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Home My WebLink About1003 S Pine St - BuildingBuilding Permit 1003 S Pine St 13 -329 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc WATER SERVICE METER TO HOUSE Owner NELSON JOHN R 1.003 S PINE ST PORT ANGELES Fee summary Permit Fee Total Plan Check Total Grand Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 WA 983627320 Qty Unit Charge Per BASE FEE 1.00 7.0000 EA PL -WATER LINE 13- 00000329 764745 1003 S PINE ST 06-30-00-0-3- 2435 -0000- PLUMBING PERMIT 800 Contractor PRECISION PLUMBING P 0 BOX 2910 PORT ANGELES (360) 452 -1850 Permit PLUMBING PERMIT Additional desc WATER SERVICE METER HOUSE Permit Fee 57.00 Plan Check Fee Issue Date 4/02/13 Valuation Expiration Date 9/29/13 Charged Paid Credited 57.00 57.00 .00 .00 .00 .00 57.00 57.00 .00 Date 4/02/13 WA 98362 Due .00 0 Extension 50.00 7.00 .00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (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 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. C ..7 `Date Print Name Signature of Contractor or Authorized Agent Signature•of Owner (if owner is builder) Inspection Type I Date Accepted By Date Comments Electrical FOUNDATION: 417 -4735 Construction R.W. Footings 417 -4831 Stemwall Fire Foundation Drainage Downspouts Piers 417 -4750 Building Post Holes (Pole Bldgs.) PLUMBING: Date Accepted b Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof 1 Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Date Accepted by Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS 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. Project Address: 100 (R E Main Contact: V +R- 34-21 564 Phone 3 t,0 -58 a 4 /36 E -Mail: Property Owner Name s7 -T OF Soil-Ai I \JF.t_So1\I II Phone Mailing Address I laO S o ?l ill Email City State Zip Contractor Name VR1 G S O M t 1 t (v G, Phone Email Mailing Address City State Zip Contractor License e 32_1 Expiration: Project Value: ten Zoning: Tax Parcel Lot Type of Permit Residential Commercial Industrial Public Demolition Fire Repair j L Reroof (tear off /lay over) For the following, fill out both pages of permit application: New Construction Remodel Addition Tenant Improvement Mechanical Plumbing Other Existing Fire Sprinkler System? Yes No Maximum height of structure Proposed Bedrooms Proposed Bathrooms Project Description --�ir— U ��`R' 'YY�.P.r,_ -1-4, -0,-- I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned and the fees forfeit. Date 14/2._ 7( Print Name 4:=04..h...)60.-0-s-121— J Signature dY.41.---0 W A S H I N G T O N U.S. 321 East 5th Street Port Angeles, WA 98362 P: 360- 417 -4817 F: 360- 417 -4711 permits @cityofpa.us Building Permit Application For City Use Permit# Date Received: z- 3 Date Approved t3 Residential Structures Area Description (SQ FT) Existing Proposed value For Office Use Basement Appliance Vent Heater (Suspended, Floor, Recessed wall) First Floor Size: Heating /Cooling appliance repair /alteration Second Floor Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping Covered Deck /Porch /Entry Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Deck Ventilation System Garage Carport Other (describe) Area Totals Mechanical Fixtures Indicate how many of each type of fixture to Size: be installed or relocated as part of this project. Haz /Non -Haz Piping of Outlets: Air Handler Appliance Vent Heater (Suspended, Floor, Recessed wall) Boiler /Compressor Size: Heating /Cooling appliance repair /alteration Evaporative Cooler (attached, not portable) Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping of Outlets: Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Ventilation System Commercial Structures Area Descriptions (SQ FT) Existing Proposed Value For Office Use Existing Structure (s) Medical gas piping of Outlets: Water Line Proposed Addition Vent piping Sewer Line Tenant Improvement? Other (describe): Other work (describe) Area Totals Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps Fuel gas piping of Outlets: Water Heater Medical gas piping of Outlets: Water Line Vent piping Sewer Line Industrial waste pretreatment interceptor Other (describe): Lot/Site Coverage Calculations Footprint (SQ FT) of all Structures: Lot Size: Lot Coverage SQ FT Site coverage (all impervious structures) Site Coverage T: \BUILDING \APPLICATION FORMS \BUILDING PERMIT 081212.DOCX PREPARED 4/05/13, 15 :09:15 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS STRUCTR PERMIT 13 00000329 1003 S PINE ST 000 000 PL 00 PLUMBING PERMIT 000 000 PL 00 PLUMBING PERMIT INSPECTION HISTORY REPORT 0 /00 /00 THRU 0 /00 /00 ASSESSOR PARCEL NUMBER ALTERNATE ID INSPECTION PAGE 1 RESULT DATE /STATUS INSPECTOR 06- 30- 00 -0 -3- 2435- 0000 063000032435 PL6 0001 PLUMBING WATER SUPPLY 4/04/13 APPROVED JLL REQ COMM: April 4, 2013 8:33:20 AM pbarthol. REQ COMM: Joel 461 -1863 RES COMM: April 4, 2013 4 :03:51 PM jlierly. PL99 0001 PLUMBING FINAL 4/04/13 APPROVED JLL REQ COMM: April 4, 2013 8 :33:36 AM pbarthol. REQ COMM: Joel 461 -1863 RES COMM: April 4, 2013 4:03:57 PM jlierly.