HomeMy WebLinkAbout1218 Georgiana St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32] 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 valuation
07-00001092 Date
228400
1218 GEORGIANA ST
06-30-00-5-3-1315-0000-
DENISE DIIMMEL
MECHANICAL APPL. PERMIT
9/21/07
RS7 RESDNTL SINGLE FAMILY
1700
Owner
Contractor
DENISE DIIMMEL
1218 GEORGIANA ST
PORT ANGELES
(360) 452-8126
WA 983624214
EVERWARM
257151 HWY101
PORT ANGELES
(360) 452-3366
WA 98362
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
Fls WOODBURNING STOVE
111450
50.00 Plan Check Fee
9/21/07 Valuation
3/19/08
.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 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
~~~~~n:ive authority tj)olate or cancel()the ~visions of any state or local law regulating construction or the performance of
/1)d2~ ~if,wz4z:2L _ '7' ;lJ- 6;
Signature of Confractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:IPoliciesll 102_15 building penni! inspection record05.wpd [1/4/2005]
o
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CALL 417-4807 FOR PUBLIC WORKS UTILIT1ES ,
PLEASE PROVIDE A MINHv1UM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY rVORl( BEFORE _
INSPECTED A.ND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATlON. 0
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. ...0
~
B~DING PERMIT INSPECTION RECORD
CALL 417-48] 5 FOR BUILD1NG LNSPECTIONS. CALL 4] 7-4735 FOR ELECTIUCAL INSPECTIONS.
INsr'ECTION TYJ'E DATE ACCEPTED COMMENTS
YES NO
FOUNDA nON:
FOOTINGS
SHEAK WALLS / WALLS
FOUI'lOA TJON DRAINAGE / DOWN SPOUTS
PIERS I
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER UNE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (n:ITERJOR BRACED PANEL ONLY)
T-BAR ,
INSULA TION ~
SLAB (~
WALL / FLOOR / CEILING
--
MECHANICAL P
ROUGH-IN :::5
~ffiATPUMY/FURNACE/DUCTS ?
GAS LINE FINAL q - '2- C; - O;]TE PB ACCEPTED BY:
WOOD STOVE / PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SIURTfNG
PLANNING DEPT. SEPARATE PERMlT#'s SErA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE .YES NO COMMERCIAL DATE ACCEPTED
YES NO /
ELEcmICAL - LIGHT DEPT 417-4735 ELECTR1CAL
LIGHT DEPT
CONSTRUCTION RW. / PW/ CONSTRUCTION - RW. tf
ENGINEERING 417.-4807 PW / ENGINEERfNG
FIRE 41 i-4653 FIRE DEPT-
. PLANNING DEPT. ~
PLANNING DEFT. 41i-4750
BUILDING 417-4815 BUILDING
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T:\Policies\1102 15 building pennit inspection record05.wpd [1/4/2005]
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BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application, prescriptive energy .
form, plans, specs, and a 8 W' x 11" site plan MUST BE COMPLETE to be
accepted for review. (360) 417~4815 FAX (360) 417~4711
FOR OFFICIAL USE ONLY:
Date Rec.: 09 ~ 2tro]
Permit #: (J l - \ Oq 7.-
Date Approved: r:>'1 ~ 21-07
Date Issued: \ \
Residential projects: submit two sets of plans
Commercial projects: submit three sets of plans
Diimrne.-\
Phone
Phone 4Sz.~ 812~
Applicant or Agent
Owner \>e.f'tISe...
Owner's Address
ContractorlEngineer
E. \j ex- W o....t" Y"Y"I
State License #
Expires
ContractorlEngineer's Address'
Phone
PROJECT ADDRESS:
\2-18
~eor51\o.y1l1 s+-
Block: Subdivision:
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTYP ARCEL NUMBER:
SIZENALUATION
SF. @ $ /SF. == $
SF. @ $ /SF. == $
SF. @ $ /SF. == $
. TOTAL VALUATION $
o Residential
o Multi-family
o Commercial
o Repair
. TYPE OF WORK
o New Constr. 0 Re-roof 0 Stove
o Addition 0 Move 0 Garage
o Remodel 0 Demolition 0 Deck
o Sign 0 Other
if, i) 10d
B~ DESCRIPTION OF THE PROJECT:
. . e..S-\-I'lJ1cl" 'A}mo' c,+O \f e~ JjL
I
COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
Existing Structure(s) basement Sq. Ft. & Proposed Structure(s) basement Sq. Ft.
1st floor Sq. Ft. & 151 floor Sq. Ft.
2nd floor Sq. Ft. & 2nd floor Sq. Ft.
3rd floor Sq. Ft. & 3rd floor Sq. Ft.
Accessory Structures Sq. Ft. & Accessory Structures Sq. Ft.
Existing Structure(s) TOTAL Sq. Ft. & Proposed Structure(s) TOTAL Sq. Ft.
TOTAL of existing & proposed structures Sq: Ft.
Maximum Height of Proposed Structure(s) Ft.
Are you planning to install a lawn sprinkler system?
(Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be
reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815
for assistance.
PLAN CHECK FEE: The plan check fee must be paid at the time the building permit application is submitted. . All other permit fees are
due at the time of permit issuance. .
EXPIRA TION OF PLAN REVIEW: An application for a permitfor any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has beeripursued in good faith or a permit has been issued; except that the building
official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006105.3.2)
f hereby certify that I have read and examined this application and know the same to be true and correct. f am authorized to
apply for this permit and understand that it is my reSPA)nSib' it . 0 determine what permi re required, and that ust obtain
such perm!j ~rlor to work. . " } () 0 "
Date 2/- rJ7 Applicant" ~>, ') J
T:\FORMS\BUILDING DIVISION\BldgPermitAppl.-2006 CODE - backup.wpd
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V FEE e=CEIPT NUMBER
.. TOTAL FEE
e'
,
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
tJt!)LJ /;PJ,P
PEFiMIT NUMBER
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LEGAL QCCUPANCY
TIME TO COMPLETE
NO. STORIES
CONT. Lie. NO.
Site Address
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
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ONSIBILlTY OF APPLICANT PERMITS W1Tf:l WRONG ~~SSE . R~Am
Installation By ~..___'1!'~
Installers Address Iii 7/ ~ In I
Installers Phone ~ f?:'.~ - t.r /. 'f .
LCJ f'~ <
Owner
Owner's Address
. --4...
Wiring Me!ho~. ~
I:)..J'i'
.
Day Phone
Applicatlo~ is Qereby made for Permit to lnstall Electrical
uipment as follows:
NUMBER AMP 120V 24QV NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER leOA FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT j iIO SIGN
50 VOLTS -
LIGHT OR LESS
CONVENIENCE . MOTOR
CONVENIENCE MOTOR
APPLIANCE - . MOTOR
DISHWASHER FIRE ALARMS .
DISPOSAL BURGLAR ALARM
RANGE MISC.
-
OVEN
WATER HEATER
LAUNDRY -
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - Oil
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT I J.7.c . /G,.,OD
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
1 SUB-TOTAL -
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
,19
I certify that the work to be performed under this permit will be done by the installer and in co
Date Application made Jc)-/3 - 8'1
By
NTRACTOR'OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. " .
. DIRECTOR OF CITY liGHT ' .. .. ,
~yjr)l;f~~4<-U~l dr
PLANS APPR VE .
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457,0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
Date Pormit Issued
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WARNING
WHITE. Original CANARY - Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS. INC.
v
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REPORT OF INSPECTOR
,
DATE OF VISIT MADE BY REMARKS
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12.) 7. 1ft! l1f,J> O.K. FOR COVERING
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J . I 7 .1' :fI' 111f',.g FINAl. O.K. .
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