HomeMy WebLinkAbout1212 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
08-00000833 Date 7/14/08
663922
1212 GEORGIANA ST
06-30-00-5-3-1328-0000-
DONALD & KAREN SARGENT
SIDING
RS7 RESDNTL SINGLE FAMILY
18800
Application desc
SIDING
Owner
Contractor
DONALD W/KAREN E SARGENT
1212 GEORGIANA ST
PORT ANGELES WA 983624214
(360) 452-2432
Structure Information 000 000 NEW
K-DESIGNERS
2440 GOLD RIVER RD.,
RANCHO CORDOVA
(916) 853-7400
SIDING
STE. 100
CA 95670
Permit BUILDING PERMIT - NO PR FEE
Additional desc NEW SIDING
Permit pin number 129999
Permit Fee 333.75 Plan Check Fee
Issue Date 7/14/08 Valuation
Expiration Date 1/10/09
Qty Unit Charge Per
BASE FEE
17.00 14.0000 THOU BL-2001-25K (14 PER K)
.00
18800
Extension
95.75
238.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 333.75 333.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 338.25 338.25 .00 .00
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Separate Perm its 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 0 or local law regulating construction or the performance of
construction.
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Signature of Owner (if owner is builder)
T:Forms/Building DivisionlBuilding Penni! (10/0I/07}.v.:pd
BUILDING 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 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 BLOG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS'
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL om Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL ~
HEAT PUMP/FURNACE/DUCTS ~
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: ~
COMMERCIAL HOOD / DUCTS
ivIANUFACTURED 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. -
.,11LANNING DEPT. .4.17.-4750 ,.,.... .;.....'" .' PLA NNI1;i~,DEPT . .. ~
BUILDING 417-4815 l~n,.t)K :\LL.--- BUILDING
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T:Forms/Build;ng Division/Building Penn;' (10/01107).wpd
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Applicant or Agent 00'1 "- (cf :5 p/7 eA- r
Property Owner [JO,,;1t-!J ~ ,I:!,fP'c-t S"~~
Property Owner's Address . Z.) Z_ - r:::o" /~ SIJ'"
Contractor/Engineer Des r
Contractor/Engineer's Address 0/
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 onl~
Date Received '7 ~ . ---og'
Permit # () 3; ~ 23 3. '3
Date Approved
Phone
Phone
YS-2--e.f
i(5-Z- 2~ 32_
Phone
5'b 70
Expires
Parcel Number
PROJECT ADDRESS
Zoning
Proiect Tvpe & Brief Description:
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
oRe-roof
o Demolition
o H~ System
~ther
Floor Areas
Basement
1 sl Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Lot
o Multi-family
o Industrial
o Commercial
o gas fireplace 0 pellet stove 0 other
Proposed (sq. ft.)
@$
per sq. ft. = $
/6 IV'
TOTAL VALVA TlON $ I~
sq. ft Lot size sq. ft. = Lot coverage %
ft. Occupancy group # of bedrooms 3
Occupant load # of full baths I
Construction type CAJ tJ (;Jf? # of half baths $-&
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
I have read and completed this application and know it to be true and correct. I am au
understand that it is my responsibility to determine what permits are required, an
projects.
Date '?-/f~ ~ Print Nam~r7~ W W ~7 J Signature
T:Forms/Building Division/Bldg Permit Appi.-2006 Code.doc
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
Installed By:
Owner/Business:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW _
~. RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
)8' ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
Details/Description:
'~~~1J/~~1~ q
PERMIT NO. (,t 705-
DATE '/ / ?-:J..,Jq '-I
o READY FOR
INSPECTION
License Number:
Phone:
Sq. Ft.
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
~191 D391
'SERVICE SIZE
FEEDER SIZE
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AMPS
AMPS
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
A,fr^'~ Rough-in/cover O.K.
/ V 0 O.K. to connect service
o Final O.K.
Sita Address:
Installer:
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Permit/Receipt No.
New Meters
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Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Pe it PHONE 457-0411, EXT. 224.
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NO OCCUPANCY OR USE ESTABLtSHED UNDER THIS PERMIT
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WHITE - File by address
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
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Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
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16955
Port Angeles, washlngton........r:-.=/~.................................... 192.2'"
In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec-
trical equipment In. on, or about any building or other structure In the City of Port Angeles. per-
mission Is hereby granted to dO electrical work as listed below. ",
Address .Jqz.,t-;2"~-::J:;!!"!.::?~'''''''''''''''''''''''' OccupancYmA--!.?~.g,.mmm...._m..........
~:7:~ ~'~~~:~:::~2~:~~;:::::::::::::'.''''''',~,,:::::::::=::::=::::::::::::::::::::::=:::::::::
Light out1etB......................~:.................. Service. volts ...6-?~-?:?~.. Type of Wiring:
Receptacle Outletsm...._.............._..____.. No. wires .....3.......................~.. Armored Cable .__m__.mh__..............
Dryer, KW............................mm..mm Size Wlres...&C-4...~_.. Non.Metalllc .................................
~t!J ..d. Knoh & Tuhe..................................
Main fuse .....q~.....IT..........
S
Enclosure ......0.__...........0.................
Ser. jNo. ______..........................0..........__
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Ser.' J\'O...h__.....~;:.............................__. ,.
Total Load......hhm___....h__h... Ser. N~:-~-=:....h--..h.......h-mmu-....__ l Total .....al.3...............___.__
. --.tL ' .
Remarks: ..........7~!:=.............C~..L................~.........................................................
Range, KW ___.....______......_...______
'Water Heater:
KW......................................... ......
Heat KW.....Z.~1f..ll.............
Type of Wiring:
Entrance Cable ......____
Motors: sIze, volts and phase:
Rigid Conduit ...............................
Metallic Tubing ....hm__h..............
Current transformers:
No. & Size_mm___..__......____.....____..___.
Ser. NO...____..__.h_____.___...h_______.....h__...
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RIgid Conduit ...............................
Metallic Tubing ...........................
Raceway ......................._.....___._
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Circuits. Llght...~...........................
~:~:ty..::::t..::::~::::::~::::::::::::~::::::
Range ...gl.::.......c:;;........................
;;'-
Water Heater h_____m_................_._.
:
Motor .._......................_.._______...._..._
Dryer ........__:2.............___________........._
Furnace .........................._......_.....__.__.
..........................................................................................m....................7:...........<<.........................m...........
:-~~L~!(l............... ::~~.~:..~~.~:~.~~........ By ...~....~.'~.ft~g~~-~
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If work is to be eOD-
cealed-due notice must be given the Inspector so that work may be inspected before concealment.
/
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
....'~.. .
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ELECTRICAL PERMIT
.;
N?
16955
Address______.___..___............................_.....___....____.............___........____.__......__._______.._________..................Date......______.._______........_____...._....___....___..
,
Owner._____........::....._............._.........._......_._...._.._.......__._._....._.____.__..._____......_.._____........_.Tenant_.____.__._.__......._.____............._............_._..........
Wiring Contractor._.._.._h___........................___........._...__.......__.._..__._....._______.______.___............._............ By.h..........._______...........___.......................__..
\- NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work i~ to be eon.
cealed due noUce must be given the Inspector so that work may be inspected before concealment. '.
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Olympic Printers, Inc.
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