HomeMy WebLinkAbout1422 Rook Drive - Building Cam*:- ANGELES "� Y
4735 �_
Application Number 20-00000584 Da
Application pin number 872800
tE�t TATE SALES TAX
Property Address . . . 1422 ROOK DR on your excise tax form
ASSBSSOR PARCEL NUMBER: 06-30-14-7-2-0200-0000- t0 the City Of Port Angeles
Application type. description ELECTRICAL ONLY
Subdivision Name (Locadon Code 0502)
Property Use . . . . . . . . RESIDENTAL SF 9000
Property zoning . . . . RSt9 RESDNTL SINGLE FAMItY
Application valuation . . . . 0
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-Application desc
New home
'owner - :Contractor
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� .CRDw INVESTMENTS CO. -LLC UPPER LEFT ELECTRIC LLC
P.O. AOX 2439 1306 ROOK DR
PORT ANGELES WA 99362 PORT ANGELES WA 98362
(360) 4-61-7720
- .. - -__
Permit . . . ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit Fee 200.09 Plan Check Fee .00
Issue Ddte va21zo Valuation 0,
Expiration Date 11/29/20
Qty Unit Charge Per Extension
1.00 120.0000 ECii $LhX-iSQFT FIRST 1300 120.00
2.00 40.4000 ECU RL+AR- ADDITIONAL 500 50.00 "
- -«Fee summary Charged Paid Credited" Due
Permit Fee Total 200.-00 200.00 .00, .00
Plan Check Total 00 .00 w00 .00
Grand Total 206.00 200.00 .00 .00
I SPEC ON TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL . .
COMLI'S
PERMIT i t,mum SIX(6)MONTM MOM L.AV w!;PEc nON
Signature of owner or Electrical Contractor X Date:
'
ELECTRICAL PERMIT APPLICATION
Public Works and Utilities Department
���� � ����
Project Description:
O Single-Family Residential O Ouplex/ARU Building Square footage:
OWNER INFORMATION
Name: green crow Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: upper left electric License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit ChaEge Quantily Ig.W(Quantity x Unit Charge)
Service/Feeder 20VAmp. $120,00 %__________
8arvioe/Feeder2014UOAmp. $146.00 $__________
SamimKFeader401'8UOAmp. $205.00 $__________
Service/Feeder 001'1OOUAmp. $262.00 $_________
Service/Feeder over 10OOAmp. $373.00 $_--______
Branch Circuit wW Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 *__________
Each Additional Branch Circuit $5.00 $______---'
Branch Circuits 1-4 $75.00 » m
Temp. Service/Feeder%00Amp. $93.00 $_______-_
Temp. Service/Feeder 2V1-4OOAmp. $110.00 *
Temp. Service/Feeder 4U1'608Amp. *149.00 $__-_---_-_
Temp,Service/Feeder 6O1'1DUOAmp. $188D0 *______--_
Portal to Portal Hourly *96.00 u
Signal Circuit/Limited Energy-1&2 DU. $64.00 $
Manufactured Home Connection *120.00 $
Renewable Elec. Energy:5KVA System orless $10Z00 $__________
Thermostat(Note:$5 for each additional) $58.00 *_____---_
First 130O Square Feet 1$120�UO * 120
Each Additional GVO square feet- ;40.00 2 * 80
Each Outbuilding/Detached Garage $74.00 $______--_'
Each Swimming Pool/Hot Tub $110.00 $_____--_-
TOTAL $ omm
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Owner as dmfinedbyRCVK19.20.261:(1)Owner will occupy the structure for two years after this electrical permit iu finalized.(2)Owner is
required to hire an electrical contractor if above said property in 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 2n8-
46B.The City ofPort Angeles Municipal Code,and Utility Specifications and FAMC14.05.05Vregarding Electrical Permit Applications.
5/28/2020 chace bo0ero
Date Print Name Signature(V Owner [:] Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]