HomeMy WebLinkAbout1115 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.
Sincerely,
Heather Catuzo
Permit Technician
cc Beverly Grossman
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PROJECT STATUS UPDATE I
Permit 1 l�gJ" 11 5 7) 5T
Date: ?/11/(9-
I p#e 'the: Applicant jLt -r."S Hart .rte, in -iv G( ISCUSS
Property Owner at
Contractor at
I (left a phone message, o
The permit (has expired, or ill expire soo► What is the status of this project?
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
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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.
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T:Forms /Building Division/Project Status Update
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0. NMI 4A,(;/ BUILDING PERMIT APPLICATION Print in ink
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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
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T:Forms /Building Division /Building permit application C
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Clallam County Assessor Treasurer Property Details 59653 BEVERLY GROSSMA... 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