HomeMy WebLinkAbout115 Fogarty AveELECTRICAL PERMIT
CIry OF PORT ANGELES
360-417-4735
17 - 00 0005s8 Dare 5/02/L'7
879456
115 FOGARTY AVE
05 -30 -09-5-2 - 258S-0000-
ELECTR]CAI, ONI,Y
RS? RESDNTI, SINGI,E TAMILY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Poft Angeles
(Location Code 0502)
I
\\rs
Application Number
ApplicatioD pin number
ProperLy Address
ASSESSOR PARCEL NUMBER:
Applicat.ion type deEcrj.ption
subdivi6ion Name
Proper!y U6e
Properly zoning
AppLication valuat.io! -
Applicatj.on desc
Duct less heat pump
Owner ConErac!or
Rf CHARD JENSON/MARGARET WOMACK
PO BOX 944
EORKS WA 983310944
BLACK DIA.IiIOND ELECTRICAL CONTR
502 BLACK DIA]VIOND RD
PORT ANGEI,ES WA 9A3 63
(350) 56s 103 5
Permil
Addi!iona] desc
PermlE l'ee
I ssue Da!e
Expiration Date
63 .00
s/02/1.'7
to / 29 /t7
ELECTRICAL ALTER RESIDENTIAI
Plan check Fee
Valuation
00
0
Qty Unit Charge Pet
1.OO 63.0000 ECH EI,-R- BRANCH CIR I4Ol SER FEED
ExEension
63 .00
Fee summary charged Paid Credited Due
Permit Fee Totsal
Plan Check Total
crand ToEal
53.00
.00
63 .00
53.00
.00
53.00
00
00
00
00
00
00
I
INSPECTION TYPE DATE:RESULTS
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL E)(PIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature olowner or Electrical Contractor X Date:
INSPECTOR:
6L 7,.
Crrv or Ponr ANGELES Pnnurr Aprr,rc,c.rtoN
Building Divisiontslectrical Inspections
321 East Fifth Street - Port Angeles \Yashington,98362
Ph: (360) 417-4735 Fax: (360) 417 -4711
J
\q
\
0a
' Plan Review May Be Requi red, Please Com lete Electncal Plan Review lnformation Sheet
Job Address
Building Square Footage
Descriplion of above
Owne
Name:
r lnformation
l^ totv"-*C 11-
Contracto
Name
l,4ailing Add rcss
on
N4ailing Address
Cityi Stale: _ Zip City Slate zip
Phone:
License # i Exp._
Item
Service/Feeder 200 Amp.
Sewice/Feeder 201400 Amp
Service/Feeder 401 -600 Amp
ServicelFeeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feed
Branch Circuit W0 Service Feeder
Each Additional Branch Circuit
Branch Circuits 14 only
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401S00 Amp.
Temp. Service/Feeder 601-1000 Amp .
Portal to Portal Hourly
Signal CircuiU Limited Energy - 1 & 2 Family Dwdling
lvlan ufactu red Home Connection
Renewable Electrical Energy - sKVA System or Less
Thermostat
Note: $5.00 for each additional T-Stat
NEW CONSTRUGTIOI ONLY:
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each 0utbuilding or oetached Garage
Each Swimming Pool or HotTub
Ucense # / Exp
@Unit Charoe
$ 120.00
$ 146.00
$ 205.00
$ 262.00
$ 373.00
$ 5.00
$ 63.00
$ 5.00
$ 75.00
$ 93.00
$ 110.00
$ 149.00
$ 168.00
$ 96.00
$ 64.00
$ 120.00
$ 102.00
$ 56.00
$
$
$
$
s
$
$
$
s
s
$
$
$
s
$
$
$
$ 120 00
$ 40.00
$ 74.00
$ 110.00
$
$
$
Owner as defned by RCW.'19.28.261: (1) owner will occupy tre structure for two years after this electrical permit is frnalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after slx months of last inspection.
After reading ihe above statement, I hereby cedfy that I am the owner of the above named p,operty 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 M
Signature
unicipal Co d Utility Specifrcations and PAMC 14.05.050 regarding Electrical PermLt fuplications
al contractor or eleclrical administrator: tr casn /botect
E Creditcad #--. -_-
02106t2a12
c-7 - .---
$ (3 ) rotat
/". Z
r/*6 /q,
X Dated
g- 1-/7
D^" {- l- l7 K t a z single ramily Dwelling
I
Total (Qtv Multiplied bv Unit Charqe)