HomeMy WebLinkAbout1103 W 6th St - Building 2011- 1273684
When recorded return to: Page 1 of 1 Protct Covenant
Martin Mikelsons
Clallam County Washington 12/19/2011 04:
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P� R t A ELe5 LiA- (313
ZONING LOT COVENANT
I/WE the undersigned owner(s) of the following described property:
(insert legal description, address if available, and Assessor's Parcel Number) p G 3 1/ 3S
5 �o E2 LT 11 ALL LT 20 gLr13 1 019 103 WG
E2 LTI2 Lriq a 51QO'c2 Fz 61_113 /lOr W (ot-ttSt O&3 cOoa113
do hereby covenant that said property shall be designated as one zoning lot as defined in Section
17.08.130 "Z" of the Port Angeles Municipal Code. This covenant creates one inseparable
building lot which may only be removed through compliance with Chapter 58.17 RCW
(subdivision regulations) and/or the City of Port Angeles short subdivision regulations
(Ordinance No. 2222, as amended).
This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in
interest and shall be filed with the County Auditor's Office. This covenant is for the mutual
benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the further
purpose of compliance with state and local land use and building regulations. This covenant may
be enforced by injunction or other lawful procedure and covenant by the recovery of any
damages resulting from non compliance.
DATED this t 6 day of E M Er? 20 f
Print Name: Pv R L ENE JAI 11C t LSO Al 5 Print Name: M A RI IA) M 1 E LS D k) -S
:mss k P[�/�/1 �,t/�
(Owner Signature) (Owner Signature)
Phone: 3 (O L S O L f Phone: 36 U �s -�3 0 `-i
STATE OF WASHINGTON
ss
COUNTY OF CLALLAM
t r1 S Notary Public in and for the State of Washington, do hereby
certify that this,/ 9 da of 20/2, personally appeared before me <2 Alp
r known to me to be the individual(s) described in and who
executed the within instrument and acknowledged that signed and sealed the same as ee
and voluntary act and mentioned.
deglr
��uQ� �3fi urposes herein
GIVEN UNDER TB IT,TICIAL SEAL this/ day of r' ;At■ 4 20
Er: Ca FX pp 24 2 012;
O NOTARY PUBLIC in and for e e State of
0_ C? Washington residing at Port Angeles.
WA SN
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CITY O.F PORT ANGELES,
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
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PERMIT NUMBER
FEE RECEIPT NUMBER
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TOTAL FEE J-0~
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
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NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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Owner ot r-
Owner's Address - SiC\. '" ~.
457 -553~
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. ~j Installatfon By
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f Installers Address
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Inst~llers Phone'
PERMITS WITH WAONG ADDRESSES ARE CANCELLED
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~~. . Wiring Metho~
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AMP 240V - NUMBER . AMP 120V 240V
USE OF CIRCUIT NUMBER PER 120V..- 100R FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
50 VOLTS _.
LIGHT OR LESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE . .-. . .- MOTOR
DIS.HWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY ..
DRYER .. - REINSTALLATION LIGHT FIXTURE #
FURNACE SU~ TOTAL FEE ,
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
. TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
fEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
-. ..
SERVICE AW.G.
. I SUB-TOTAL .
SIZE Of GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the Installer and in -conformance with the N.E.C. Electrical Code.
Date Application made
,19
By
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CONTRACTOR OR OWNER (OR A~THORIZED AGENT)
Permission is hereby given to do the above describecLwork, aqcording to the conditions_hereon and.according to the approved plans and
specifications pertaining1tther:O'7SU/biejct t70 compliance with the O:inances of. th J~{i€.~S'
Date Permit Issued L PCANS P RD ED
Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not
be coyered or current tur~~d on before inspection and O.K. for covenng or ser~ipe has b~en given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER ~
WARNING
WHITE. Original
CANARY. Duplicate
PINK . Triplicate
WHITE CARD. Inspector's Report
nl YMPlr. PI'lINTi=I'l~ INl:
DATE OF VISIT
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MADE BY
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REPORT OF INSPECTOR
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O.K. FOR COVERING
O.K. TO CONNECT SERVICE
FINAL O.K.
REMARKS
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ELECTRICAL PERMIT
CITY OF PORT ANGELES
3 60 -417 -4735
Application Number . . , . 15 00001120 Date 10/08/15
Application pin number , . , 002560
Property Address . , . . 1103 W 6TH ST
ASSESSOR PARCEL NUMBER! 06-30-00-0-1- 1350 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning , . . . . . , RS7 RESDNTL SINGLE FAMILY
Application valuation , , , , 0
-------------------------------------- =-------------------------------------
App�ication desc
Service and remodel
Owner
Contractor
-- ---- ------------ ---
MIICELSCNS, MARTIN AND
- --
ARLENE
---- --- - - - - -- ---- - - - - --
DOTERO & SON ELECTRICAL
1103 W 6TH ST
940 TAMARACK WAY
PORT 7\NGELES
WA 983632007
PORT ANGELES
WA 983'62
(360) 452 -4766
Permit I , , , . ,
ELFCTRICAL ALTER. RESIIJ=N AL
Additional desc . .
Permit Fee . . . .
135100
Plan Check Fee
OD
Issue Date
9/08/15
Valuation . . .
.. 0
Expiration Date
3/07/16
Qty Unit Charge
Per
Extension
3,00 5,0000
BCH EL- BRANCH CIRCUIT W /FEEDER
1.5.00
1.00 120,0000
ECK EL -0 -200 SRV FEEDER
120,00
Fee summary Charged
Paid Credited
Eue
Permit Fee Total
7.35,00
135,00 00
.00
Plan Check Total
00
,00 00
00
Grand Total,
7,35.00
135.00 .00
00
REPORT SALES TAX
on your excise fax form
to the City of Pori Angeles
(Location Code 0502)
INSPECTION TYPE DATE: RESULTS; INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS;
PERMIT WILL EXPIRE SIX (6) MONTUS PROM LAST
15�-
Signature of owner or Electrical Contractor X Date:
GAEXCHANGE\BUiLDMG
CITY OF PORT ANGELES PERMIT APPLICATION RECEIVE
..
Building Division/Electrical Inspections',
321 East Filth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax,�(360) 417 -4711 ELECTRICAL
� INpyjIONS
Date: y 1 & 2 Single Family Dwelling
* Plan Review May Be Re uired lease Complete Electrical PI n Revie nformation She
Job Address:
Rulldinn Rr1mra Fnnfana-
eti;Y= .�R
Owner Information
Name; 7" ` C>'
Mailing Address;
City: State: Zip:
Phone: Fax:
License # I ExD.
Item
Unit Charee
Service /Feeder 200 Amp.
$120.00
Service/Feeder 201 -400 Amp.
$146,00
Service /Feeder 401 -600 Amp
$205,00
Service/Feeder 60 1 -1000 Amp.
$ 262,00
Service /Feeder over 1000 Amp.
$ 373.00
Branch Circuit WI Service Feeder
$ 5.00
Branch Circuit WIO Service Feeder
$ 63,00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 14
$ 75,00
Temp, Service/ Feeder 200 Amp.
$ 93.00
Temp. ServicelFeeder 201 -400 Amp,
$110.00
Temp. ServicelFeeder401 -600 Amp.
$149.00
Temp. ServicelFeeder 601 -1000 Amp .
$168.00
Portal to Portal Hourly
$ 96,00
Signal Circuit/ Limited Energy -1 & 2 Family Dwelling
$ 64.00
Manufactured Home Connection
$120.00
Renewable Electrical Energy - 5KVA System or Less
$102.00
Thermostat
$ 56.00
Note: $5,00 for each additional T -Stat
NEW CONSTRUCTION ONLY:
FITst 1300 Square Ft
$120.00
Each Additional 500 Square Ft. or Portion of
$ 40.00
Each Outbuilding or Detached Garage
$ 74,00
Each Swf mming Pool or Hat Tub
$110.00
i
C„�a 1-�
Contract
faKmation '
Name;
f*sa 'd
Mailing Address:
k
City:
Stato: riL Zip; 3
Phone:
i t.
License # Fexp,
Qt
Total (Qty NlultiuliedUy Unit Charge)
$�
$
$
$
$
$
$ 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 roadhg 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 instal}ation or alteration in compliance with the electrical laws, N,E,C,, RCW. Chapter 19.28, WAG, Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications,
Signature of owner, electrical ontractor or electrical administrator: ❑ cast, ❑ Check
redit Card 0
` Z Dated: 0110112012
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