HomeMy WebLinkAbout835 Georgiana St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00000200 Date 3/07/11
Application pin number 990200
Property Address 835 GEORGIANA ST
ASSESSOR PARCEL NUMBER: 06- 30- 00 -5 -1- 3795 -0000- REPORT SALES TAX
Application type description RE -ROOF
Subdivision Name on your state excise tax form
Property Use to the City of Port Angeles
Property Zoning COMMERCIAL OFFICE (Location Code 0502)
Application valuation 5870
Owner Contractor
CLANCY MICHAEL A DIAMOND RFNG ENTERPRISES INC
507 VASHON ST 1295 BLACK DIAMOND RD
PORT ANGELES WA 983626314 PORT ANGELES WA 98363
(360) 452 -9518
Structure Information 000 000 TEAR COMP
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF COMP
Permit pin number 182162
Permit Fee 151.75 Plan Check Fee .00
Issue Date 3/07/11 Valuation 5870
Expiration Date 9/03/11
Qty Unit Charge Per Extension
BASE FEE 95.75
4.00 14.0000 THOU BL- 2001 -25K (14 PER K) 56.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 151.75 151.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 156.25 156.25 .00 .00 q
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 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 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.
7 -I office.\
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
A '1
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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted 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 FINAL Date Accepted by
AIR SEAL:
Walls G
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling l�
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
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POar BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
For City Use nlyi
Attn: Building Permit Technician Date Received 3P 1 t
NIMIPPr 321 E. Fifth St., Port Angeles, WA 98362 Permit 11
(360) 417 -4815 fax (360) 417 -4711 Aoo
Date Approved 21.
Applicant 1, ,,,,,,„A8, 7 P' o e 3b0 `iSA -5 S 1
Property Owner ■_e C`a,(\c l Phone 360 &t --fm
Prope Owner's Address
Contractor S iaw oc zd.. E AP; r 1P; Ph one _.y
S� `�51&
Contractor's Address
(acts %��k c& or id )bt-� i LOA 9-'3
License 'b l A rnma q y b tZ,Expires.,;_ /a w E-mail
PROJECT ADDRESS 3 CAP
Parcel Number Lot Zoning
Project Type Brief Description: Residential Multi- family Commercial Industrial
Check all that apply
New Construction 5-4Z 6- C 2 c L, 1 e S
Addition i n o 0
o Remodel
Repair
o Demolition
'11(Re -roof o House garage other X1;ear off re -roof o lay over one layer
Heat System Heat pump o wood burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other CO
TOTAL VALUATION S8 1 7 0
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this 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 determ what permits are required, and to obtain permits prirf Id working n ojects.
Date -1 Print Na e �v Signature'
T:Forns /Building Division /Bldg Permit -doc
vtMlvlviUV nvvr I1VU
Cliff &-aiffy Fors (360)452 -9518
1295 B. Diamond Rd, 592623
Port Angeles, WA 98363
CUSTOMER'S ORDER NO. DEPARTMENT DA( u r
NAME
ADDRESS
3 S.— C C=h U.`�C
CITY, STATE, ZIP
SOLD BY CAS C.O.D. CHARGE ON ACCT: MDSE RETD (PAID OUT
QUANTTfY I DESCRIPTION PR1fE AMOUNT
i k
2 •_r e n i v..- cxSC�, ,N c
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5
6 It II s
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8
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12
13 11 R. j
20
RECEIVED BY
aP, teams KEEP THIS SLIP FOR REFERENCE
5805
Sitej,Address:
Inst1alled By:
I
Ow~er/Business:
CITY OF PORT ANGELES
LIGHT DEPARTMENT
.
ELECTRICAL PERMIT
PERMIT NO. /533
eX !/Z /J~
,
DATE
<
2-
l}~.
o READY FOR ILL CALL FOR
INSPECTION INSPECTION
License Number: Phone:
Phone:
Owryer/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
,:gJ Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
m"New Construction
o Remodel
o Service update/alter/repair
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
o Overhead
o Undergr~~ va
Voltage /, ~
)?f10 03
Service size ,:;; t9n Amps
o Temporary
Detai IslDescription:
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fb~(IJ 4C t AtlJt/
Jkffr fJ,)f"tf/ IUD)
IIV Yf-;'
W.S., No. Service Size
Capacity: 0 O.K. 0 Not O.K. Comments
~imh::msp~.
j/f ,.. GL-jzf) Rough-in/cover O.K.
rAKfijO.K. to connect service
iDFinal O.K.
~
Site 'Address:
I
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of Inspection
o Plan Review approved/pending
Installer:
PermitfReceipt No.
/ S 33
.
,
c.; IC-
Notify the Depart ent of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457~O 11, EXT.158 or EXT. 224.
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ?o &0
/ ftJ.,pI ./ '=>' -
Inspector Amount paid
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
New Meters
/
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . INSPECTION REPORT. . . . . .
REQUEST:
Date /2. - zg - D&
Time 10: ?oll M-Received by D..e.v...A.lS E, (phone, p'erson)
Location of Work to be inspected 8 s'!) 6 e,o ':jl:"'<^."'--
Name of person requesting inspection D<.....--'t. I S [:.
Address of person requesting inspection L.:c. rf 'Yo-.rJ '14- B Phone No. '-I17-<{ 8<11
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Oth~~~
INSPECTION NOTES:
Inspected: Date I Z- - z ff -0(.,
Remarks: t<?evLe...Je..d X>rVI'(O.<!.
V\A_e..+e r :5 +0 f t-V l H..... '3 i-4
Time /'Z: 30 PIN/\.. By
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P-6-, +Jhl~.
f)e",,-,,-'-s ;::- .
+c I' '
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VLeLJ
RESTORATION REQUIRED . . . . .. YES X NO
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
D Repaired by Permittee
D No Damage Found
3~3f
l8rAsphalt D PCC D Other
Work Order # 5o'3t.fb -I"i 8
Ac COMPLETE ~ -o/cr/o,;z
D INCOMPLETE
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IContinue,onLeverse side if necessary) STREET SUPERINTENDENT IDA TEl