HomeMy WebLinkAbout1431 ROOK DR yY ;_
ELECT RIC A►L PE IIT
CITY
OP 7 T ANGELES
36" -4735
Applicat19-00000136 Date 1/23%19
Application pin number . . . 006888 REPORT STATE SALES 'TAX
Property Address . . 1431 ROOK DR
ASSESSOR -PARCEL NUMBER: 06-30-14-5-3-0665-0000 on your excise tax form
Application type description ELECTRICAL ONLY t0 the C/ty Of ROlt AngelesSubdivision Name
Property-Use (Location Code 0502)
,
Property Zoning .,,,. . . . RESIDENTIAL MEDIUM DENSTY
Application valuation 0
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Application desc '
new home
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Owner Contractor
GREEN CROW PROPERTIES INC UPPER LEFT ELECTRIC LLC
PO BOX 2439 1306 ROOK DR
PORT ANGELES WA 983620312 PORT ANGELES WA 98362
(360) 461-7720
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Permit . . ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit Fee 200.00 Plan Check Fee .00
Issue Date . . . _1/23/19 valuation 0
Expiration Date 7/22/19 I
QtyUnit Charge Per Extension
1.00 120.0000 BCH EL-R-SQFT FIRST 1300 120.00
2.00 40.D000 ECH EL-R-SOFT ADDITIONAL 500 80.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 200.00 200.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 200.00 200.00 00 .00
s,
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE 41'
ROUGH-IN
'
FINAL
77'p oe-
COh04ENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X " ' Date:
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1 - 2 SINGLE-FAMILY RECEIVED CD
ELECTRICAL PERMIT APPLICATION JAN 232019
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362 �
360.417.4735 www.cityofpa.us I electricalpermits@cityofpa.us
Project Address: I H 0(
Project Description: k S ,Cc) SL J "ot`a) ✓`���-
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: rF_a_i, C r�Jt�,J Email:
Mailing Address: Phone:
CONTRACTORELECTRICAL INFORMATION
Name: U,U4 P� c�_C F"(' ( L License:
Mailing Address: % 12--)C :� VIA�01 A Expiration Date:
Email: ,t Phone:
- -
OJECT DETAILS
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 $
Branch Circuits 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 1300Square Feet $120.00 $ 1
Additional
Each Additional 500 square feet" $40.00 $
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 $ 00
TOTAL $••L-E�C 1jd�7
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 Specifics' ns and PAMC 14.05.050 regarding Electrical Permit Applications.
�'Date Print Name Signature Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall orepermits@cityofpa.us or faxed to 360.417.4711]
0*, ELECTRICAL INSPECTION
, � WIRING REPORT
417-4735
DATE: PERMIT# INS
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! d
OWNER
CONTRACTORR �
V 1 f2 - �r
ADDRESS
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APPROVED NOT APPROVED
❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . ..
1) CORRECTIONS NEEDED:'vlO Lin Ty-
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IL
7z,o.N 3 s Ll rJ ST nrLL C 20 t-t b C�t�
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE--