HomeMy WebLinkAbout1215 Georgiana St - Building BUILDING PERMIT
1215 GEORGIANA ST
12- 1341
PREPARED 10/16/12, 9:35:39 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/16/12
---- ------------------ - ------------------ -------
ADDRESS . : 1215 GEORGIANA ST SUBDIV:
CONTRACTOR : PHONE
OWNER DENISE DRYKE PHONE
PARCEL 06-30-00-5-3-1065-0000-
APPL NUMBER: 12-00001341 RES REMODEL
---------------------------------------------------- - ------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------"--- -- -------- --
BL99 01 10/16 2 JLL BLDG FINAL
hOctober 15, 2012 4:21:53 PM permits.
----------------- ------------------ COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 12-00001341 Date 10/15/12
Application pin number . . . 488278
Property Address . . . . . . 1215 GEORGIANA ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-00-5-3-1065-0000-
Application type description RES REMODEL on your state excise tax form
SubProperty
Name . . . . . . to the City of Port Angeles
Pro ert Use s e
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Location Code OJO2)
Application valuation . . . . 3000
Owner Contractor
------------------------ ------------ -----------
DENISE DRYKE OWNER
1215 GEORGIANA
PORT ANGELES WA 983620158
------ ---------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . TRIM OUT EXIST ATTIC SPACE
Permit Fee . . . . 109.75 Plan Check Fee 71.34
Issue Date . . . . 10/15/12 Valuation . . . . 3000
Expiration Date . . 4/13/13
Qty Unit Charge Per Extension
BASE FEE 95.75
1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00
---------------------------------------- -----------------------------------
Other Fees . . . . STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
----------------- ---------- '------- ---------- ----------
Permit Fee Total 109.75 109.75 .00 .00
Plan Check Total 71.34 71.34 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 185.59 185.59 .00 .00
Separate Permits are required forelectrical 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 provis. s of any state or local law regulating construction or the performance of
construction.
-Z Se w k
ate Print Name Signature of Contractor or Authorized A ent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwallll
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.) `
PLUMBING:
Under Floor/Slab
Rou h-In
Water Line Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Onl
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
1
Electrical 417-4735
Construction- R.W. PW I Engineering 417-4831
Fire 417-4653 \
Planning 417-4750
Building 417-4815
T-Fnrmc/Rnilriinn nivisinn/Ruildinn Permit
THE
CN
TY OF RT ,-Gr
L For City Use
Permit # 12-, 1341
W A S H I N G T 0 N , U . S
Date Received: l 10 ( o�
321 East 5t`' Street
Port Angeles, WA 98362 Date A roved:
P: 360-417-4817 F: 360-417-4711
hcatuzo@cityofpa.us
Building Permit Application
Project Address:
Main Contact: Phone
00 yUA 70 -s
Property Nam 'n Phone
Owner �)�/tq
Mailing Address 1 Email
City State Zip
Contractor Name Phone
Mailing Address Email
City State Zip
Contractor License # Expiration:
Project Value: r Zoning: Tax Parcel# Lot#
DD6 �"
Type of Residential Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
For the following,fill out both pages of permit application:
New Construction ❑ Remodel J< Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes 9 No ❑C pp �
Project V Zo - � boVL(,(A
Description
e-6 - • svnD" b Yi 7i c JCS 5 r
I have read and completed the 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 determine what permits are required,and to obtain
permits prior to working on projects.I understand the plan review fee is not refundable after review has
occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before
plan review has occurred.I understand that if the permit is not issued within 180 days of receipt,the
application will be considered,abgndoned,and the fees forfeit.
Date Print a Signature
Residential Structures
Area Description(SQ FT) Existing Proposed Minimum$ For Office Use
value
Basement
First Floor
Second Floor
j..
Covered Deck/Porch-/]; try'
Deck
Garage
Carport
Other(describe)
Area Totals
5
Commercial Structures
Area Description(SQ FT) Existing Proposed Minimum$ For Office Use
value
Structure(s)
Addition
Tenant Improvement
Other(describe)
Area Totals
Lot Site Coverage Calculations
Footprint(SQ FT)of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage(all impervious+ %Site Coverage
structures
Mechanical Fixtures
Indicate how many of each tvve of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping #of Outlets:
Appliance Vent # 'Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove Gas Cook Stove/Misc.
Fuel Gas Piping' #of"Outlets: .Ventilation Fan;single duct #
Furnace/Heat'Pump/ Size: # Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
Other describe ,
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CITY OF PORT ANGELES N0— 17767
LIGHT DEPARTMMT ELECTRICAL PERMIT
Port Angeles, Washington............... 3 .......
In
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 e e rical work as listed below.
.`���s
Address / �-r�
/-1 - Occupancy-----------.......................-......----
Owner ---- . f:r.-•---- -----------
G^w� Tenant - -
-------------------_---------_...............
V C;--------
Wiring(Contractor............... --------------------------------------------- By---------------------------------------------------------------------
Light Outlets........................................ Service, volts ....................................... Type of Wiring:
Receptacle Outlets............................... No. wires .........__........................... Armored Cable .............................
Dryer, KW.......................................... Size wires..................................._.. Non-Metallic .................................
Range, KW------------------------------------------ Main fuse ....................................... Knob & Tube.................................
Rigid Conduit ...............................
Water Heater: Enclosure ....................................... Metallic Tubing
KW----------------------------------------------- Type of wiring: Raceway .......................
Heat: KW................................................... Entrance Cable ............................. Circuits. Light,......................................
Motors: size, volts and phase: Rigid Conduit ............................... Utility .............................................
.... is Metallic Tubing .......................... Heat ......................................._......
�
1!.^:r:.�! ........ Current transformers: Range .............................................
.............
...... ............ .............. ....... No. & Size....................................... Water Heater ...............................
Ser. No-----------................................... Motor ..--........................................
...........................................................
Ser. No.............................................. Dryer..............................................
,
Furnace................................._...........
Total Load............................. Ser.
�No.............................................. Total .......................................
Remarks: %�+ U b
......__...4�.:... ..........................................................................................................................
................................................................................................................................................................................
...........................................................................................----------------_--------------------- --------- _..-----__------...__..._...----
1
Permit Fee Tress. Recei t ( i
$-------------------------------------- -- y
No.-------••---•-- --------- R // " flG> 6Tn
- --------------------------------
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.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
No- 17767
ELECTRICAL PERMIT
Address ........................................................................................................................................ Date.............._.._............._.......................
Owner .........................................._................_.............................................................. Tenant........_............................
.. %Ilring Contractor.......................................................................................................................... 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.
1M Olympic Printers, Inc.
II CITY Or PORT ANGELES No- 17531
LIGHT DEPARTMENT ELECTRICAL PERMIT
I
Port Angeles, Washington---------- / ----------------•----.-••---------1
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 -/---- --------------=------------------- Occupancy_r.)_4',- ...0-------- ---------------
Owner ---------------•------------- --------- Tenant----------------....--------------------------------------------------
Wiring
------------•-------
Vinng Contractor--- -- :c .- ' � By......•------------------------------
- ---------------------------•--
Light Outlets......./..... Service, volts .t.-.� {-'����.... Type of Wiring:
Receptacle Outlets.......7....._......... No. wires ...... ....:.............17.. Armored Cable .........................
Dryer,KW...... ....................... Size wires...... yy��- "�r"�^y "/� _.. Non-Metallic .................................
JCe'"G�../")9 Knob & Tube.................................
Range,KW.._...`---'----------......._ Main fuse ---.-------------�...__.........
cam,^ Rigid Conduit ...........................
Water Heater: Enclosure ---..::•• ----------------------------
Metallic Tubing
KW......................................____.. Type of wiring: Raceway .................................._.....
Boat: KW. ! .e--- Entrance Cable Circuits, Light.......................................
Motors: size, volts and phase: Rigid Conduit ............ Utility .............................................
--------------------------------------------------------- Metallic Tubing .... Heat ................................................
Current transformers: Range
No. & Size................._..._....._........ Water Heater ..........................
...........................................................
Ser.No---------------------------------------------- Motor ..._._.....................................
........................................................... Ser. No.............................................., Dryer..............................................__
...........................................................
Furnace..............................................
Ser. No..............................................
TotalLoad......................... Ser. No............................................. Total ............. ......................
r
r'
Remarks: v = ,`- -----`fes-------� - - - ---...... � J ell=s-? + ..' -'�`�rE.c�_
...............-------•----------------------------------------------- ••-------------•----------------•--•------------------------- ----------------------------•-
--------------- ------------------------------------------------------ ------------------------- -•--- ------=------------ -------------------------------
Permit Fee Treas. Receipt
$-------------------------------------- No............................. By ✓.L-'.- -I - IDLs?'/!
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.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
N° 17531
ELECTRICAL PERMIT
Address ........................................................................................................................................ Date..._..._.._.._.._.._....----._......_................
Owner ...................................................._......----...........................-------------------------------- Tenant.....................----.........-''-......-'-
WiringContractor....................................................................----------------------------------------------------- By..............................................................
NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
Necaled due notice must be given the Inspector so that work may be inspected before concealment.
1M `,,Olympic Printers, Inc.