HomeMy WebLinkAbout1122 Georgiana St - Building
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000107 Date
.129498
1122 GEORGIANA ST
06-30-00-8-1-0400-0000-
RE-ROOF
2/15/05
COMMERCIAL OFFICE
1820
ft-iZM(l fZ:.tpn2.c-o
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Owner
Contractor
JONES, SYLVIA
1122 GEORGIAN],
PORT ANGELES
(360) 457-5852
WA 983632005
AFFORDABLE SERVICES
258663 HI - WAY 101
SEQUIM WA 98382
(360) 683-9619
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Permit BUILDING PERMIT - NO PR FEE
Additional desc TEAR OFF, FELT, COMP
Permit Fee 89.70 Plan Check Fee
Issue Date 2/15/05 Valuation
Expiration Dat:e 8/14/05
.00
1820
<:-'
Qty Unit: Charge Per
Extension
47.00
42.70
~
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BASE FEE
14.00 3.0500 HND BL-501-2K (3.05 PER C)
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Other Fees
STATE SURCHARGE
4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
permi t Fee Total 89.70 89.70 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 94.20 94.20 .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 ifrequired 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.
ol\J
If=/LE
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:IPolicieslll02_15 building pennit inspection record05.wpd [1/4/2005]
BillLDING PERMIT INSPECTION RECORD
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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 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.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policieslll02_15 building permit inspection record05.wpd [114/2005]
FEB-14-2005 05:56 AM 2D673A53.73784237
360 582 9029
P.01
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EHJILOIN(~ PERMIT. APPLlCAT'O~!
fOIl. OFFlClAll:.SE C',) ~
P'l& R.tI::.:? -I L(:?? S
PI"nllll: D~ =..(0.7
O..IIApprv....cd_.... ...,
l)tle WucoG:_,.___._.,. ,
rm out COI\lPLrfEI.Y ~nd In INK. Your application aud /lite plu M\JST DE
COMPLFTF, to be &cc:epted fur revle~, Urou hllV( an'v qUeltIOllJ" \'.I.ll
(360) 41'1-4815
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Credlt Cud Holder Name~;Jf~::::t-b l~ h h ; \"L.1L. . ----- --, - - . f 7 i . ---
BIllin& MdrClllI Z ~QI(J;U)., M / u~.I...-~-- (,'1IY: 'J'L"'11 {l / 11,'L ;.k'A Cj IiJ S J ~ - ( i:(.-::.,_..
Credit CardTy,. V1SA~_MC u__ Ii __...Dl"\...E.LLe.:----. .-. ---,- J:ql. Dale: ~... ._._.
TYPE OF WOJU<: ."... SIZIt/V AUlA TIO]~:
:; Rsaidential 0 NewCanstr rle-rOt,t cJ St~\YC ____~._SF,@$-._.,_JSF..$----..
:J M'.uti-ramty 0 Add1tion .J Move CI Garage .___._ SF. @ !;..._. -'SF. '" $__-----.--
:: C.(J~i&J 0 R.anodel ~ DemelilioJ 0 Deck __ SF, @ 3__.~ISP," $
D Repair ':'Slgtl :: Oilier -- TOTAL V."J U....''':"lON $~ZtLJ"O:
BRIEF DESCKlPTlON OF Tlm PROJECT ___~. :e.Q;.~...o.-f:t:.;._.Ee.lf:~,~p- - '-- --..'
---------......,.--...------.........-.---.-.-------..... -......-....
CO!\tM1tRC1Al./B.&SIDltNTI.AL: '.Jc~Uflanc:, Grol1p___ OCM.q)lI.ll' l,..)ISd: __.__ {\~tructtll1'rypc: "
~o, uf Stones: ~ Lot Size: __ ll.xistiJ'lg Sq !ll. _ & l)ropollCd Sq. F~_._._._ - TOTAL Sq,Ft-_____
~xi,tiug lot coverage __ Oft & pf()po~ed 101 ooveraEc ~% .. Total lot COVet'llgc_.".____---Y1
APPRO,"' ,"I.~,):
PLANz_.___. .
BLD<,;
D'PWu;""'-
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OTHEr-
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PLANNJ:lIOG USE ONLY;
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ES.....lV{otaAd(ll): Cl Yn Cl Nt :lEI'.". Cm:ckli.'il rcqllin:d'l [j Vel D No OUlc:J:' _--- ~- ...
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Bl;u.DINC PE:aMI1' APPLICATION SUBMn'T.U: The: BuildiI1& Division C,l:l providr \~~:. wltil information on thl.! "ppJ..:..t:Oll u:~
plan !\1mDtm.l rcquilemcnr.s if YO\l ba\le qucltio!l$.
V ALU AnON OF CONSTRUCTION; In all calCS, II Vltlulltlon 1IJD01l41lWllt be enwed l')' the applic:aut nus.f1gurc will be f(~'lc:...,<:(i
arui maybe mllec1 by1tle Bt:d1dJqDmJlioo to cOlnply with cuneot fee schedules. C'..oulactthc Permit CoordiDatDnt417-481, for &SS:ll1..U\~~'
rLA1'l CHECK }i'EE: IF a plall c;hcc.k fee is due it tT\l.Ut be submitted i\t the time the: builclil:~ ~rr.nit lI.pphcarion &lid COlIStructilln plans a.1'~
.-uhlIlltted. All otlwl peaDit fees arc due it the Uu3e afpennit ial\W\ce.
EXPIRATION OP PLAN IlEVlEW: tt DO permit's lw1ed witbln }8U day. of the lla\C of awllcation. the appllcattDD willllxpirl!. '!1H
Bll;.;dir1i Oflic:w cu eKtenli tb.e time for action by the applicant up to 180 day. upon wrlttC'n rcqW!sl by me appllc:allt (100 SectiOI1 074 d
~::wo: ')nitonn Buildinll Code, C\L"1-e.ot edtio!\"). Nr;, &PP lieauon CIUl be exumded :nnrc thllD O~ e
, neroby Cfllf"Y NIl hINt read i11lC1 examlf'led thIS application Ofid know th/J Sllme l:l b8 true .nd COI71l(;[ I IM1i al1horiz.d to sppfi for l11iS p(<m:r {1"!
JIOersfettd thet ~ is my ~bfi;!y TO (~d(".,njne wI~l'Jr pi!Jrmlts Mi requJrod ,/lot (tIll C~8, Snd /hfll : '1uar o~lslr1 ~uch pe'm~a prior to worl<.
',!'OlUo1SWPS\3ul:dinprmlLWpd ApphclIlll.: r:Jiltrt:/tt-.--=< ~. Date: ~ -1 (. r"D (-::)