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HomeMy WebLinkAbout219 W 15th St - Building PREPARED 10/05/10 9 02 42 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/05/10 ADDRESS 219 W 15TH ST SUBDIV TENANT NBR CARL M PANGRATZ CONTRACTOR PHONE OWNER CARL M PANGRATZ PHONE PARCEL 06 30 00 0 4 2185 0000 APPL NUMBER 10 00000807 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 8/18/10 JLL BLDG FRAMING 8/18/10 AP August 18 2010 8 25 52 AM 1pangrle CARL 452 6790 FRAMING August 18 2010 4 09 48 PM jlierly BL99 01 10/05/10 J BLDG FINAL TIME O1 00 �t ALJ October 5 2010 8 41 44 AM 1pangrle CARL 452 6790 BUILDING FINAL FRONT DECK AFTERNOON COMMENTS AND NOTES PREPARED 8/18/10 8 26 53 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/18/10 ADDRESS 219 W 15TH ST SUBDIV TENANT NBR CARL M PANGRATZ CONTRACTOR PHONE OWNER CARL M PANGRATZ PHONE PARCEL 06 30 00 0 4 2185 0000 APPL NUMBER 10 00000807 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 8/18/10 BLDG FRAMING 4v, August 18 2010 8 25 52 AM 1pangrle CARL 452 6790 FRAMING COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 i Application Number 10 00000807 Date 8/10/10 Application pin number 557124 Property Address 219 W 15TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 2185 0000 REPORT SALES TAX Tenant nbr name I CARL M PANGRATZ on your state excise tax form Application type description RES ADDITION Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 786 Application desc ADD A 35 SF DECK & REPAIR AN EXISTING DECK I Owner Contractor CARL M PANGRATZ OWNER 219 W 15TH ST PORT ANGELES WA 983627725 Other struct info HARD SURFACE AREA I Permit BUILDING PERMIT RESIDENTIAL Additional desc ADD 35 SF DECK & REPAIR DECK Permit pin number 170522 Permit Fee 59 15 Plan Check Fee 38 45 Issue Date 8/10/10 Valuation 786 Expiration Date 2/06/11 Qty Unit Charge Per Extension BASE FEE 50 00 3 00 3 0500 HND BL-501 2K (3 05 PER C) 9 15 Special Notes and Comments The Fire Department has reviewed the project application and has no comments August 9 2010 5 26 30 PM sroberds The proposal will allow repair and addition of new deck to a single story structure for total lot coverage of 18% and site coverage of 22!1; No land use issues anticipated August 3 2010 8 59 37 AM Brian 417 4708 OK Public Works Utility Engineering has no requirements for �n this plan review t1 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Plid Credited Due Permit Fee Total 59 15 59 15 00 00 Plan Check Total 38 45 38 45 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 102 10 102 10 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 land 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 n(� Date Print NameSignature of tractor or Authorized Agent �Signa�l7 uilder) 246/124 4azT:For s/Bui ding Division/Building Permit C> BUILDING PERMIT INSPECTION RECORD k ®Q 0 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 INCONSPICUOUS 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 b AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION Slab Wall/Floor/Ceiling MECHANICAL. LA' Heat Pum /Furnace/FAU/Ducts 4i— Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES. Footing/Slab Blocking 8 Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 ro Construction R W PW /Engineering 417-4831 V-) Fire 417-4653 Planning 417-4750 Building 417-4815 �r S T:Forms/Building Division/Building Permit • u�,yc,��zra`E'� BUILDING PERMIT APPLICATION Print in Ink �►- CITY OF PORT ANGELES - Attn Building Permit Technician :Re City Use Only, =-= 321 E Fifth St. Port Angeles WA 98362 Dateived erm0(360) 417-4815 fax (360) 417-4711 ateoved Applicant �r-,3 b,_,J � Pho a y 7 Property Owner Carl M Pangf-a+�Z Phone Property Owner's 4gdr3:1,1VI t i �� 1 ,51h S-} 9 —�?2� Contractor In o� ' Phone Contractor's Address License # Expires E-mail I I PROJECT ADDRESS a 1' 9 (5+4A s - -I Parcel Number 06 3p Opo4 41357 Lot Zoning RS — I ' Project Type & Brief Description. ,Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction �- Addition iCj X ❑ Remodel Repair ❑ Demolition ❑ Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other I Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. = $ 15t Floor d I 2nd Floor L,aborr 133 Lt 3rd Floor mo,e4Q5-1-1 Garage Re.�ir Carport ex t s-�hi 6QcKs Covered Porch _ Deck 35 Shed 1Z,oo J}.-to - 00 - Other j. -7 TOTAL VALUATION $ l g g2 Total footprint of structures 507 t sq ft. T Lot size 3 ,9 92 sq ft. = Lot coverage 17, % Site 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 ro` U ft. Occupancy group #of bedrooms Z_ Will a lawn sprinkler system be installed! (9 Occupant load #of full baths -f Will a fire sprinkler system be installed? Construction type _ #of half baths I have read and completed this application and know it to be true and correct. t am authorized to appl for this permit and understand that it is my responsibility to determine what permits pare r quired, and to obtain permits prior o w in n pro' s Date 1 w2ola Print Name OAR( :��I , gaGRA'(Z, Signature -L T Forms/Building Division/Building permit application l zea i 203 s 1415. 9421 t � p � 212 . 231 nn 202 227 229 219 v 211 1421 Ilk "I US.hwY`Z p,� 1423 La E 4riaseh 2807 �'Va 2010 2018 _ y- j/ ®• / / 224 2qi oI fi . / / / fi 203 - 1415�]/�+y{,^ `meq i / tiA 220 61. y / 298loll �I 1421. / / ® / / 292 �Q 231 202 2227 e 29§ 7140 9420 4�eCO 1 1423 ..� 93 266 111 "4 ••. 37A 75 7 �avr�a 37 • NBq / ' - Soh B�ya OIL 2007 / % '• - lot \ r ! •.. 238 V M n ••. 20iS ~ � � 1060 75 Clallam County Assessor& Treasurer- Property Details - 60396 CARL M PANGRATZ Page 1 of 4 Clallam County Assessor & Treasurer Property Search Results > 60396 CARL M PANGRATZ for Year 2010 - 2011 Property Account Property ID- 60396 Legal Description- LTS 16&17 BL 421 TPA Geographic ID- 0630000421850000 Agent Code Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space N DFL N Historic Property, N Remodel Property- N Multi-Family Redevelopment: N Township Section. Range: Location Address: 219 W FIFTEENTH ST Mapsco f PORT ANGELES WA Neighborhood: Cycle 5 Res Map ID- Neighborhood CD- 10955130 Owner Name. CARL M PANGRATZ Owner ID- 44977 Mailing Address. 219 W 15TH ST %Ownership 100 0000000000% PORT ANGELES WA 98362 7725 Exemptions. Taxes and Assessment Due I Property Tax Information as of 08/02/2010 Amount Due if Paid on. . i First Half Second Half Year Statement ID Taxing Jurisdiction Base Due Base Due Penalty Interest Base 2010 43268 ST SCH STATE SCHOOL $219 44 $21944 $000 $000 $21 2010 43268 CC-GEN COUNTY $11678 $11678 $000 $000 $11 2010 43268 PORT PORT $1642 $1641 $000 $000 $1 2010 43268 PORT ANG PORT ANGELES $27038 $27038 $000 $000 $21 2010 43268 SD#121 SCHOOL DISTRICT#121 $284.24 $284.22 $000 $000 $2E 2010 43268 NTH OLY LIB NORT I�OLYMPIC LIBRARY $3394 $3393 $000 $000 $; 2010 43268 HOSP#2 HOSPITALI#2 $4790 $4791 $000 $000 $4 2010 43268 WSMET PK DIST WILLIAM SHORE MET PARK DIST $15.24 $15.25 $000 $000 $1 2010 43268 CITY_STORMWATER1-CITY STORMWATER $3600 $3600 $000 $000 $: 2010 43268 WEED CONTROL WEED CONTROL $082 $081 $000 $000 9 2010 43268 TOTAL. $1041 16 $1041 13 $0.00 $0.00 $104 2009 603962008 ST SCH STATE SCHOOL $24907 $24908 $000 $000 $4E 2009 603962008 CC-GEN COUNTY $12605 $12605 $000 $000 $2: 2009 603962008 PORT PORT $1786 $1785 $000 $000 $1, 2009 603962008 PORT ANG PORT ANGELES $27649 $27648 $000 $000 $5E 2009 603962008 SD#121 SCHOOL DISTRICT#121 $30801 $30804 $000 $000 $61 2009 603962008 NTH OLY LIB NORTH, OLYMPIC LIBRARY $3663 $3662 $000 $000 $7 2009 603962008 HOSP#2 HOSPITALI#2 $51 70 $51 69 $000 $000 $1C 2009 603962008 CITY STORMWATERI-CITY STORMWATER $3600 $3600 $000 $000 $7 http.//vpn.clallam.net:8084/propertyac ess/Property.aspx?cid=0&year=2010&prop_id=60396 8/2/2010 3F10 3l N Shop 48'-0" 5'•0" _ V 5l0 17'-0" 5-0" 11'-5 314" J 26'-0" r`y 13 01 3'-2' Carl M Pangretz 21' 219 w.15th str at 44' PortAngela We 42'-0' —5-4- 98362 wood shed 14;-O' FILE80" 40 �13' � rt' - I xleting 7, 5'•0' ad deck g�-g, 9'-0' CITY OF PORT ANGELES—Construction Plans Proposad - I The Issuance of this permit based upon these plans,specifi- eCOV ed f-1 -o°—I cat'sans and other data shad net prevent the building official deck from thereafter requiring the correctian of errors in said plan specifications and other dad, or from preventing building operations being carried oa thereunder when in _violation ��off all codes and er i�Sy cesof this jurisdiction. 37'_0" 35 0" I��uriVTddv -It� {t4 Approval Date 1 side walk �/U 15th street Carl M Pangratz 219 W 15th street Port Angeles Wa, 98362 13'-0" 2x6_df decking _ solid-blocking-over-beam /— 2x6 pt 1 exsisting repair 4x6 pt 3'-6" 1'-0" 5'-3 1/4" entry concrete staircase 4x6t p 16x 16x 12 w/ wet set post hangers diag bracing 4x6 pt fastened w/ 1/2 galv leg bolts 7'-0" 2x4 DF 2x4 DF 3'-0" -- - -- -- -4"-- -- 2x2-DF Carl M Pangratz 7 Ali 11 1 1 4x4 DF 219 W 15th street Port Angeles Wa, 98362 2x4 DF �SS �►.as�t 2x6x14 pt ledger fastened w/3/8 leg bolts 2 every 12' into rim joist 2x6x14 pt ledger — fastened w/-3/8-leg bolts z max 2x6 hangers 5-0 2 every 12' into rim joist fastened with hot dipped galy tekos T-0' 4x6 pt ost 4x6pt post 4x6 pt post 44 rail post fastened into ledger w/1/2 leg bolts exsisting 4x6 DF roof support post 44 rail post Carl M Pangratz fastened into ledger 219 W 15th street w/1/2 leg bolts Port Angeles Wa,98362 6'-0' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 ISSUED: 9/05/2002 PERMIT NO: 13650 OWNER/APPLICANT PROPERTY LOCATION CARL PANGRATZ 219 15TH ST W 219 2 15TH STREET Lot: 16 Port Angeles, WA 98362 Block: 421 ❑ Long Legal 360/452-6790 Subdivision: TPA T: S: Parcel No: 063000042185000 CONTRACTOR ARCHITECT 2417 CONSTRUCTION CO. N/A 514 STATE AVE SUITE 203 PORT ANGELES, WA 98270-0000 98360-0000 360/653-7004 360/000-0000 PROJECT INFO I v Project Value: $25,035.00 SFD Units: 0 Commercial: 0 Project Type: GARAGE NEW SFD SO FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SO FT: 0 Zoning Use: rn PROJECT NOTES v 1 NEW 267"X 44'9" DETACHED GARAGE 4 CS RECEIPT#9638 FEES ASSESSMENT Building Permit: $401.85 Misc Fee 1: $0.00 Plan Check: $160.74 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $646.84 Plumbing: $49.00 AMOUNT PAID: $646.84 Mechanical: $30.75 BALANCE DUE: $0.00 Radon: $0.00 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 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. DF cs � Signatyre of Contractor or Authori d Agent Date Signature of Owner(if owner is builder) Date T:\PLANNING\FORMS\1102.15[4/20021 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE r �� INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS -OZ FOUNDATION DRAINAGE ! Wzj D 2^10-O ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN PLUMBING UNDERFLOOR/SLAB ` ROUGH-IN WATERLINE GAS LME BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS/ROOF/CEILING �_� —_ DRYWALL I L` T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION A.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750PLANNING DEPT. BUILDING 417-4815 /- ��' BUILDING T:\PLANNING\FORMS\1102.15[4/2002) pQRTq °F��, FOR OFFIC L USE ONLY: a�° Date Rea: �i"V��. a BUILDING PERMIT - APPLICATION Permit#: s Date Approved: --C' Ly Date Issued: The Building Permit application must be filled out completely. Please type or print sins tv ink. If you have any questions,please call 417-4815 Applicant or Agent: I�C)N G 46 p l.3 Phone: �/�S 3 3 ' SSI y Owner: (2 A� T—t4rJ G e ATZ Phone. 36O) —677() Address: oZ 19 W �� -St ` City: Zip:/r 9862 Architect/Engineer: N / A Phone: N {� Contractor2y 7 OntsTQ�(riotJ C�-icense #:241COUSIAS' Exp:3 5 D Phone: SGO" (653 -700, Address: S 144 SrArr.M ak z03City:tf&e2�lLSVI LUL WA Zip: 98X70 70 PROJECT ADDRESS: a 1 1 w I J "" ST Pp2T Aj6c<a %&362 ZONING: LEGAL DESCRIPTION: Lot:_j to Block:�Z Subdivision: TPA CLALLAM COUNTY PARCEL NUMBER:0&7960�-iY G r �fCDi` Card Holder Name: Billing Address: City: Credit Card#: Exp.Date: VISA MC TYPE OF WORK: SIZE/VALUATION: ❑ Residential ❑ New Constr. ❑ Re-roof ❑ Wood-stove 8LIV71 —SF. @$ 0-1.38 /SF. _$ a503S' ❑ Multi-family ❑ Addition ❑ Move *)(Garage SF. @$ /SF. =$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF. =$ ❑ Repair ❑ Sign ❑ TOTAL VALUATION $ 2SO39 BRIEF DESCRIPTION OF THE PROJECT: < C-A2 PORT 1 CAIE G Ale &1 E, W 11-1+ i� S0012 L jjjIN-,) j2 cid COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: p o No. of Stories: J_ Lot ize: iO %Lot Coverage: 1�D/a Existing Lot Coverage: 11130 /sq. ft. +Proposed Lot Coverage: /sq. ft.=TOTAL LOT COVERAGE:/sq. ft. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): ❑ Yes ❑ No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan(for additions)and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required, it remains the applicant's responsibility to determine what permits are required and to obtain such. /` - � � Applicant A Date: Q6 06 . T.\FORMS\APPS\Buildingper it V lard ce r 9 TGSt I�'Orrr — — — — — — `UA7-r=Q MR r N — — — — — — — -- I SQJA¢G - 2 [ELT 0 \,J "' SrefET l (Q* $� 1 N EI£VATION �b SOJTFI IN lHO FI S�tPlT - O TMNI[ 4 L,*NT 0 SIDE WPLK I F . - F'¢aNT 17me'G1EaTy Liw� ( IOo I — Lor SIZE- /Coy It by res3rr - S�cwRF FT,- i yoDp NL Mf�fe t AIo3w fit zT.l ; n1 rEs 1cC �1r 3� SET CSMekS die W. 9,acx - IC ' 2o1 a St as _ 3 io I Up-DATE Ex ar/nC-7 I S;CwelL LING 46 1 rozs, s ,Ld7- House ism, It F aw:t»,.otwta v CA ffl .ItQ l9 u app j, �� 0,e/ h U Nfo < G ar =�-\ 1 �--ZDV—�-•� p I OLD GaQgl,E y I .3 _2 41 roomoATIotI I d 1 DEnD 0 I Loy LI, 1 N �PuL�E OLlEy I %LE SEWER MAIO T gy -1 CON6TQJCTION co, Q 19 w. rs+^ srxeET Pcl4T A"G4E -GS 95862 Lor 16 'Gtack V21 5os; TPh co 3 qFILED FOR RECORD AT THE REQUEST ti G17f Z OF' C C Z o'ZIq W IS'�� S+ 4ECOWDEO tY.WECQWC"CL.',ElAH CO, iso✓� f�ny elps 7 2002 AUG -8 AM 9: 58 wA- g836Z IIIIIIIIIIIIIIIIIIIIaIiNIIIiIIIIiNIIIIIIIUiIiIIINIIINiIIIIIIIIINilllllll 2002 1089936 c;U`,ry ZONING LOT COVENANT UWE the undersigned owner(s) of the following described property: (Insert legal description here) 9P 063000 0y2 /85 aooc> 06.3606 0q ? 1g0 0000 t-T /(0 Zt H2/ `r PA Lor 17 81. Y2, b -r'PA do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.032 "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. 4 DATED this C9 day of ti c,M ST 2062. (Owner) (Owner) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 9 --�Z7 `0Z– Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection 1! Lv%- F✓ctZ— Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewe Foundation aming Chimney Plumbing Final Sewer Excay. Other INSPECTIO TES-: Inspected: Date r ` Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee [] COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 10 — —(:�7— Time Received by (phone, person) Location of Work to be inspected 2LAJ l� // Name of person requesting inspection flI�kL4 rl�z�_ZEy Address of person requesting inspection Phone No. Type of Inspersion (circle appropriate one): Permit No. Sewe Foundation Framing Chimney Plumbing Final Sewer Excay. Other 1.U�c- t S INSPEC ES: �. Inspected: Date Time By Remarks: 4 RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑ Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date �2, Time Received by (phon�, person) Location of Work to be inspected Name of person requesting inspection 7 Address of person requesting inspection Phone No. LAS%y Type of Inspection circle appropriate one): Permit No. Sew / un a fon Chimney Plum ing Final Sewer Excay. Other INS / Inspected: Date ��n"' ��� d �— Time By y Remarks: RESTORATION REQUIRED . . . . . . YES NO o� SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑ Repaired by Permittee [] COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: / Date I �— g -_ LZ Time Received by (phone, person) SNameLocation of Work to be inspected 2 1 `t 46— Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other ,Lk INSPECTION NOTES: Inspected: Date Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel []Asphalt ❑PCC ❑Other [] Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST- Date Q Time_ 5;� i'k) Received by.� (phone, person) Location of Work to be inspected 17 L12 Name of person requesting inspections le Address of person requesting inspection Phone No. 4%5 3H3 6W Type of Inspection (ci ropriate one): Permit No. Sewer Foundaon Framin Chimney Plumbing Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date 7- - ©2 —� T Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date I2 - /6 - 02— Time Received by (phone, person) Location of Work to be inspected -2- 19 IV Name of person requesting inspection 24/Z7 Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. 350 Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other Shee1' INSPECTION NOTES: Inspected: Date p 2 - t -7 --C7_ Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES ,/ DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date ti — / Time y ' ,Received by (phone, person) Location of Work to be inspected 219 w 15-F'I Name of person requesting inspection c1LC"r V�' Address of person requesting inspection Phone No. 5`ZS- -V3 SSI Type of Inspection (circle appropriate one): Permit No. : ` ^_ Sewer Foundation Framing Chimney Plumbing is Sewer Excay. Other �(no`V'CXICAC-' INSPECTION NOTES: Inspected: Date Time By Remarks: / 41 RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑ Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) U COF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES.WA 98362 L�P ELECTRICAL PERMIT ISSUED: 11/21/2002 PERMIT NO 7915 OWNERIAPPLICANT PROPERTY LOCATION CARL PANGRATZ 219 15TH ST W 219215TH STREET Lot: 16 Port Angeles, WA 98362 Block: 421 Long Legal 360/452-6790 Subdivision: TPA T: S: Parcel No: 063000042185000 CONTRACTOR ARCHITECT PRESTON ELECTRIC N/A 2230 ADAMS AVE. EVERETT,WA 98203-7630 98360-0000 360/000-0000 360/000-0000 PROJECTINFO _ Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: Construction Type: GARAGE Occupancy Group: Zoning Use: Electrical Heat: Baseboard 0 KW Riser Underground Service Furnace 0 KW Overhead Service Voltage: 120,240 Heat Pump 0 KW Temp Service Phase: 1 ❑ 3 Fan Wall 1 KW _ Service Size: 0 G Feeder Size: 100 PROJECT NOTES DETACHED GARAGE/SHOP . J RECEIPT#9925 FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $46.70 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $46.70 AMOUNT PAID: $46.70 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MjNM M 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 7/PL) INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH -Tlq7 ROUGH- SERVICE FINAL I D3 0 GENERAL COMMENTS: M-1 1M.15[4961 Z'5- . - CITY OF PORT ANGELES (v FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT JP TOTAL FEE .�0�'� J Z LL CONT.LIC.NO. TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY ELECTRICAL PERMIT,QyyLV NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address / /if/- COR CT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG �AAD/9 ES/SES ARE CANCELLED Owner t! A Q A /,n3 -ea / '7 TInstallation By /�' l�,✓iVAN 'S .0 !mac l.�i C i Owner's Address -:Z /9" E'✓ -- Installers Address_23e 1, / 5;- 7-4 Day�Phone 6k5-„2 / ; — Installers Installers Phone 1<��, 9—9 Application is hereby made for Permit to install Electrical Equipment as follows: aL� �' '�' 'T'�+T J C'•�✓�, � `-�/^'^�r�- - _ Wiring Method�2egC NUMBER AMP ..120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER 1 OOR FEE CIRCUITS PER 1 O OR FEE USE OF CIRCUIT CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT _ - 50 VOLTS - OR LESS CONVENIENCE MOTOR - 'CONVENIENCE -- - - MOTOR APPLIANCE. MOTOR - DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER "' REINSTALLATION LIGHT FIXTURE# FURNACE SUB TOTAL FEE GAS-OIL FURNACE ENERGYFEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER -- A.C.UNIT `^ n AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. TSUBT 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 i/ten re—nfa�m�J ante with the N.E.C. Electrical Code. Date Application made �t5 ,19 By / �� CONTRACTOR OR(OWNER(OR AUTHORIZED AGENT) Permission is hereby given to do the above described work,according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of Qityofrt Angeles. CTO OF I LIGHT Date Permit Issued By PL PLANS PROVED Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone:457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE Original CANARY Duplicate PINK-Triplicate WHITE CARD Inspector's Report OLYMPIC PRINTERS,INC. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS Z Q Q N F Z_ W Q H ' O Z O _ p O.K.FOR COVERING 0 O.K.TO CONNECT SERVICE ✓1 FINAL O.K. V p f vogr�A ELECTRICAL PERMIT APPLICATIONFOR OF""" ySEOpYQ7 The Electrical Permit Application must be(tiled out completely. Please type or reprint in ink. if you have any questions,please calf(360.417.4735 Fax number:(360)4174711 r z Il, PRLSiaA) El�ctv2tc Tnic. 1 X630 Owner or Elea ContraMor Agent: Phone: r-(ZS'Z9CFax: Property Owner: c ArR I (�0.n4'rc�1 7 Phone: 3G0 Address: 7 I q^ vi. 15"� _ ary: ria r-d'A�a elc.� Zip: q 5t 3 6 Z Electrical Contractor. P 'IR)_S7C/.J i=L ECTR IC i AJ C. License N:tFR✓=5 r E T Exp:_ 2 -28-OL( Phone: q2 S 2 9 c '7C 3C Address: ?7 3c'• 4-dcL,e.n.S A-v.z City; Gv'a.0-Gt'f" zip: 932C-3 INSTALLATION WIRED BY: DOWNER (ELECTRICAL CONTRACTOR Credit Card Holder Name: 7r A40�k' E�+'Q, Billing Address: Z z 3Q Q�f I LNS A o City: zip: 2a VISA:.>�_MC.-_ PROJECT ADDRESS: ( 1 TYPE OF WORK: Check all that apply: ❑New ❑Alteration/Addition ❑ Residental ❑ Multi-family ❑ Commercial ❑ Mobile Home Sq. Ft. ❑ Remote Meter N Detached garage ❑ Hot Tub ❑Swim Pool ❑ Septic Pump ❑Low Voltage O Telecom. ❑ S Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: - l.r( • i�F O2 Tach GA-iz4< r� /siden 2 s-f-i (l . I CX? AA- A S (n {� ��-I ti n. '�.t� t i i7 (= pe"'r I IS 4.a.r �If P 2 46 V l •,hS +F� k ( Ii�e` Th,VK �°�L.'1-5 Q.. � 2C\ IJc--4nl.�.� I�s..Cs-O'faC:,1.oS Electrical Heat Load Additions Service Information ❑Baseboard _KW Voltage: 2-LID ❑ Furnace —KW ❑Overhead Service Phase: 191 ❑ 3 ❑ Heat Pump KW ❑Temp Service Service Size: 200 C-X,5T.N� QFan-Wall I KW ❑Underground Service Feeder Size: e cCAP.4cF) PAMC 14.05.060(B): For industrial,commercial, & residential projects larger than a duplex,a one-line drawing of the Electrical Service Feeders, building size (sq. ft.), load calculations, and the We&of conductors and/or raceway Is required and shall accompany the Electrical Permit application. I hereby Certify that 1 have read and examined this application and know that same to be true and correct, and 1, authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required, it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Date: Owner or Elec. Cont. Signature: ::Z L", Date: -(Z C PAW--99019 n e*- (/o 5r �9Ap-"t) r or T�7_f)L� AO 11 60 -- 0�2'#Al who AU W.5 L-Cel Zov,�,u�P otk V �72nc4 .3pl2o4) --- ��/}(�n}-[ZT CONNECrEl7 �N B��tiI EM1JT RC C r _ C- UrS Com0 kE- x, R FA-CC Esti l��S�`F 1NOut1� j tJ 1315E VT ::SF E�ciSTIN (i 14aMF . Ta2f4NscTtev pro 26 ti7C �1' ')r.0 FOU4D+TiaA) C wEw 4J-?+4. E l l P Vis N EL-) .V EL- _ A f( �Y — vow 4Atz4CC- A4n% Ec. Tc:,� If4uG -- fan m4-1N izkc-Ayep- B(SCssN�iECT_ Fta ,+T P.V4 X eLCrP,+L - * C q R(Y-L/J a w'LP.C- Cn,v,�j E<-T Eg Yo c-26�&N Q(N(:.- f C-r2?Ki,4J q L (n) t{ o v s C- Q uEL � qs wt t( yrs 2- 4 �/8 XFS` a�tv�tirz -- ------ 4c2ac�tal O (?ad5 i4 A p Cc 1 p t+(3 T- WA [-C, t VA PE2 �t2 SIM S �� t auvAizy �a�-o 1 56� v� 0070 a E r�-.�� 20 8'�G ✓�f APpi1 A LACES F4aY wAT'e2 T,*A-1V L4 Scc W �r2yE2 lacq C.u��o oaf da N E kT �60� d�F ke �c1 i ddd t)4 — i- / R p 2 120 t/A 2 H- P 1 2140 1 Z +- 2.S % L M 36 oayA `�2 �� Z i I• g 23Z VA -- - 2 uc, 9 3 z S �`----- iC"CF �' - E0F(2 Co0D cTdcZS C—2. # 2 rHfftv cu. t( b$' rti2 f� om— ceq__�k-,mss - l �t Y)+ffIV 2 L rvz CK_ tj7- 61 V--r- C-K -n 4S cc �R 1EA K North - 441 -1 12.2 ,2' 1911 —7 12'2 12' __- 5'10 8'3 5'10- -- --- $------------ -- ----- ws . ekTtP9 rn TOOL 6TORAGE ` 11'8 x d'8 / GKrIl ` do clttrtR SIf`c cKrolt I ! 4'si1e2�� 4'serop �/ u xr Open ceiling ��WW I ) I 8 go�_ 11.8 19'5 - to o ________________ ____ ______/GAR E51 53 4'saop /195 O6 4SFbl �k/ ' fV F__ - N I 220 L14Mr LiGN1 4C{1 i� �f CAF2 PORT ) cKras a s� 11'8X20'8 ca Concreter,Floor 5'7 vy cl^T414 Wood Floor daqh�, QP t cK'ry 13 I ' I� ezrFl3 9 5� CKr(s i $� Ho plou2. I ---------------^-il Gr¢ s Z.4 ' cknc 8'Not-��Flouzl I,/ T f�I I' \ / URy 220Vo¢rexlI j CoOcfete Floor I I FhN cx*5G. grcz _ enrn / IS I o.n J6 `a 3 S 1 ------------ NEkr pfwf r W6 JI 41�k—6'2 57—� 12' _� 12'2 _. 8'2Sidewal._.-.. 11'9 44'1 1)All interior will be insulated and 4)Attic access will be in the (s..,:i N k o z R,rr-6s� garage and will have a pull down nl drywall except for the carport. ladder. ����� ,,// 2)Roof will be a gable with a 5)Electrical;t9li/.Add hone and Concrete Slab 4!12 pitch covered with 30 cable jacks to shop area.All year laminate shingles. ) p electrical is colored red. 3)Siding will be rough channel au�LeE TS cedar stained natural. G. All 0QPlEX R6cEPTkcLE5 To 13E GFcS P96TK1ED GP Pani�A,O _. ELECTRICAL PERMIT APPLICATIONS°r1 SEO' yO The Electrical Permit Application must be filled out completely D.1. : Please type or reprint In Ink If you have any questions,please call(360.417-4735 Fax number:(360)417.4711 Gell .?L .tte, Zpb 5 1-5-A/Ir Z Owner or Elec.Contractor Agent: -to A) E I C--r1a(L -t'N L 7 Q�-7b30 Phone: �ZE-2.90.. Fax Property Owner. - C,�IZ j (( 0.vtct r •'I'7 Address: Z q W Phone: I I City: Port ve�Ic Zip: �a Electrical Contractor-E iRES}p,V [LEcrR 1C 1. C License s: t�i 1=5 i E z Exp: I .tet-( Phone: C12 S2 9 c Address: ? 7 City: Cv2.('-c,'}i- ap: Sf 20.3 INSTALLATION WIRED BY: ❑OWNER ELECTRICAL CONTRACTOR Credit Card Holder Name: / 1 M G$hy f4eA l rZ Billing Address: 2 Z36 Zip: ca VISA:,MC:_ PROJECT ADDRESS:_ .Z (q W 1 S wk S •r' TYPE OF WORK: Check all that apply: O New ❑Alteration/Addition O Residental ❑ MUlti-family ❑ Commercial ❑ Mobile Home Sq. FL. O Remote Meter X Detached garage ❑ Hot Tub O Swim Pool ❑ Septic Pump. ❑Low Voltage O Telecom. OS Number of Circuits added or altered: I� DESCRIPTION OF THE ELECTRICAL PROJECT: I-rn�-? S In—{� 4 -� ccgp ti7r- lr 1 iccftP yds I t7�r�, I <,hSrfF � F+mac` Tln'K �a//c////In2S q� � 20 a oi,,V ROC 1)7oGloS Electrical Heat Load Additions `7(P . 70 Service Information ❑ Baseboard ❑Furnace —KW Qe,k;s{< �ty Voltage: 2t10 ❑Heat Pump —KW ❑Overhead Service Phase: �1 ❑ 3 _ 91-Fan-Wall —I KW ❑Temp Service Service Size: 2 C-z sr:ti� ❑Underground Service Feeder Slze: PAMC 14.05.060(8): For industrial, commercial, & residential projects larger than a duplex,a one-line drawing of the Electrical Service - Feeders, building size (sq, ft.), load calculations, and the type&of conductors and(or raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. b fv , �a/ . -- )v c LA)`(Ze AJ2,4 Credit Card Holder's Signature: -, _ fc Date: Owner or Elec. Cont. Si e PW-9019 Signature: 9Q Z Date: -(Z-0222 02� Ip Ci Application Number . . . . . 23-00000515 Date 5/16/23 Application pin number . . . 978030 Property Address . . . . . . 219 W 15TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-2185-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CARL M PANGRATZ EXTRA MILE TECH & ELECT., LLC 219 W 15TH ST 418 N. RACE ST. PORT ANGELES WA 983627725 PORT ANGELES WA 98362 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 68.00 Plan Check Fee . . .00 Issue Date . . . . 5/16/23 Valuation . . . . 0 Expiration Date . . 11/12/23 Qty Unit Charge Per Extension 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68.00 68.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 68.00 68.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:--------------------------------------­ Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ 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 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ 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- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 5/15/23, 7:50:39 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000515 219 W 15TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 68.00 TOTAL DUE 68.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 5/16/2023 23-515 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 219 W 15th St