HomeMy WebLinkAbout110 FOGARTY AVE - Building k.r -
low-ELECTRICAL PERMIT
CITY 6F PORT ANGELES
360-417-4735 W
Application Number . . . . . 19-00000093 Date 1/16/19
Application pin number, 155408 REPORT STATE SALES TAX
Property Address . . 110 FOGARTY AVE
ASSESSOR PARCEL NUMBER: 06-30-09-5-2-2610-0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . .
Property Use (Location Cotte 0502)
Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . 0
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Application desc
Ductless heat Pump
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Owner Contractor
MEEK KRISTI/WALTEROWNER
110. FOGARTY AVE
PORT ANGELES WA 983622512
Permit . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 68.00 Plan Cheek Fee .00
Issue Date . . . . 1/16/19 . Valuation . . . 0
Expiration Date 7/15/19
Qty 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/ $ER.FEED 63.00
Fee summary Charged Paid Credited Due
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
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL,EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
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SF RECEIVED
ELI-2
• 1 - 2 SINGLE-FAMILY 3
• ELECTRICAL PERMIT APPLICATION F«TR>CAt
Public Works and Utilities Department INSPECTIONS
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 I www.cityofpa.us I electriealpermits@eityofpa.us
Project Address: For, GLV-�r`1 �1I l� �cr� V� V1 p o\e,S My
Project Description: e c Lk VA
2—Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER . ' •
Name: txoAk,i Email: v C-A l i%eu 'C o WI
Mailing Address: I l 0 -O r'4 ?— Phone: &-f—
W�&-, h y
ELECTRICAL CONTRACTOR INFORMATION
Name: Z4License:
Mailing Address: _ Expiration Date:
Email: Phone:
PROJECT
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Item Unit Charge Quantity Total(Quantity x 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 Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 _ $
Each Additional Branch Circuit $5.00 $ 5-uy
Branch Cirouits 1-4 $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 DU. $64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat(Note: $5 for each additional) $56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet' $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $
TOTAL $ (o_ $-(10
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-
466,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Nanfe Signature(14 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]