HomeMy WebLinkAbout1431 ROOK DR - Building "
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ELECTRICAL PERMIT - s
CITY OF PORT ANGELES
Application Number 19-00000135 Date 1/23/19
Application pin number . 925955 REPORT STATE SALES TAX
Property Address . . 1431 ROOK DR On our excise tax form
ASSESSOR PARCEL NUMBER: 06-30-14-5-3-0665-0000- y
Application type description ELECTRICAL ONLY_ to the Cltyof Port Angeles
Subdivision Name . . . . . .
Property.Use (Location Code 0502)
Property Zoning . . . . RESIDENTIAL MEDIUM DENSTY
Application valuation . . . . 0
Application desc
Temp service
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I
i
Owner Contractor -
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GREEN- CROW PROPERTIES INC UPPER LEFT ELECTRIC LLC
PO BOX 2439 1306 ROOK DR
PORT ANGELES WA 983620312 PORT ANGELES - WA 98362 .
(360) 461-7720
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Permit . . . . ELECTRICAL TEMPORARY SERVICE
Additional desc .
Permit Fee . . . . 93.00 Plan Check Fee .00
Issue Date 1/23/19 Valuation . . 0
Expiration Date 7/22/19
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
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE ,
ROUGH-IN
FINAL
CONMENTS.
PERMrr WILL EXPIRE SIX(6)MOMMS FROM LAST INSPECTION
Signature of owner or Eledrcal.Contractor X Date:
oi AT ELECTRICAL INSPECTION
S WIRING REPORT
0 417-4735
DAT PERMIT# INSPEC
OW14ER
CONTRACTOR
ADDRESS v7
Q� /7
APPROVED OT APPR E
❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . .
❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑
r/ CORRECTIONS NEEDED: 1 h� 1 �2
2� r-Sil G L?ZCsi c
Ca2[�2tla:sr-n
1+.l�o-s'P�� Ce.V�� �►i�Q��Ls�
1
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE--
1 - 2 SINGLE-FAMILY RECEi,, C
ELECTRICAL PERMIT APPLICATION JAN 23 26,,
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 1 www.cityofpa.us I electrical perm its@cityofpa.us
Project Address:
Project Description: nn
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: r r Gr C,taj Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR • ' ON
Name: License:
Mailing Address: Expiration Date:
Email: i C C t^i t r—CiV-,\- Phone:
PROJECT
Item Unit Charge 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 �_ $ olL &!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 $
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.
ate Print Name b Signat re(Q' Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]