HomeMy WebLinkAbout1316 Rook Dr (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4174735
RS9 RESDNAI. SINGLE FAMI],Y
0
s'\r
dct
Applicalion Number
Applicatlon pin nunber
ProperEy Address
ASSESSOR PARCEL IiIIIMBER:
Application Eype descripEion
Subdiwisi.ol,t Name
ProperEy Use
Propertsy zoning
Application valuation
22-00000088 Date
857032
1315 ROOK DR
05 - 3 0- 14 -5 - 7 -0080 - 0000 -
ELECIRICAL ONIJY
t/25 /22
Apptication desc
contractor
PARK?ERO LLC
21 KRUSE RD
PORT ANGE].ES
{350 ) 808-1974
UPPER I,EFT ELECTRIC I,LC
13 06 ROOK DR
PORT ANGEI,ES VTA 98362
{360) {51-7720
t.IA 98352
Perlllil
Addilional desc
Permil Fee
Issue Date
ExpiraEion Date
200.00
L/2s/22
1/24/22
ELECTRICAT NEW RESIDENTIAI
Plan check Fee
vaLuation . .
.00
0
Qty Units Charge Per
1.00 120.0000 EcH
2.00 40.0000 EcH
EL.R-SOFT PIRST 13OO
EL-R-SoFT ADDITIONAL 500
Extension
120.00
80. 00
Charged
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Perni! Fee Total
Plan check ToLal
Grand Toral
200.00
.00
200.00
200.00
.00
200. o0
00
00
00
.00
.00
.00
Paid credited Due
REPORT SALESTN(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH 4sl.n-R .dk
SERVICE
ROUGH.IN +lz4lzz-.e?*
FINAI c l*)zs-g VtE
COMMENTS;
Signature ofowner or Electrical Contractor X
G:\EXCFIANCE,BUILDINC
Date:
I .'t':
ELECTRICAL PERM IT APPLICATION
!o
3
It
N
N
N
Prolect Address '1316 rook
Project Description new house
n Single-Family Residential n Duplex / ARU Building Square footage
Name parktero Email:
Mailing Address Phone:
Name upper left electric License
Mailing Address
Email:
Expiration Date
Phone:
Item
Service/Feeder 2OO Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1$00 Amp.
Service/Feeder 601 -1 OOO Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder.60t-t OOO Amp.
Portal to Portal Hourly
Signal Circuiulrmited Energy - 1&2 DU.
lvlanufactured Home Connection
Renewable Elec Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
Iohl (Qu Charge)
$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
$
$
$
$
$
$
$
$
$
$
$
$
$
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 electncal installation or alteration in compiiance with the electrical laws, N.E.C.. RCW Chapter19.28. WAC Chapter 296-
468, The City of Port Angeles lvlunicipal Code, and Utility Specifications and PAN4C '14.05.050 regarding Electrical Permit Applications.
1t24121 chace botero
Date Print Name Signature (E Owner ! Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 36A.4fi.47 1,11
1 - 2 SINGLE-FAMILY
Public Works and tltilities $epartment
lll E. -5th Strcet. Pofi /\ngcles, 1\A 98"152
160.;+ I 7 ";1 7-1 5 w'rvw.c,ityolpa.r:s j e leclricalpenn its@c it,vof pa.us
I .11' ,1, '. r t.r.l).1}v-trn4td,|(l
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