HomeMy WebLinkAbout1423 ROOK DR - Building CITY OF PORT ANGELES � � "�
360-417-4735 Q
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Application Number 19-00001101 Date 8/02/19
Application pin number . . . 716220 REPORT STATE SALES TAX
Property Address . . . . 1423 ROOK DR On OU1'eXC/Se tax ft)//r?
ASSESSOR PARCEL NUMBER: 06-30-14-7-2-0300-0000- y
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name ' (Lwaftn`Code 0502)
Property Use . . . . . . RBSIDENTAi, SF 9000
Property Zoning . : . . . R$9 RESDNTL SINQXX FAMILY
Application valuation . . . . 0
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Application desc
Tem power
Owner Contractor
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GREEN
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GREEN CROW INVESTMENTS Co. LLC UPPER LEFT ELECTRIC LLC
P.O. BOX 243.9 1306 ROOK DR
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461-7720
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Permit . ' . . ELECTRICAL TEMPORARY SERVICE
Addi€ionaldesc
Permit Fee . . 93.00 Plan Check Fee .00
Issue Date 8/02/19 Valuation . . 0
Expiration Date 1/29/20
Oty Unit Charge Per Extension
1.00 93.0000 BCH EL-TEMP SRV 0-200 SAV FDR 93.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 93.00 93.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 93.00 93.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SER�'I(
ROUGH-IN
FINAL
COMMENTS:
PERMTf WILL EXPIRE SIX(6)MONTHS FROM LAST INSPBC nOtd
Signature ofoWner or Electrical Contractor X ; Date:
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1 - 2 SINGLE-FAMILY
• ELECTRICAL PERMIT APPLICATION 3
Public Works and Utilities Department %
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 I www.cityofpa.us I electricalpermits@cityo pale ,.,1P;
Project Address:
Project Description:
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: f-e-e-o, C- G CA-1 Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR • • •
Name: ! CeTk F721t -, License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT
Item Unit Charae 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 1 $ I -U
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 $ C
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-
4(6 ,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
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Bate Print Name ([g::�vner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]