HomeMy WebLinkAbout1405 Rook Dr (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Application Numbe! ,,.
Applj.cation pin nuribe!
Property Address
ASSESSOR PARCEI] NUMBER:
Application tl.tr)e descrip! j.on
Subdivision Name
Ploperty U6e
ProperEy zoning
Application valuation
21-00001269 DaLe fi/05/2l
aoo22B
1405 ROOK DR
05 - 30- 14 -7-2 - 0004 - 0000-
ELECTRICA'- ONLY
RESIDENTAL SF 9OOO
RS9 RESDNTL SINGI.E FAMILY
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ApplicaEion desc
ConErac!or
UPPER LEET EIJECTRIC LI,C
1306 ROOK DR
PORT ANGE],ES WA 98362
(350) 461-'t',t2O
Permi!
AddiEional desc
Permit Fee
I6sue Date
Expiration Date
200.00
!0 / 0s /2L
4/ 03 /22
.00
0
units charge Per
120. OOO0 ECH
40. oo00 Ecll
EI,-R-SQFT FIRST 13OO
EI,.R.SQF'T ADDITIONAI. 5OO
ExtenBIon
120. 00
80. 00
ETECTRICAL NEW RESIDENTIAL
Qtv
1.00
2.00
cha!ged Paid credi!ed Due
Permit Fee Total
Plan Check ToEaI
Grand Total
200 .00
,00
200.00
200. oo
.00
200.00
.00
.00
.00
.00
. o0
.00
PERMIT WILL EXPTRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Porl Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH rc)s/zt &-w>
SERVICE ela lzt +y \rrP
ROUGH-IN t)e )u dD -@
FINAL
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Signature of owner or Electrical Contractor X
C:\EXCHANGE\BUILDINC
GREEN CROW INVESTT.,IE}ITS CO T.LC
PO BOX 2439
PORT ANGEI,ES }IA 98352
Plan Check Fee
vaLua!ion . .
COMMENTS:
Date:
ELECTRICAL PERM IT APPLICATION
Public \\iorks and UtiIities Depaltmenl
321 E. sth Street, Port Angeles, W.4 98362
160..+ I 7.,+715 | wrvw.cityolpa.us I electi'icaipermits,@cityolpa.us
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Prolect Address 1405 rook rd
Project Description bew construtction
! Single-Family Residential E Duplex / ARU Building Square footage
north pointe construction Email:
Mailing Address P hone
Name upper left electric License:
Mailing Address
Email:
Expiration Date
P hone:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over lOOO Amp.
Branch Circuit W/ Servic€ Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp
Portalto Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU,
Manufactured Home Connection
Renewable Elec. Energy: sKVA System
$262.00
bJ/J,UU
$5.00
$6s.00
$5.00
$75.00
$93.00
$110.00
Charge)
,.$M.00 r:-,r_
:$120.00 . .:
$102.00
Thermostat (Note: $5 for each add ilional
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 lic€nsed 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-
468, The City of Port Angeles lvlunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
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Name:
',ELBOTRIOAL CONTRACTOR I NFO.Rtr/IAIION
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$110.00
Date Print Name Signature (E Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.4711]