HomeMy WebLinkAbout1403 Rook DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
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Appl.j.caEion Number -
Applicat ion pin nurnlcer
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
subdivision Name .
Properly Use
Properly Zoning
Application valuation
21-oooo1s65 DaLe 17/30 /21
104 3 00
L403 ROOK DR
05-3 0-14 -7 -2 - 0250- 0000-
ELECTRICAIJ ONIJY
RESIDENTAL SE 9OOO
RS9 I'ESDNII SINGIJE FAMILY
0
Applicatioo desc
Ol,rrer
UPPER I,EFT ELECTRIC I,LC
1.3 05 ROOK DR
PORT ANGEIJES WA 98362
l360) 46L-772A
Permir
Addiliona1 desc
Penni! Fee
Issue Dale
Expira!ion Date
200. 00
11/ 10 /2L
5/29/22
ETECTRICAI, NEW RESIDENTIAI
Plan Check Eee
VaIuaEion
.00
0
Qty UniE Charge Per
1.00 120.0000 EcE EIr
2.00 40 - 0000 EcI{ EL
R.SQFT EIRST 13OO
R.SQFT ADDITIONAL 5OO
ExEens ion
120.00
80.00
Fee sunmary Charged
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION
Peimit Fee Total
Plan check Total
erand Tolal
200.00
.00
200.00
200
200
00
00
00
.00
.00
.00
Paid credited Due
Signahrre ofowner or Electrical Conkactor X
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE:INSPECTOR:
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G:IEXCHANCE\BUILDING
Date:
GREEN CROI,{ INVESTMENTS CO LLC
PO BOX 2439
PORT ANCEI,ES WA 98362
.00
.00
.00
COMMENTS:
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R.ESULTS:
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qlar.ELECTRICAL PERM IT APPLI CATION
Public Works and Utilities Department
321 E. -sth Street, Port Angeles. WA 98362
-160..1 I 7.-1715 | wrvw.cityofpa.us I electricalpennits@cityofpa.us
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Pro.iect Address 1403 rook rd
Project Description nrwe construction
Name: norlh pointe construction Email:
Mailing Address Phone:
ELEGTRICAL CONTRACTOR INFORMATION
Name upper left electric License:
Mailing Address
Email:
Expiration Date
Phone:
Item
Service/Feeder 200 Amp-
Service/Feeder 201-400 Amp.
ServiceiFeeder 401600Amp.
Service/Feeder 60 1-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 'l-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201 -400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp Servrce/Feeder 601-'1000 Amp.
Portalto Portal Hourly ,- ,rr,.:::
Signal CircuiVLimited Energy- 1&2 DU
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or lass
Thermostat (Note: $5 for each additional)
fglal (Quantity x U it 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
s
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$102.00
$56.00
TOTAL
Owner as defined by RCUI19.28.261: (1) Owner \,vill 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-
468, The City of Port Angeles l\4unicipal Code, and Utility Speciflcations and PAMC 14.05.050 regarding Electrical Permit Applications.
11t27t21 chace botero
Date Print Name Signature (E Owner ! Electrical Contractor /Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417 .47111
1 - 2 SINGLE-FAMILY
trSingle-FamilyResidentialEDuplex/ARUBu.ldingSquarefootage:-
OWNER INFORIVIATION
PROJECT:DE'AILS
rq(Ouantitv
1
2
Firct 1300 Square Feet
Each Additional 500 square feet"
Each Outbuitding I Detaehed GarageOnlY