HomeMy WebLinkAbout916 1/2 Georgiana St - Building
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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 Zoning . . .
Application valuation
03-00001117 Date 11/21/03
916 1/2 GEORGIANA ST
06-30-00-6-1-0308-0000-
DEMOLITION
COMMERCIAL OFFICE
500
Owner
Contractor
ARMSTRONG, JOSH
333 GRIFFITH FARM ROAD
SEQUIM WA 98382
(360) 457-5752
Structure Information DEMO SFR
Construction Type . . . . . TYPE V NON-RATED
Occupancy Type . . . . . . SINGLE FAM & CONGREGATES
JIM PFAFF CONSTRUCTION
PO BOX 1 JOYCE
JOYCE
(360) 928-3340
WA 98343
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
DEMOLITION
DEMO SFR
47.00
11/21/03
5/20/04
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
47.00
BASE FEE
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 47.00 47.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 51. 50 51.50 .00 .00
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Separate Permits are required for electrical work, SEPA, Shorelme, 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 ord' ances overnlng thiS type of work will be complied with whether specified herein or not. The granting of a permit does not
presu to Ive ut ority to violate or cancel the prOVIsions of any state or local law regulating construction or the performance of
i
Signature of Owner (if owner is builder)
T \PLANNING\FORMS\1102 15 [11/]4/2003]
Date
1-"'"
- .
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
l
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'5
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA-
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT 4 I 7-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R W / PW/ CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 , , ~ f PLANNING DEPT
BUILDING 417-4815 n./ / / f) '7 1<' V BUILDING
T.\PLANNING\FORMS\1102 15 [11/14/2003] '7
BUILDING PERMIT - APPLICATION
FOR OFFICIAL US E ONLY
Date Rec " - z 1-6___"":?
Penmt # J II 7
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
Date Approved
Date Issued
Apphcant or Agent: ~<:;~ A-r-""\.f~
Owner: ,<:; w~1- Dr~~v<\s' Prof~;;S f L6
Address: Z s~ ~~ C f.fvv ~ (eJ '; CIty: Po-r );- If" )JtS"
Architect/Engineer: lfC..1I( \,~<Dphone:
Contractor _) I V"'\ f'.p~.(P Co..t.sfr~~itite License #JI,^ Exp:~-Z1-0~
Phone:
'-lr7- rs-7r-~
L( S7-()7 ,S-z....
q~3r;~
ZIp:
Phone:
Address: CIty:
PROJECT ADDRESS: q ( ~ ~ C;; e..or1 { ~ /.-1 ~ c: if-.
LEGAL DESCRIPTION: Lot: E 0/01 Lr b Block: BL g SubdlVlslOn:
CLALLAM COUNTY PARCEL NUMBER: 06CXJ~ 10 30 ~coo
Phone: q 2. S'" 3Jc.;o
ZIp:
ZONING: CC~~(~~ (
DYKt L/I/lJD (0 S4RO/!/
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o ResIdentIal 0 New Constr 0 Re-roof
o MultI-farmly 0 AddItion 0 Move
o CommercIal 0 Remodel 0 DemolItIOn
o Repair 0 SIgn
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
OPAMC
SIZEN ALUATION:
SF. @ $ /SF. = $
SF @ $ /SF. = $
SF. @ $ /SF. = $ vi
TOTAL VALUATION $ ~>r ~ ODO,
LU){ J ~
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load
No. of Stones Lot SIZe: EXlstmg Sq. Ft. & Proposed Sq Ft.
EXIstmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage
ConstructIon Type.
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESNWetland(s): 0 Yes 0 No SEPA ChecklIst required? 0 Yes 0 No Other
BillLDING PERMIT APPLICATION SUBMITTAL: The BUlldmg DIvisIOn can proVIde you WIth mformatIon on the applIcatIOn and
plan subrmttal requirements If you have questIons.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applIcant. This figure WIll be revIewed
and may be revIsed by the BUlldmg DiVIsIOn to comply wIth current fee schedules Contact the Perrmt Coordmator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due It must be subrmtted at the tIme the bUlldmg perrmt applIcation and constructIOn plans are
subrmtted. All other perrmt fees are due at the tIme of perrmt Issuance
EXPIRATION OF PLAN REVIEW: Ifno perrmt IS issued wIthm 180 days of the date of applIcatIon, the application will expire. The
BUlldmg OffiCIal can extend the tune for actIon by the applIcant up to 180 days upon wrItten request by the applIcant (see SectIOn 1074 of
the Umform BUlldmg Code, current edItIon). No applIcation can be extended more than once.
I hereby certify that I have read and exammed thiS applIcatIOn and know the
understand that it is my responsibility to determme what permIts are reqUIre
true and correct. I am authorized to apply for thIS permIt and
st obtain such permits prior to work
T \FORMS\APPS\Buddmgpermlt wpd
Date:
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