HomeMy WebLinkAbout621 1/2 Georgiana St - Building poerq,yr BUILDING PERMIT APPLICATION Print in ink
p' ,41.- CITY OF PORT ANGELES
fl ililv. Attn: Building Permit Technician For City Use On y:
I Date Received' 1-
r`iio 321 E. Fifth St., Port Angeles, WA 93362 i Permit# i 6
(360) 417 -4815 fax (360) 417-4711 t Date Approved
Applicant A i C S w t! A Phd e t -S 3_ -e,
Property Owner 5 ce_ c Phone cf I Z /1
Property Owner's Address c. 0. `13 1 3 77
Contractor lit' e- Phone
Contractor's Address
License Expires E -mail
PROJECT ADDRESS i.2_,1 J y Ge r i A N A- 5-1-. Por.-F Ar »eL S (A9 I
Parcel Number Lot Zoning
Project Type Brief Description; Residential Multi- family Commercial Industrial
Check all that apply C
New Construction �v pav41e_ P e S t.1...C, e A �0uC'( f�w. (-14-;A)5
o Addition l
Remodel
Repair IN
Demolition
Re -roof House of tear off re -roof lay over one Payer
Heat System Heat pu ceurn s ove fireplace o pellet stove other
Other
Floor Areas
A a. ft. Pr. -d s.. ft.
Basement per sq, ft. 7(p /40
1 Floor 1111111P Me. 7 C.0 9 c7
2 Ioor Nr g 5 (p
a
ove -•rch (y2.. 7- ,3d0
•11.
o
TOTAL VALUATION .5
Tot print of structures i sq. ft.
t_ Lot size 7 OU 0 sq. ft, Lot coverage,
overage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures 6 L v ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths t
Will a fire sprinkler system be installed? Construction type of half baths 1
1 have read and completed this application and know it to be true and correct. 1 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.
Dated `"(S'Z el Print Name "TA N- e S C L A it t-c_. Signature
T:FormsBuilding Division /Building permit application
CITY OF ORT r__ NGELES
W A S H I N G T O N U. S. A
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NMI COMMUNITY ECONOMIC DEVELOPMENT
July 23, 2012
James Clark
PO Box 1393
Port Angeles, WA 98362
RE: Building Permit Application #12 -166 (621 '/2 Georgiana Street)
Dear Mr. Clark:
This is a courtesy reminder that the permit application for the single family residence with garage
will expire on August 13, 2012. The plan check fees that were paid are not refundable. If you
intend to go forward with the project after that date, the application and plans will need to be
resubmitted with plan check fees and the application will be reviewed as a new project. If you have
any questions, do not hesitate to contact us.
Sincerely,
Nii
Heather Catuzo
Building Permit Technician
321 E 5th Street
Port Angeles, WA 98362
hcatuzo @cityofpa.us
360- 417 -4817
PREPARED 3/08/12, 16:19:11 PAYMENTS DUE RECEIPT
CITY OF PORT ANGELES Ct 41/✓16'. PROGRAM BP820L
APPLICATION NUMBER: 12- 00000166 621 1/2 GEORGIANA ST
FEE DESCRIPTION AMOUNT DUE
RES OVERHEAD SERVICE FEE 440.0.
BUILDING PERMIT RESIDENTIAL 1053.:
PUBLIC WORKS RES WATER SERV 12:0.80
SANITARY SEWER HOOK UP 1 x.00 6'0 w
SEWER SYSTEM DELV CHARGE 22.0 gfr STATE SRCHARGE 4 5 0 1 �r�
PW WATER SYSTEM USE FEE 22.0.80 J N
TOTAL DUE 7'48. 5 Q \��n
vYN`n\`V" W l
Y 1
Please present this receipt to the cashier with full payment. 0w I
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000137 Date 2/07/12
Application pin number 538777
Property Address UNASSIGNED REPORT SALES TAY,
ASSESSOR PARCEL NUMBER: 06-30-00-5-1- 3560 -0000-
Application type description DEMOLITION on your state excise tax form
Subdivision ert Use s Name
Property to the City of Port Angeles
Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 500
Application desc
DEMO GARAGE
Owner Contractor
JAMES AND CYNTHIA CLARK OWNER
PO BOX 1393
PORT ANGELES WA 98362 nctt .2--4
(360) 457 -5849
Permit DEMOLITION
Additional desc DEMO GARAGE
Permit Fee 50.00 Plan Check Fee .00
Issue Date 2/07/12 'Valuation 0
Expiration Date 8/05/12
Qty Unit Charge Per Extension
BASE FEE 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
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.
e I Z dtt /ua. S C E O ��z- C�,,, t C,
Date Print Name Signature of Contractor or thorized Agent Signature of Owner (if owner is builder)
T:Forms /Bullding 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water 1 FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
1
Electrical 417 -4735 r^
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 j (71A
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BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES For City Use Only:
u "Y Attn: Building Permit Technician
-ate 321 E. Fifth St., Port Angeles, WA 98362 Date Receivedal7�l�
(360) 417 -4815 fax (360) 417 -4711 Permit ‘•/3
Date Approved 0/7/3--
Applicant S Phone 'S- Lt 7
Property Owner I Phone
Property Owner's Address (JO C'I 3
Contractor 51\ r, C— Phone
Contractor's Address
License Expires E -mail
PROJECT ADDRESS ea C/ 3c d
Parcel Number Lot Zoning
Project Type Brief Description: Residential o Multi- family Cl Commercial Industrial
Check all that apply
New Construction
Addition
Remodel
o Repair
)Demoiition
o Re -roof House 74 garage other tear off re -roof lay over one Payer
Heat System Heat pump wood burning stove gas fireplace o pellet stove other
o Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3rd Floor
Garage k
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION DO
Total footprint of structures sq. ft. T Lot size sq. ft, Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant Toad of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this application and know it to be Prue 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 pri working on projects,
Date 1 ro- b I Print Name r` S Signatur Ut-
T:FormslBuilding Division /Building permit application