HomeMy WebLinkAbout1312 Georgiana Street Address:
1312 Georgiana Street
PREPARED 6/09/14, 11:12:13 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/09/14
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ADDRESS . : 1312 GEORGIANA ST SUBDIV:
CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215
OWNER STEPHEN AND KAREN HANAN PHONE (360) 457-2195
PARCEL 06-30-00-5-3-1430-0000-
APPL NUMBER: 14-00000657 RE-ROOF
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PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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BL99 01 6/09J14 JLL BLDG FINAL
June 9, 2014 9:07:25 AM pbarthol.
Tom 460-0517
------------- - -------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
r DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00000657 Date 6/04/14
Application pin number . . . 739880
Property Address . . . . . . 1312 GEORGIANA ST
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-1430-0000- REPORT SALES TAX
Application type description RE-ROOF
Subdivision Name . . . . . . on your state excise tax form
Property USe . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 4300
Application desc
TEAR OFF/INSTALL COMP
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Owner Contractor
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STEPHEN AND KAREN HANAN LARRY'S ROOFING
183 PEELE RD 352 AVIS ST.
PORT ANGELES WA 98363 PORT ANGELES WA 98362 t
(360) 457-2195 (360) 452-2215 "V
Permit BUILDING .PERMIT NO PR FEE
Additional desc TEAR OFF/INSTALL COMP
Permit Fee . . . . 137.75 Plan Check Fee .00
Issue Date . . . . 6/04/14 Valuation . . . . 4300
Expiration Date . . 12/01/14 �J\
Qty Unit Charge Per Extension
BASE FEE 95.75
3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00
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Other Fees . . . . . . . STATE SURCHARGE 4.50
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Fee summary Charged Paid Credited Due
Permit Fee Total 137.75 137.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 142.25 142.25 .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 applicatio nd know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be compliedWith whe er cif
herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of y r I law regulating construction or the performance of
construct* n.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permii
BUILDING PERMIT INSPECTION RECORD
-- 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:
Heat Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&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
Construction-R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THE 'D,' 7 For City Use
CITY LGE
Permit#
W A S H I N G T 0 N, U . S. Date Received:
321 E 51h Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits Ocityofpa.us BUILDING PERMIT APPLICATION
Project Address: C fadlain � �
Phone:
Primary Contact: Email:
Name qn Phone
'�Syca_ R4 n
Property Mailing Address Email
Owner I
city AngA* (\ State Zip
Name Phone 4v
1-(A
Contractor Address 3u-,1 Email
Information —city ff 8M&E� State zip
IContractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
s If3w r—
Residential 0 Commercial 0 Industrial 11 Public 0
Permit Demolition 1:1 Fire 0 Repair 1:1 Reroof(tear off/lay over)
Classification For the following.fill out both pages of permit application:
(check New Construction 1:1 Exterior Remodel 11 Addition 11 Tenant Improvement ❑
appropriate) I Mechanical 11 Plumbing 1:1 Other 11
Will a fire sprinkler system be installed Irrigation System? Proposed Bathrooms Proposed Bedrooms
or modified? Yes 0 No 13 Yes 13 No 0
Project Description
16ftLX_'-
Is project in a Flood Zone: Yes 0 No[] Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
I have read and completed the application and know it to be true and correct. I am authorized to apply for
this permit and understand that it is my responsibility to determine what permits are required and to
obtain permits prior to work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within 18o ays of submittal,the application
will be considered abandoned and the fees will be forfeited.
Iom
Date Print Name Signature
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed ss value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or i" floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Proposed For Office Use
Area Descriptions(SQ FT) Existing Proposed ss Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage_lot size)
Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site coverage=lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
re
ration
Evaporative
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit
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 # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment
interceptor Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx
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