HomeMy WebLinkAbout1121 E Georgiana St - Building .... CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321EAST 5TH STREET, PORT ANGELES, WA 98362
~,,~,~,.~.~,,.~,,~ · ~,.~%~vJss I~UED: 11/22/2002 I-'t::~MII NO: 13864
OWNER/APPLICANT PROPERTY LOCATION
JIM DRYKE 1121 GEORGIANA E
1 '121 GEORGIANA Lot:
Port Angeles, WA 98362 Block: 1 [] Long Legal
360/000-0000 Subdivision: HART & COOK SL 15
T: S: Parcel No: 063000810155000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $400.00 SFD Units: 0 Commercial: 0
Project Type: PROPANE STOVE SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
INSTALL FREE STANDING PROPANE STOVE, PIPING, AND TANK
RECEIPTff~9940
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $35.00
Plumbing: $35.00 AMOUNT PAID: $35.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
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 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
Signature of Contractor or Authorized Agent Date Signatu~ of O~,nj~{i~is builder) Date
T:\PLANNING~FORMS\ 1102.15 [4/2002]
BUILDING PERNIIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERNIIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ] ACCEPTED COMMENTS
I
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPAKn. TE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
BACK FLOW / WATER
AIR SEAL
CEILING
FRAMING
JOISTS / GIKDERS
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date I ~- - /~ -~ -~ Time Received by (phone, person)
Location of Work tO be inspected /!'~ /
Name of person requesting inspection
Phone No.
Address of person requesting inspection
Type of Inspection (circle appropriate one): Permit No. ~. ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other~
INSPECTION NOTES: ...........
Inspected: Date i ~ ~ / ~)~ ;*~ ~ ~ ~'~
Time By ( dr
Remarks: .~
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel I~Asphalt []PCC []Other
[] Repaired by City Work Order #
~] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)