HomeMy WebLinkAbout1418 Rook DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
RES]DENTA! SF 9OOO
RS9 RESDNTI, SINGLE FAXILY
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ApplicaEion Nurnber
ApplicaEioa pin nunibe!
Ploperty Address
ASSESSOR PARCEL NI}{BER:
Appl icat.ion t)'pe descripcion
Subdivision Name
Properly Use
Property Zoning
Application valuatioa
20-00000851
36212'l
1414 ROOK DR
05-30 -t 4 -7-2-0180- 0000 -
ELECTRICAI ONIY
Applicatio!. desc
Owner
GREEN CROW INVEST'I{ENTS CC. LLC
P. O. BOX 2439
PORT ANGELES WA 98362
UPPER LEFT ELESTRIC LLC
13 06 ROOK DR
PORT ANGELES WA 98]62
13501 46t-'1720
PermiE
Additional desc
Permi!. Fee , -
Issue Date
ExpiraEion Date
160 .00
8/04/20
t/3L/2L
Pla! check Fee
Valuation
.00
0
QEy Units Charge Per
1.00 12 0 - 0000 EG{
I _ 00 40 - 0000 EcH
ExEension
120.00
40.00
EL-R-SoFT FIRST 1300
EI.R-SOFT ADDI"TONA'J 5OO
ELECTRICAI, NEW RESIDENIIAI
Charged Paid crediled Due
Plan Check ToEal
Grand Tot.al
150.00
.00
150 .00
150
160
00
00
00
.00
.00
.00
- 00
.00
- 00
^RErcRry8TATE SALES TN(
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION Tr?E DATE:RESULTS:NSPECTOR:
DITCH ohlzo 4y @
SER\'ICE Blalw w
ROUGH.IN fr')p /,p 4p @)
FINAL ,rh'lr-,6y
COMMENTS:U --'v
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature ofowner or Electrical Contractor X Date
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
NOT APPROVED
D|TCH . . .....o
.... oHOUGH IN/COVER
.SERV|CE......
FINAL
APPROVED
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COFRECIONS NEEDED:
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64r.e5, cEoi
CON'TRACTOA t.?falt- LE*T
ADDRESS ///6 lo6e 2<-
6r* (fct ffdr-
NOTIFY INSPECTOR WHEN CORRECNONS
ARE COMPI-ETEDWIT}IIN 15 DAYS
-DO NOT REMOVE-
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1 - 2 SINGLE.FAMILY
ELECTRICAL PERMIT APPLICATION
Public Works and [Jtilities Department
32 I E-. 5th Street. Pon Angeles. \[A 98-36]
160.4 I 7.-173 i I wrv*.cit1 ofpa.us I electricalperm itsf.ic rt) ofpa.us
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Project Address
Project Description:new house 1800 sq ft
Name reen crow Email
Mailing Address:Phone
ELECTRICAL CONTRACTOR IN FORMATION
Name. upper lefl eleclric License
Mailing Address:
Email:
Expiration Date
Phone:
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601-1000 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 20'l-400 Amp.
Temp. Service/Feeder 40'l{00 Amp.
Temp. Service/Feeder 6011000 Amp.
Portal to Porlal Hourty
Signal Circuit/Limited Energy - 1&2 DU.
Manufactured Home Connec{ion
Renewable Elec. Energy: sl(VA System or less
Themostal (Note: $5 for each additional)
First '1300 Square Feet
Each Additional 500 square feet"
Eacfi Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
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
Ouanfitv lOlal (Quantity x Unit Charge)
20
40
160
$
$
$
$
$
$
$
$
$
$
$
D
U
$
$
$
$
$
$
$
$
$TOTAL
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 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 295-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
81312020 chace botero
Date Print Name Signature (E Owner I Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47111
141 8 rook
! Single-Family Residential E Duplex / ARU Building Square footage: _
O![NER INFORMATION
PROJECT DETAILS