HomeMy WebLinkAbout1420 Rook Dr (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-41'7-4735
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\Appllcation Number
Applicatsion pin number
Property Address
ASSESSOR PARCEI, NUMBER:
ApplicaEion Eype description
sdcdivisio[ Name
ProperEy use
Property zoning
Application valuation
19- 000013 95 Dabe 9/t9/1-9
4 57110
1420 ROOK DR
05-30-14-7-2-0190-0000-
ETECTRICAN ONLY
RESIDENTAL SF 9OOO
RS9 RESDNTL SINGIJE FA.I,IILY
0
REPORT STATE SALES IAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Application desc
NEW SFR EI,ECTRIC
Owner
GREEN CROW INVESTI4ENIS CO. LIC
P. O. BOX 243 9
PORT ANGEIES WA 983 62
UPPER IIEFT ELECTRIC I]LC
1305 ROOK DR
PORT ANGELES I,^IA 98352
(360) 45t-7720
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
150.00
e/te/Le
3/ti /20
ELECTRICAL ALTER RESTIJEI\I'ITA1,
Pfan Check Fee
Valuation 0
oEy Unit Charge Per
1.00 120.0000 EcH1.00 40.0000 EcH
EL O'2 OO SRV FEEDER
EL-R_SOFT ADDITIONAL 5OO
Extension
t-20.00
40.00
Charged Paid Credited Due
Permit F'ee Total
Plan Check Total
Grand Total
150 .00
.00
160 .00
160
150
00
00
00
00
00
00
00
00
00
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS INSPECTOR:
DITCH nltt )fi R d
SERVICE tilolp sk'
ROUGH.IN t )r, )0 N "{a
FINAL z')(,1io #@
COMMENTS:
Signature of ormer or Electrical Contractor X_.
. o0
Date:
ELl-2 sF
1 2 SING E-FAMILY
ELECTR ICAL PERMITAPP ICATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.417.4735 I www.cityofpa.us electricalpermits@cityofpa.us
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a\0aProject Address ev-\ v€-
Project Description
n Single-Family Residential E Duptex / ARU Building Square footage
OWNER INFORMATION
Name
lrailing Address:
re-c-\Email
Phone
License
Expiration Date
Phone:
Mailing Address
Email tc
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
ServicdFeeder 401600 Amp.
Service/Feeder 601 - 1 000 Amp.
SeNice/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1{
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 40'1600 Amp.
Temp. Service/Feeder 60'l -1 000 Amp.
Porlal to Portal Houdy
Signal CircuivLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5l(VA System or less
Thermostal (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet"
Each Outbuilding / Deiached carage
Each Swimming Pool / Hot Tub
t l/v
lJnit 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
M0.00
$74.00
$110.00
Ouantitv fqE! (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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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 p.operty is for sale. rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certili 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-
468, The City of Port Angeles Municipal Code, and Utility PAMC'14.05.050 regarding Electrical PermitApplacations.
C,,"**6"d"e
Print Name (E Owner E Eleckical Contractor / Administrator)D
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
Name: UooetlQfl €leC,(Ctr
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
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NOTIFY INSPECTOR WHEN CORREGTIOfiS
ARE COTYIPLETED wlTHIN 15 OAYS
- DO NOT REMOVE-
DATE:PERMIT+INSPECTOR
OWN
CONTHACTOR D
ADDHESS
NOT PBOVED