HomeMy WebLinkAbout1431 Rook Dr (4)ELECTRiCAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
RESIDENTIAL MEDIUM DENSTY
0
REPORT STATE SALES IAX
on your excise tax form
b the Crty of Poft Angeles
(Location Code 0502)
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Application Number
Applicatsion pin number
Property Address
ASSESSOR PARCEL NI-T BER :
Applicatsion t),'pe description
Subdivision Name
Property use
Propertsy zoning
Application valuation
19- 0000013 5 Datse L/23/a9
006888
1431 ROOK DR
06 - 30- 14 - 5 - 3 - 0555 - 0000 -
EI,ECTRICAL ONI,Y
ApplicaEicn desc
ConEractor
GREEN CROW PROPERTIES INC
PO BOX 2439
PORT ANGELES I4A 983520312
UPPER LEI'T ELECfRIC 1,LC
1305 ROOK DR
PORT ANGELES WA 983 52
l350) 46t-'7't2A
Permit.
Additsionaf desc
Issue Date
E4)iration Date
200.00
r/23/re
1/22/19
ELECTRICAL NEW RESIDENTIAI,
Qty UniE Charge Per1_00 r20.0000 ECH EL
2 - 00 40 .0000 ECH EL
R-SQFT FIRST 13OO
R SQFT ADDITTONAL 5OO
Plan Check Fee
Valuation
.00
0
120.00
80.00
Charged Paid Creditsed Due
00
00
00
200
200
200
200
00
00
o0
00
00
00
00
00
00
A
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
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INSPECTION TYPE INSPECTOR:
*BE
SERVICE 4,)zu)n p BF
JVROUGH.IN "i
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COMMENTS:/
EII//TE]
Permi! Fee ToEal
Plan Cileck Total
Grand lotal
DATE:RESULTS:
DITCH
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Signature of owner or Electdcal Contractor X Date:_
1 - 2 SINGLE-FAMILY
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.417.4735 www-cityofpa.us electricalpermits@cityofpa.us
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RECEIVED
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Project Address
Project Description {t N,
n Single-Family Residential n Duplex / ARU Building Square footage
Mailing Address
Email
Phone
LicenseName
lvla ilin
Email:
g Address
Item
Service/Feeder 200 Amp
Service/Feeder 20'1 -400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 60'1 -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 201400 Amp.
Temp. Service/Feeder 401$00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU.
lvlanufactured Home Connection
Renewable Elec. Energy: 5KVA 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
tv\Cr{ 11 i <-..€./o i Expiration Date
Phone:;r/\
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
Quantitv IgE! (Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
IZ^go
TOTAL Je1 2@*
Date Print Name ignature{E Owner ! Electdcal Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa. us or faxed to 360.417 .47111
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OWNER INFORMATION
Name:
ELECTRICAL CONTRACTOR INFORMATION
F ECT c IETA ILS
Owner as defined by RCW 19.28.261; (1) Owner will occupy the structure for two years afrer this electrical permit is finalized. (2) Owner is
required to hire an electrical contraclor if above said properly 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 contraclor. 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 Utjlity Specificatigns and PAMC 14.05.050 regarding Electrical Permit Applications.
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APPROVED
. . .. ROUGH IN/COVEF
,.,.SEHVICE
FINAL
ELECTRICAL INSPECTION
WIRING REPORT
417-4736
NOT APPROVED
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NOTIFY INSPECTOR WHE}.I CORRECTIOXS
ARE COMPLETED WIHIN 15 DAYS
-OO NOT REMOVE-
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OWNER
CONTRACTOBa?P!€{z- L#-f,*Y- E^z-vz-z-
ADDFESS
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