HomeMy WebLinkAbout1420 Rook DrELECTRICAL PERMIT
CITY OF PORTANGELES
360-41't -473s
:o
\
\N
GApplication Number
Application pin nunber
Property Address
ASSESSOR PARCEL NUMBER:
Application t)?e descr:iption
Subdivlsion Name
Property Use
Proper:Ey zoning
Applicatsion valuaEion
19- 00001313 Date I/2'7 /L9
21,1,995
1420 ROOK DR
06 - 30 - 14 - 7 - 2 - 0190 - 0000 -
ELECTRICAIJ ONIY
RESIDENTAI] SF 90OO
RS9 RESDNTL SINGLE FAIVILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicatsion desc
Temp service
GREEN CROW INVESI'I'IENTS CO. ],LC
P.O_ BOX 2419
PORT ANGELES WA 98352
UPPER LEFT ELECTRIC I,LC
1305 ROOI( DR
PORT ANGEI,ES WA 983 52
1350) 461--'t'720
Permit
AddiLional desc
Permlt !ee
Issue Date
Expiration Datse
93 .00
a/27/a9
2/23/20
EI]ECTRICAL TEMPORARY SERVICE
.00
0
Qty UnlE Charge
1.00 93 .0000
Per
ECH EI]-TEMP SRV O.2OO SRV EDR
Extension
93_00
Fee summary charged Paid Credited Due
Permit Fee Total
Plan Check Total
Gnand Totsal
93 .00
.00
93 .00
93-00
.00
93 .00
.00
.00
.00
00
00
00
INSPECTION T\?E DATE;
DITCH
SERVICE q lultl w #
ROUGH.IN I
FINAL ilt,)t9 W
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owuer or Electrical Coatractor X Date:
PIan Check lee .
Vafuation
RESULTS:INSPECTOR:
ELr-2 sF 1-2 SINGLE-FAMILY
ELECTRICAL PER MIT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 wwwcityofpa.us i electricalpermits@cityofpa.us
B€r',-,
Aao;;';;?
1'o
=J
*
l.-^s
I
w
GProject Address
Prolect Description Q rvl et
O\^NER INFORMATION
Name Email
Name
l\ilailin
Email:
g Address
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1-600 Amp.
Service/Feeder 601-'1 000 Amp
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Servace Feeder
Each Additional Branch Circuit
Branch Circuits '14
Temp. Service/Feeder 200 Amp.
Temp. Servic€/Feeder 201-400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 6011000 Amp
Portal to Portal Hourly
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: sl(VA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Detached carage
Each Swimming Pool / Hot Tub
l-carY
License:
Expiration Date.
Phone:
Ouantitv Iela! (Quantity x Unit Charge)unit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
$5.00
$75.00
$93.00
$110 00
$149.00
$168.00
$96.00
$64.00
$120.00
$102.00
$56.00
$120.00
$40.00
$74.00
$110.00
- nzo",,.
n.+)L)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
o
$
$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 PortAngeles Muniopal Code, and utility nd PAMC 14.05.050 regarding Electrical Permit Applications.
Pdnt Name n cal Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417 .47111
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
I Single-Family Residential n Duplex / ARU Building Square footage: _
Mailing Address: Phone. _