HomeMy WebLinkAbout1428 Rook DR - Building ELE 1I.PERMIT
CITY tWa ANGELES
Application Number . . . 20-00000109 Date 1/27/24
Application pin number . . . 769704 REPORT STATE SALES TAX
'Property Address . . . 1428 ROOK DR on your excise tax form!
ASSESSOR PARCEL NUMBER: 06-30-14-7-2-0236-oo00
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name . . . (Location Code 0502)
Property Use . . . . . RESIDENTAL SF 9000
Property Zoning . . . . . . RS9 RESDNTL SINGLE FAMILY _
Application valuation . . . 0
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Applicration desc
Temp.Service
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Owner Contractor
GREEN CROW INVESTMENTS CO. LLC UPPER LEFT ELECTRIC LLC
P.O. BOX 2439 1306 ROOK DR
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461-7720
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Permit . . , ELECTRICAL TEMPORARY SERVICE
Additional desc
Permit Fee . . . 93.00 Plan Check Fee .00
issue Date . . . 1/27/20 valuation 0
Expiration Date 7/25/20
Qty Unit Charge Per Extension
1.00 93.0000 ECH EL-TEMP SRV 0-200 SRV FDR 93.00
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Fee summary Charged, Paid Credited Due
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
SERVICE
ROUGH-IN
FINAL
COMMIvNTS:
PERMFF WILL EXPIRE SIX(6)MC}NI*&FROM LAST`INSPEC7't` N
Signatttxe of. r or EI ntractor X Date:
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ELECTRICAL PERMIT APPLICATION
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Public ��� �t \�1��� Department /�� � ~~"�
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321 E. 5dzStreet, Port Angeles, W&903h2 ~^
360.4174735 / v/pw.oityofpu.uo | eicciriou\pcnnitsfBcityofpm.us
ProjectAddnaso: ' '
Project Description:
U Residential O Duple /ARU Building Square footage:
OWNER INFORMATION
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Mailing Address. Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charne Quantity Total(Quantity x U-nit Charge)
Service/Feeder 2OOAmp. $120.00 $_________.
Service/Feeder 2O14UOAmp. $148.00 ----__' *----_-_____
Service/Feeder 401'6VOAmp. $205.00 ----__ $_________
Service/Feeder 0O1-1OOUAmp. $262.00 $_----_____
Service/Feeder over 1VOUAmp. $373.00 o
Branch Circuit VW Service Feeder $500 -----__ $---______
Branch Circuit W/O Service Feeder $53.00 __--__- *------_____
Each Additional Branch Circuit $5.00 $------_____
Branch Circuits 14 *75.00 $
Temp. Service/Feeder 2UO Amp. m93.00 � $
Temp.Service/Feeder 2U14OOAmp, $110.00 ----__' $
Temp. Service/Feeder 4O1'000Amp. $149.00 ----_-- $_---_-____
Temp Service/Feeder OO1'1O00Amp. $168.00 o_----____
Portal hn Portal Hourly $96.00 --___- $--_-_____
8igne|Circuit/Limded Energy 1&2DU. $64D0 $___________
Manufactured Home Connection *120.00 $_________
Renewable Elec. Energy:5KVA System orless $102.00 $__________
Thermostat(Note:$5 for each additional) $56.00 $
First 13O0 Square Feet $120.00 *_�����__'
Each Additional 50O square feet- $40.00 _�d�__- $
Each Outbuilding/Detached Garage $74D0 $__________
Each Swimming Pool/Hot Tub $1%00 $
TOTAL $_��������
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. Pennit 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,Th City of Port Angeles Municipal Cod and Utility G Da(e Print Name Signature(0 Owner M Electrical Contractor/Administrator)
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[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]