HomeMy WebLinkAbout1420 ROOK DR - Building i
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Cl"I` 'CSF '6k.r ANGELES
40- 41747,35
Application Number . . . . . 19-00001313 Date 8/27/19 '
Application pin number . . 211985 REPORT.STATE SALES'T (
Property Address . . . . . . 1420 ROOK DR on your EXC/Se tax fOm1
ASSESSOR PARCEL NUMBER: 06-30-14-7-2-0190-0000
Application type description BLECTRICAt ONLY t0 the City of POIf Angeles
Subdivision Name (Location Code�. Z�
Property Use RBSIDWL,SF 9000
Property Zoning . . . . . RS9 RSSDSINGLE FAMILY
Application valuation .
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Application desc
Temp service
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Owner
-- ---- - -- ------ - -Owner Contractor
». ----
GREEN CROW INVESTMENTS CO. LLC UPPER LEFT ELECTRIC LLC
.P.O. BOX 2439 1306 RQOK PR
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(300) 451-7720 ,
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'Permit
- ----
Perm t . . . . ELECK'RICAL'TEMPORARY SERVIIC
Additional desc .
Permit Fee . . 93.00, Plan Check`Fee 00
Issue Date . . . . 8/27/19 Valuation 0
Expiration Date 2/23/20'
Oty Unit Charge Per Extension
1.00 93.0000 BCH EL-TEMP SRV -200 SRV FDR 93._00
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Fee
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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 .
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INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH
I*iNA3. JV Ap
COMk+# TTS:
PERMIT WILL mmm SIX(d)MONTHS FRou LAST KspwrION
Signature of owner or Electrical Contractor X Date:
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1 — 2 SINGLE—FAMILY
• ELECTRICAL PERMIT APPLICATIONv�; `" 'is" v
Public Works and Utilities Department ?DIS
321 E. 5th Street, Port Angeles, WA 98362 t
360.417.4735 ' www.cityofpa.us '; electricalpermits@cityofpa.us
Project Address: t gin(c
Project Description: Gimp 1 L°-1`v`P csef J "Cc
❑ Single-Family Residential ❑ Duplex/ARU Building Square footage:
OWNER INFORMATION
Name: rey, Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR • ' ' •
Name: License:
Mailing Address: Expiration Date:
Email e GlC— I t-ccL� Phone:
PROJECT DETAILS
lir 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 r $ Gd
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-
466,The City of Port Angeles Municipal Code, and Utility Specificatio nd PAMC 14.05.050 regarding Electrical Permit Applications.
(9(Z-111 7 ci-� &filer-)
Da Print Namegn r lectrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]