HomeMy WebLinkAbout1313 Rolling Hills Drive - Building MECTRICAL PERMIT
CITY OF PORT ANGELES
3604174735
Application Number . . . . 21-00000334 Date 3/18/21
Application pin number . . 554014
Property,Address 1313 ROLLING HILLSrPR
ASSESSOR PARCEL NUMBER: 06-30-01-7-9-0150-0000-
Application type description- ELECTRICAL ONLY
Subdivision Name . .
Property Use . . . .
Property Zoning . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation 0
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Application desc
New home
Owner - Contractor
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JOEL AND TAMARA ELLIOTT UPPER LEFT ELECTRIC LLC
PO BOX 2951 1306 ROOK DR
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461-2145 (360) 461-7720
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Permt . ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit Fee 200.00 Plan Check Fee .00
Issue' Date . . 3/18/21 valuation . 0
Expiration Date 9/14/21
Qty Unit Charge Per Extension
1 00 120,0000 BCH EL-R-SQFT FIRST 1300 120.00
2.00 40.0000 ECS EL-R-SQFT ADDITIONAL 500 80.00
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Fee summary Charged Paid Credited Due
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Permit Fee Total 200.00 200.00 .00 .00
Plan Check Total .00 .00 .00 - .00
Grand Total 200.00 200.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE 11722 5
ROUGH-IN
FINAL
COMMENTS: .
PERMF WU EXPO SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANG"UILDING
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1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department }v
321 F. 5th Street, Port Angeles, WA 98362,..
360.417.4735 1 vt,�vvv.cityofpa.us j electricalperinits(a).cityofpa.us
Project Address: 1313 rolling hills
Project Description: 2300 sq ft new house
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: elliot homes :'Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: upper left electric License:
Mailing Address: Expiration Date:
Email: upperleftelectr"ac@gmail.com Phone:
ltgm Unit Charge Quantity Total(Quantity x Unit Charge)
Service/Feeder 200 Amp., $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600Amp. $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/Feeder401-60OAmp. $149.00 $
Temp. Service/Feeder601-1000 Amp.
Portal to Portal Hourly $96.00 $
Signal Circuit/Limited Energy-"1&2 bU. $64.00 $
Manufactured Home Connection $120.00.. $
Renewable Elec. Energy:5KVA System or less $102.00, $
Thermostat(Note: $5 for each additional) $56.00 . $
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. 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,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
3/17/21 chace botero
Date Print Name Signature(;6 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]