HomeMy WebLinkAbout1318 Rook Dr (2)ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-4t7-473s
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Application Numbe!
Application pin numbe.
ProperEy Address
ASSESSOR PARCEL NUI,IBER.
ApplicaEion cype descripEio.l
Subdivision Name .....
Property Use
Property zoning
Applicalion valuatlon
20-00000583
8 0110 0
1318 ROOK DR
06 -30 - 14-6- 7- 0090 - 0000-
ELECTRICAL ONLY
O^YREffiFSTATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
RS7 RESDNTL SINGI,E FAMITY
0
Application desc
Fina] inspection permits 18-259
BETH A WELANDER
1318 ROOK DR
PORT ANGELES
UPPER LEFA EIJECiFRIC I,LC
1306 ROOK DR
PORT ANGEIES WA 9A362
1360) 46L-7720
wA 943520315
Permii
Additional desc
Permit Fee
Issue DaEe .
Expiration DaEe
ELECTRICAI AITER RESTDE{TIAI
1-4 CrROr?S
75.00 Plan Check Fee
6/02/20 valuation
tt /29 / 20
00
0
Qty UniE Charge Per
BASE FEE
Extension
75_00
cha!ged Paid Credited Due
Permia Fee Totsaf
Plan Check Totsa1
Grand Total
?5 .00
.00
75 .00
75 .00
-00
75.00
.00
.00
.00
- 00
.00
.00
INSPECTION TYPE DATE:INSPECTOR:
DITCH
SERVICE
ROUGH.IN
FINAI-
COMMENTS:#f\ irz-
PERMIT WILL EXPTRE SIX (6) MONTHS FROM TAST INSPECTION
Owner
RESULTS:
Signature of orl:ner or Electrical Contractor X Date:
-I I 1-2 SF
ELECTRICAL PERM IT APPLICATION
Public Works and Utilities Department
321 E. 5th Street. Port Angeles. WA 98362
3 60.4 17 .47 3 5 wu.i,r'.c ityof pa.us electricalperm its@cityofla.us
Project Address 1318 rook
ToI
t
Project Description final 18-259
E Single-Family Residential E Duplex / ARU Building Square footage:
OWNER INFORMATION
Name:joe sandavol Email:
Mailing Address Phone:
ELECTRICAL CONTRACTOR I NFORMATION
Name upper lefr eleclric License
tvlailing Address Expiration Date:
Phone:Email upper left electric@ gmail.com
PROJECT DETAILS
Item
Service/Feeder 200 Amp.
Service/Feeder 201 400 Amp.
Service/Feeder 401 600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit w/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 14
Temp. Servic€/Feeder 200 Amp.
Temp. Service/Feeder 201400 Amp.
Temp. Service/Feeder 401600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portalto Portal Hourly
Signal Circuiulimited Energy - 1&2 DU.
Manufactured Home Conneclion
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
First 1300 Square Feet
Each Additional 500 square feet''
Each Outbuilding / Detached Garage
Each Swimming Pool / Hot Tub
ll[rc!ilc!
$120.00
$146.00
$205.00
$262.00
$373.00
$5.00
$63.00
s5.00
s75.00
$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 Igtal (Quantity x Unit Charge)
/5
$
$
$
$
$
$
$
$
$
$
$
$
$
s
$
$
$
$
$
!
$
TOTAL I75
Owner as defined by RCW19.28.261: (1) Owner will occupy the structure for two years after this eleclrical permit is finalized. (2) Owner is
required to hire an elec,trical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspec,tion.
Afrer reading the above statement, I hereby certify that I am the owner of the above named property or a licensed eleclrical contraclor I
am making the electrical installation or alteration in compliance with the eleclrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296-
468, The City of PortAngeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regardang Eleclrical Permit Applications.
5l28l2O2O chace botero
Date Print Name Signature 1@ Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed to 360.417.47'11]
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