HomeMy WebLinkAbout1409 - Building CI'Iy 4T ANGELES
3 -417-4735
t Application Number . . . . . 21-00000471 Date 4/22/21
Application pin number . . . 218688
Property Address . . 1409 ROOK DR
ASSESSOR PARCEL NUMBER: 06-30-14-7-2-0004-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . . . . . . . RZSII?BNTAL SP 9000
Property Zoning . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . 0
-- Application desc
Temp'service
-------------------------------------------------------------------------
Owner'" Contractor
GREEN CROW-INVESTMENTS CO LLC UPPER LEFT ELECTRIC LLC
PO BOX 2439 1306 ROOK DR
PORT ANGELES WA 98362 FORT ANGELES WA 98362
(360) 461-7720
---------------------------------------------------------------------------
Pea:mit . . . . ELECTRICAL TEMPORARY SERVICE
Additional desc .
Permit Fee . . . . 93.00 Plan Check Fee .00
Zssue:,Ate . 4/22/21 valuation . . . 0
Expiration Date 10/19/21
oty Unit Charge_ Per Extension
1.00 93.0000 ECH 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
REPORT SALES TAX
on your excise tax harm
to the City of Port Ange%S
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH4N
FINAL .
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEIBUMDIN(
�
ELECTRICAL PERMIT APPLICATION
Public NVorks and utilities Department
Project Description: 100 amp temp power
U Residential O Duplex/ARU Building Square
OWNER INFORMATION
Name: north point construction Ilc Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: upper.left electric License:
Mailing Address:
Expiration Date:
Email: upperleftelectri2agmaiLcom , Phone:
PROJECT DETAILS
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit WIO Service Feeder $63.00 $
Each Additional Branch Circuit � $
Branch CimuUs 1-4 $75.00�� ' | --------- �'
lemp. 8emice/Feeder 200 Amp. $93.80 l . $ 93 -
Temp. Service/Feeder 2O1~40OAmp. $110.00 ^ ~ *
Temp. Service/Feeder 1-600 Ampc
/emp. uemxxe/F000er 601 �
Portal ho Portal Hourly �z - ��� $96.00
Signal CircuittLknhedEne gy-1&2W
Manufactured Home Connection $120.0Q,",
Renewable Elec. Energy: 5KVA System or less $102. $
Thermostat(Note:$5 for each ad
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 o/ecthuo|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,TheQ+yofPortAngo|aaK8unicipo|Cude. andUti|ityGpocificadonaundPAMC14.O5.050egandingBen1rioa|PennitApp|ioationu.
4/18/21 chace botero
Date Print Name Signature([:] Owner E] Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]