HomeMy WebLinkAbout1227 Georgiana St - BuildingCITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000917 Date 9/08/09
Application pin number 040723
Property Address 1227 GEORGIANA ST
ASSESSOR PARCEL NUMBER 06 30 00 5 3 1080 0000
Tenant nbr name DORTHEA DUCKETT
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 2200
Application desc
TEAR OFF RE ROOF HOUSE
Owner Contractor
DORTHEA DUCKETT JAYBIZ INC
1227 GEORGIANA ST 919 W 7TH ST
PORT ANGELES WA 98362 PORT ANGELES
(360) 452 4292 (360) 477 7846
Structure Information 000 000 TEAR OFF RE ROOF HOUSE
Fee summary Charged Paid Credited Due
WA 98363
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF HOUSE
Permit pin number 153072
Permit Fee 109 75 Plan Check Fee 00
Issue Date 9/08/09 Valuation 2200
Expiration Date 3/07/10
Qty Unit Charge Per Extension
BASE FEE 95 75
1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00
Other Fees STATE SURCHARGE 4 50
Permit Fee Total 109 75 109 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 114 25 114 25 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 th ue and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herei not. The granting a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construc .n or the performance of c nstruction.
o tracto or A
Date Priht Name Signature o
T:FormsBuilding Division/Building Permit
\,o
horized Agent Signature of Owner (if owner is builder)
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
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
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T Forms /Building 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
Inspection Type
FINAL Date Accepted by
FINAL Date
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Accepted by
Date Accepted By
7
9
Electrical 417 -4735 1
Construction R.W PW /Engineering 417-4831 1 1
Fire 417 -4653 1
Planning 417 4750 1�1 I
Building 417 -4815 Gx Di) eA ig- -1 t 'v
U
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815fax (360) 417 -4711
Applicant 7 1 ackeit
P roperty Owne,r l
Property Ow is Address /72_ 7
Contractor
Contractor's Addre s c g t -e
License Tr so
PROJECT ADDRESS 2 2 7 b
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
21 Re -roof
ic Heat System
Other
Floor Areas
Basement
1 Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
0656 O0 c 2
Max. height of proposed str.. ures
Will a lawn sprinkler syst b nstalled?
Will a fire sprinkler sys -m be in ailed?
BUILDING PERMIT APPLICATION Print in ink
,House garage other
)<Residential Multi family
Heat pump wood burning stove gas fireplace o pellet stove other
Existing (sq. ft.) Proposed (sq Ofd.)
1 i
7� i
i
v
7'`
Expires /2
Total footprint of structures sq ft. T Lot size
Site Coverage the am. unt of impervious surface on.a parc- includin
and other impervious. su aces. (see PAMC 17 94 135 for exe 'tio
ft. Occup
Occu
Co
cyg ,up
ant load
struction type
E -mail
Lot
TOTAL VALUATION l 2 2,00'
sq ft. Lot coverage
structures paved driveways sidewalks patios
Site coverage
1 have read and com.leted•this application and know it to be true and correct. I am orized to apply or this permit and understand
that it is my responsibility to determine what permits are required, and to obtain pe is prior to working oil projects.
Date I -6 et Print Name J&v' Sig ature
T Forms /Building Division /Bldg Permit.doc
For City Use Only
Date Received q
Permit# oct -et i7
Date Approved
Phone
Phone 415'2.- 1 4 /2.12_
Phone q77-75 Y (v
Zoning
Commercial o Industrial
tear off re -roof lay over one layer
per sq ft
of bedrooms
of full baths
of half baths