HomeMy WebLinkAbout1305 Rook DR - Building ELECT KCAL PERII€
CITY OPIM ANGELES
3 4114735 ;
Application Number . 18-00001919 Date 12/20/18
Application pin number 410507 REPORT STATE SALES TAX
Property Address . . . . 1305 ROOK DR on /"eXC/S�tax form:
ASSESSOR PARCEL NUMBER: 06-10-14-6-7-0280-000.0-,
Application type description ELECTRICAL ONLY to the City of Pa AngefeS
Subdivision:NameflC$t`fOti'Code aQ2�
Property Use . . . . . .
Property Zoning . . . . . . RS9 RESDNTL SINGLE. FAMILY
Application valuation . . .----------------------------------------------------------------------------
Application desc
Hot tub
Owner Contractor
GREEN CROW TIMBER LLC ANGELES ELECTRIC
PO BOX 2439 524 E. 1ST ST.
PORT ANGELES, WA. 983620312 PORT ANGLES WA 98362
(360) 452-9264
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1-4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00
Issue Date . . . 12/20/18 valuation 0
Expiration Date 6/16/19
t:
Qty Unit Charge Per Extension
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00, 75.00 00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
DOUGH-IN .
FINAL
COMMENTS:
PERMtr WILL McIRE SIX{6}'liWM' M FROM LAST INSPECMN
Signature of owner or Electrical Contractor X Date:
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12/19/2018 07:43 FAX 360 452 9265 Angeles Electric Q 0001/0001
�.2 SING E FAMI Rt(;EIVED
EL CT -PERMITAEPLICATION,
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Public Works and Utilities Department ELECTRICAL _
�';� 321 E. 5th Street,Port Angeles,WA 98362 INSPECTfONS '
360.417.47351 www.cityofpa.us j electricalpermits-@cityofpa.us
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Project Address: bpi'VAL
Project Description: )Z i �`�► �.
0 Single-Family Residential 0 Duplex/ARU Building Square footage:
OWNER INFORMAJ !
Name: !•i- vZ 1IL ' Email:
Mailing Address: �(' r 3 —hey ' Phone: —57S
ELECTRICAL CONTRACTOR r •
Name: _ License:AAf y9. 4.tg DQ.-S
Mailing Address: r.�f Expiration Date:
Email: 1GS jp1G1S Ic�mo� . v���F- Phone: 3�,0 45�f�1o4
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PROJECT DETAILS
1tlm Unit Charge (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/Feeder601-1000 Amp. $262 00 $
Service/Feeder over 1000 Amp. $373.00
Branch Circuit W/Service Feeder
Branch Circuit W/O Service Feeder $83.00 $
Each Additional Branch Circuit $5 00 $
Branch Circuits 1-4 $75.00 $---- r
Temp.Service/Fee'der 200 Amp. 593:04 $.
Temp.Service/Feeder 201400 Amp. $11000 $
Temp.Service/Fee
Temp.Service/Feed - 00 Amp.
Portal to Portal Hourly
Signal Circuit/Umited En
Manufactured Home Conne -
Renewable Elea Energy:5KV
Thermostat(Note:S5 for each aNew
i
,'Construction
only
TOTAL $
Owner as defined by RCW.19.28.261:(1)Owner will occupy the stnictuure for two years after this electrical permit Is finalized.(2)Owner is
required to hire an electrical contractor if above said property is for We,rent or lease.Permit expires after six rnonths of last Inspectlonf.
After reading the above statement, I hereby certify that 1 am the owner of the above named property or a licensed eiactrk:al contractor.I
am making the electrical installation or afteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 298-
46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.950 regardl Electrical Permit Applications..
Date Print Name Signature([] Owner Electrical Contra or/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermitsQcityofpa.us or faxed to 360.417.47111