-0000- 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 RS7 RESDNTL SINGLE FAMILY Application valuation . . . 0 Application desc security system Owner Contractor TERRENCE AND JACQUELYN JONES ADT LLC 118 FOGARTY AVE 11824 N CREEK PARKWAY, N PORT ANGELES WA 98362 STE 105 BOTHELL WA 98011 (206) 719-0347 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee . . , . 64.00 Plan Check Fee . . .00 Issue Date . . . . 12/27/16 Valuation . . . . 0 Expiration Date . . 6/25/17 Qty Unit Charge Per Extension 1.00 64.0000 ECM EL-SINGLE CIR LIMITED RES 64.00 Fee summary Charged Paid Credited Due Permit Fee Total 64.00 64.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.00 64.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: C-Ar-It 0.1OT 'qv L X1©12 PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or EIectrical Contractor X Date: To: Page 2 of 3 2016-12-26 14:55:27(GMT) 18884000383 From: Deborah Shields RESIS ot.'Fanwf (,> CITY OF PORT ANGELES PERMIT APPLICATIONP ;'E i 10 Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 <<-�� Ph:(360)417-4735 Fax: (360)417-4711 iNSnECT lilt~;.; ` v" Date: 12/26/2016 ElMulti•Family or Commercial* *Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet Job Address:118 Fogarty Ave Building Square Footage: 2100 add-Winces exisuin To-iv vaffa a intrusion alarm" Description of above 9 9 WIC Val S32280 Owner Information Contractor Information Name: -.,i knes Name: Art'LLC Mailing Address: -28 E I-•ant St Mailing Address: 1'824 N CREEK PKWY N.SUI IE 5105 — City: PORTANGE_ES State: WA Zip: 98362 City: BOTHELL State:WA Zip:9811'' Phone:360-4525424 Fax....._,T. �._ Phone:208-lin-9499 Fax: an-4°8S383 License#i Exp. -.--_•._ License#/Exp.^o -L s 1 DO Item Unit Charm Q_yt Total(Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $132.00 S Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401.600 Amp $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $ 5.00 S Branch Circuit W/0 Service Feeder $ 74.00 $ Each Additional Branch Circuit S 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.Service/Feeder 401-600 Amp. $164.00 _ $ Temp.Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting S 88.00 $ Signal Circuit/Limited Energy—Multi-Family $ 64.00 $ Signal Circuit/Limited Energy/First 1500 sf—Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat $ 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 296-468,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Chck Jq lellyiyx4411am(k-W;eIW a Credit Card# --.�-.,-, � - "' JH rom.lawfc CJ♦c¢w'!Y•m[:.'rr+,E. - __. .- -__ - .- Jennifer Covello. _ » ^ e11�,;�.. 12/26/2016 x x, :oi o isoasi i o w' Dated: 0110112012