HomeMy WebLinkAbout201 Fogarty Ave - Building FROM : R.P, S, ELECTRICAL CONTRACTOR FAX NO. : 360 452 6753 Feb. 10 2014 11:16AM P1
RECEIVED
FEB 10 2014
IGTIGAIo
CF3
CITY OF Poll ANGELES PERMIT APPLICATION' INSPECTIONS
Building Division/Electrical 10sPectjons
321 East Fifth ijtrmt—P.O. Box 1150/Port Angeles Washington.98362
Ph:(360)41.7-4735 F= (360)417-4711
1 &2 Single Family Dwelling
*Plan Revieo R'Pe N OW,Ple%eCornplpteElectrtcal Plan Review Information Sheet
Job Address:
euildiN Square Footage: ti
ptlonofabave
Owner Informatlool Contra r I mation
'e .. I - '�. (")C,
Name: --'-t-U-) V I a YA Na;m;-1 V Lle'4_±
WfId7 �, 0 1 Malling Add=-
Oily: State. IV, City; _ftft
,
phone:,- fax, tie
License gl5xp, Lkcerw#)exp
hem Unit Charge 0Ey
Tool. Multip1w by Unit chomel
ServkWFeedw 200 Amp, $120.00
$ervice)Feeder 201.400 Amp- $146-00
-
Service/Feeder 401-600 Amp $205k0
ServicelFeWor 601.10W Amp- $262.00
SefviceTeeder over 1000 Amp. $273-00
Branch Circuit W1 Service Feeder $ 6100
Branch aircuil W10 Service Feeder $ 63,00
Each Additional Branch Circuit $ SIX
Branch Circuit 1.4 $ 76,00
Temp.Servical Feeder 200 Amp. $ 93,00
Temp,ServioefiFeeder 201-400 Amp. $110-00
Temp,ServloelFeWe(401-600 Amp, $149.00
Temp.Servico/Feeda(601-1000 Amp. $168.00
portal to Portal Hourly $ 96,00
Signal OWN Urnited Energy-18,2 Fnnily D"Ilino $ 64.00
Manufactured Home Connection $120.00
Renewable E(Wrioal E:rtargy-5KVA System or Low $102.00
Thermostat $ 16-00 $
Note:$5.00 for each additional TZiat
- . npag%t '
First 1300 Square Ft. $120,00 $
E;a&Additional 500 Square N.or Parton of $ 40,00 $
each Outbuilding or DMathad Goraga $ 700
Each Swimming Pool or Hot Tub $110.00
$&3 —Total
Owner as defined by RCM19,28.261:(1)Owner W11 acoupy the strucivre far two years aftsF this electrical permit is Rna]Wd,(2)Owner 11 required
to hire an electrical contractor if above said prop"is for sale,rent or lease.Permit expires after six months of last inspection.
After reading the lbova statement,i hereby wr*that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical insWlaUon or alteration in compliance with the electrical laws,N.E.0..RCW.Chapter 19.28,WAC.Chapter 296-4613,The City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications.
Sigortture of ownor,electrical contractor or electrical administrator: 0 cub 0 ched
, fl') N�
_10 ' I .CreW M tCwd# I
x
i
ELECTRICAL PERMIT 0
CITY OF PORT ANGELES 4.
360-417-4735
Application Number 14-00000148 Date 2/11/14
Application pin number 933240
Property Address . . , . . 201 FOGARTY AVE REPORT SALES TAX
ASSESSOR PARCEL NUMBER ; 06-30-09-5-2-2490-0000-
Application type description ELECTRICAL ONLY on your excise tax forum
Subdivision Name to the City of Port Angeles
Property Use nn rrnn
Property Zoning , . . . 050
R$7 RESDNTL SINGLE FAMILY (Location Code 2)
Application Valuation . . . . D
Application deaf
Repair existing wiring splices and buried ,7-boxes
Owner Contractor
KEITH AND SYLVIA MOUL APS ELECTRIC
2644 H ST RD 546 BENSON RD,
ELAINE WA 98230 PORT ANGELES WA 96363 (�
(360) 452-6753
Permit . . . . , . ELECTRICAL .ALTER RESIDENTIAT,
Additional. deso
Permit Fee , , . . 63.00 Plan Check Fee ,00
Issue Date 2/11/14 Valuation 0
Expiration Date , . B/10/14
Qty Unit Charge Per Extension
- - - 1,00 63µO000-ECH --RL-R- BRANCH CTR WO/ SER FEED 63,00
Fee summary Charged Paid Credited Due
----------------- ---- ---------- ---------- __------
Permit Fee Total 53,00 63.00 00 00 ~
Plan Check Total ,00 p0 00 .00
Grand Total 63.00 63.00 ,00 .00
q
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:
GAEXCHANGRBUILDING
CITY OF PORT ANGYLF,S PERMIT AP3?L.iCAT,ION INSP�C�901��
Building Division/Elect'ricail inspections I�
321 Fast lliBth Street--P.O.Box 1150/Port Angeles Washington,98362
Pha (360)417-4735 Fax. (360)417-471:1
Date; k 1&2 Single Family Dwelling
"Flan Review May Be Required,Pk0se Complete_Ejee foal Plan Review Information Sheet
Job Address;
LO-1_j
$e ,�
Building Square Footage, "— . - '------ �--
Description of above
Owner Info mation ` Contractor Information
Name; - u►t4 Name;,. y , 4 L L C
h- g _ MOng Addre! Z . .- 1dre�,` City, _ �.. rSJ a_vuy j/�Zip;C ailin
onc: Fax; Phone:!f S7-�e.�Z?_ .Fax: �
Llcen o Ucense#i Exp, -L • 7
601 Zii -5�.�8,� Gd Sirrr�se�aS! y�.Ct>M�7
Item Unit Charge Qty TOtai(Qty multiv!Ned Unit Cha e
ServlcelFeeder 200 Amp. $920.00
Service/Feeder 201-400 Amp. $146,00
ServicelFeedsr 401.600 Amp $205.00 —`-
SeroioolFeedor 601.1000 Amp, $262.00 ,G —
8arvice/Feeder over 1000 Amp. $373,00 _ $
Branch Circuit Wi Service reader $ 5,d0 - g`
Branch Circuit W/O Service Feeder $ 63,00 9^
Each Additional Branch Circuit g 6,00 $
Branch Circuits 1.4 $ 75,00
Temp,Service/Feeder 200 Amp, $ 93,00 _ $ �
Temp.ServicelFeoder 201-400 Amp. $110,00 $�
Temp,ServfcelFeeder401-600 Amp. $149,00 $
Temp,Service/Feeder801-1000 Amp, $168,00
Portal to Portal Hourly $ 96.00
Signal Circuit/Limited energy 1&?Family Dwelling $ 61.00 $
Manufactured Home Connectton $120.00
Renewable Clectrical Energy-5i<VA System or Less $102,00
Thermostat $ S6.00
Note-$5,00 for each additional T-Star
KEW CONSTRUCTIQN ONLY;
First 1300 Square Ft. 8120.00 $_ �
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
TAM
Owner as defined by RCW,19,28.261,(1)Owner will occupy the structure for two years after this electrical permit is finalized,(2)0 inner is required
to hire an electrical contractor if above said property Is for saie,rent or lease,Permit expires after six months of last inspection,
After reading the above statement,I hereby certify that N am the owner of the above named property or a licensed electrical contrac or.I am making
the electrical installation or alteration in compliance with the electrical laws,N,E,C.,RCW,Chapter 19,28,WAG,Chapter 266-46B, "he City of Port
Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications,
Sign of owner,electrical contractor or electrical administrator; U Cash 0 cheek
Cmdit card 4—_
Dated:�" �� 01I61i2012
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number ,
14-00000059 Date 1f16/14
Application pin number 354737 REPORT SALES c+ TAX
property Address . . . . , . 201. FOGARTY AVE
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-249D-0000- on your excise fax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name , , . • . .
Property uee . . . . ' . (Location Code 0502)
Prgperty Zoning , . . , , . , RS7 RESDNTL SINGLE FAMILY -.
Application valuation . • • ---------------
----- --
-- Application de5c
Computer circuits ----
Contractor
Owner -------
------------------- SIMPSON ELECTRIC '
KEITH AND SYLVIA MOUL 243036 W HWY 101 1J�
2644 H ST RD PORT ANGELES WA 98363
BLAINE AA 98230
(360) 457-9270
------------------ • . ELECTRICAL ALTER-
permit . . RESIDENTIAL
Additional desc , , 1-4 CIRCUITS ,00
Permit Fee . . 75.00 Plan Check Fee . .
0
Josue Date , . . • 1./16/14 Valuation
Expiration Date 7/15/14
Extension
Qty Unit Charge Per 75,00
SASE FEE (ti
----------I---
-----------------------------------------------------------
-- --Charged --°" Paid- - .Credited Dlie
Fee Summary -- ---
00
,00
Permit Fee Total ----75.00 --^-7S 00 _- 00
00 .00 .00
Plan Check Total 75.00. .00 'QD
Grand Total 75.00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
14
FINAL 2 f
COMMENTS:
PEIZMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILDING
~
~
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5th Street, Port Angeles, WA 98362
Application Number . .
property Address
ASSBSSOR PARCEL NUMBER:
Application description
Subdivision Name
property Zoning . . .
Application valuation .
03-00000947 Date 9/25/03
201 FOGARTY ST
06-30-09-5-2-2490-0000-
FIRE ABANDON TANK INSPECl'ION
700
Owner
Contractor
WILLIAMSON KATHLEEN D
201 FOGARTY AVE
PORT ANGELES WA 983622513
PETTIT OIL CO.
638 MARINE DRIVE
PORT ANGELES
(360) 457-9404
WA 98362
----------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
UNDERGROUND TANK RES
ABANDON TANK IN PLACE SLURRY
15.00 Plan Check Fee
9/25/03 valuation
3/24/04
.00
700
BASE FEE
Extension
15.00
Qty Unit Charge Per
Fee SUIlUlI&ry Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 15.00 15.00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 15.00 15.00 .00 .00
~
-
6J
~
"f
~
C/)
'i-
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examinw this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the IJ visions of an?, state or local I w regulating the work specified in the permit.
9'-;2S-os
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if Owner is builder)
Date
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
16522
Y~:2/ :>7""
Port Angeles, Washlngton......._...................................................., 19........
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
::: .iL:7~=='=':::.:~'",.~'~m______-
Owner . ~ ~:i77::;:...;~~T~nJjlLmm--.--m.--._.--.......-.......................................
Wiring ~.~~~~~~~.:::~~~.__.. .....__~. By...__.........m....m..m..__.................,hhm............
ServIce, volts ...!...~.6.~..!!:~?... Type of WIring:
Light Outlets.......................m....._.._..n. Z::..
Receptacle Outlets............................... No. wIres .......*..~dP...
Dryer. KW...m......m........................... Size wlres...~~............
Range, KW...on..................... Main fuse ..m.....~_..m__....2f.m......
oS
Enclosure ........................................
Water Heater:
,
Heal~:~::::.~~;::.:::..::
Motors: size. volts and phase:
Type of wiring:
Entrance Cable ..__..m..
Rigid Conduit .......Uh......_.............
MetalUc Tubing ......~....................
Current transformers:
No. & Size.......................................
Ser. NO........h............h.......................
SeT. No. ................................................
Ser. No. ..............................................
Armored Cable ................___............
Non.Metallic .................__...................
Knob & Tube...................................._
RIgid Conduit ...............................
Metamc TubIng ...........................
Raceway ........................_......_..._._
Circuits, Llght...................................__..
Utility.............................................
I-Ieat ...................................................._~._.
Range .................................................
Water Heater .................................
Motor ........................................................
Dryer ........................._......................h..__
Furnace ..........................._~..........._....._
Total wad............................. Ser. No............................................... Total ....h...............__................
_..\ ....
Rema;ks ;......h~:.:.~::2f.~~~:___...................___mm.................m..........................................................
/'
.;~~;~.;~~...h.....~:......mm..___;~~~~.n~~~~~~~.n---.n..n--__n.__.....nn---n;~J/;zJ~.::ln....--..4; .
$.___....________.__........'.......n. No.__..............____.._... By n.-.J:f1-...i-..--..i1..'J!:~......n~...>:~iV.'--'
NOTICE-Current must not be turned on untll Certificate of Inspection has been issued. If work Is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRiCAL PERMIT
)
I
N?
16522
,
Address...............................................................................................................................__.........................Date..._......._.._.._.._.....~....._......_....................
r
\ Owner .......:............................................._......_......_.._..................................................................... Tenant;-:............................................................................
" J
VfiringContractor........................................................................................................:.......__................................By........................................................................
i
, NOTICE--Current must not be turned on until Certificate of Inspection bas been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment. .
1M Olympic Printers, Inc.