HomeMy WebLinkAbout1304 FOREST TR - BuildingN
INSPECTION TYPE
DATE.
06
ELECTRICAL PERMIT
SERVICE
V
CITY OF PORT ANGELES
FINAL
360-417-4735
COMMENTS:
Application Number . . . . . 18-00000661 Date 5/03/18
Application pin number . . . 173577
Property Address . . . . . . 1304 FOREST TR
ASUOR T STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-14-6-7-0230-0000-
on tax form
Application type description ELECTRICAL ONLY
your excise
Subdivision Name . . . . . .
to the City of Port Angeles
Property Use . . . . . . . .
(Lo"don *Dde 0502)
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Temp service
-----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GREEN CROW PROPERTIES INC UPPER LEFT ELECTRIC LLC
PO BOX 2439 1306 ROOK DR
PORT ANGELES WA 963620312 PORT ANGELES WA 98362
(360) 461-7720
-----------------------------------------------------------------------
Permit . . . . . . ELECTRICAL TEMPORARY SERVICE
Additional desc . -
Permit Fee . . . . 93.00 Plan Check Fee .00
Issue Date . . . . 5/03/18 valuation . . . . 0
Expiration Date 10/30/18
Qty Unit Charge Per Extension
1.00 93.0000 BCH BL-TEMP SRV 0-200 SRV FDR 93.00
---------------------------------------------------------------------- ------
Fee summary Charged Paid Credited Due
------- -- ---------- - ----------
----------------- r--------
Permit Fee Total 83.00 93.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 93.00 93.00 .00 .00
N
INSPECTION TYPE
DATE.
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMrr WILL EXPIRE SIX (6) MONITIS FROM LAST INSPEMON
Signatige of owner or Electrical Contractor X
RESULTS:
INSPECTOR:
Date:
1 — 2 SINGLE—FAMILY`=M q s
ELECTRICAL PERMIT APPLICAVON
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362,
360.417.4735 1 www.cityofpa.us e?ectricalpermits@cltyofpa.us 6�
Project Address: `� G �-C� e J �- f G- � I
Project Description: IT-(- -P fit'
i, 4 r ✓ t ---e_
(Single -Family Residential 11 Duplex / ARU Building Square footage:
Name:
Mailing Address:
ELECTRICAL CONTRACTOR
Email:
Phone:
INFORMATION
Name: ( )o � f e � 4 % C-4 fl, C
License:
��
Mailing Address:
Expiration Date:
Email: cc CS k CPhone: 36 C -
PROJECT
DETAILS
Item
Unit Charae
Quantity Total (Quantity x Unit Charge)
Service/Feeder 200 Amp.
$120.00
$
Service/Feeder 201-400 Amp.
$146.00
$
Service/Feeder 401-600 Amp.
$205.00
$
Service/Feeder 601-1000 Amp.
$262.00
$
Service/Feeder over 1000 Amp.
$373.00
$
Branch Circuit W/ Service Feeder
$5.00
$
Branch Circuit W/O Service Feeder
$63.00
$
Each Additional Branch Circuit
$5.00
$
Branch Circuits 1-4
$75.00
$
Temp. Service/Feeder 200 Amp.
$93.00
C $
Temp. Service/Feeder 201-400 Amp.
$110.00
$
Temp. Service/Feeder 401-600 Amp.
$149.00
$
Temp. Service/Feeder 601-1000 Amp.
$168.00
$
Portal to Portal Hourly
$96.00
$
Signal Circuit/Limited Energy - 1 &2 DU.
$64.00
$
Manufactured Home Connection
$120.00
$
Renewable Elec. Energy: 5KVA System or less
$102.00
$
Thermostat (Note: $5 for each additional)
$56.00
$
First 1300 Square Feet
$120.00
$
Each Additional 500 square feet"
$40.00
$
Each Outbuilding / Detached Garage
$74.00
$
Each Swimming Pool / Hot Tub
$110.00
$
TOTAL $ 1 3 G 0 -
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-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Il -----_`-" _ Iry
Daie::�_ Print Name Signature (fq_ Owne Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electrical perm its@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL PERMIT
CITY OF PORT ANGELES
350-4174735
Application Number . . . . . 18-00000661 Date S/03/10 -
Application pin number . . . 173S77
Property Address . . . . . . 1304 FOREST TR
ASSESSOR PARCEL NUMBER; 06 -30 -14 -6 -7 -0230 -0000 -
Application type description ELECTRICAL ONLY -
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . UNKNOWN
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Temp service
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GREEN CROW PROPERTIES INC UPPER LEFT ELECTRIC LLC
PO BOX 2439 1306 ROOK DR
PORT ANGELES WA 983620312 PORT ANGELES WA 90362
(360) 461-7720
----------------------------------------------------------------------------
Permit . . . . . ELECTRICAL TEMPORARY SERVICE
Additional desc . .
Permit Fee . . . . 93.00 Plan Chock Fee .00
Issue Date . . . . 5j03j18 Valuation . . . . 0
Expiration Date . . 10/30/18
Qty Unit Charge Per Extension
1.00 93.0000 BCH EL -TEMP SRV 0-200 SRV FDR 93.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- -------- ---------- ---------- ----------
Permit Fee Total 93.00 93.00 .00 .00
Plan Check Total .00 .00 00 .00
Grand Total 93.00 93.00 .00 .00
INSPEMONTYPE DATE: RESULTS:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPEMON
Signature of owner or Electrical Contractor X
RS'ORT STATE SALES TAX
. on your excise tax fo m
to Me City of Pat Angeles
(Lo"*w Chale 0502)
F
INSPECTOR.-
Date:
NSPECTOR
Date: