HomeMy WebLinkAbout622 Del Guzzi DR - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
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Application Number . . 21-00000335 Date 3/18/21
Application pin number . . . 624535
Property Address . . . . 622 DEL GUZZI DR
ASSESSOR PARCEL NUMBER: 06-30-12-6-8-0040-0000
Application type description ELECTRICAL ONLY
Subdivision Name . . . . .
Property Use . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . 0
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Application desc
Temp
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Owner Contractor
GREEN CROW INVESTMENTS CO LLC UPPER LEFT ELECTRIC LLC
PO BOX 2469 1306 ROOK DR
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 460-7796 (360) 461-7720
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Permit . . . . . . ELECTRICAL TEMPORARY SERVICE
Additional desc . .
Permit Fee . . . 93.00 Plan Check Fee- . .00
Issue Date . . . . 3/18/21 Valuation . . . . 0
Expiration Date . . 9/14/21
Oty 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
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL Z
COMMENTS:
PERMrr WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEMILDING
1 - 2 SINGLE-FAMILY CD
1
ELECTRICAL PERMIT APPLICATION 3
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Public Works and Utilities Department
321 E. Mi Street, Port Angeles, NVA 98362
360.417.4735 1 wNvw.cityofpa.us 1 electricalperinits�-a).cityofpa.us
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Project Address: 622 Delguzzi dr VA
Project Description:temp
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: North Pointe Construction Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: upper left electric License:
Mailing Address: Expiration Date:
Email: upperleftelectric@gmail.com Phone:
PROJECTDETAILS
11 Unit Charge Quantity Total(Quantity x Unit Charge)
Service/Feeder 200Amp: $120.00 $
Service/Feeder 201400 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. $9300 $ 93
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 $
................
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 may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]