HomeMy WebLinkAbout1023 Georgiana St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
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 valuation
07-00001158 Date 10/09/07
449226
1023 GEORGIANA ST
06-30-00-8-1-0230-0000-
CARL MILLER/B. BRIDGEFORD
PLUMBING REPAIR
COMMERCIAL OFFICE
1350
Owner
Contractor
BARBARA BRIDGEFORD
1023 GEORGIANA ST
PORT ANGELES WA 983623917
(360) 457-3217
ANGELES PLUMBING
P. O. BOX 1151
PORT ANGELES
(360) 452-8525
WA 98363
Permit PLUMBING PERMIT
Additional desc GALV. H2O LINES TO WIRSBO
Permit pin number 112938
Permit Fee 57.00 Plan Check Fee
Issue Date 10/09/07 Valuation
Expiration Date 4/06/08
.00
o
Qty Unit Charge Per
Extension
50.00
7.00
BASE FEE
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.00 57.00 .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 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.
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Signature of Owner (if owner is builder)
T:Forms/Building DivisionIBuilding Permit (1010 1107). wpd
ii-
BUILDING PERMIT INSPECTION RECORD
F;!,
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 UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
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INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / 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
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA TION
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
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 JA_I ~- {)t pp, BUILDING
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T. F orms/Buddlllg DlvlsJon/Buddlllg Permll (1010 I 107). wpd
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Applicant or Ag. en! $;7e'~P;~
Owner CQIY //;7&}-. - /.! . /J/''tt. ~~
Owner's Address /();z 3 Q?~/YP;19
Contractor/Engineer fin <;:e ks tf7i,~ ,,6/L;7
Contractor/Engineer's Address / /
License #
BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
For City Use Only'
Date Received 10 ~()'J - 0
Permit # () 7 - \ ls'n'
Date Approved
Phone
Phone
Phone
Expires
PROJECT ADDRESS
Parcel Number
/023 GleoI'9/9'.P19
? I
Lot
Zoning
o Industrial
Proiect Tvpe & Brief Description:
Check all that apply
o New Construction
o Addition
o Remodel
fRepair
oRe-roof
o Demolition
o Sign
o Heat System
o Other
,XResidential
o Commercial
o Multi-family
o wall-mounted 0 projecting 0 freestanding 0 awning
Total si n area s . ft. Maximum allowed si n area s . ft.
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o other
Floor Areas Existinq (sq, ft.) Proposed (Sq, ft.)
Basement @$ per sq. ft. = $
1 sf Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
,,~ ........et:7
TOTAL VALUATION $ L'15!:J--
Total footprint of structures
sq. ft.
ft.
# of bedrooms
# of full baths
# of half baths
Lot size
sq. ft. = Lot coverage
%
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Occupancy group
Occupant load
Construction type
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 determine what permits are required, and to 0 ain permits prior to working on
project::;. I I /J I j;{ .. /
Date /0/5;/0,7 Print Name '? jeU/tl/1/-e: Signature
T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc
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