HomeMy WebLinkAbout1411 Rook DrELECTRICAL PERMTT
CITY OF PORT ANGELES
360-417-473s
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Applicat.ionNuniber . . . .
Appl j.cation pin number
Properly Adalress
ASSESSOR PARCEL NUUBER:
Appl j.cation type descriptsion
subdivisioE Name .. -..
Property Use
ProperEy zoning
Applicatsion valuatj.on . . .
20-00000s82
729400
1411 ROOK DR
06 -30-14 -7 -2 -0290 -0000 -
EIJECTRICAI O}ILY
RESIDENIAI SF 9OOO
RS9 RESDIITI, SINCLE FA}.'I
0
ApplicaEion desc
Owner ConLractol
GREBI CROW INIESIIqENTS CO. I,LC
P. O. BOX 2439
PORT A]IGELES WA 98362
UPPER tEET EIJECTRIC LI,C
I3O5 ROOK DR
PORT ANGELES }TA 98362
l,3601 46t-7120
Pe.mi. t
Additi.onal desc
Permit Fee
Issue DaEe .
ExpiraEion Datse
200.00
6/02/20
).L/29/20
E',ECTRICAL NEW RESIDENT]AL
Qty Units Charge Per
1. 00 120 .0000 EcE
2.AO 40.0000 ECE
EL-R-SoFT FIRST 1300
EL-R.SQFT ADDITIONAL 5OO
.00
0
Extension
L20.00
80.00
Charged Paid credited Due
PerIni.E Fee Total
Plao check ToEal
crand Total
200.00
-00
200.00
200.00
.00
200.00
. oo
.00
.00
0o
00
00
STATE SALES IAX
on your excise tax form
to the City of Poti Angeles
(Location Code 0502)
INSPECTION TYPE DATE RESULTS:INSPECTOR:
DITCH z/t lo fr :ffi
SER\'ICE t lzz-la AAtrZ d
ROUGH-IN -lr-/a O
FINAL qizloJzp @ \N
COMMENTS:
T
PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTTON
Signature of owner or Electrical Contractor X Date:
P1a-B Check Fee
valuaEion
E#A
a
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-47$
NOT APPBOVED
DITCH
...ROUGHINiCOVER
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DAIE I )I 27 U)b'7ts z-ryi;P
CONTRACTOR
"t?PrL? t-*--{-f €r ,e,a,
ADDBESS
I L/. l/ rtr',r>V tse'a
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NOTIFY INSPECTOR WHEN CORRECNOT.IS
AHE COMPLETED WITHIN 15 OAYS
_ OO NOT REMOVE-
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CORRECTIONS NEEO eO,
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ELECTRICAL PER MIT APPLICATION
Public Works and Utilities Department
321 E.5th Street, Port Angeles, WA98362
360.417.4735 i www.cityofpa.us I elecricalpermits(@cityofpa.us
Project Address:'t41',!
Project Description 1800 new construction
D Single-Family Residential tr Duplex / ARU Buitding Square footage
O\^NER INFORMATION
Name green crow Email:
Mailing Address Phone
ELECTRICAL CONTRACTOR INFORMATION
upper lefr eleclric License
Nilailing Address Expiration Date
Phone:Email. upper left electric@ gmail.com
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 401600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO SeNice Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401€00 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuivlimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 fur each additional)
First 1300 Square Feet
Each Additional 500 sguare feet"
Each Oulbuilding / Detached Garage
Each Swimming Pool / Hot Tub
LJnit 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
Ouantitv fglh!(Quantity x Unit Charge)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
20
EO
TOTAL t 200
O\,vner as deflned by RCW 19.28.261: (1) Owner will occupy the structure for two years after thas electrical pennit is finalized. (2) O/vner is
required to hire an electrical contrac'tor 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 contrac{or. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
45B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Etectrical Permit Apptications.
5l28l2O2O chace botero
Oate Print Name Signature 1p Owner ! Electrical Contractor /Administrator)
lElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.47111
1 - 2 SINGLE-FAMILY !o
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