HomeMy WebLinkAbout1414 Rook Drive - Building f �`
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Application Number . 2 EH6000922 D&WEPOMSWE SALES TAX `.
Application pin number 234!t 6 on our eXCISe tax f0!"I)1
Property Address . . . . . 1414 ROOK DR y
ASSESSOR PARCEL NICER: 0640-14-7-2-0166-0000 to the City of Port Angeles.
Application type description, ELECTRICAL ONLY
Subdivision Name (Location Code 0502)
Property Use RE$IDSNTAL SI+;9000
Property Zoning . . . R99-RWDNTL SINGLE.FAKLY
Application valuation 0
-Application desc
Temp service
Owner Contractgr
_
MERct 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
Permit ELECTRICAL TEMP01�31RY SERVICE
Additional'desc
Permit.Fee 93.00 Plan Beck Fee .00
IhRYue ate 8J13d2.0, Valuation 0•
El�gii.Date 2109/ 1
qty Unit Charge Per Extension
1.00 93.0000 ECK EL-T `4RV 0-200:SRV FUR 93.00
Fee 9ry Chaxgeci - laid Credited Due
Permit Pee Total` 93`00 93.00 .00 .00
Plan £heck Total 001 — .00 .00 .00
Grand Total 9,3,.00 03.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-TN
�TTS
PERW*LL t"W W{6)MON M FROM i�
Signature of owner or EteGt�ietraetor X Bate:
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ELI-2 SF
PORT
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
Project Address: 1414 rook rd
Project Description:temp power
[] Single-Family Residential [] Quplmu/ARU Building Square footage:
OWNER INFORMATION
Name: green crow Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: upper left electric License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
ham Ouantity JQW(Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $_____ '
Service/Feeder 281-N00 Amp. u146.00 o______--- �
Service/Feeder 401'6VOAmp. m205.00 u_---_____' �
Service/Feeder 8O1-1000Amp. $282.00 $__________ �
Service/Feeder over 1VnOAmp. $373.00 *________
Branch Circuit 0W 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.Gamko�Faedm 200Amp. $93.00 1 $ 93 �
Temp.Service/Feeder 201-4V0Amp. $110.00 $
Temp.Service/Feeder 401-60OAmp. *149.00 $__________
Temp. Service/Feeder VV1-1ODOAmp. $188.00 o______---'
Portal to Portal Hourly $96.00 $_____---- �
Signal Circuit/Limited Energy-1&2DU. $84.00 u_________ �
Manufactured Home Connection *120.00 $______--_
Renewable Elec.Energy:5KVASystem or less $102.00 $
Thermostat(Ncte:$5 for each additional) $56.00 $
First#300 Square Fee $1X08 1 $.
Each Additional$00 squwre0met' 840.00 �___ $_______
Each $74.00 $ �
Each Swimming Pool/Hot Tub $110.00 _ $ �
TOTAL $ 9�___-_-_
Owner as defined by RCW 1918.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is
required m hire mn 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,TheCdyofPort&nge|ms Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. �
8/3/2020 chace botepo
Oahe Print Name Gignatumm(F-1 Owner Bo�hcm|Com��dor/Adm|niob�to�^� �
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[Electrical Permit Applications may be submitted hm City Hall ore|ect ca|ponnhs@*bynfpa.uoortaxedbm38O.41T.4711}