HomeMy WebLinkAbout734 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
03-00000578 Date
734 GEORGIANA ST
06-30-00-5-1-3905-0000-
RES REMODEL
6/13/03
20000
Owner
Contractor
JOHN RICKENBACHER
734 GEORGIANA ST
PORT ANGELES
(360) 457-0467
WA 983623510
RICKENBACHER HOME REPAIR
121 E 2ND STREET
PORT ANGELES WA 98362
(360) 457-0467
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 344.75 Plan Check Fee .00
Issue Date 6/13/03 Valuation 20000
Expiration Date 12/10/03
Qty Unit Charge Per Extension
BASE FEE 92.75
18.00 14.0000 THOU BL-2001-25K (14 PER K) 252.00
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68.75 Plan Check Fee
6/13/03 Valuation
12/10/03
.00
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Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
Qty Unit Charge Per
3.00
BASE FEE
7.2500 ECH ME-VENT FAN
Extension
47.00
21. 75
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
89.00
6/13/03
12/10/03
Plan Check Fee
Valuation
.00
o
~
Qty Unit Charge Per
Extension
47.00
35.00
7.00
ru
BASE FEE
5.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP
1.00 7.0000 ECH PL- EA.WATER HEATER
-
Other Fees
STATE SURCHARGE
4.50
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 502.50 502.50 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 507.00 507.00 .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 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 t<j!be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specifi herei ot. The granting of a permit does not
presume to give authority to vioiate or cancei the provisions of any state or 10 .law re g construction or the performance of
construction.
Date
(> /.3-03
Signature of Contractor or Authorized Agent
Date
T:\PLA!\.'NING\FORM$\] 102.]5 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUiLDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTfCE. 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
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN /Z.-Z'1-D!S \, L
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS 1/ 7_ 2.LI~o~ I 11. L
CEILING I I I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING I i-, -21..i-()~ III
DRYWALL
I-BAR
INSULATION .
SLAB LIT, II I I
WALL 1 FLOOR 1 CEILING "1"/'''( tJ .,
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET 1 CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE I 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
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 4]7-4653 FIRE DEPT.
PLANNING DEPT. 4]7A750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]
BUilDING DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
Job Located at
7sc!
G;t--;n-U-.., ~ YJ-J J4-
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
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These corrections must be made and are not to be
covered until reinspection is made. When C~ctions
have been made, please call Lj I ) _ l.{ 51 ~
for inspection.
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY,
Date Ree.b '. 1?;-():5,
Permit #, S 7 ~
Date Approved:
Date Issued:
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
Applicant or Agent:
Owner: CT Co'4~
Address: 12 I
o lA....-"" r'--
Rick ""j,,,,cL-er
E 2.':.:' ST
Phone:
Phone:
City: firf A. ~k..J
,
1fT? O<f{.'7
Zip: 9J--Sb<;
ArchitectJEngineer:
Contractor
o CJ/Jer
Phone:
State License #:
Exp:
Phone:
Address:
City:
73 'f G Co nllc."c"
v
Zip:
ZONING:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name: "
Billing Address: I J I ~
Credit Card Type VISA MC Y #
SIZENALUATION:
qou SF.@$ /SF.=$
SF.@$ ISF.=$ .~
SF. @ $ ISF. = $
TOTAL VALUATION $ ,f-a.~c-vve-
Exp. Date:
<-
9vD
- 0 0-
APPROVALS:
PLANNING USE ONLY: PLAN:
BLDG:
DPWU:
SEP A Checklist required? 0 Yes 0 No Other: FIRE:
ESAlWetland(s): 0 Yes 0 No OTHER:
-
BillLDlNG PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This fi
REVIEW: Ifno pennit is issued within 180 days of the date of application, the application will expire. The
Building Official an extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the sa
understand that it is my responsibility to determine what permits are reqUired).
and correct. I am authorized to apply for this permit and
nd that I must obtain such permits rior to work.
Date: b
T:\FORMS\APPS\Buildingpermit. wpd
Applicant:
f ,"ORT ~
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rea
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000578 Date 7/03/03
734 GEORGIANA ST
06-30-00-5-1-3905-0000-
RES REMODEL
20000
Owner
Contractor
JOHN RICKENBACHER
734 GEORGIANA ST
PORT ANGELES
(360) 457-0467
WA 983623510
RICKENBACHER HOME REPAIR
121 E 2ND STREET
PORT ANGELES WA 98362
(360) 457-0467
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
SHAMP ELECTRICAL
64.90
7/03/03
12/30/03
CONTRACTING
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1.00 64.9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
64.90
Other Fees
STATE SURCHARGE
4.50
~
eN
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.90 64.90 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 69.40 69.40 .00 .00
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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
construction.
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T \PLANNING\FORMS\1102 15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVIsIOn) SEPARATE PERMIT #'s
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
ELECTRICAL - LIGHT DEPT. 417-4735 r") /3/05 fkj) ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W / PW/ I CONSTRUCTION - R W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T \PLANNING\FORMS\1102 15 [4/2002]
OS/24/2003 01:19
13504521589
SHAI~P ELEC
PAGE 01.
.
,
E:LECTRICAL PERMIT APPLICATION
H :';,: ()'~:;'.:I,\I."':.''\!'. r);,,~','
1.i,lrt.'Rr..: ___...:....:...:"'. ~,.
l'rm;I~' "___._..._._____
r;l;I1~ .":~r'''~r.! ___.'.____
D,', j~"'~l~. ._.
The Electrical ~ermii A.pplicatlon must be tilled out compJCltelv.
SC'l QVv,p[(E'CJ(y'G
O~''',ler or Clsc. C~ntra.r.:'or Agor.t: - ".. , ~
':"IA'^ e,CcbMM0
Propert'" Cwr.sr: .. ~ {j IV \ ,
. . I sO).\ C. Ol ,,-C <:::.k- I"t, Ci~}':
Ad:::reos: . -" ....... ~
HTl 57t>
Please type or reprint in ink. If you have any questions, please call (360, 417...4735
Fox numbe" (360) 417-4711
REQUEST INSPECTION ~
PhoneLI'5d-~~8'1 Fax Ao.lY"'-f!
Phone:
,
<-'" . ~. '7:...c""~~
E:18ctiiCal COnira~!N; ~"T~-'~
I g.., '':2.,)'~
AdareS$: ,~. ~ '-~..,,;-
~'J ,:lK.ri.~~-
1.,<:.
e(y~ .Ad:t (,cS
S;;I".~ '..0. "3 ::!d
licenSE: t:
Pc."---f k~,:,-i:S'
(\\A
Exp: c:.3
w4!r-
zip1(s~o ;J
PMnc: 1~"L-1 bi!9
ZiP' -r..J(,-z.
r..;lty:
= O\VNEA X. E!..ECTRICA!.. CONTRACTOR
.,; 11.(;" , ~J. S ;v.-,v.f'
Credit Card Holder Name: =---l-- -
~ id ' -05. _ C'~ '2- ~ '"~ -:...r;;;
Billing Address: 11 <> v-' I"'. ~".. fly: reo -'. A-,.,.=~ .,
Credit C"rd Numtw: _ Exp. Oate:_
i-:SY L-z.{'o-<,cv,'Q..,..,,^. C\. r PC,-\- ~q-el.e~ u0A
PROJ~CT AOQRI!SS: ----*- -d
1.'-.JSTAII Ai{O~ WIP,ED 5Y:
1o.l4
Zip: 9 t.J~2.
__VISA:LMC:.
9'?-:;CoCl
TYPE OF WORK:
Check;ill that apply: :.-1 New
::, Alteration/Addition
17Residental ::.J Multi~family
l~ Commercial C. Mobile Home
Sq. Fl. /00 0
:=; Remo:e Meter .._ LJatached garage = Hot Tub =. Swim Pool .:' Septic Pump C Lcw Valt~g~ ,- Telecom. :J ~
Number d Ci~cl..dls added or altered: _'" ....
. DESCRIPTION OF THE ELECTRICAL PROJECT:~!.tO~-rwL-
~""DOfA.-
~ ~'f, ~O
Service Information
Electrical Heat L.oad Additions
.: 8a$e=oa~d
,= Furnace
:: Hea: Pu[rl~
Z;;Fan-1Nall
_KW
KIN
K'N
--4- KW
r-.; Overhead Service
',Temp Service
e] Underground Service
Voltage: _....__
Phase: [) 1 i: 3
Service Size:
.0:.C60(B}: F strial, commercial, & residential projects larger than a. duplex, a one ~ line C1rawlng of ~he Eler,;;\rir.::~1 SeNice
Feeders, building size isq. ~.], lead calculations, and Ihe type 8 of oonductors sndler raceway is required and $MII accompany the'
Elcc:riC31 Pl;)rmit a.prlif".~fif'ln.
J herBby cl?rtify thRt I have read and examined this application and know that same to be true and correct, and J
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
1/0~;J ~'~ ~/l ONLy - 5~viU<. P~/6- ~ k set ~?U--w\.
A 1- Of::- N; I~ Il' -= ~ ~_ ~I /; $t1-{.e.
r' Credit Card Holder's signature: -- ~ee.:~ ":::>/11 r'L.J.l D~t.,: - -
~ - .' /' ( -a4..liS
Own", 0' Else, Cant. Signature: .- /. /\.. - L_. Date; n
....
:pe,.
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