HomeMy WebLinkAbout1314 Georgiana St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 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
06-00001355 Date 12/29/06
940325
1314 GEORGIANA ST
06-30-00-5-3-1425-0000-
ROBERT GARWOOD
DEMOLITION
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RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
GARWOOD ROBERT
1625 MARY ANN DR
GAUTIER
OWNER
MS 395534520
Structure Information 000
Construction Type
Occupancy Type
Roof Type . . . .
000 OLD GARAGE
"TYPE V NON-RATED
GARAGES, CARPORTS,
SINGLE/SHAKE
SHEDS
permi t . . . . .
"Additional desc .
Permit pin number
pemit Fee
Issue Date
Expiration Date
DEMOLITION
OLD GARAGE
92668
50.00
12/29/06
6/27/07
Plan Check Fee
Valuation
.00
1
BASE FEE
Extension
50.00
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" Qty Unit Charge Per
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
Plan Check Total
Grand Total
50.00
.00
50.00
50.00
.00
50.00
.00
.00
.00
.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
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_l5 building pennit inspection record05.wpd [1/4/2005]
BUll,DING PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECTIONS. CALL417~4735FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLI C WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I ,
. YES NO
FOUNDA TION:
FOOTINGS
SHEAR WALLS / WALLS j
FOUNDA TlON DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.l
PLUMBING
UNDER FLOOR / SLAB
ROUGH.IN
WATER LINE (METER TO BLDG) I
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR .
INSULATION
SLAB
WALL / FLOOR I CEILING
MECHANICAL
ROUGH-IN I
HEAT PUNW I FURNACE I DUCTS I
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE I PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE .-
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 r PLANNING DEPT.
BUTLDfNG 417-4815 II /" .. /.,.., ~ fig BUILDING
T:\Policies\1102 15 bUlldmg penmt mspecnon record05.wpd [1/4120051
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Lj '3 :;. -- 32(..
Owner:
Address:
Zip: 395~3
Architect/Engineer:
Contractor
Phone:
State License #: Exp: Phone: .
City: 9c;r+- A.llJQ.,L9-5 Zip: G) 8-3 Co 2-
G:te.C>~jiutl\.C\ ZONING:
Block: Subdivision: -
Address:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
o Residential. 0 New Constr.
o Multi-family 0 Addition
o Commercial 0 Remodel.
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT:
SIZEN ALUATION:
SF. @$ ISF. = $
SF. @ $ ISF. = $
SF. @ $ ISF. = $
TOTAL VALUATION $
Vh~')W
COMMERClALIRESIDENTIAL: Occupancy Group:
No. of Stories: --L Lot Size: Existing Sq. Ft.
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESAlWetIand(s): 0 Yes 0 No SErA Checklist required? 0 Yes 0 No Other:
. VALUATION OF CQNSTRUCTION: 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: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
R105.3.2 of the IntemationaIBuilding/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same 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 ,not the City's, and that I
must obtain such permits prior to work. .
T:\FORMS\BldgPennitform.wpd Applicant:
Date: