HomeMy WebLinkAbout1424 Rook Dr (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
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Application Nunrber
ApplicaEion pifl nunrber
Property Address
ASSESSOR PARCEL NTMBER:
Application t.y.pe description
Subdivision Name .
Property use
Propertsy Zoning
ApplicaEion vafuaEion .
19 - 00001"49s DaLe lo/or/).9
964520
1424 ROOK DR
05-30-14-7-2-0210-0000-
ELECTRICAT ONtY
oEy Uni! Charge Per
1.0 0 L20.0000 EcE
2.00 40.0000 ECH
EL-R-SoFT FrRST 13 00
EI,.R.SOFT ADDITIONAJ, 5OO
Ext.ension
120 .00
80 .00
REPORT STATE SAIES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)RESIDENTAI, SF 9OOO
RS9 RESDNTL SINGLE EAIiIILY
o
ApplicaEion desc
New home
Contractor
GITIEN CROW INVESfiENTS CO. L],C
P. O. BOX 2439
PORT ANGELES WA 983 62
UPPER IJEFT ELECTRIC LLC
1306 ROO( DR
PORT ANGELES WA 98362
1360) 46t-7120
Permit
Additional desc
Pelrnit Eee
Issue Date
Expiratsion Da!e
200.00
L0 / ot/t9
3/29/20
ELECTRICI\.L NEW RES IDEI,ITIAL
Plan Check Fee
Valuation
00
0
Charged Paid CrediEed Due
PermlE !'ee'lotar
Plan Check Tola1
Grand Totaf
200
200
00
o0
00
200.00
.00
200.00
.00
.00
.00
00
00
00
PERMM WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
INSPECNONTYPE DATE:RESULTS:INSPECTOR:
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SERVICE zire)zt QT EUA
ROUGII.IN s/;;/"o *Lf m
FINAL 6)o/rn #w
COMMENTS:
Signature ofowner or Electrical Contractor X Date:
ELECTRICAL INSPECTION
WIRING REPORT
417-4736
DATE N
1
CONINACTORtffi€{Z- l.a-ff
ADDFESS
t4 z4 Y<fii DE-
APPHOVED NOT APPROVED
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NOTIFY II{SPECTOR WHEN CORRECT]ONS
ABE COMPLETED WTTHIN 15 DAYS
_DO NOT REMOVE-
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ELECTRICAL PER M IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa,us electricalpermits@cityofpa.us
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Project Address
Project Description L@oe 1ae-"'-: t^-ot-t &-
E Single-Family Residential E Duplex / ARU Building Square footage
e-er'\
Mailing Address
'r?t-s=Email:
Phone
Name L c--cf r'
l\ilailing Address
Email eLea-{c TA r&r\
License
Expiration Date
Phone:
Quantitv IqEl (Quantity x Unit Charge)
Lo
unit Charoe
$120.00
$146.00
$20s.00
$262.00
$373.00
$s.00
$63 00
$5 00
$75 00
$93.00
$'110.00
$149.00
$168 00
$96 00
$64.00
$120.00
$102.00
$s6.00
$120.00
$40.00-
$74.00
$110.00
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Owner as defined by RCW19.28.261: (1) Owner will occupy the structure for two years after this 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 ofthe above named propedy or a licensed electrical mntractor 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 PortAngeles l\runicipal Code, and Utility Specifi s and PAIIIC 14.05.050 regarding Electrical Permit Applications
Print Name r9n (E Own E Electrical Contractor / Administratoo
[Electrical Permit Applications may be submitted to Caty Hall or epermits@cityofpa. us or faxed to 360.417.47111
1 - 2 SINGLE.FAMILY 1'o
3
$
O\ANER INFORMATION
Name:
ELECTRICAL CONTRACTOR INFORMATION
PROJECT DETAILS
Item
Service/Feeder 200 Amp
Service/Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 -1 000 Amp.
Service/Feeder over '1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circu t WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp
Temp. Service/Feeder 201-400 Amp
Ternp. Service/Feeder 401600 Amp
Terrp. Service/Feeder 60 1 -1 000 Amp.
Portal to Podal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: sKVA System or less
Thermostat (Note: $5 for each additional)
First '1300 Square Feet
Each Additional500 square feet.'
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub