HomeMy WebLinkAbout1430 Rook DrELECTRICAL PERMIT
CITY OF PORT ANCELES
360-417-4735
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Appfication Number
ApplicaEion pin number
Property Address
ASSE5SOR PARCEL NUMBER:
Applica!ion !ype desc!ip!ion
subdivision Name . .
Property Use
Propertsy zoning
ApplicaEionvaluation .
21- 00000459 Date 4 /22 /21-
o77532
1430 ROOK DR
05 - 30-14 -7 -2- 024 0- 0000-
ELEC!]RICEL ONIJY
RESIDENTAIJ SF 9OOO
RS9 RESDNTI SINGI,E FAMII,Y
0
Applicalion desc
Temp
Owner
TIPPE& tE!'T ELECTRIC IJC
1306 ROOK DR
PORT ANGELES WA 98352
\35O) 46L-'t72O
additional
Issue Dale
Expi raE ion ,"a.
93 .00
4/22/2L
ra /79 / 2L
ELECTRICAL TEMPORARY SERVICE
.00
o
oty Uni.! charge Per
1-00 93.0000 Ectt EL-TEMP SRV 0-200 SRV FDR
ExEension
93. 00
charged Paid crediLed
Permi! Fee Total
Plan check To!aL
Grand Tolal
93 .00
.00
93 .00
93.00
.00
93.00
.00
.00
.00
00
00
00
PERMTT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
REPORT SALES TAX
on your excise tax form
to the City of Potl Angeles
(Location Code 0502)
INSPECTION TYPE DATE RESIIT-TS:INSPECTOR:
DITCH
c )at lq,t €=sb
ROUGH-tN
FINAL q/q/z-r ,P *
Signature ofowner or Electrical Contractor X
GIEXCHANGRBUILDINC
Date:
GREEN CROW INVESTMENTS CO. I]LC
P.O- BOX 2439
PORT ANCEITES WA 98362
Plan Check Eee
Valuat ion
COMMENTS:
SERVICE
APPHOVED
ELECTRICAL INSPECTION
WIRING REPORT
4174735
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D]TCH
BOUGH IN/COVER ,
NOT APPROVEO
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Cg=-......SERVICE
. . FINAL .
coBREcroNS NEED eo, ?ePt -fr<-E- ofz- EzYXI P...
4tu"?.
DAT
OWNEF
CONTBACTOF
NOTIFY INSPECTOR WHEN CORRECNONS
ARE COMPLETED WITHIN 15 DAYS
_ DO NOT REMOVE-
....D
ELECTRICAL PE RIVI IT APPLICATIO N
Pubiic S/orks and Lltilities Departmert
331 E. -ith Street. Port Angeles, \4A 98.162
160..1 I 7.47-15 | ivrvw.cit.vofpa.us j elecrricalpennitsr!)cityotla.us
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POect Address
Project Description '100 amp temp power
E Single-Family Residential E Duplex / ARU Building Square footage
Name: north point construction llc Email
l\ilailing Address P hone
Name upper left electric License
Mailing Address Expiration Date
P hone:Email upperleftelectric@gmail.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -1 000 Amp.
Servrce/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circu t
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Tea]p. Serv.ce/Feeder 401 -600 Amp
Temp. Se.vicei Feeder 601-'1000 Amp
Poflal to Portal Houdy
Srgnal CrrcLivLimited Energy - 1&2 DU.
ManufactJred Home Connection
Renewable Elec. Energy sKVA System or less
Ouantity Iqlal (Quantity x Unit Charge)lt!+clary
$120.00
$146.00
$205.00
$262.00
$s73.00
$5.00
$63.00
$s.00
$75.00
$93.00
$110.00
$149.0Q.,.:.:
$
$
$
$
$
$
$
1 93
$64.00
$120.00
$102.00
Owner as defined by RCW 19.28.261: (1) Owner will 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 PortAngeles lvlunicipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
4t18t21 chace botero
Date Print Name Signature (D Owner ! Electrical Contractor / Administrator)
IElectrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa. us or faxed lo 360.417.4711)
1 - 2 SINGLE-FAMILY
1430 rook rd
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]. OWNER INFORM]ITIoN
€LECT€I EALEONTR ACTO' INTOR:MAT I O,N
PROJE0T':DEIAILS
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TOTAL