HomeMy WebLinkAbout834 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
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00001114 Date 12/02/03
834 GEORGIANA ST
06-30-00-5-1-3800-0000-
MOVING PERMIT
COMMERCIAL OFFICE
o
@J
5-/'1-07
Owner
Contractor
ROSECRANTS ANN M
832 GEORGIANA ST
PORT ANGELES
NICKEL BROS. HOUSE MOVING
2060 MILLS RD
VICTORIA
(866) 606-2237
Structure Information MOVE FROM 834 TO 916 GEORIANA ST
Construction Type . . . . . TYPE V NON-RATED
Occupancy Type . . . . . . SINGLE FAM & CONGREGATES
LTD
WA 983623512
BC V8P2K7
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
M- MOVING PERMIT
MOVE FROM 834 TO
115.00
12/02/03
5/31/04
916 GEORIANA
plan Check Fee
Valuation
.00
o
co
~
Qty Unit Charge Per
BASE FEE
Extension
115.00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 115.00 115.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 115.00 115.00 .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 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.
otJ
J:-/L~
Signature of Contractor or AuthOrized Agent
Date
Signature of Owner (if owner is builder)
Date
T IPLANNINGIFORMSll102 15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
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 I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA T10N
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISion) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
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. 4 I 7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W. / PW/ CONSTRUCTION - R W
ENGINEERING 4 I 7-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 I' PLANNING DEPT
BUILDING 417-4815 (2 ~ /1, o!3 ~'J BUILDING
T \PLANNING\FORMS\I 10215 [11/14/2003]
12/P.l2/2ElEl3
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25El555885El
NICKEL BROS
PAGE
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House MOVING APPLICATION and PERMIT
ellV OF PORT ANGEL ES 80UILDlNG DIVISION -11Li__ __
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HOUSE MOVING APPLICATION and PERMIT . I U
CITY OF PORT ANGELE:S. BUILDING DIVISlor-J -11-1-_____
The fOliowP19 matenais are hereby provided in application for;:; House rv'love PermIt
Name(JfapPll(,'ant.~~~ ..
2. f.\.ddres!l of AppliC8'11 B~~
:3 Tele~hO/'leOfjl'PPII<;ant~~_
PERMI r NO
5 Or,QIPa1loc3t,O(. (address) nf buildIng ~~_G _
Legal deSCription of onglnallocation of bt.llidlng ___' __ __
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Date of proposed move ami ration ~~ t!l ~J~ .
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I ega! UE"SC;riptlon of pew nroposr:d location of building ______.__.__________ __._____ __.. .. ___. _ .__
4. Name of insurance company and agent and copy of certificatE' of insuran['.e'l..\~ \ ~
G. New ~lroj)osed location af bUilding 91b_
7 Route to oe taken frow old location '0 new IOG80on'
R Descllption of current bull(jing. \-\() \.. ~a .
-- ----__0__- ______ ___no ________ _______~_______ --.._____
9 WrW.;!n c;onfirmallon that the foilowllIg have been contFlcced Including indiv;fjual's name, teleDhone and dete'
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~lructL'r" <Jro V'OlI !he mructLre 13 to be restoled 10 fTllnlP1IJm Dulle-lOg Code reqllire'Mllt.~ ~l it:! 'lew loc'lllon and leddy br ':~E- w,l,1ln one (1) yenr f om 111",
od" or rnaVing H','.? slruGli.re, In cC:fls/ojp'Ialion of Itle granlln'] of 1~15 rermll, II,~ furttlef 3gleeo oy tn,? ill=pl,tant 1'1'>:,', 'he City of Pori Angel")s and a'~y of ltO,
(_fficf."~ r)c ",npbye.,,<; ~11~11 t? saved h.:mrlless to tbe applicant frem any Habllltv or respclI<;.b;I,ly for E\ny 3rciC8f1t. loss or ,IJ",<lga 10 p'3rS".t<; or DrOW ry
l-"Clp~nll{l 01 Iy,'.urrillg ;;;s the pn-"dr!l<ltf! rl'sult of any \Vorr unoolfa"'!rl unner Ihl" ',,;'ll'; of 111:;; :lprl1c9l1on am! tll€' p~r"l.1 or I)'!rm,t'. y.t'l ':11 .nay be qr::\T't~d
in r~'pC'n'i" trG;'ltc md l'1al al! of ~ald j,philltll.l$ 8'8 "bleb, 8s"~me,,1 t:f tin am,"CSI't
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"'OFFICIAL USE ONL'( ...
, I.:; II? move look olacE' ._ ___. i ,easJrer'S Rec'Oipt No ___._ 8!dg Per'l"I f/ 1J.,L!i.... '<ight I.)f Way Conslr Pererl! 1..____.____.
Ur;P';:?O~ elnd or ltlC...'tjcnts '311 n.iute ar,(i i:OITHrent-;
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BuildinQ Move Notification Form
IBuilding Reference/Job Number: O?---(r{)4
TO BE ATTACHED TO AND FORM PART OF OVERSIZED PERMIT NO.
This attachment IS to be filled out In full for the movement of houses, bUildings and large structures exceeding 6 0 metres in overall
wIdth and IS subject to the applicant certifying that the following information IS correct.
NAME OF MOVER: NICKEL BROS. HOUSE MOVING USA Inc. ADDRESS: 221 Heritaae Farm Lane. Fridav Harbor. WA. 98250
TELEPHONE: (360) 378-3328 FAX: (250) 656~850
TYPE OF STRUCTURE: ~ \.. ):',()
PRESENT LOCATION OF STRUCTURE (GENERAL):
PROPOSED NEW LOCATION (GENERAL).
STRUCTURE DIMENSIONS (including all protrusions, i.e. ea s, stacks, etc.)
UNLOADED: LOADED: !""IQ (
WIDTH: WIDTH: 0i.Q
LENGTH: LENGTH: -,.~ I
HEIGHT: HEIGHT: '?J?:/
TRUCK MAKEIMODEL: \l..oS'f\ \. \ Y"h-\:-\). PLATE NUMBER: ~~G?t
METHOD OF MOVING (description of equipment to be used): truck and dollies
TOTAL STANCE OF MOVE: -& Mil~ l
PROPOSED MOVE DATE(S): ~ ..~~ a...~
TIME\t1 ~~ _M~~~~~-,
Due to work schedules, signatures may not be readily available. To assist the applicant, we ask that you process this
form within 5 working days of its submission. . . \
:#/O&><':> r-e.rn--,. f- f:\"or,^,"'eo./'
Police Escort Requested: Yes_ No ~ Approved By Police Yes~No_
,,/, ~~~
Signatur
Acknowledged by
Name (print)
NOTIFICATIONS
Signature
Date
Comments/Recommend
Power Co.
CJ'>1
Telephone Co.
Cablevision
W"''IIQ. ~t.,..J bo.~
Trans & Highways
County/City
Signature of APQ~ Qa...6e..
Date: ~"t ') \'""\ {a?l
NICKEL BROS. HOUSE MOVING LTD.
221 Heritage Farm Lane, Friday Harbor, W A 98250
Tel' (360) 378-3328Fax (250) 656-8850
Email: office@mckelbros.com
Website' wwwmckelbros.com
November 18, 2003
City of Port Angeles
321 East 5th Street,
Port Angeles, WA
98362
Re: House Move from 834 Georaianna Street to 916 Georaianna Street
Attention: Building Department
This letter is in reference to the up coming house move, that is scheduled for December 4th, 2003. Please find enclosed
our application that I have filled out, to obtain a House Moving permit. I have also sent you copies of our insurance
information, along with our Contractors License information. I hope this is everything that you will need in order to
process this permit in time for the move.
If you require any additional information, or if there are any other requirements that are expected of us from any of the
departments involved, please feel free to call me and I will be happy to do everything I can to assist you.
I have also enclosed a copy of what we call a T53d, which we use within BC to obtain signatures from all the different
departments involved, to confirm that we have permission to proceed with the move, and also lets us know of any work
that needs to be done along the planned route of the move.
I look forward hearing from you.
Thank-you,
Terri Dake
Administrative Assistant
Nickel Bros. House Moving
Toll Free: 1-866-606-2237
E-mail: office@Nickelbros.com
(~\ Members of the "International Structural Movers Association. & Be Structural Movers Association
~~~
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IIdebllnb - house movmgljobslus jobs\2003\03-604\letter to port angeles doc
03/04/2003 14:53 FAX 3606477310
BIIAM L & I
14J 006/006
Sent By: Law Offlces of Gene R. Moses;
OJ /0 V 0;) ruE 1.6: 5 3 FAX 12627989281
360 676 4068; Mar-4-03 3:25PM;
DAVE PIZVR ASSOC
Page 2/2
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PIlOOUC." Serial # 82334 THIS CERTIFICATE IS ISSUeD AS A MATiER OF INFORMATION
ONLY AND CONFttR6l NO RIGHTS UPON THE CERTIFICATE
HOLDER, TIllS CIRTlFICATE DOiS NOT AMEND, eXTEND OR
ALTe:~ THE COVERAGE AFFORDED BY' TH!! POLICies BELOW
f-- .__.C_OMPANIES AFFO~DINO COVERAGE
___rOI~~"~ TRAV.F.L~~S INSURANCE C"O~PANY
COMP),IolY
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DAVE PIZUR & ASSOCIATES, LTD.
20800 SWENSON DRIVE, SUirE 1110
WAUKl:SHA, W1 53186
PH: (2G2) 19U280
IN!lURIlD
NICKEL eROS. HOUSI': MOVING USA, INC
11;17 FIRSr STR!;:ET
FRIOAY HARBOR. WA 98250
COMP.l.t<Y
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THIS IS TO CERTIFY THAT THE pOLICIES OF INSURAlvCE LISTED Bel.OW HAVE BEEN ISSUED TO n1'i! INSURED NAMEO ABOVE FOR rME POLICY PE!Il.IOD
INOICATEO. NOlWlTHSTANOINu ANY REQUIREMe'oJT, TERM OR CONDITION OF ANY CONT::tACT OR OTHER DOCUMeNT WITH RESF'EcT TO 'NHICtl THIS
C!;RTIFICATE MAY ~e ISSUED OR MAY PERT oOJPoJ, T~E IN5UIU,NCE AFFORD EO 8 'r THE POUC!E5 OESCRISE.O HEREIN IS SUBJeCT TO AU THE TEAMS,
EXCL.USIONS AND CONDITION'; OF .sUCH POLICIES, LIMITS SHOWN MAY HAVE al:EN REDUCeO lW PAID CLAIMS
co I( .._"--, '" ---.-." -- POUC1~~-~e-;::~~~' POLlCYIXPlIU.T1~;;T
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STATE Opr WASHINGTON
DEPARTMF,Nr OF LABOR AND INDUSTRIES
CONTRACTOR REGISTRATION S~CTION
P.o BOX 444!.O
01.. YMPIA, WA 96040-4445
03/04/2003 14'50 FAX 3606477310
CRur-1CC
ID: 01
?OPTION
?LICENSE NUMBER:
Contractor Name'
Parent Company
Search Name
Address Line 1
Address Line 2
City, State, Zip
Telephone
Effective Date
Explratlon Date'
Suspended Dace :
Nbr of Type Chg'
Fee Received Dt:
llIlAM L & 1
DEPARTMENT OF LABOR AND INDUSTRIES
CONSTRUCTION CONTRACTOR INFORMATION
___ (ADD,CHG,REN,REP,PRT,CRL or Screen
NICKEBH974DD ?Status:
?Contractor Type:
NICKEL BROS HOUSE MVG USA INC UBI'
~ 0021006
CRIS
prod
ID)
A ACTIVE
CC CONST CONT
602155944
NICKEL BROS HOU
2060 MILLS RD
VICTORIA
8666062237
BC V8L 5X4
County:
?Reg Reason Code:
?Buslness Type:
?Speclalty Code l'
?Spoclalty Code 2:
Audlt Untll Date:
Employees:
LINIIS 10:
030403
030405
000000
o
000000
F1=Hlp F2=USH F3=End F4=Adr F5=Prv F6=Nxt
Record Revlew successful
52
NR
C
BR
00
000000
Y (Y/N)
OUT CNTRY
NO RESP
, CORP
HOUSE MOVI
UNUSED
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From:
To:
Date:
Subject:
Debi<victoria@nlckelbros com>
perm Its@ci.port-angeles.wa.us
11/13/0310:54AM
House move permits
Good morning,
I am writing on behalf of Nickel Bros House Moving USA Inc. We are a structural moving company and
we are going to be moving a bUIlding on December 4/03 for Josh Armstrong within the city limits of Port
Angeles I am looking to speak to someone regarding the permitting process we need to follow.
The particulars of this move are:
Current location: 834 Georgianna St.
New location. 916 Georgianna St.
Moving route' Left on North Race St. to nght on Georglanna to new site.
We would like to do this move dunng daytime hours If possible as the building is only going a short
dIstance. We are contacting the utility companies regarding a couple of wires which will need to be
addressed at the corner of North Race and Georglanna. I believe these wires are Qwest and Wave
Division, but we are also contacting the city to make sure neither wire IS Power.
If someone could please contact me at 360-378-3328 so thIs project can be discussed, I would apprecIate
It. I also need to know if we 'will require a Business License to work within Port Angeles.
If you would like additional information on Nickel Bros., please visit our website at www.nickelbros.com
Thank you In advance for your assistance. I look forward to speaking with you,
Debi DeB in
Executive Assistant/Office Manager
Nickel Bros. House Moving
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HOUSE MOVING APPLICATION JNFORMA TION
(;ITY OF PORT ,6.NGr:LE~ - BU,LD:NG Dl',1iSION
City or~j!n~nce req. 'Ires t'1at the -"ppl,canl ~dvis!:' all Public !JIII,I:",s and any other .ntE:restp.d aOf'nCieS of
the date, route, and other particulars at thp. propas',d rr.ove at le9st one week In advance of movlrIg the-
t1ol/se Arrengerneflt3 Witf1 thf' Pcrt Angales Pcllce Department for I.1scort. overload permits, and po.:;hllg, r;lS necessary,
the rcutr::: for "No Parking" are alSo req'llrec, at least 24 hours In advance of the move.
In add/ilon, a cerllflcate af Gornpretlef1Slve liability Insurance naming the Cily of POll Angoles as the indemmteo. With a
company aGceutabie to the City's Risk Mana~~er. in the amount of $ 1 ,OOO,0QO per uCt,;urrence ( property AmJ.'or bodily
InJury) 15 required
I~ouc;n Move Permit Fees'
1 Relocate a struc.ture on the same :ot or parsel (without use of public.nght.of-way)
2 Move structure from Inside City limits to outSide City I'mlts
:~ Move structure from on:. City lot to fJJ10ther City 10. (using City right of-way)
4 fv'Iove structure from (J'Jtslde Gny limits to Inside C:ty Ilrlllts.
5 BUlkling i11Spc:ct'oll f0e
S 30 00
115 00
: 15 00
230 00
4700/ per hr
!n addilllJf1 to a ~louse move r-1er;Jllt, A bUlld'r)!;: permit ll1L1st be obt81ned ensunng th~t frjB slriJcture(s) meet currr-nt Uniform
Building Code and other city requirements A~ the new site A plan and Slt'1 review rr")~ t be completi'!d to approve the
structure, zoning and utility needs.
After the rev few of tJ Ie above correct inrl.lr IT'a lion , n uuilding permit '..II!! be Issued. 1 he '<las of this penT1Il is based UpNI
tt-e \falue of the upgrace proposed for the structure. All items must be cumpleted and InspecfBd p'IO! to oc<::uf)af1cy of the
sir ucture The BUilding UIVISIOl1 has numerous handouts and other Irlfol"ma\lon, it you l1eed assistance [1ult::1g YO,,"'
apph:6t'on together. Thp. fl)HowlIlg checklist is fflr YOllr assistance in trf1cking the cnrnpletlo"l of i311 of fhe necesc;?>ry steps
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HOUSE MOVING CHECKLIST
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Obtain Hlghl of Way Cor.sln./sllon
Palm;! 'or sewer cap :;nd pllll WJter
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