HomeMy WebLinkAbout1411 Georgiana Street Address:
1411 Georgiana Street
PREPARED 4/26/17, 10:54:30 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DA}fE 4/26/17
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ADDRESS . : 1411 GEORGIANA ST SUBDIV:
CONTRACTOR SUMS CONSTRUCTION PHONE : (360) 670-6603 -
OWNER DAVID C HERRIDGE AND STEPHANIE PHONE (360) 461-6848
.PARCEL 06-30-00-5-3-0845-0000-
APPL NUMBER: 17-00000119 RES REMODEL
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PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------------------------------------a---------------------—--------------------------------
BL3 01 3/01/17 JLL BLDG FRAMING
3/01/17 AP March 1, 2017 8:19:25 AM jlierly.
March 1, 2017 4:34:58 PM jlierly. .
BLI 01 3/06/17 PB BLDG INSULATION
3/07/17 DA March 6, 2017 12:16:06 PM pbarthol. -
Brandon 360-670-6603
March 7, 2017 10:32:11 AM pbarthol.
block at floor line. Airseal. recall inspection
BAIR O1 3/07/17 PB BLDG AIR SEAL
3/09/17 AP March 7, 2017 10:37:07 AM pbarthol.
March 9, 2017 3:59:52 PM pbarthol.
BLI 02 3/07/17 PB BLDG INSULATION
3/09/17 AP March 7, 2017 10:37:20 AM pbarthol. _
March 9, 2017 3:59:52 PM pbarthol.
BL99 01 4/26/17 BLDG FINAL
' OVERRIDE TAKEN BY JLIERLY DATE: 04/26/17 TIME: 10:46:06
NJ April 26, 2017 10:51:49 AM jlierly.
brando 670-6603
--------------- --
------ --------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
SII
---------------
-------
-------------------- -- ------
-—----------------------------------—---------------------
ME99 01 4/26/17 MECHANICAL FINAL
OVERRIDE TAKEN BY JLIERLY DATE: 04/26/17 TIME: 10:47:06
April 26, 2017 10:52:44 AM jlierly.
670-6603
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------ --- -------------------------------------------------------------------
PL99 01 4/26/17 PLUMBING FINAL
+ OVERRIDE TAKEN BY JLIERLY DATE: 04/26/17 TIME: 10:47:54
April 26, 2017 10:53:12 AM jlierly.
---—--------------—----— --------- COMMENTS AND NOTES --------------------------------------
cr
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 17-00000119 Date 2/21/17
Application pin number . . . 323002
Property Address . . . . . . 1411 GEORGIANA ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-0845-0000-
Application type description RES REMODEL on your state excise tax form
Property
Name . . . . . . to the City of Port Angeles
Pro ert Use
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 35000
----------------------------------------------------------------------------
Application desc
INTERIOR REMODEL/CONVERT GARAGE TO KITCHEN
--
t^ ---------------------------------------------------------------------
V J
Owner Contractor
------------------------ ------------------------
DAVID C HERRIDGE AND STEPHANIE SUMS CONSTRUCTION
1411 GEORGIANA 1727 E 3RD ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
- --(360) 461-6848 (360) 670-6603
------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
`^ Additional desc : : GARAGE TO KITCHEN
Permit Fee 518.75 Plan Check Fee 337.19
Issue Date . . . . 2/21/17 Valuation . . . . 35000
\ Expiration Date 8/20/17
\
Qty Unit Charge Per Extension
\ BASE FEE 417.75
10.00 10.1000 THOU BL-25,001-50K (10.10 PER K) 101.00
A ----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . REMODEL MECHANICAL
S Permit Fee . . . . 75.45 Plan Check Fee .00
Issue Date . . . . 2/21/17 Valuation . . . . 0
Expiration Date . . 8/20/17
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 10.65
1.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 14.80
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . . REMODEL PLUMBING
Permit Fee . . . . 78.00 Plan Check Fee .00
Issue Date . . . . 2/21/17 Valuation . . . . 0
Expiration Date 8/20/17
Qty Unit Charge Per Extension
BASE FEE 50.00
2.00 7.0000 EA PL-PLUMBING TRAP 14.00
1.00 7.0000 EA PL-WATER LINE 7.00
7.0000
\ --------1-00---------------EA--_----DRAIN VENT PIPING 7.00
Special Notes and Comments
1`
February 21, 2017 9:51:16 AM pbarthol.
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.
2-D -17
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
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
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor 5
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall 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
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 /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
CITY OF PORT ANGELES
i�►.�� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 17-00000119 Date 2/21/17
Application pin number . . . 323002
--------------------- ------------------------------------ REPORT SALES TAX
Special Notes and Comments on your state excise tax form
Project will convert 192sf garage to living space (kitchen) .
----------------------------------------------------------------- to the City of Port Angeles
Other Fees . . . . . . . . . STATE SURCHARGE 4.50 (Location Code 0502)
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 672.20 672.20 .00 .00
Plan Check Total 337.19 337.19 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 1013.89 1013.89 .00 .00
W
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-
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
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 Pump/Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts
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 TY� � k ''�' T For City Use
:_
XL
Permit#
W ASH l ra T o rt, U. S.
Date Received:
321 E 51h Street ate-Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits(&cityofpa.us
BUILDING UI NG PERMIT AP ICATION
Project Address: ee-+
Phone:
Primary Contact: Gca-i-401'\ So Email: 6�r
Name � Phone 36� T / /`rA_ �LC'r i X01
Property Mailing Address Email
Owner l4 I I Csevc- ;c�ntti.
City � + ' �� State I n )c A` Zip r) 3� F_
Nam�u-e L�S1 a Ik/J�'.('9 9P� 4ClK7a/F.1� J Phone����/�V 6!0-
6�
Contractor Address )7 Z 7 51r _l Email V
Information city Po 6-+ Af dP,S ( N�1 State UJ!t q zip ,7-83/7
Contractor License# 1 UL YA ti`c • SS 1 t)L Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$ S Ooo
Residential Commercial ❑ Industrial ❑ Public ❑
i Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
Classification For the following,fill out both pages of permit application:
(check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
appropriate) Mechanical ❑ Plumbing ❑ ' Other ❑
Fire Sprinkler System Proposed Irrigation,System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes ❑ No ❑ Existing? Yes ❑ No ❑
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater ci o a.us
Project Description gp_6100 F— � (� �o i%rte r,11 It &JP ter.to G_nk
Is project in a Flood Zone: Yes ❑ NoM 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 i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date Print Name Signature
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area Floor area $Value new area
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or a".floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Area Descriptions(SQ FT) Existing Proposed Construction For Office Use
Floor area Floor area $Value new area
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
r:.
Site Area Totals
Lot/Site Coverage Calculations
Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov_lot size) Max Bldg Height
all structures sq ft
Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov-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) # I
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration
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 # -2- Water Heater #
Plumbing Vent piping # Medical gas piping #of Outlets:
Water Line # / Fuel gas piping #of Outlets:
Sewer.Line # Industrial waste pretreatment
interceptor Grease Trap) Size
Other(describe):
T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx
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