HomeMy WebLinkAbout1423 Rook Dr (3)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
Application Number
Application pin number
Propertsy Address
ASSESSOR PATCEL NUMBER:
Application t)'pe descriptsion
Suldivision Name
ProperEy Use
Property Zolrlng
Application vafuation
19- 000 01101 Date 8/02/19
't16220
1423 ROOK DR
05 - 3 0 - 1.4 - 7 - 2 - 03 00 - 0000 -
EIJECIR]CAL ONIY
ELECTRICAL TEMPORARY SERVICE
REPORT STATE SALES TAX
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)RESIDEMTAL SF 9OOO
RS9 RESDNTI SINGIE FAIIIIJY
0
Application desc
Temp power
Contractor
GREEN CROW IN!'ESTMENTS CO- LLC
P. O. BOX 243 9
PORT ANGEI,ES WA 983 62
UPPER LEFT ELEC'IRIC LLC
13 05 ROOK DR
PORT ANGEIJES WA 983 52
1360) 461 7720
Permit
Additional desc
PermiE Eee
Issue Date
Expiratsion Date
93 .00
8/02/19
t/29 /20
Pfan Check Fee
Valuation
00
0
Extension
93 .00
Fee summary charged Paid Credited Due
Pemit Iee Total
Plarl Check Totaf
crand Totsa1
93 .00
.00
93 .00
93 .00
.00
93 .00
00
00
00
00
00
00
PERMIT WILL EXPTRE SIx (6) MONTHS FROM LAST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE zlz ln q8 hU Onrn.r-[
ROUGH.IN
d" )n dP LL C)^A\)
Signature of owner or Electrical Contactor X Date
:5
o
Qty Unit Charge Per
1.OO 93.OOOO ECH EL TEMP SRV O-2OO SRV EDR
FINAL
COMMENTS:
EL1-2 sF
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department P€i
321 E. 5th Street, Pon Angeles, WA 98362 Jll , ::.1
360.4lr7.4735 r.r w w.c ityofpa.us electricalperm its@cityofpa)ut i .;73,
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Project Address l\Ls 2oo*- Dr"o-
Project Description ?Do,*--^s-
n Single-Family Residenlial n Duplex / ARU Building Square footage
Name e-"^- Cro ,t> Email
Nilailing Address
Name QJ €--e_L
Mailing Address
Email:
0 It
'i €--
Phone:
License
Phone
Expiration Date
O\AAIER INFORMATION
zr.,!:
ELECTRICAL CONTRACTOR I NFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601-'1 000 Amp.
Service/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 201-400 Amp.
Temp. Service/Feeder 401600 Amp
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Houdy
Signal Circuiylimited Energy - 1&2 DU.
i,ranufactured 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 Garage
Each Swimming Pool / Hot Tub
TOTAL qaoo
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-
The of Port Angeles Municjpal Code, and L.Jtility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
LJnit Charoe
$120.00
$146.00
$205.00
$262.00
$373.00
$s.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
Ouantitv Iqllal(Quantity x Unit Charge)
13-oot
$
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
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Print Name (Elrqrvner E Electrical Contractor / Administrator)
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[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa. us or faxed to 360.417 .47111