HomeMy WebLinkAbout115 FOGARTY AVE - Building (2) ELECTRICAL PERMIT
CITY OF FORT ANGELES
360417-4735 T , z
Application number . . 17-00000558 Date 5/02/17
Application pin number . . 879456
Property Address . . . . . 115 FOGARTY AVE REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2588-0000-
Application type description ELECTRICAL ONLY on.your excise tax form
Subdivision Name . . . . to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
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Application desc
Ductless heat pump
Owner Contractor
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RICHARD JENSON/MARGARET WOMACK BLACK DIAMOND ELECTRICAL CONTR
PO BOX 944 502 BLACK DIAMOND RD
FORKS WA 983310944 PORT ANGELES WA 98363
(360) 565-1035
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Permit . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 63.00 Plan Check Fee .00
Issue Date 5/02/17 Valuation . . . . 0
Expiration Date 10/29/17
i
Oty Unit Charge Per Extension
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 63.00 63.00 .00 .00 j
Plan Check Total .00 .00 .00 00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
b €�Rr 1
CITY OF PORT ANGELES PERMIT APPLICATION ,i'►`�►
Building Division/Electrical Inspections
low
07.
321 East Fifth Street— Port Angeles Washington,98362
Ph: (360)417-4735 Fax: (360)417-4711
Date: v 7 K 1 &2 Single Family Dwelling VQ
* Plan Review May Be Required, Please Com tete Electrical Plan Review Information Sheet
Job Address: i I S w G-�dl.Ti'1
Building Square Footage:
Description of above
Owner Information Contractor f ation
Name:_ A)GMAC-14, Name:
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone G -O O Fax: Phone: f F
License#I Exp. License#I Exp.
Item Unit Charge Q_yt 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 Feed $ 5.00
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 Only $ 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 $
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 $:z
$ �-
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 296-46B,The City of Port
Angeles Municipal Coclewand Utility Specifications and PAMC 14.05.050 regarding Electrical Perm Applications.
Signature er, a ical contractor or electrical administrator: ElCash ❑ eck
❑ Credit Card#
x Dated: 1-17 0210612012
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