HomeMy WebLinkAbout1427 Rose Drive - Building Fn
ELECTRICAL PERMIT ,
CITY OF PORT ANGELES
360417-4735
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Application Number 19-00001394 Date 9/19/19 I
Application pin number 295492 REPOS
RTT/QTE SALES TAX
Property Address 1427 ROOK DR : On Oar erase tax f Otrn
ASSESSOR PARCEL19MBER: 06-30-14-7-2-0310,-0000= y
Application type description. ELECTRICAL ONLY to the CiCyof Fort Angeles
Subdivision Name Pr (Location Code 0502)
operty Use . . .
Property Zoning . . . . PLANNED RESDNTL DBVLPMENT
Application valuation . . . 0
Owner Contractor
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GREEN CROW INVESTMENTS M LLC -UPPER LEFT ELECTRIC LLC
P.O. BOX 2439 1306 ROOK DR
PORT ANGELES WA 98362 PORT,ANGELES WA 98362
(360) 461--7720
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc-. NEW SM ELECTRIC
Permit Fee 16o.00 plan Check Fee .00
Issue Date . . 9/1inq Valuation 0
Expiration Date 3/11/20
Qty Unit Charge Per Extension"
1.'00 120.0000 E Ii EL-R-SQFT<FIR4T .1300 120.00
1.00 40.0000 ECH EL-R-SQFT=ADDITIONAL,S00 40.00
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' PW, Charged Paid �~ Credited Due T
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P�Ymit Fee 0 00 16Q,00 -.00 OQ
Plan Check Total '' Q 00 00 :00
Grand Total 160.00 .00 .00
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INSPECTION'TYPE DATE: RESULTS: PWrOR
DITCH k
SERVICE
ROUGH-IN
FINAL
t�114I�fi1TS:
PERMrr wu L wee six f6)MONTHS FROM LAST BpwmN
Signature of owner or EleeOical'+t3ontractor X Date:
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ELECTRICAL PERMIT APPLICATION
Public Works and Utilities
321 E. 5th Street, Port Angeles, WA 98362
[] Single-Family Residential [] Duplex/ARU Building Square footage:
7- OWNER INFORMATION
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Expiration Date:
PROJECT DETAILS
Item Unit Charcie Quanm 1qtLI(Quantity x,Unit Charge)
Service/Feeder 2OOAmp. $120.00 $_________
Service/Feeder 201-400Amp. $146.00 $__________
Service/Feeder 4O1'60UAmp. $205.00 ____--- $-____--___
Service/Feeder 6O14OUOAmp. $262.00 ____--- *____-_-_'
Service/Feeder over 1UODAmp. $373.00 ____--- $---_--___-
Branch Circuit W/Service Feeder $5.00 $________-_
Branch Circuit W/O Service Feeder $83.00 *_____-___
Each Additional Branch Circuit $5�00 $______-----
Branch Circuits 1-4 $75.00 $
Temp.Service/Feeder 2OOAmp. $93.00 $
Temp. Service/Feeder 2O1-4VVAmp. $110.00 *_--___---_
Temp. Service/Feeder 4O1'6UDAmp. $149.00 $
Temp.Service/Feeder 8O1'1ODOAmp. $168.00 *______---_
Portal ho Portal Hourly $96.00 o
Signal Circuit/Limited Energy'1&2 DU. $84.00 ____--- $_______-_
Manufactured Home Connection $120.00 ___--- $_____-----
Renewable Elec.Energy:5hVA System orless $102.00 $_________
Thermostat(Nota:$5 for each additional) $56.00 $_____---_
First 13O8 Square Feet $130.00 I� *_l�=��--__
Each Additional 5OV square feet" $40.00 l $_V0-_--_
Each Outbuilding/Detached Garage $74.00 $
Each Swimming Pool/Hot Tub $110.00 ____--- $
TOTAL $_���l�---_
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 UtilitySpeclfi tions and PxMC 14.05.050 regardingElectrical Permit Applications.
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bat4 %-� Print Name Signature(F-1 Owner E] Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.47111
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