HomeMy WebLinkAbout622 Del Guzzi DrELECTRICAL PERMIT
CITY OF PORT ANGELES
360417-4735
RS9 RESDIITIJ SINGIJE FAI{]IJY
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Application Nu ber
Applica!ioo pin number
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ASSESSOR PARCEIJ NTJMBER:
ApplicaEion t).pe descriplion
subdivision Name
Property Use
Proper!y zoning
Application valuaE.ion
21-00000336 Date 3 /te /2\
595056
622 DEL GI]ZZI DR
05 -30-12 -6-8- 0040- 0000-
EIIECIRICAL ONLY
AppLication desc
ConEract.or
GREEN CROW IN!'ESIT{ENIS CO ILC
PO BOX 2469
PORT ANGELES WA 98362
l360) 460-1795
UPPER IJEFT EIJECTRIC Il,C
1305 ROOK DR
PORT ANGELES WA 98362
(35A1 461-7't20
Permit
Additional
Issue Datse
ExpiraEion
o:":
200.00
3 /aB /2t
9/14/2L
ELECTRICAL NEW RESIDENTIAL
Plan Check Fee
Valuatsion
00
0
Qtsy Unit Charge Per
1.00 120-0000 EcH EIJ-R-SQFT ErRST 13002.00 40.0000 EcH EL-R-SoE? ADDIUONA! 500
ExEension
120,00
80.00
Fee summary Charged Paid Crediled Due
Permi! Eee Total
Plan Check Toial
crand Totsa1
200.00
.00
200.00
200
200
00
00
00
00
00
00
00
00
00
REPORT SALES TN(
on your excise tax form
to the City of Pott Angeles
(Location Code 0502)
PERM rT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR
DITCH 4/e)zr p
SERVICE 'iltol zl ,&
ROUGH-IN 5ln/zt P
FINAI-qlzit z &
COMMENTS
Signatue ofowner or Elcctrical Contractor X
Cr'EXCHANGETBUII,DINC
Date:
I
APPROVED
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
..-.DITCH
ROUGH IN/COVEH D
SERVICE D
. FINAL a-
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el,il2r 2)-?3b -B?
CONTBACTOB
U
Lo
ADDFESS
OT APPBOV
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COBRECTIONS NEEDED:
2 E.'<rorra^ 4>5n*S tDu-\L-DR O- f-ar._,
Ft^\Dl4En /d r,*,.lr.,
NOTIFY INSPECTOR WHEN CORRECTIONS
ABE COMPLETED wlTHIN 15 DAYS
_ DO NOT REMOVE_
o.#5(o*"ftErY
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-
!16'N7""
Drzr'
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2S IN G LE-FAMILY
ELE CTRICAL PE RIMIT APPLI CATI(
1
Proj ect Address: 622 Delguzzi dr
E Single-Family Residential E Duplex / ARU Buitding Square footage
Name: North Pointe Construction Email
Mailing Address Phone
Name upper left electric License
Ivlailing Address Expiration Date
Phone:Email upperleft electric@gmail.com
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 40'1-600 Amp.
Service/Feeder 601-1 000 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 20'1-400 Amp.
Temp. Service/Feeder 401-600 Amp
Temp. Service/Feeder 601 -1 000 Amp.
Portai to Portal Hourly
Signal CircuiVLimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
unit Charge
$120.00
$146.00
$205.00
$262.00
$373.00
$5 00
$63 00
$5.00
$75.00
$93.00
$110.00
s149.00
$168 00
$96.00
$64.00
$120.00
$102.00
$56.00
Quantitv fgibl (Quantity x Unit Charge)
$
$
b
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL
Owner as delined 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 certiiy 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 Perm it Applications.
3t17t21 chace botero
Date Signature 1p Owner ! Electrical Contractor / Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed lo 360.417 .4711)
Public Works and Utilities Depar.tment
321 E. 5rh Srreer. Port Angeles, trA 98162
360.4 I 7.473-s I ww'w.cityofpa.us i electricalpennits@cityofla_us
Project Descrlption' 2300 sq ft new house
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OWNER INFORfuIATION
ELECTRICAL CONTRACTOR INFORMAI'ION
PROJECT.DETAILS
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Print Name