HomeMy WebLinkAbout117 Fogarty AVE - Building ELE CCAL PERMIT \
CITY-OF KT ANGELES r _.
3�*47-4735 t7�
Application Number . . 20-00000288 Date 2/28/20
Application pin number . . 107328 REPORT STATE SALES TAX
Property Address . . . . . 117 FOGARTY AVE on our excise tax form
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2584-0000- y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision
Use . . . . . .vision Name
Pro . {Location Code 0502)
Property Zoning . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
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Application desc
Storage room
Owner Contractor
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MC INNES DONALD A OWNER
117 FOGARTY AVE
PORT AMBLES WA 983622511
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Permit . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 68.00 Plan Check Fee . .00
Issue Date 2/28/20 Valuation . . . . 0
Expiration Date 8/26/20
oty Unit Charge Per . Extension
1.00 5.0000 BCH EL-ECH ADDNT BRANCH CIRCUIT 5.00
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 68.00 68.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 68.00 68.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGHAN If
FINAL
COM�MENTSf
PERMIT WILL EXPIRE SIC(6)MONTHS FROM LAST INSPECTION
Signatui6 of owner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION °�� �y�o
Public Works and Utilities Department �p1�
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.us ( electricalpermits@cityofpa.us
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Project Address: 1 FQG/z:�
Project Description: 4�t'�1 �N\_at1G i GdZ t j �, 1�1��a� �1 S STv = y
&'Single-Family Residential El Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: lC-\�_N� Email:
Mailing Address: \ ` l/' -i`�1i �Ocz#5'f ,�1. Z Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item �rnit Charge)
Service/Feeder ;., �P $
Service/Feeder 201 6Amp. $146 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 6014000 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 _� $ 6�
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/Fee 401-60AMA.
Temp. Service/FeedeioQ1-1000 Amp. r
Portal to Portal Hourl t
y �1�� 4 '
Signal Circuit/Limited Enema_'t�21�`.
Manufactured Home Conne
Renewable Elec. Energy:5KVA f r r
Thermostat(Note: $5 for each ad
TOTAL $ g
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 Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature(❑ Owner ® Electrical Contractor/Administrator)
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[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]