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Home My WebLink About1203 S Pine St - Building eft-ORT ~ t~':~ rGil "-~ ~ "4lc~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 1/12/04 04-00000014 Date 1203 SPINE ST 06-30-00-0-3-7635-0000- MECHANICAL APPL. PERMIT 3000 Owner Contractor JENSEN ALLEN G 1203 SPINE ST PORT ANGELES WA 983627522 PA SWIMMING HOLE & FIREPLACE S 518 W 8TH ST PORT ANGELES WA 98362 (360) 565-1163 Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT FREE STANDING, DIRECT VENT 57.65 Plan Check Fee 1/12/04 Valuation 7/10/04 Qty Unit Charge Per Extension 47.00 10.65 BASE FEE 1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 ~>tAr:::ED 7/1~/~64 lasered CEO .00 o ~ o \f\1 \J\ -4d -, , ;5 ~ 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. ON F/Lb Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T \PLANNING\FORMS\1102.15 [11/14/2003] ~r..f ~\ - ~"~acJ C{'7-"te\ (}<J:)O() BUI~DING PERMIT - APPLICATION H JI, \ JI.llt 'I '\1 I ISF ONL" II.,:, :t..: _~....: no - () S 1"'1 ifill :1 ._C?.!:i - , 9 D.l1(" AllllrV\i~:lJ. Dale: l!"llc,l' Fill Ollf COl\-U'Unl<:L Y :lIId ill IN K. Y 0111- :Lllplic.:&tioll :lIlI.I site phHl M US'f 8E COMt'LK"": to be ~l'Cl'ptl'd for re\'icw, (t' you ha"'c allY questions, call (360) 4.1 7~4815 ApplIcant or Agt:tlt:__ 'SeJ.lt WI lL-t-e~.A/I _Phone: /-I60-:J.7{02 Owncr:--AL-Jt'l>.f;e.c~___..~_ Phone: _4S~ - ~~S- Addn:ss: 1;)..03 S. B~ae_~eet- Cily:~e.Le5 Zlp:_~&"S 6:J... Architecr/ En "lI1eer: PhonE.>: ~ --- , - PASLDrSgq7~~L0 ._~ Contructud'.4 ,~MM}() IJde d.:F:P State License it: Exp: IJ..-)b--a> Phom::2~S=-1 /c?..~ Address:...2lrg f..i) <"6+~,_ City. "Yo\'"+ Atlve'rs ZlP:_~~~ 1>>n.OJECT ADOJU:SS:~Q3._.:? P,l1e G+:. _. ZONING: LEGAL DESCRIPTION: L()l.~ j -10 I::Hlll:k,_ 3.?V SubdivisIon: tJ~ CL.ALLAM COlIN 1'Y l~AR( '1:L Nt JMHhR. oc, 3'OOOCA3 7<P3,?:,QOoo Credit Card Holder N"alm:: Uilling Addn:ss:_, Cicy: C'redit CardType VJSA__1\1C __ #. J!;xp. Date: __ TYPE OF WORK: SlZEJVALUATlON: o Residential 0 N~w C\lllstr 0 {'k-rout W'Stove .__ SF. (ql 'f;_ 1')1" __ 'G_ O MuJ[j-t~mdy 0 AIJJirj()(J 0 Move 0 Gi.ll'al;~ . __ Sll. @ $ /SF. _ $__~ CJ CUlllJllerclal 0 R~ruu(.h:l 0 DllJ\l<ll1liun 0 De:,,;k SP @ S ISF. = $_ o Rep<llJ" CJ tlign 0 Olt!C"I______ 'IOTA!. VAl,UAI10I'~ ~_3.aO~ BRIEF llES~'R1P'f10Nc:;tiE PROJE~T' n.~ ;~ ..~~S.:l:ol2c--"<f---' 'l~ t)f'\r, ~_, !eLLL.j:CtA.k ~~ Ad. l_~ ~MM/ KClAL;l:SlIl>:NTIAJ., ""up,..,,> G. uup: _. O"UP'IO' L"IOd: COH"mcuun I yp,,,___ Nu, UfSlUrlC::': _ Lilt SL~c, _...__ L',)"lstmg Sq. Jot ___ & Propused Sq. Ft.__ =1'U fAI. S.j.ll Existing lot cUYc:ragl~ _ % & Pmpn~\:cJ 101 \:OvcrllgLJ _% '" TOla) 1111 co\'eragl: % ESAiWClland(s); ! 1 '1',': [J Nil S/';PA ('hcd"'~t IL;41111-.::LI'1 [] Ye:. 0 Nt) OIlier. _~___ Al'J'I~UV ALS: J>l,AN: ~ ULllG: __ OPWI1:___ J}<'IRF.:_,_ O'rHl'~H,~~._ PLANNING USE 0:'\11.. V: ..._-------.... .._--........,,"'- --. , '- "---.--...--- -- -.. BmLDJNG PERMIT API'I.rt ':\TJON SllJ~M1TTAI.: Th,,: nllll.llllt!. Olvi.J'.n.-,m pcovl.l~ YOu Vo.lrh mtomlatlvn IJII th..: ..ppli~.lfi\ln ..nil Jll~u SubnlJllat leqUllt:mcrJlS ,I' YOIl h.l\~' qU~~lllllb, VALVA TTON 01" CONS r 1{IJCTfON' (II all Clt!t~S, ~I ":.I1Ulltioll amollnt IIlU'1 be ~m(:rcd by the applicant ThiS flgllClo will b~ reviewed :md may b~ tevl~ed by rll., HuilJI":' I)" i~jml lo com.-.)} \Vi il. \. LllJt:1I1 lc.. ~,dlCLlult", C~ll1tdellhc I'~mllt ( lllJl"Ulmltor at 41',' -41l1:'i for assi~lancc. f'LAN Ctt...;CK }c'EE: II, .1 plall.:hcd: kc l!t .Ill!.' It l1"1II';! hl' !tubmil1cd Jtllll' lllnc th~ bllilJing pennit olppliLlllion aud I;nnslruclllln pbm. :m.: ,ubmilted. All other pL:11\U1 ii.'c:. ~IC 11I1I:..t tJlt: lime orp~rnlll iSSLI:lllCC. J':XPll~TION Ol( l'l..-\l" KI', \ U'\'\": it nil pl:lmlll~ ls~ut:d wnhlll IHO dilp oflhl: Jar!: ofapplit"alion, lILt' .lpJlllc:ltion win e~pin~. Tht Building OfIiCIUI C.:l[ll:'(.ll~ll,llhc linll: In( :l..llUIl by the :.pplic.\Cl1 LIP l~\ I~U ,J..ys (11)\111 \HiuClll'Cg1.lC5t by [ht.: "ppllcalll (Sl'!: Sl.:L.:tIOIl 1074. of rile' Unitolln Buildln~ CodL', ,'l!lTc'lIt l'dll Imll N.-. :lllplil::J(irln ~';Ul h~ c.:~kll"e, III'IMV limn t)l'1~L. I for )J{MS\.' l'l'S' B\IIIUIII "I",nlill "I',J t\ ppl'll.:anl: " 'e#. jldm authOr/zed 10 Clpply lor ttJis permit all(1 'stiJbtain Sllch piJrrlllts pm)r ro v'tork. t! DlLt~ L:::$.-~.Q!:l G13 39\;;1d 8313 dW\;;IHS 6891GSP139El LP:Ll P1313G/813/113 PREPARED 1/12/04, 12 09 53 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY 1203 SPINE ST PA SWIMMING HOLE & FIREPLACE S JENSEN ALLEN G 06-30-00-0-3-7635-0000- 04-00000014 MECHANICAL APPL PERMIT SUBDIV PHONE (360) 565-1163 PHONE . PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS M'.__O'____'/"/O.___~---;:::;::::~:::::::"NO'E' PAGE DATE 4 1/12/04 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 FOUNDATION: s FOOTINGS WALLS FOUNDATION DRAINAGEfDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP GAS LINE '....1'2....0'"" .)L~ WOOD STOVE 1 PELLET 1 CHJMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'s WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA: PARKlNG/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 R W. 1 PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1102 15 [11/14/2003] . d'~'~ ' $~I CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ]21 EAST 5TH STREET. PORT ANGELES. WA 98]62 ELECTRICRL PERMIT I I OWNER/AP~LICANT------------------------PROPERTY LOCATION------------------------ ! . 1203 PINE S Lot: Block: Sub: Parc No: Issued: 2/12/98 Permit No: 6223 I Port Ali1geles, 360/000-0000 T: WA 98360 Long Legal: I CONTRACTQR-----------------------------DESIGNER--------------------------------- OLYMPI~ ELECTRIC 1805 TUMWATER PORT A~IGELES, WA 98362 360/457-5303 I PROJECT INFO-------------------------------------------------------------------- prj T~pe: RES. MISC. prj Value: $0.00 Occ ~lpe: Cnstr Type: RAISE MAST Occ ~;rp: Occ Load: Land Use: S: , 000/000-0000 Electrical Heat Ba~eboard KW: Fuj:"nace KW: He:j,t Pump KW: Fah/Wall KW: o o o o Service Type Riser X Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 X-I -3 200 AMPS o AMPS PROJECT NOTES------------------------------------------ ------------------------- raise ~ast at city request.....no charge for permit I , I PROJECT FEES ASSESSMENT--------------------------------------------------------- I .' ?ervice: $0.00 Additional Feeders: $0.00 I Circuit Wiring: $0.00 . I Temp Service: $0.00 M1SC $0.00 TOTAL FEE: Amount Paid: $0.00 $0.00 ====-I-=======~==================== TOTAL FEE: $0.00 I Balance Due: $0.00 I COMMENTS/ACTION NEEDED u._ ~ ~ ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCIlPTED COMMENrS YIS I NO -IN I r r r ~Vl(''''' ..:;:}, . YII ~AL I I I GENERAL COMMENTS: PW-IID2.U(4'!I6) Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . . . . . Application valuation Application desc Protect your home Mal a. W. 910"Jam. 15-00001327 Date 10/20/15 632548 1203 S PINE ST 06 -30 -00 -0 -3 -7635 -0000 - ELECTRICAL ONLY 0 Owner Contractor JENSEN ALLEN G PROTECT YOUR HOME 1203 S PINE ST 3750 PRIORITY WAY SOUTH DRIVE PORT ANGELES WA 983627522 #200 INDINAPOLIS IN 46240 (317) 810-4720 Permit . . . ELECTRICAL ALTER RESIDENTIAL Additional desc - , Permit Fee . . . 1 64.00 Issue Date . . . . 10/20/15 Expiration Date . , 4/17/16 Plan Check Fee .00 Valuation 0 Qty Unit Charge Per , Extension 1.00 64.0000 ECH EL -SINGLE CIR LIMITED RES 64.00 Fee summary Charged Paid Credited Due Permit Fee Total 64.00 64.00 Do .00 Plan Check 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: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date; GAEXCHANGE\BUILDfNG CITY OF Poll -l- ANGELES PER11-111- APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 111h: (360) 417-4735 Fax: (360) 417-4711 Date: 10/19/2015 __ - 1 & 2 Single Family Dwelling L A ' Plan Review May Be Required, Please Complete Eleclrical Plan Review informalior, Sheet ,'NW,dd,e,js: 1203 S Pine St Bulldi�qSquafeFDDraga 1476 Cescripte�n c# above . . . . ..... . ....... -- . . . . ................ ....... ...... . .. ....... ..... . .. . .... Owner Information ....... ...... — . . . . . ............... . ...... . . . . ..... . ............ . .. ... ..... Contractor Information NaMe: AIJensen .............. Name Protect Your Home J61Z15rqAjjd1tS5: 1203SPineSt — . . . ....... . . . . ......... h1a4wl Address; t� Dr 010f...,�2rt.�ngel!� .. .. . ................ . Slate: WA ZO 9WVN��- CRY- Slale: IN __Zip: A 2 ry^... 52547 PKonp.AtfiA �o Fax: ,Il 7--1111-111- License # I Exp6- -L,nseUBap ,±R1�n2- 934P5 Item Unit,ChKae . 121taiNty"m4fti liedb Unit Charge �7wicrr ce*der 203 Arro, S120, 00 Serviceffieeder 201A0 Amp, $146,00 ServicefFeeder 401.600 Amp 5 2050 SerwicefFeeder 601 -IOW AI S 2012.D0 Serke/Feeder weef 1000 Amp, S373,00 Branch Circuit VU Seirvice Feeder S 500 Branch Circuit VU0 Service Feeder S 6100 Each Addificoal Bromh Clrm S 500 Branch Circuits 1-A S 75.00 Temp, SeMcel Feeder 200 Amp, $ 9100 Temp. Service/Feeder 201-400 Amp, 5110.630 Temp- ServicelFeecter 401,600 Amp, S 14%00 Temp, ServicelFeeder 601 -1 ODD Arnp , S168,00 . S Portal 10 Portal ploudy $ 9,00 ..... -'--"-- Slgna CkcuiV Limited Energy - I & 2 Family Dwrefing S 64,00 043nufaclured Home Connection $120,00 Renewal* Electrivrat Energy - 5KVA System or Less $102,00 S- Th,ermioMat $ 56.00 Note: 55M to( each addition al'T-Stat 6rst 1300 Square A S 1200 Each Add0onal 50,0 Squwe ft or Portion at S 400 Each Gulbudding cf Detached Garage S 74,011 S........ EachSvOrnming Pcol or Hot Tub 5110.00 Total Owner as defined by RC'W,19.28L261: (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 of lease, Permit expires after six months of last inspection. 0 11 "Wily, Signature of owner, electrical contractor or electrical administrator: 0 Cash D Check 0 Credit Card rt. x max _ Cued 10/19/2015