HomeMy WebLinkAbout1318 Rook DrELECTRICAL PERMIT
CITY OF PORTANGELES
360-417-4735
18-000002s9 DaEe 2/2'7/L8
095031I
1318 ROOK DR
05 - 3 0 - 14 - 6 - 7 - 00 90 - 0 0 00 -
EI]ECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
sE
tN$I-$
Applicatiorl Nuhber
Application pin number
Property Address
ASSESSOR PARCEI] NUMBER:
Application Eype descrlplion
subdivisioo Name
Pr:oper:ty Use
Property zoning
Application valuaLion
Applicalion desc
New construction
Contractsor
BETI] A IiEI-ANDER
13 18 ROOK DR
PORT ANGEI,ES
UPPER I,EET EITECTRIC LIJC
r.3 06 ROOK DR
PORT ANCELES WA 983 62
136A) 45t 7',1 2A
wA 983620315
Permit
Additional desc
Permit Fee
Issue Date
Expiration Dare
120.00
2/21/te
8/25/a8
EI]ECTRTCAl, NEli RESIDENTTAI!
Plan Check Fee
Valuation
00
0
Qty Unit Char:ge Per
1 .00 120. 0000 Ecr{ EL R SQFT FTRST 1300
ExLension
120.00
Charged Pa id Credited Due
Permit Fee Total
Plan Check Total
Grand Tot.a1
.00
.00
_ 00
120
420
720
120
00
00
00
00
00
00
00
00
00
*
INSPECTION TYPE DATE INSPECTOR:
DITCH
SERVICE
z lt ltb 4w -Bk>
FINAL
*
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signabre of owner or Electrical Coutractor X Date
RESULTS:
ROUGH-IN
COMMENTS:
$)l r 6
I
N
\n
-$
Crrv or Ponr ANGELES PERMTT AppLrcATroN
Building DivisionlElectrical lnspections
321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362
Ph: Q60) 4174135 Fax: (360) 417-4711
Date ' 'l & 2 Single Family Dwelling
* Plan Revi Com lete Electrical Plan Review lnformation Sheet
Job Addressl
Building Square
Descriptior of above
oo
owner lnlormation
Name:
Contractor n
Namel L.
State: zp
a(iLicense#/Exp_
Total (Qtv Multiolied by Unit Charse)
s
l\.4aillng Address
Cityr Slate: Zip Clty:
License # /
hem
Service,Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Seryice/Feeder 401 $00 Amp
Seryice/Feeder 601-1000 Amp.
Seryice,Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/ Feeder 200 Amp.
Temp. Servicefreeder 201400 Amp.
Temp. Seruice/Feeder 401-600 Amp.
Temp. Seryice/Feeder 601-1000 Amp .
Podallo PortalHoudy
Signal Circuiu Limited Energy - '1 & 2 Family Dwelling
Manufaclured Home Connection
Renewable Electical Enercy - sKVA System or Less
Thermostat
Note: $5.00 for each additionalT-Stat
NEW CONSTRUCTION ONLY:
Phoner_Fax:
Unit Charoe
$ 120.00
$'146.00
$ 205.00
$ 262.00
$ 373.00$ 5.00
$ 63.00$ s.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
ag
$
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s
s
s
$
s
$
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$
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$
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$
First 1300 Square Ft.
Each Additional500 Square Ft. or Podion of
Each Outbuilding or Detached Garage
Each Swimming Poolor Hot Tub
$ iZ., Totat
or,mer as defined by RCW.19.28.261: (1) Owner will occupy the sbucture for two years after his electrical permit is finalized. (2) owner is required
to hire an electrical mnhactor if above said property is for sale, rent or lease. Permit expires afrer six months of last inspection.
After reading the above statement, I hereby certify that I am he owner ofthe above named property or a licensed electrical conkactor. 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 Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator:
------L $_!L
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