HomeMy WebLinkAbout221 Fogarty Ave - Building
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date '-{-1-0 '7
Time 7 /I PL
Received by f)../? vI HI S E (phone. person)
Location of Work to be inspected 2 Z ( :'~::j) c... rl-'I A ve
Name of person requesting inspection j)e.", VI ,J' E.
Address of person requesting inspection Lo r/.J M. rei I 7'1 13
Type of Inspection (circle appropriate one): f
Phone No. <l17-vSlf'1
Sewer Foundation Framing Chimney Plumbing Final
Permit NO._..-~
Sewer Excav. Ot~ W6..:+~::
INSPECTION NOTES:
Inspected: Date 'I -'1 -07
Remarks: I?.e..Oc...f'r<.J 2" c.I.
Ie +~,J{)e!J .s:.evVI'C. e '
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Time 0' A k
i'Vl..:" ,'"" hre-'lk
By 1/e.....-vt.i.s C.
c;.+ :5<3.,,,,;<..<.1-""11 u"'-.d
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RESTORATION REQUIRED. . . . .. YES
NO X'
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
[] Repaired by Permittee
[] No Damage Found
D Asphalt [] PCC D Other
Work Order # "503 Ill. - I ?, '7
[] COMPLETE
[] INCOMPLETE
(Continue on reverse side if necessary)
STREET.SU~ERINTENDENT
/DATE I
ELECTRICAL PERMIT'
CITY OF PORT ANGELES
- 360-417-4735
Application Number . . . . . 16-00001616 Date 10/26/16
Application pin number . . . 695200
Property Address . . . 221 FOGARTY AVE
ASSESSOR PARCEL NUMBER: 06 -30 -09 -5 -2 -2470 -0000 -
Application type description ELECTRICAL .ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Basement remodel
----------------------------------------------------------------------------
Owner Contractor
JAMES A AND MARIANNE J UDE TTE OWNER
221 FOGARTY AVE
PORT ANGELES WA 983622513
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 73.00 Plan Check Fee .00
Issue Date . . . . 10/26/16 Valuation 0
Expiration Date . . 4/24/17
Qty Unit Charge Per Extension
2.00 5.0000 ECH--•EL-ECH ADDNT BRANCH CIRCUIT 10.00
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 73.00 73.00 .00 .00
Plan Check Total 00 .00 .00 QO
Grand Total 73.00 73.60 00 .00
REPORT SALES TAX
on your excise tax form
to the City of -Port Angeles
(Locafion Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
coMlvlErrrS: t2.1,� lt�-
PERMIT WILL E eIRE SIX (6) MONTHS FROM LAST INSPECTION
" - :it
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGMUILDING
0. " 90fir
4"Q ELECTRICAL INSPECTION
WIRING REPORT
RKS 417-4735
DA': PERMIT # JINSPECT
)'0
OWNS P% 'r Aj KI
CONTRACTOR
ADDRESS
ZZ) -FD&AjrT-V
APPROVED NOT APPROVE
0 .................... DITCH ..............
0 ................ ROUGH IN/COVER ............... 0
0 .................... SERVICE ................... 0
0 ..................... FINAL .................... 0
CORRECTIONS NEEDED: -r7
I -w -
6D 2 -
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-- DO NOT REMOVE --
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street — Port Angeles Washington, 98362
Ph: (360) 417-4735 Fax: (360) 417-4711
Date: 10ll G f lC
1 & 2 Single Family Dwelling
* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Building Square Footage:
Description.cf-afiveD ivCt--Zr ls'G. S' "--';-'J i
Owner Information Contractor Information
Name: Name:
Mailing Address: ',:ZZ I } c z, 1�v Mailing Address:
City: 1, 14 �; i4 State: lip: mak' > City: State:
Phone:! S-� f`i32 Fax: Phone: Fax:
License # I Exp. License # / Exp.
Zip:
Item
Unit Charqe Total (Qtv 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 i
$ ;
Each Additional Branch Circuit
$ 5.00
$
Branch Circuits 1-4 Only
$ 75.00
$
Temp. Service/ Feeder 200 Amp.
$ 93.00
$
Temp. Service/Feeder 201400 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
$
$ 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 Code, and Utility Specifications
and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: ❑ Cash I -Check
I
❑ Credit Card #
X/ _-
r�l
Dated: / %C'
0210612012