HomeMy WebLinkAbout1409 Rook Drive - Building ELECT -CAL PERMIT
C*� ART ANGELES
60-417-4735
Application Number 21-00000472 Date 4/22/21
Application pin number . . . 269216
Property Address . 1409 ROOK OR
ASSESSOR PARCEL NUMBER: 06-30-14-7-2-0004-0004-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . RESIDENTAL SP 9000
Property Zoning . . . . . RS9 ROMDNTI, SINGLE FAMILY
,Application valuation 0
Application desc
New:home
Owner- Contractor
GREEN CROW�INVESTPUWS CO LLC UPPER LEFT ELECTRIC LLC
PO BOX`2439 1306 RQOK DR
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461-7720
--- Permit . . . MELECTRICAL NEW RESIDENTIAL
Additional desc . .
Permit Pee . . . 200.00 Plan Cheek Fee .00
Issue Date' . . . 4/22/21 Valuation . . . . 0
Expiration Date 10/19/21
Qty Unit Charge Per Extension
1.00 120.0000'ECg EL-R-SQPT FIRST 1300 120.00
2..00 40.0000 ECK EL-R-SQFT ADDITIONAL 500 80.00
--------- --------------------- --
Fee summary
Charged Paid Credited Due
_____ ______ ____ __ _ ____ _
Permit Fee Total 200.00 200.00 .00 .00
Plan Check Total 09 .00 .00 .00
Grand Total 200.00 209.00 .00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE 2 j
ROUGH-IN 2 42I
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
WEXCHANG"IJILDING
ELECTRICAL PERMIT APPLICATION 3
Public Works and utilities Depai-tment
NOW
11 Single-Family Residential [] Duplex/ARU Building Square footage,
OWNER INFORMATION
Name: north point construction Ilc Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: upper left electric License:
Mailing Address: Expiration Date:
Email: upperleftelectric@gmall.com- Phone:
PROJECT DETAILS
Service/Feeder 200 Amp. $120.'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 $
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Portal\oPortal Hourly ���� ` ���"����
Signal Cimuit/LknitedEnergy-1&2 DU� ^~� ��� ��` � ' u$64.00^�����_e�__� ~
Manufactured Home Connection
Renewable Elec. Energy: 5KVA Syste
Thermostat(Note: $5 for each additional),
TOTAL $
Owner as defined by RCW 19.28161:(1)Owner will occupy the structure for two yearsafter this electrical permit is finalized.;Q 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 Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
4/18/21 chace botero
Date Print Name Signature(1-1 Owner n Electrical Contractor/Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]