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Home My WebLink About526 Georgiana Street Address: 526 Georgiana Street PREPARED 7/28/16, 15:18:47 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/28/16 ------------------------------------------------------------------------------------------------ ADDRESS . : S26 GEORGIAVA ST SUBDIV: CONTRACTOR LARRY'S ROOFING PHONE (360) 452-2215 OWNER PETERSEN EDNA G PHONE PARCEL 06-30-00-5-1-4110-0000- APPL NUMBER: 16-00001116 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT. BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------- BL99 01 7/28/16 BLDG FINAL July 28, 2016 3:14:39 PM jiierly Tom 460-0517 ------------------------ - ----------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00001116 Date 7/27/16 Application pin number . . . 324448 Property Address . . . . . . 526 GEORGIANA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-1-4110-0000- Application type description RE-ROOF on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 3415 ---------------------------------------------------------------------------- Application desc TEAR OFF/INSTALL TORCHDOWN CARPORT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PETERSEN EDNA G LARRY'S ROOFING PO BOX 1718 3S2 AVIS ST. PORT ANGELES WA 983620087 PORT.ANGELES WA 98362 (360) 452-2215 ----------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF/INSTALL TORCHDOWN Permit Fee . . . . 123.75 Plan Check Fee .00 Issue Date . . . . 7/27/16 Valuation . . . . 3415 Expiration Date 1/23/17 Qty Unit Charge Per Extension BASE FEE 95.75 14.0000 THOU BL-2001-25K (14 PER K) 28.00 2.00 .... ------------------------------------------- Other_Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------- ----------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 123.75 123.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 128.25 128.25 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This perm it 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 examine"t is application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be coqpNd with whether specified herein or not. The granting of a permit does not presume to give authority to�Niolate or cance sio 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 --7Accepted 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 I 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: Parking/Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PIN /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 Ti-m 0, For City Use JLI CITY OF Permit# W A S H I N G T 1 0 N, U. S. Date Received: 321 E Sth Street Date Approved 7- -,Ijr" Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits0cityoflaams BUILDING PERNUT APPLICATION Project Address: Geo(Q III Phone: Wo (%177 Primary Contact: FEmail, Name Phone Property Mailing d (e,, Email Owner City State �t. 0A zip 993LL Name Phone Contractor Address Email Information -city State V1 4%054� P�P_ FContractor License'# '4 Exp.Date: Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor) -Residential El Commercial 11 Industrial El Public 11 Permit Demolition 11 Fire El Repair El Reroof(tear off/lay over) A Classification For the following,fill out both pages of permit application: (check New Construction 11 Exterior Remodel El Addition El Tenant improvement El appropriate) I Mechanical 11 Plumbing 13 Other 11 Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathroom d Bedrooms or Existing? Yes E3 No 0 1 Existing? Yes 0 No [3 1 In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwateracityofpa.us Project Description I-,—JZJ(A— (dA- I I vnf9 11 el OA t6) Is project in a Flood Zone: Yes [3 NoO Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ 1 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 7ithin i8o 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 2 nd 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) 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 I 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 7Size- # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # I 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 fixtu e to be installed or relocated Plumbing Traps # Water Heater # Plumbing Vent piping # Medical gas piping #of Outlets: Water Line # Fuel gas piping #of Outlets: Sewer Line # Industrial waste pretreatment I interceptor(Grease Trap) Size Other(describe): T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx L