HomeMy WebLinkAbout727 Georgiana St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll-DING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000849 Date
.633648
727 GEORGIANA ST
06-30-00-5-1-3680-0000_
RE-ROOF
9/22/04
RS7 RESDNTL SINGLE FAMILY
888
~U11 DPleev
3/Z'~;OC
Owner
Contractor
------------------------
PELKY WILLIAM J
729 GEORGIANA ST
PORT ANGELES
------------------------
OWNER
WA 983623509
------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF, SHEET, FELT, COMP
59.20 Plan Check Fee
9/22/04 Valuation
3/22/05
----------------------------------------
.00
888
Qty Unit Charge Per
Extension
47.00
12.20
------------------------------------------------------
BASE FEE
4.00 3.0500 HND BL-501-2K (3.05 PER C)
STATE SURCHARGE
4.50
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'P
--:I
Other Fees
----------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 59.20 59.20 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 63.70 63.70 .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
co struction.. "j I
( ...-/\ /Vu---z /] .4d7'zt:.
Signature of Contractor or Authorize' Agent Signature of Owner (if owner is builder) Date
T:\PLANNINGIFORMS\1102.15 [11/1412003]
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.
INSPECTION TYPE DATE '\ ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAJNAGEn>OVVNSPOUTS
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOVVNS
WALLS / ROOF / CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / ClllMNEY
HOOD / DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO QCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL, LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNINGIFORMS\1102.15 [11/14/20031
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FilED
CLALLAM COUNTY
FEB 11 2004
4
5
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MOLLIE L1NGVALL, Clerk
IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON
IN AND FOR THE COUNTY OF CLALLAM
7
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In Re the Probate of:
9
WILLIAM J. PELKY, SR.,
No. 04 4 U l}V ~ 4 3,
LETTERS TESTAMENTARY
10
deceased.
11
12
WHEREAS, the Last Will of WILLIAM J. PELKY, SR., deceased, was on the _
13
_ day of February, 2004, duly exhibited, proven and recorded in our said Superior Court;
14
and whereas, it appears in and by said Will that BONNIE HURD is appointed personal
15
representative thereon; and whereas, said BONNIE HURD has duly qualified, now,
16
therefore, KNOW ALL MEN BY THESE PRESENTS, that we do hereby authorize BO
17
NNIE HURD to execute said Will according to law.
WITNESS my hand and the seal of said Court this,.1it day of February, 2004.
18
19
MOLLIE L1NGVALL
CLERK OF THE SUPERIOR COURT
B~~tt#~
puty
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LETTERS TESTAMENTARY
Johnson Rulz & T ossi.
S04 .soull, Oo~
Popt Angeles, \VA 98362
Pl.o".: (360) '151,1139
Fax: (360) .157-1176
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17680
/ - S r;:;?
Port Angeles, WashlngtOlLnm._....mm._.._...mm.......nnnn...mm..., 19..mm
I In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
tncal equipment in, on, or about any building or other structure In the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
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~:~::sn:::;i:z?;.:;::~~::~:~:::::::::::n..;~:~:~:::.n~::~~~.~~~:::::~~~:~::::::::::::::::~:::::::::::::
Wiring Contractor .m~"n:!.l7.:~.::..~!.n....n...nnnnnn.n.m By..n.nmmnmnn__nm.mmn.mm.mmm..mnnnnn
Light Outlets.....n.nmnmmmnmn_u_..n.
Service, volts .....00................................
No. wires .....................................~.
Receptacle Outlets.....____.........n...........
Deyer, KW n........................h.........
Rnnge, KW....................................
Water Heater:
Size wlres.................n................_..
Main fuse .......................................
Enclosure ...00.....00...........................
KW..m..nm.....nmmn......mnn
'/3/3
Heat: KW............................................
Type of wiring:
Entrance Cable .............................
Motors: size, volts a.nd phase:
Rigid Conduit m..!munn...n......nn.
MetalUc Tubing ..............
Current transformers:
No. & Size..............................
Ser. No...............................................
SerA NO....................................n...n...
SerA No. .............................................
Type 01 Wiring:
Armored Cable ...........................n.
Non-Metallic .................................
Knob & Tube................................_
Rigid Conduit 'm.muu.m.m.mu..u.
MetalIie TUbing ...........................
Raceway ...............................__..._
Circuits, Light.........................n............
Utility ...n.......n.mumu.............nu.n
Heat .....__................_.............._.._..
Range .....00......................................
Water Heater ...............................
Motor ..._........................................
Dryer ..........................................h..__
Furnace ........................._~...................
Total IAlad.......:..................... SerA No.................._.......................... Total.......................................
Remarks: _.m.;:d!;;~~_~.:.:!:.:f~nuu-::!_~.~.~.':..__:~__~~._~_/.-:.....~..;__':;..___~h_n-;.(:...b:.m~:__:~~~~.m___~~_-::o_-:::..:.!!.~tY
j,1.d?--t"~..!!?('!t:~m.mnm__.m.mnn...nm.mnnmmnn/.....mm__..m...mnn.mnn____.m.m...mmm.!.....mn
I
n...m.hnm.mm.m.m.UUmhmmummmmmh.mmnu....muumUm...m.mh.nm.mh.nmmmh.,m'nmn?'uuh...mumu...mn
Permit Fee Treas. Receipt .' / / " /
I ,,t.,or I . I ,
$,.m.m..m...mhmm.mu.... NO.m.m..........m........ By h./;n:.!/u!:..m.J!./.::./.::.(.~..:!.m~:::..C,c.-!."'::::--'
NOTICE-Current must not be turned on until Certificate of Inspection has been i8s~ed. If work is to be con-
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
/
N~ 17680
Atidress..................._...................................................................................................................Date..._......_.._.._.._.........._......_......_.........
Orlner .........n........................_......_n_......_.....:_.._........................................................... Tenant.......................n.......................nnn..............
WirIng Contractor.......................................... ................................................................................By..............................................................
NOTICE-Current must not be turned on untll Certificate of Inspection has been issued. If work Is to be con-
ceJ,led due notice must be given the Inspector so that work may be inspected before concealment.
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