HomeMy WebLinkAbout1424 ROOK DR - Building (2) ELA #ERmIIT t
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Application Number . . . . 19-00001487 Date 10/01/19
3+ +plication pin number . . 891780 REPORT STATE SALES TAX
Property Address . . . . . . 1424 ROOK DR On U!�@XC1St#'t8X form
PARCEI; NUMBER: 06-30-14-7-2-0210-0000-
Application type description .ELECTRICAL ONLY to the City-of Port Angeles
Subdivision Name . (Location Code 02)
Property Use . . _ . . . . . RESIDENTAL SF'9000
Property Zoning . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation 0
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Application desc
Temp
OwnerContractor
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GREEN CROW INVESTMENTS CO. LLC UPPER LEF'P-ELECTRIC LLC
P.O. BOX 2439 1306 ROOK DR
PORT.ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461-1720
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Permit ELECTRTQ I TEMPORARY SERVICE --
Additional.desc
Permit Fee 93.00 Plan"Check,Fee 00
Issue Date 10/01/19 Valuation 0
Expiration Date 3/29/20
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Qty Unit Charge Per Extension
1.00 93.0000 ECK EL-TEMP SRV 0-200 SRV FUR I 93.00
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Fee summary Charged Paid Credited Due Y
".Permit Fee Total 93.'00 93.90 .00 00
Plan Check Total .00 ,00' .00 L00
Grand Total 03.00 93.00 00 .00
INSPECTION TYPE DATE. SULTS:. INSPECTOR:
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Signature ofowner or Electrical Contractor X Date:
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
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PuCWorks and Utilities �cn�n1 -�' > / '
�2| E. 5th 8tn�LPo�&nge�a WA 98'
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Project Address:
Project Description: in�_-4Q Dr,
El Single-Family Residential El Duplex/ARU Building Square footage-
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Mailing Address: T A Expiration Date:
PROJECT DETAILS
Dam Unit Charge Quantily IgM(Quantity x Unit Charge)
Service/Feeder 2OVAmp. $120.00 -----__ $__________
Service/Feeder 2O1-4OOAmp. *146.00 $_________
Service/Feeder 481-6OOAmp. $205.00 ----__- $_-----_____
Service/Feeder 601-1VUOAmp. $202.00 -----_- $_________
Service/Feeder over 1OOOAmp. s373.00 ----__- *------_____
Branch Circuit W/Service Feeder *5.00 ----___ $________
Branch Circuit W/O Service Feeder $0100 ----__' *_________
Each Additional Branch Circuit n5.00 ----__ *__________
Branch Circuits 1'4 $75.00 $
Temp.Service/Feeder 2DOAmp. n83.00 � $
Temp.Service/Feeder 2O1-4nUAmp. $110.00 ----_-- $_--__-____
Temp. Service/Feeder 4U1-UOOAmp. $149.00 _---__' $_________
Temp Service/Feeder GO1'1UOOAmp. $168.00 $_________.
Portal boPortal Hourly $96�00 _---__ $_--_______
Signal Circuit/Limited Energy 1&2 DU, $64.00 ----___ $_________
Manufactured Home Connection $120.00 _---__ $________
Renewable Elec. Energy: 5xVASystem o,less $102.00 $__________
Thermostat(No0e:s5for each additional) $5&00 $____-____
First i300Square Feet $120.80 $_________
Each Additional 5O8square feet" x40.00 $__�--_____
Each Outbuilding/Detached Garage $74.08 _ $_________
Each Swimming Pool/Hot Tub $110.00 $_---______
TOTAL $_�I������
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 io
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,TheQtyofPortAnge|eux8un|cipa|Codu and Utility Specifications and RAK8C1405O5D regarding Electrical Pit Applications.
Date Print Name �`Signature([:] Owner n Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111