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Home My WebLink About1115 D St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 32 i EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000850 Date 8/25/11 Application pin number 273600 Property Address �H �r 1115 1. .10 1 T REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 5350 -0000- Tenant nbr, name BEVERLY GROSSMAN on your state excise tax form Application type description RES ACCESSORY BUILDING to the City of Port Angeles Subdivision Name Property Use s/ r (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Npr Application valuation 15180 P! YO Application desc r 55 506 SQ. FT. HOBBY SHOP STORAGE 0‘a- (p_p�( \16 r Owner Contractor BEVERLY GROSSMAN OWNER 1837 W 7TH ST PORT ANGELES WA 983635205 f I vI/� I I (360) 460 -7383 c'�/ Structure Information 000 000 506 SQ. FT. HOBBY SHOP /STORAGE Permit BUILDING PERMIT RESIDENTIAL Additional desc 506 SF HOBBY SHOP /STORAGE Permit pin number 190728 Permit Fee 291.75 Plan Check Fee 189.64 Issue Date 8/25/11 Valuation 15180 Expiration Date 2/21/12 Qty Unit Charge Per Extension BASE FEE 95.75 14.00 14.0000 THOU BL- 2001 -25K (14 PER K) 196.00 Permit PLUMBING PERMIT Additional desc Permit pin number 190736 Permit Fee 72.00 Plan Check Fee .00 Issue Date 8/25/11 Valuation 0 Expiration Date 2/21/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL -WATER LINE 7.00 1.00 15.0000 EA PL -SEWER LINE 15.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments August 24, 2011 9:39:54 AM sroberds. The proposal will result in construction of a detached accessory structure totaling 506 sq.ft. for total lot coverage of 20% in the RS -7 zone. No land use issues anticipated. August 17, 2011 1:49:04 PM Brian 417 -4708. Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constr ction 25 /1 j ,ti, 42 s -L Date Print Name Signatur 7:5754 of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD J, PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling D all (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T•r■rrnc /Ruilriinn nivisinn /Ruildino Permit 4!116, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00000850 Date 8/25/11 Application pin number 273600 REPORT SALES TAX Special Notes and Comments on your state excise tax form New structure must maintain 5 foot horizontal and 3 -1/2 foot to the City of Port Angeles vertical clearance from 1035 W 12th St electrical conductor. Any electrical work will require additional electric (Location Code 0502) permitting. The existing building sewer may be located at the same location of the proposed construction. Any modification or damage to the existing building sewer will require other permits and inspections. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 363.75 363.75 .00 .00 Plan Check Total 189.64 189.64 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 557.89 557.89 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS O'' Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments ...-O FOUNDATION: —1— 2..- f Z 1 q Footings 0 Stemwall 5 Foundation Drainage Downspouts Piers 9 Post Holes (Pole Bldgs.) N r PLUMBING: o_ ,0 �i j„ V4 der Floor /Slab !E�_ t� q Y\ O �/t 1 a Rough -In 6 y 1 1 n Water Line (Meter to Bldg) Gas Line Lit/ Bacc k Flow FINAL Date'4 ilAccepted byt) B AIR SEAL: I Walls Ceiling FRAMING: v 1 i zr' Sdr."74,7 J1! j J i3 C7 Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling r? Drywall (Interior Braced Panel Only) V T -Bar INSULATION: CO Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney 1 Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting I ESA. Landscaping L SHORELINE: Q'� t FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE °i ii Inspection Type Date Accepted By Jv OS Electrical 417 4735 kA Construction R.W. PW Engineering 417 4831 Fire 417 -4653 Planning 417 -4750 I Building 417 -4815 W I. 1 (11A., T IP iilriinn nivisinn /Ruildina Permit %Fe,,. CITY OF PORT ANGELES PUBLIC WORKS UTILITIES c W 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000850 Date 8/25/11 Application pin number 273600 Property Address -1 L. -T 1 115 b St REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 5350 -0000- on your state excise tax form Tenant nbr, name BEVERLY GROSSMAN Application type description RES ACCESSORY BUILDING to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 15180 Application desc 506 SQ. FT. HOBBY SHOP STORAGE Owner Contractor BEVERLY GROSSMAN OWNER 1837 W 7TH ST PORT ANGELES WA 983635205 (360) 460 -7383 Structure Information 000 000 506 SQ. FT. HOBBY SHOP /STORAGE Permit SANITARY SEWER HOOK UP Additional desc CONNECTION TO EXISTING Permit pin number 191643 Permit Fee 150.00 Plan Check Fee .00 Issue Date 8/25/11 Valuation 15180 Expiration Date 2/21/12 Qty Unit Charge Per Extension 1.00 150.0000' EA SAN SEWER HOOKUP 150.-00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments August 24, 2011 9:39:54 AM sroberds. The proposal will result in construction of a detached accessory structure totaling 506 sq.ft. for total lot coverage of 206 in the RS -7 zone. No land use issues anticipated. August 17, 2011 1:49:04 PM Brian 417 -4708. New structure must maintain 5 foot horizontal and 3 -1/2 foot vertical clearance from 1035 W 12th St electrical conductor. Any electrical work will require additional electric permitting. The existing building sewer may be located at the same location of the proposed construction. Any modification or damage to the existing building sewer will require other permits and inspections. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or.abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ignature of Contractor or Aut orized Agent Date Signature of Owner (if owner is builder) Date T:Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE, SITE EROSION CONTROL PARKING SIDEWALK 'CURB &GUTTER DRIVEWAY APPROACH BACK FLOW DEVICE l u FINAL INSPECTIONS .REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL 'DATE' ES NO COMMERAL CI DATE' ACCEPTED CONSTRUCTION.R.W. PW CONSTRUCTION R W.. ENGINEERING, 417 -4807 PW ENGINEERING FIRE 417 -4653 FIRE DEPT.. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING Q17 ,BUILDING 4815 T Forms /Building Division/PubIic Works Permit_, f. 17) CITY OF PORT ANGELES r PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00000850 Date 8/25/11 Application pin number 273600 REPORT SALES TAX Permit Fee Total 150.00 150.00 .00 .00 on your state excise tax form Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 to the City of Port Angeles Grand Total 154.50 154.50 .00 .00 (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T: Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PR' UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING S IDEWALK •CURB &GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL: DATE S ES NO COMMERCIAL DATE 1 j ACCEPTED YES NO :CONSTRUCTION R W /PW ".CONSTRU R W ENGINEERING: 417.4807 PW ENGINEERING FIRE 417 -4653 FIRE DEPT.. PLANNING DEPT. 417 -4750 PLANNING, DEPT. BUILDING 417 •BUILDING 4815 T :Forms /Building Divi r.. Pubbc Works Perms CITY OF p ORT r,, NGELES W A S H I N G T O N U. S. A COMMUNITY ECONOMIC DEVELOPMENT August 8, 2012 James Hunt 1115 D Street Port Angeles, WA 98363 RE: Permit #11-850 Dear Mr. Hunt: We performed the final inspection for the above permit for the detached garage on August 7, 2012. The building passed inspection. Per your letter dated August 6, 2012, we understand that no further plumbing work is to be done in the structure at this time. We have closed the permit and any further plumbing work will require a permit from both the Building Department and Public Works. If you have any questions, please do not hesitate to contact me at hcatuzo @cityofpa.us or 360 -417- 4817. 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Please call and schedule a final inspectio•. Submit a "permit extension request" letter. Or Let me know if the project is abandoned. ')D of ey -p Gtat T:Forms /Building Division/Project Status Update Heather Catuzo From: Roger Vess Sent: Friday, August 03, 2012 7:28 AM To: Heather Catuzo Subject: RE: PERMIT #11 -850 Heather, The owner will not be connecting to sewer at this time. He is not sure when it would happen. I told him his permit will expire and he would have to get a new permit for the connection whenever he connects in the future. He said he understands and would do so when the time comes. will final the permit today. Please put this printed e -mail in the permit file. Roger From: Heather Catuzo Sent: Tuesday, July 31, 2012 9:41 AM To: Roger Vess Subject: PERMIT #11 -850 Hi Roger, The above permit is looking for a final inspection. Looks like you will need to inspect the sewer line first. Can you please let me know when you're done so we can inspect? Thank much! Heather 1 CITY OF pORT NG ELES W A S H I N G T O N U. S. A COMMUNITY ECONOMIC DEVELOPMENT April 30, 2012 Beverly Grossman 1827 W 7 Street Port Angeles, WA 98363 RE: Building Permit Extension Permit #11 -850 Address: 1115 D Street Dear Ms. Grossman: I am writing regarding the above permit extension request submitted by you on April 25, 2012. We have granted your request for extension until August 21, 2012. If you are unable to complete the work by the new expiration date, you can call and discuss your options. If you have any questions, please let us know. Sincerely, b- Heather Catuzo Building Permit Technician 321 E 5th Street Port Angeles, WA 98362 hcatuzo@cityofpa.us 360 417 -4817 .April 25, 2012 City of Port Angeles Department of Community Economic Development Building Division 321 East 5 Street Port Angeles, WA 98362 DV' t Regarding: Property: 1115 "D" Street Port Angeles, WA 98363 Assessor Parcel Number 06- 30- 00 -0 -3 -5350 -0000 Application pin number 273600 Residence Accessory Building RS7 Resdntl Single Family Application Valuation 15,180 I, Beverly Grossman, the legal owner of property listed above have been made aware that the permit on this project is expiring as of the 30 of April, 2012. I am hereby requesting that an extension be granted to allow time to complete the project. I have been out of the State for quite some time due to serious family illnesses. I was unaware of the delays and reasoning behind them, until I returned to Port Angeles, this month. The additional time would give me a chance to review the project with the City and find out exactly what needs to be completed to finish the project in a timely manner. Your assistance in this matter would be greatly appreciated. Sincerely RECEIVED Beverl Gro man APR 25 2012 CITY OF PORT ANGELES BUILDING DIVISION rrorm Jai-o 5. C.. 1-'ctv T T cl ,q 0 1 -re c,,, 14 973 3 1 0: C,`"Ty 6 -IL a,/ 7 4 le s 0 ,k--P,t TS 0;d, rPov //lc V57:: c_d b6 4 j i44c Co.--"iii FI 4, )yv W,, -efs� ✓"s 64j m/ 1,zv/z. a e x i's elr,� 7-- /J0 30 ,vl;l -'rte lee( SO,A> _c..1A- ST P f:Ahls 1,.7 4 ej.. ,'5 LU o l c ou.�,�/}L d 1 s e1' w t o la (A U 01 ,E a s i'.,2 g c.4';Ty# ri G ;is ft c?; c�4s 144 8 e 77 u 44 aAil c�tiy� �o .so,--',.A. G 2 J f �q 1 /J/ `i r N Y �'l II; Q N i L•" 6,,...,_ `'r diJ�7V C� tG}�` �o; y 9,-. I T` di t. q J 4 ci 0,44 j ,.L; 4'f' 1 4 ex, 5 -e is W )d/✓4 ,c et5 -7 ss 1 1 1 7... 1 /6 i-U C, zi..) eOwti6 7 (d, ,r.z a .4, T s 2 )''-e. 5-ft.-pc' /P7 1 i 4//1`"1/001Y-. i I 1 1 PROJECT STATUS UPDATE Permit 11 g5-0 1115 D Date: L i i25 II2K I phoned the: Applicant JIYYt Pt1 r-' at S to O b Uo g0 4 Property Owner at Contractor at I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. •r Submit a "permit extension request" letter. Or Let me know if the project is abandoned. w i vv Y C4.6 -For La rYlt N eyol- USA. pAY T:Forms /Building Division/Project Status Update ---L. C Y V 11 ...Y4:: ....D.2. V C� 4: '47 ,MN H CV N n W W OH .0 .0 a Q W W M E CO M H W 7 al W o H v o D 1. >a v '00 O H C b1 -I >r S-• H H H i, r t t M G v o I o M w Sa R. 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NMI 4A,(;/ BUILDING PERMIT APPLICATION Print in ink r CITY OF PORT ANGELES L For City Use Only: _I Attn: Building Permit Technician I Date Received R -5-1 l 321 E. Fifth St., Port Angeles, WA 98362 Permit wsF (360) 417 -4815 fax (360) 417 -4711 Date Approved l i Applicant XV t r 0705Skua e p r 3 k Rho' Property Owner r r c Phone r r Property Owner's Address t r r Contractor n lo .w AN,' 77 Phone Contractor's Address License Expires.. _E -mail PROJECT ADDRESS o 3 et (Ai I 577 Parcel Number Lot Zoning p Project Type Brief Description: '_Residential Multi- family Commercial Industrial Check all that apply p New Construction VV1 he' �0L t \/$L,y Tora y e- r x2...3 x2...3 �s.� ❑Addition a7 .iz.y 'Tpttf" S '1.. al 76 U._ ho« .'Z c v.eo/ crro, Iltev Ne,o 745r is' Remodel Repair v -r -Vutur 6o 1x -becr Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System MOMS Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 5 /5" 2 Floor 3 Floor Garage Carport Covered Porch 1$ bvi Deck M Shed 60 11,0 Q .3,2 gC T� t.G Other o W y 442/ 6 j 3o TOTAL VALUATION 15 190 Total footprint of structures J -I sq. ft. Lot size 5 0 sq. ft. Lot coverage Z O.s i S ite Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see,PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures A.2— ft. Occupancy group ar of bedrooms Will a lawn sprinkler system be installed? N n Occupant load of full baths Will a fire sprinkler system be installed? 00 Construction type of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is m r ponsibility to determine what permits are required, and to obtain permits prior to p• �n 8 i t i t I o f I,. tfJet v I Date 7/ f i I Print Name signature Aliw.!„J •;X illip T:Forms /Building Division /Building permit application C aitAAC:v 11%triir,,,:;:,„,,,,4,,,, t Vr„.:44 2 :-!'',77 ,,tI., 1 ira''' 7 7 „2.4'' k ,.'.,q 55P +44 .„,.::,-:,,,;:l.:4-.,..',,,,,,'ii.,-..,:;:iiL„,,444.11:2k--,* =,4"‘i ''■,,,,N:///://: ,IIVAI.Yealar' :1' Allf Orgrititk 07-4011.0f .....„0, ,01.. cy 41er ,,,,,,el Ilk '54-4';_,* ,73 1 7: ,f V..,,. s ig i., ,i..,, I 4 7 401111b- co N jos'ib W. /J. curb 1.4gl.4),C0 PS-1721.)( 2' II' 7 1 N, '1 I rove /-)a i., 3 s;dts sa xi I Go,,,b e/ r i,ed I, 2.3 50' 1 V 7` J'- r Frow-r 0 5Tr. f q I 0-C• Rear V 1 (9' apro al' 5" Ex;sT Dwell;$0,9 a 5 14 -Pbe 1 L1-- 1 LoTL i N 7 Atte y riTung..4... /I 4- )27' STr's 5c.a. le /0 N. 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Page 1 of 3 Clailam County Assessor Treasurer Property Search Results 59653 BEVERLY GROSSMAN for Year 2011 2012 Property Account Property ID: 59653 Legal Description: N50 LTS 11 &12 BL 353 Geographic ID: 0630000353500000 Agent Code: Type: Real Tax Area 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 1039 W TWELFTH ST Mapsco: I PORT ANGELES, WA 98363 Neighborhood: Cycle 5 Res Map ID: 3 f Neighborhood CD: 10955130 Owner Name: BEVERLY GROSSMAN Owner ID: 28002 N Mailing Address: 1837 W 7TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98363 -5205 Exemptions: Taxes and Assessment Details Property Tax Information as of 08/08/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half t Second Half Year Statement ID i Base Amt. 1 Base Amt. 1 Penalty 1 Interest 1 Base Paid 1 Amount Due R Statement Details 2011 154260 $420.41 $420.33 $0.00 $0.00 $420.41 5420.33 Statement Details 2010 42545 $403.59 $403.57 $0.00 $0.00 $807.16 $0.00 Values Improvement Homesite Value: N/A Improvement Non Homesite Value: N/A Land Homesite Value: N/A Land Non Homesite Value: N/A Ag Timber Use Value Curr Use (HS): N/A N/A Curr Use (NHS): N/A N/A Market Value: N/A Productivity Loss: N/A Subtotal: N/A Senior Appraised Value: N/A Non Senior Appraised Value: N/A Total Appraised Value: N/A Senior Exemption Loss: N/A Exemption Loss: N/A Taxable Value: N/A E Taxing Jurisdiction Owner: BEVERLY GROSSMAN Ownership: 100.0000000000% Total Value: N/A Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Levy Code ;Description 1 Levy Rate Appraised Value Taxable Value i Estimated Tax STATE SCH STATE SCHOOL N/A N/A N/A N/A CC GENERAL CLALLAM COUNTY N/A N/A N/A N/A GENERAL DEVDISIBLT DEVELOPMENT N/A N/A N/A N/A DISABILITIES COUNTY LND ASSMT LAND N/A N/A N/A N/A ASSESSMENT http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =201 &prop_id =59653 8/8/2011 Roger Vess Assistant Civil Engineer I Copy to: Dan Mc Keen, Fire Chief Utility billing, Tracy Rocik Engineering, Bill Hale PenCom, Steye Romberg ei L.. t.cia. ,WASHINGTON, U s A Public: Works Utilities Department August 24, 2011. Beverly Grossman 1039 W l2t St Port Angeles, WA 98363 Beverly,. liPublic Works Docsladdressch=ge3R4 back grouhd and visible from the street. If you have qUestions contact me at (360) 417-4812. Sincerely, V-Q-44-4 Phone: 360-417-4800 Fax: 360-417-4542 Website www.cityofpa.us maiJ pwblicworks@cityofpa.us 321 East Fifth Street P 0 Box 1150 Port Angeles, WA 98362-0217 The City is changing the current address 1039 West 12 Street to 115 D Street. The new will be officiaLon September 26, 2011 This- Change will help facilitate 9 t i response tirne. 43i numbers mtist be a imrurimm of 6" in height, contrasting in color to its ELECTRICAL PERMIT CITY OF PORT .ANGELES 360- 417 -4735 AppliCation Number . . , . . 75- 00000216 Date 3/09/15 Application pin number . . , 592712 INSPECTOR: Property Address , , , 1115 D 8T ASSESSOR PARCEL NUMBER; 06-30-00-0-3- 5350 -0000- SERVICE Application type description ELECTRICAL ONLY Subdivision Name , , , . , , ROUGH -IN Property Use , , . , , . , , Property Zoning , . , , , . . RS7 RESDNTL SINGLE FAMILY Application valuation , , , , 0 COMMENTS: L ---------------- - - - --- ---- -.___- _- .-- Application desc .- .- __-- _--- -__. -_ --.______.___--___ - Security -----------------._._------------------------------------------------------- Owner Contractor TRACY MCCALLUM PROTECT YOUR }TOME PO BOX 4035 3750 PRIORITY WAY SOUTH DRIVE PORT ANGELES WA 98362 #200 INDTNAPOLIS IN 46240 (317) 810 -4720 ---------------------------------------------------------------------------- Permit . . , . . . ELECTRICAL ALTER RESIDENTIAL Additional desc , . Permit Fee . . . . 64.00 Plan Check Fee 00 Issue Date . . . . 3/09/15 'Valuation , . , , 0 Expiration Date 9/05/15 Qty Unit Charge Per Extension 1100 64,0000 BCH EL- SINGLE CTR LIMITED RES 64,00 Fee summary Charged Paid Credited Due Permit Fee Total 64.00 64,00 00 00 Plan Cheok Total .00 ,00 00 00 Grand Total 64.00 64.00 .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 ROUGH -IN FINAL COMMENTS: L r PERMIT WILL. EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: Cr1EXCHANGDBUILDING CITY OF PORT AN(;r,,i, s PERMIT APPLICATION MAR 131111ding ljlspecfioll 321 EfIst Fifth Street — P.O. Box 1150 / Port Angeles Ww4hington, 98362 INSPECpONS Ili. (360) +117 - 47,3$1 aN� (.160) 417-4711 oales � 3/912015 -- I & 2 Single Family Dwelling ' Plan Revift, May Be Required, Please Gumpleto ElWttal Plan Review Ififonallon 0"heet A) Add ess: 1115 S D St UU09 Sq= FW40: 490 Dnaiphm ol aboe Ovmor Information NWQ- Tracy MCC11uM u4mg Addros: Cipi, PortArgeles ��A bp: 983631049 SoricOimder 1202 $Wcafeador 201400 Arnp, 146X0 SoMcelFeetr 401400 AMP n5loo Urvlceil`nder 601-IOM Amp, 282.E SorvIcafteder Dvw 1000 AnV. $373,00 Ronch Ciroull V91 Sasyioe Fead(y $ $00 Branch Circuit WO Sorvice Feeder S 63M Fa;h Addillonal Car la ClrWl EM Branch CkWis 1.4 MOO Temp. Gorvkel Fgodar = Amp. Wo Temp, 201400 Afrlp: 1 W00 Tamp. 8srvW-1FWet 401-600 Amp, 14S00 Tamp COI-1000 Amp, $ 109.44 Pod al to PO4*1 PWLAY $ 96,00 SOO* CkOW UMR-ed Eneloy -1 a 2 FaMily Ow ding $ 94'00 Kinufoctured Home Conneclion S 1211,00 Renvwablo Nc[tW En%gy - WVA System or � $102,00 Themlostat MWe, 3,50 kif eacfi ad&Wna hEWCO 1ST RUgD2N ONLY.- R 1300 squwa Ft Esch Adc011onal &00 Squme Ff. aril on of S 40,00 Each 0vtWW&qj or Wachad Garage $ 74,00 Each SyAmming Prof ot Hol TO S110100 vOR I Contractor Information NatqW;.ei Protect Your Home m0r4kdrow, 3750 Priority Way South Dr IN Zip: 46240 Pima: -u -so2 -3359 FW.1 317�564�2547 Memo A I tN;,'LR0TEYH934RS eXp 12/10/2013 Total (Qjy MWIfighad hy Unit GNaraol $ —540() TOO O�vner as defined by RC ,14.29,261; (1) Owner 4i o=pl the strudwe for two years aflar this alftlAcal pwfW9 Is finalized, (2) Ownetis required W hire an at trice contractor it above sold property Is for sale, rent or leate, Permit expkas after six months of last inspection, After readirQ the above itatemeal, I horo4 cerii that I am the owner of tW above named propofty or a licensed electric cootractor. I am making the elactrkal inslavatiortor merawn In complialloo with the elect6W laws, NEC, RCW, Chapter 19,28, WAC, Chapter 296468, The City of Port Angeles Municipal Code, and U111ty Specificalbns and PANIC 14,05450 regarding Eleftal Permit fcad ons, Signature of owner, electrical *ontraator or electrical administrat= 3/9/2015 Contractor Information NatqW;.ei Protect Your Home m0r4kdrow, 3750 Priority Way South Dr IN Zip: 46240 Pima: -u -so2 -3359 FW.1 317�564�2547 Memo A I tN;,'LR0TEYH934RS eXp 12/10/2013 Total (Qjy MWIfighad hy Unit GNaraol $ —540() TOO O�vner as defined by RC ,14.29,261; (1) Owner 4i o=pl the strudwe for two years aflar this alftlAcal pwfW9 Is finalized, (2) Ownetis required W hire an at trice contractor it above sold property Is for sale, rent or leate, Permit expkas after six months of last inspection, After readirQ the above itatemeal, I horo4 cerii that I am the owner of tW above named propofty or a licensed electric cootractor. I am making the elactrkal inslavatiortor merawn In complialloo with the elect6W laws, NEC, RCW, Chapter 19,28, WAC, Chapter 296468, The City of Port Angeles Municipal Code, and U111ty Specificalbns and PANIC 14,05450 regarding Eleftal Permit fcad ons, Signature of owner, electrical *ontraator or electrical administrat= 3/9/2015 Application Number . . . . . 24-00000351 Date 4/15/24 Application pin number . . . 358675 Property Address . . . . . . 1115 D ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-5350-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc PV system ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DAVID NELSON POWER TRIP ENERGY CORP. 5566 SW ERICKSON AVE 83 DENNY AVE BEAVERTON OR 97005 PORT TOWNSEND WA 98368 (360) 643-3080 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 380.40 Plan Check Fee . . .00 Issue Date . . . . 4/15/24 Valuation . . . . 0 Expiration Date . . 10/12/24 Qty Unit Charge Per Extension 2.00 190.2000 ECH EL-0-200 SRV FEEDER 380.40 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 380.40 380.40 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 380.40 380.40 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us EL1-2 SF 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □Single-Family Residential □ Duplex / ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Unit Charge Quantity Total (Quantity x Unit Charge) $190.20 $ $190.20 $ $285.30 $ $380.40 $ $475.50 $ $5.30 $ $95.10 $ $47.55 $ $95.10 $ $95.10 $ $190.20 $ $285.30 $ $380.40 $ $95.10 $ $95.10 $ $190.20 $ $190.20 $ Item Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Signal Circuit/Limited Energy - 1&2 DU. Manufactured Home Connection Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5.30 for each additional)$95.10 $ First 1300 Square Feet $190.20 $ Each Additional 500 square feet``$47.55 $ Each Outbuilding / Detached Garage $95.10 $ Each Swimming Pool / Hot Tub $190.20 $ 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 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. Date Print Name Signature (□Owner □Electrical Contractor / Administrator) Pe r m i t # : New Construction Only [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] 1115 South D St Port Angeles, WA 98362 6.37 kW Residential Grid-Tied Roof-Mounted PV Dave Nelson drnelly07@yahoo.com 1115 South D St Port Angeles, WA 98362 (503) 351-2309 Power Trip Energy POWERTE964JN 11-5-202583 Denny Ave Port Townsend, WA 98368 buddy@powertripenergy.com (360) 643-3080 2 380.40 380.40 4/12/2024 Andy Cochrane Solar Agent: Becky Smith Client Name: Nelson Residence March 27, 2024 - 3 - Power Trip Energy Corp 83 Denny Ave, Port Townsend, WA 98368 (360)643-3080 www.powertripenergy.com LIC: POWERTE964JN Project: Nelson Residence- Client: Dave Nelson Phone: (503) 351-2309 Address: 1115 S. D Street , Port Angeles, WA 98362 System Description: 6.37 Residential Grid-tied PV AC Circuit Combiner Panel: Exterior northwest wall of shop Solar Modules: Branch Circuit A-12 SunPower 335W AC modules Model: SPR-X21-335-BLK-AC Micro inverter max power output 320 watts House & Shop roof Sub Panel: Interior northwest wall of shop Net Meter: Exterior northeast wall of house On-Site Label: SOLAR PV DISCONNECT NORTHWEST EXTERIOR WALL OF SHOP Meter #: 20090720 Utility Grid: City of Port Angeles AC System Disconnect: (For Rapid Shutdown of AC Modules) Exterior northwest wall of shop Main Service Panel (LOAD): Interior northeast wall of house Solar Modules: Branch Circuit B-7 SunPower 335W AC modules Model: SPR-X21-335-BLK-AC Micro inverter max power output 320 watts House & Shop roof Solar Agent: Becky Smith Client Name: Nelson Residence March 27, 2024 - 4 - Power Trip Energy Corp 83 Denny Ave Port Townsend, WA 98368 (360)643-3080 www.powertripenergy.com LIC: POWERTE964JN Project: Nelson Residence-, Client: Dave Nelson Phone: (503) 351-2309, Address: 1115 S. D Street , Port Angeles, WA 98362 System Description: 6.37 Residential Grid-tied PV Project Photos and Notes: Southwest facing roof line of house- Location of 7 SunPower 335W AC modules. Southeast facing roof lines of shop- Location of 12 SunPower 335W AC modules. Trench from array on house to northwest wall of shop Trench in Red Solar Agent: Becky Smith Client Name: Nelson Residence March 27, 2024 - 5 - Exterior northwest facing wall of shop- Location of combiner panel, AC disconnect and data monitoring. Interior northwest wall of shop. Breaker panel for PV interconnection is on the other side of this wall. Breaker panel for PV interconnection. 125A main bus. 70A breaker fed from house panel. Solar Agent: Becky Smith Client Name: Nelson Residence March 27, 2024 - 6 - Exterior northeast wall of house- Location of utility meter. Main breaker panel in on the interior of this wall. Solar Agent: Becky Smith Client Name: Nelson Residence March 27, 2024 - 7 - Southwest facing roof line of house- Location of 7 SunPower 335W AC modules. Exterior northeast wall of house- Location of utility meter. Interior northwest wall of shop- Location of breaker panel for PV interconnection. Exterior northwest wall of shop- Location of combiner panel, AC disconnect, and data monitoring. Southeast facing roof lines of shop- Location of 12 SunPower 335W AC modules. 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