HomeMy WebLinkAbout1433 ROOK DR - Building �9
ELECTRICAL PERMIT �
CITY OF PORT ANGELES
360417-4735
Application Number 19-00000137 Date 1/23/19
Applanation pin number . 087821 EPORf9 .SALES TAX
Property Address . . . . . 1433 ROOK DR QUI excise tax f(H71 F
ASSESSOR PARCEL NUMBER: 06-30-.14-5-3-0665-0000 QR y
Application type description ELECTRICAL ONLY to the Clty of Port Angeles
Subdivision Name
Property Use (LOcetfon Code 0502)
Property Zoning . . . . . . RESIDENTIAL MEDIUM'DENSTY
Application valuation . . . 0
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Application desc
New home
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Owner Contractor
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 NEW RESIDENTIAL
Additional desc .
Permit Fee . . . . 200..00 Plan Check Fee .00
Issue Date . . . - 1/23/19 Valuation . . . 0
Expiration Date . 7/22/19
Qty Unit Charge Per Extension
1.00 120.0000 BCH EL-R-SQFT FIRST 1300 120.00
2.00 40.0000 BCH EL-R-SQFT ADDITIONAL X00 80.00
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Fee summary Charged Paid Credited Due
Permit Fee Total 200.00 200.00 .00 .00
Plan,-Check Total .00 .00 .00 .00
Grand Total 200.00 200.00 .00 .00
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
CQINIMEIVTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature OfO r or Electrical Contractor X Date:
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION RECEIVED
Public Works and Utilities Department JAN 23 2019
321 E. 5th Street, Port Angeles, WA 98362
360.417.47351 www.cityofpa.us I electricalpermits@cityofpa.us W
tf'2 42
Project Address: 1
Project Description: 1 F,
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: ��-t .z c^ �— r u;�. Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR • - •
Name: e - - c License:
Mailing Addres L ✓�.��� 'r,.nom; J� Expiration Date:
Emailr � er��� � �f ?.c.. � C- Q ca ;.U�✓ Phone:
PROJECT
Ism 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 $
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 $ .go
/
TOTAL $ ' �W
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 S ifications and PAMC 14.05.050 regarding Electrical Permit Applications.
ate Print Name Signature C2 Owner ❑ Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111