HomeMy WebLinkAbout1311 Rook Dr (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
3604t7-4735
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Application Number
Applicatsion pin dumber
ProperEy Address
ASSESSOR PARCEL NUIIBER:
Application type descriPtion
subdivision Name ... '
Property Use
Properly zoning
Application walualion
21,-00000467 Datse 4 /22/2L
935576
1311 ROOX DR
05- 30- 14 -6-?- 0250-0000-
ELECIRICAL ONLY
RS9 RESD!tT', SINGLS FAM]L.Y
0
Con!ractor
,JASON RAY AND .]ODI-LEE DEMOTT
1512 Aurora C!
PORT ANGELES WA 98363
l36A') 451-6475
UPPER LEFT ELECTRIC LIJC
13 06 ROOK DR
poR,r aNGELES WA 98362
1360) a6L-'7124
Addirional
Issue DaEe
280. 00
4/22/2L
Lo /).9 / 2t
ELECTRICA! NEW RESIDENTIAL
Plan Check Fee
valuaLion
.00
0
Expiratsion Date
QEy Unit Charge Per
1. OO 120.0000 EcH EL
4.00 40.0000 ECH EL
R.SQFT FIRST 13OO
R.SQFT ADDITIONAJ,5OO
Extension
120.00
150.00
charged Paid credited Due
Permit Fee Total
Plan Check ToEaL
Grand Total
280.00
.00
280.00
2AO
280
00
00
00
.00
,00
.00
.00
.00
.oo
PERMTI WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
Signature of owner or Electrical Contractor X
INSPECTION TYPE DATE:INSPECTOR:
DITCH 1[-4.o {a :s4
SERVICE /2/*sy's,/4e
ROUGH.IN t /ro[*z -lrlz *
FINAL
COMMENTS 4.Y
G:\EXCHANCE'BUILDtNC
Date
ApplicaEion desc
Ne$ home
lnrsulrs,
Ad )
1 - 2 SINGLE -FAIVIILY
ELECTRICAL PE RMIT AP PLICATION
Public Works and Utilities Depaltment
321 Ii. 5th Street. Port Angeles. \&'.{ 98-]62
160.4 I 7.4715 | wrvw.citvofpa.us j electricalpermits(!cit1,olla.us
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4{}{€ rook rdProject Address:
Project Descrapti on 3500 sq ft new home
E Single-Family Residential E Duplex / ARU Building Square footage
Name ason demonl Email:
Mailing Address Phone
ELECTRICAL CONTRACTOR INFORMATION
Name upper left electric License
Mailing Address Expiration Date
Phone:Ep6;l upperleft electric@gmail.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Servic€/Feeder 401-600 Amp.
Service/Feeder 60'l-1000 Amp.
Servica/Feeder over '1000 Amp
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 20'1-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Hourly
Signal CircuiuLimited Energy - 1&2 DU.
Manufactured Home Connedion
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
s63.00
$5.00
$75.00
$93.00
$110.00
$'149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
Ouantity Iglal (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL
Owner as defined by RCW 19.28.261: ('l) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor it 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 Chapte|19.28, WAC. Chapter 296-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
4118121 chace botero
Date Print Name Signature (D Owner I Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed lo 0.417 .47111
OWNER INFORMATION
$120.00
$40.00
$74.00
$110,00
Nsw
ConEtrus{ion
Only
First 1300 Square Feet
Each Additional 500 square bet '
Each Outbuilding / Detached Garage
1
4