HomeMy WebLinkAbout1022 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
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application va.luation
05-00001126 Date
361046
1022 GEORGIANA ST
06-30-00-8-1-0315-0000-
JAMES LEE
MECHANICAL PERMIT
11/15/05
COMMERCIAL OFFICE
3600
P~1 B\( ~)( ecv
G;l~f1~
Owner
Contractor
JAMES A LEE/JEANINE R WILCOX
1022 GEORGIANA ST
PORT ANGELES WA 983623918
PELLET HEAT CO.
230 EAST 1ST SUITE C
PORT ANGELES WA 98362
(360) 457-4406
------------------~._--------------------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Dat:e
MECHANICAL PERMIT
65318
50.00 Plan Check Fee
11/15/05 Valuation
5/14/06
.00
o
Qty Unit Charge Per
1.00 50.0000 ECH ME-WOOD BURNING APPL.
Extension
50.00
---
Fee summary Charged Paid Credited Due
-------------.---- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .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 correiCt. All provisions of
laws and ordinances governing this type of work will be complied with whether specified h~rein or not. The granting of a permit does not
presume ive authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
co cti
11
:)
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
BIDLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
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 DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL
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:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
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Fill out COMPLETELY ano In 1:>(K, YOllr application and 'III pial! MUST BE
COMPLETE to be acc~pted for l"CY.ie~. n )'UI.I l1a..e an)" qUI!s:t10Ri, call
(360) 417-4815
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Applicarll or Ai~nt:Ytn....l~T ~:r
Owne'r:~cr;s Ll;"r
AddTl!SS: l()? '2 C"'l:r,o~1A~ IA ~'T"
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Phone:~~l.b
ArchitectfEngillt.:cr: Phone:
CcmtractorHu r::-r- ~ Co State License #:R;Hf:Uf ~~9E.lp: 4 -11-n"7 Phone: 45, -4~
Addttss:22ll: C ~~. , sr City:Ml1:1 ~ Zip: ~~2
PROJECT AJ)DRESS;~\ Ak..Jj). ZONING:
LEGAL DESCPJPTION: Lot IC.l ~ _ Blook: . 3 S~bdivision; J::!Qe.LJt~~1 ~ &J~n. Vl(J'fI1..J
CLALLA-\! COUNTY PARCEL NUMBER e(n.=r()~I0"31 S rxTf)
Phone:
City:)>,.~ At....Jl;..~~
Zip: Cf'8~ b? ....~_
Credit Card Holde, NarDe:
811U.lIk Alh.ltl:!llll:
Credit CardTrpe VISA
TYPE OF WORK:
~ Reliidtmulll a New Con.lt. n ac:-roof ~ Sto\'o
:::J \-blti.farnily 0 Addllion 0 MQvt: b" Garage
., Co!tllnC'l"I.alll 0 RtmlOdel r.J DelJ"lCJliti!JD 0 DelOL.;
o Rqlair :J SIgn 0 Other
SRI EF" DESCRIPTION OF THE PRO,TEeT; I ~~IT'411 Pts, J 1':"T
..c.YJ..~_~_
COMMERClALIRESJDENTIAL: Qcropanc)' Group: Oe:upant LOlld:
No. of StorilU: Lut S:z.c: ExisliDi, Sl.j. Fl, __ &. PrtlJlosccl Sq. Fl.
~)(ining to! eovl!!rase _ % &, ProposCld lot co':erllge ..__.% - TotQllot COHlUlgC
CUYI
Me
N
SIZIrJV ALIIA. nON:
SF. @ $ /Sf. - i_____
SF, @$__/SF. = $_____
~F.@H !SF '"'$ M'
TOTAl VALUATIO:N $ ~~
Sl"z)yE:; , 1I.J~'fm:T" I "-\ AllSSOIo.JQ.~
EIl:p. natet
COUStN~tiOD Type;.__.
'" TOTAL Sq,Ft__
%
APPKO~'ALS: !
PLAJ'I:
BLOC:
DPWU:_
"'IRE:
OTRRR===
~ING USE ONLY:
,.
~:-',\^Vetlanct(s): CI Ye!I C No SEPA Ch\lcld19t tcq\.l.ired? 1:2 Yes Cl No Other:
RIITl ,OfNG PERMIT APPUC A.TION Sl-"BMlTl-AL: Thll Buildina Divisior, ('Ul provid\: yuu ....illl information ~n the applicaU()n anJ
plM s'.lbl1littaI requirements ifyol.l hlLve qmmlons,
VN_UAT!ON UF CONSTRUCTION: In 1111 uses, II valulIllon amounl must be entered by the appHclUlt This figure will be reYlew~u
>'.r'd may b~ reV\!~ by the Bulldir-,g Diviw>1\ t&:l comply .....-ith current foe schedules. CC1lltacI Lhll Pt:rmit Coordl.calor 81417.4815 fur aaslstarJ~e.
rLA. "'. CHECK FEE: I.F If, pllln cheek t'ee is ~1u.: it must be IUbl111tted at the timllthe building pentit applicatiol\ iWd cunlilmn;nn pla.n! are
..llbmirt~d, All other PtJrmlt fco, ate dut I. the time of permit 1~II11nce,
EXPTRAnON OP PLAN lU.VIEWI H'no permJ.ll~ issued withln 180 days oftl1<.: ultle n~llppltcRlion, the appllcatloll will u:pire. The
Eb:Iding Ufficial cite extend the time for ,orion t-y the applioant up to 180 days Ul'Dn '~1'ttt:n request by the appJkllnl (Nee Sernon 10:.4 01
~h" \.Jnifol11l BlJ.ildinJ Code. current edition). Nu apl=licatlM I':An be oxtended more tnarl OMe,
I hereby certify tMt I halle "'lid er:d 9:t1m/ne(j thIs 9ppllclIrlon and know the ilil'TlG 10 oe tfU~ and correct I am /JutharilPtd 10 8pply tor t.il/.s pllrmi! and
'jndersltmd fllel #i~ my rtI$ponslb1lity fa detfJ/7l'dl1t'J willi! [lMnlts are requt,." ,not rne City's, and 1118/ st obtain &JCh permits prior 10 worl<
T \F(1P' ~,'i\A"f'.'i\FlUllnj"pm\ll ""J)d
Appllcllnt:
Date: -'-./. .- II-dr
ELECTRICAL PERMIT
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Port Angeles, Washlngton........_m_.....____.__.......m..mm....._.._m. 19moo!..
CITY OF PORT ANGELES
LIGHT DEPARTMENT
Nt.-'
16892
In accordance with the City Ordinance to regulate the installation. extension, or repair of elec-
trical 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.
Address oo./f?oo<?...;.i=.u,&~......noo..mm Occupancy....d.e..O'.m.~....m._..m..noo..
~::~~.~:~~.:~=~7~:~::~~;:::..::::::::::.~~~.~~:::::::::=::::::::::::::::==:::::::::::::::::::
LIght Outlets..........................................
Service, volts ....n.................................
No. wires ..h..............._._................_
Receptacle Outlets.m...........................
Dryer, KW unuuhdu...n.h.u__.n..___U_____
Size wires.......______......_......__..........
RJ.nge, KW ____Uhnnn__._n________h
Main fuse ___.___............._._................
Water Heater:
Enclosure __......n_..._.________...............
KW.mmmmm..hm..h..h....
Type of wiring:
Entrance Cable .......nmn__..___........
Heat:. KW.~..............._n._.....____.____....._
Motors: stze..,volts an~ phase:t
..h...".........................:.....h..........}....
"
Rigid Conduit .........._.______.............
Metallic Tubing ................._.n......
Current transformers:
No. & Size....._..___n___............__....._...
Ser. NO..n.........._.nn_........n......___.._...
Ser. No.............____._...__............._.__.....
Type or WIring:
Armored Cable ......_.__n....._._..__...._
Non.Metallic ..............n.................
Knob & Tube..__..__......._n__.............
RIgid Conduit ...............................
Metallic Tubing h.........................
Racevray ...............................___._
Circuits, ~lght................._______.........._....
\
Utlllty .................._.........................
Heat ......__._................................._
Range _._...:......._.___._......__.................
Water Heater ....n___......................
Motor .........................._..._..............
Dryer _______...._.._.____.........._.__.__.........__
Furnace ._........................~_____....._. ...._.
Ser. NO._..__........__n_..........n...............
'f Total wad.........__.................. Ser. NO.n__nh........._....n.n___..:.......... Total ........nn.____.............._nn...
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NOTICE-Current must not be turned on until Certificate of Inspection has been. Issued. If work is to be con. ~
cenled due notice must be given the Inspector so that work may be Inspected betoreconcealment.
. .~ ;
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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ELECTRICAL PERMIT
N?
16892
Address..................._......_.____.___....___................____.___..............__....____....._...............................___....Date..._......_.._.._.._..........-......-......-.........
: Owner hnnnnn.......................__....._.._.............._.._.............._......nn...__n_..h..............._.... Tenant.n___nnn_n.................._....nnn__......h..............
,
Wiring Contr~ctor.-.-----...............--......-._...-.-........__...................._...................................._....____. By .....--...............-.----...................-....~.......
NOTICE-Current must not. be turned on until Certificate of Inspection has been issued. If work Is to be con-
"', cealed due notice must be given the Inspector so that work may be inspected before concealment. ,.
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