HomeMy WebLinkAbout4412 Fairmount Ave - Building �t)R r
CITY OF PORT ANGE US PERMIT APPLICATION
Building.Vivision/Ellectrical Inspections
321 East Fifth Street—P.O.Dox 1.150/Port Angeles Washington,98362
Ph: (360) 417-4735 Fax.-(360)417-471.1
Date: I &2 Single Family Dwelling
Plan Review M e Required elase Complete Ele trio Plan Review formatign She qt
40 le
Job Addre.qs: SO Si'C
Building Square Footage:
Description of above 07-
t)t
c.
L
Owner Inf atl Contractor Information
G 04)L 00/
j A "y
na
Mailing me: - Name:
7MG 9L..'�-- 1"..
Mailing IG)V
PIrw.- — tale, Z10:
filly:city: 5tat®:U771F
Phone; Fax: Phone!1!4-7 9d,70
q5a_-�A.20 F
Ucense#/Exp. 'Z;
Llcansn4/Exp,
Item Unit Charoe Total tQty_{NultiG Ivied by Unit Charge}
Servioe/Feader 200 Amp, $120.00
Servico/Feodor 201.400 Amp. $146.00
$oMm/rLseder 401600 Amp $205.00
Servlce[Feeder 601.1000 Amp. $262.00
Service/Feeder over 1000 Amp, $,173.00
Branch Circuit W1 Service Feeder $ 5100
Branch Circuit WO Service Feeder 63,00
mach Additional Branch Circuit 5.00 r-
Branch Circuits 1-4 MOO
Temp,Servicol Fooder 200 Amp. 93.00
Temp,Service/FeWer 201400 Amp. $110,00
Temp.Service/Feeder 401-600 Amp, $149,00 $
Temp,Service/Feeder 601-1000 Amp. 7168,00
Portal to Portal Hourly $ 96,00
Signal 01rctilill Llmitqd Energy-1&2 Family Dwefllng, $ 61-100
Manufactured Home Connection $120,00
Renewable Electrical Energy-6KVA System or Less $102.00
Thermostat $ 56.00 $
Note:$6,00 for each additional T•Slat
CONSTRUCTION ONLY:
First 1800 Square Ft, $120,00
Each Additional POO Square Ft.or Portion of $ 4000
Each Outbuilding or Detached Garage $ 74.00
Each Swimming Pool or Hot Tub $110.00
Totee
Owner as defined by RCW.19.28.261: (1)Owner will occupy the structure for two years after this electrical permit is finalized, 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,VVAC, Chapter 296-4315,The City of Port
Angeles Municipal Code,and UU14 Specifications and PAMC 14,05.050 regarding Ele&icat Permit Applications.
Signature of owner,electrical contractor or electrical administrator. 0 cash rj check
)e ., Wdtt Card
Dated
...............
. tJ�
ELECTRICAL PERMIT I
CITY OF PORT ANGELES
360-417-4735
Application Number , , . , , 13-00001239 Date 10/24/13
Application pin number , , , 949278 n /_y
Property Address . . . 4412 FAIRMOUNT AVE REPORT SALES Tfi.A
,
ASSESSOR PARCEL NUMBER; 06--30-08-5-8-2100-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Property Us Name to the City of Port Angeles
Property Use �r
Property Zoning . . , . . , , COMMUNITY SHOPPING DISTR (Location Code 0502)
Application valuation . . . . 0
Application desc
5 circuits update for rental
Owner Contractor
4412 FAIRMOUNT AVE LLC SIMPSON ELECTRIC
PO BOX 747 243036. W HWY 101
PORT ANGELES WA 98362 PORT ANGELES WA 98363
-- ---- ---- (360) 457-9270 {�
___. _ .___ .-. ------------------- »-�
Permit , . . , . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee 83,00 Plan Check Fee 00
Issue Date . , , 10/24/13 Valuation . , 0
Expiration Data , 4/22/14
Qty Unit Charge Per Extension
4.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 20.00
1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED - 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 83,00 83.00 .00 .00 �.
Plan Check Total .00 .00 .00 .00
Grand Total 83,00 83.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
Co NTS:
PERMIT WILL EXPIRE (6)MONTHS FROM LAST INSPECTION
Signature of owner or E ectrical Contractor X Date:
G:IEXCHANGEIBUILDING `
ti
RECEIVED
September 2010
AGREEMENT
We the undersigned, property owners of land located at the southernmost end of
Fairmount Avenue, Port Angeles (Clallam County) Washington 98363, connecting to
Highway 101 and lying between the Fairmount Grocery and Shell Gas station to the east
and the Welcome Inn Trailer Park to the west, and described as follows.
Libera parcel number: 063008581650
Libera address: 4404 Fairmount Avenue, Port Angeles, WA. 98363
Rigg parcel number-063008582100
Rigg address. 4412 Fairmount Avenue, Port Angeles, WA. 98363
Parties to this agreement hereby attest and agree as follows: That m the process of
developing the Libera parcel which is the northernmost piece of these two (2) pieces
which are apart of this agreement, a driveway entrance needs to be wider and installed
on city right -of -way which fronts both pieces and is used by both owners and their
tenants for access. Accordingly, any driveway, sidewalk, curb or gutter to be installed
will need to be partially on the Rigg parcel's right -of -way which is the southernmost
piece of these two pieces.
It is further agreed that any expense of design, material or labor for said improvements
shall be at Libera's expense and that both parties shall have permanent and legal access to
their respective properties in the future. Also, if any repair or modification shall be done
at any time m the future, it shall be at the City's expense.
Signed b Owners/Parties to this agreement:
7a
Mike Libera 7 I
316 Power Plant Road
Port Angeles, WA. 98363
SEP 2 7 2010
CITY OF PORT ANGELES
BUILDING DIVISION
v ks
1:11 .1 11 r 1
Frs 5
tat "t74