HomeMy WebLinkAbout106 Fogarty Avenue - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
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- 36Q-417-4735
Application Number 16-00001376 Date 9/15/16
Application pin number . . 671680
Property Address . , . . 106 FOGARTY AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2600-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name
to the City of Port Angeles
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . 0
Application desc
Security system
Owner Contractor
WILLSON, D PAULETTE PROTECT YOUR HOME
3012 OAKCREST LOOP 3750 PRIORITY WAY SOUTH DRIVE
PORT ANGELES WA 98362 #200
(360) 457-5394 INDINAPOLIS IN 46240
(317) 810-4720
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . 64.00 Plan Check Fee . . .00
Issue Date . . 9/15/16 Valuation . . . . 0
Expiration Date . . 3/14/17
Oty Unit Charge Per Extension
1.00 64.0000 ECH 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
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INSPECTION TYPE DATE RESULTS: INSPECTOR:
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SERVICE
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COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION-;
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Signature of owner or Electrical Contr./000X 4 Date:
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CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections /. __ ,
11
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711
Date: Cl 'I-1 • 1 l X 1 &2 Single Family Dwelling
*Plan Review May Be Re uired,Please Complete Electrical Plan eview Information Sheet ,t
Job Address: \O ppctar PcV el-Aust. OC-sc' pvinCfeX� `j 1 V 1\ O 3 In a
Building Square Footage: .Z3�'i S J- -r
Description of above 1 - - dll. . . . ' . ilk IL: •
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Owner Information ,' Contractor Informatio ``
Name: av t rkt VIS Name: 1? • i v C�• i♦
Mailio ddress: 1 D 1 Q t p�Gid A-y �., Mailing Address: "1 a , c' �na�A. S
City: OYt qC State: 14 Zip. 01 3,p�- City: Irvi1(ax�Qb1�'SState: I/�l Zip: ''
Phone:310' 51,5 Fax: MIA Phone:cii1/2 02.3 SFax: ' _ -
License#/Exp. /v//1 License#/Exp. . A . A 'W 3:
Item Unit Charge (3ty Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 $ _
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $ '
Branch Circuit W/Service Feeder $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
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 l $ 4,4-'
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
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 $
$1Q4i'-' 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 0 Check
_ Credl Card
al. 9 - 14 ,/
Dated: +W r4
ELECTRICAL INSPECTION
• '16. 0 WIRING REPORT
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417-4735
DATE PERMIT# INSPECTOR
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OWNER/CONTRACTOR
AU,Tedr OIAZ Ateri7,7
ADDRESS
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APPROVED NOT APPROVED
0 DITCH 0
ROUGH IN/COVER 0
0 SERVICE 0
FINAL 0
CORRECTIONS NEEDED: /
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE
OLYMPIC PRINTERS,INC (360)452-1381