HomeMy WebLinkAbout2452 Samara Dr - Building
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CITY OF PORT ANGELES
'DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVI~ION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000296 Date
869440
2452 SAMARA DR
06-30-01-5-9-0120-0000-
RE-ROOF
4/28/05
RS9 RESDNTL SINGLE FAMILY
4100
Owner
Contractor
BEIRNES, MARCENE
17431 AMBAUM BLVD. #D-42
BURIEN WA 98148
REDI-CONSTRUCTION
1032 E. 4TH
PORT ANGELES
(360) 452-4582
WA 98362
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF FELT, COMP
48090
134.75 Plan Check Fee
4/28/05 Valuation
10/25/05
.00
4100
Qty Unit Charge Per
Extension
92.75
42.00
BASE FEE
3.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 134.75 134.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 139.25 139.25 .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 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.
4"2<6-67
r Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PoliciesllI02_J5 building pennit inspection record05.wpd [1/4/20051
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIqNS.
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 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 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/LlGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/U5>E
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.
ENGINEER.ING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 5-f..p-05" JeL- BUILDING
T:\Policies\1102.15 building pennit inspection record05.wpd [1/4/20051
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REDI-CONSTRUCTION
1032 E 4th st.
Port Angeles Wa 98362
452-4582
Iic#REDIC**005MM
ESTIMATE
Windermere
AUn: Steve Frazier
fax# 452-2304
Job location: 2452 Samara Dr
Port Angeles Wa
Job: Roof Tear-off / Recover w/30yr Laminate Shingles
*tear-off I layer 3-tab composition and felt underlayment
*dispose of all debris
*recover using: 30yr laminate shingles
30# felt underlayment
I 1/4 coil nail fastners
*renew all vents and flashings
*use self-sealing ridge shingles
10yr guarantee on workmanship
Permit included
sub 4100.00
tx 340.30
total 4440.30
submitted by ~/1I1' h/U 7 '1- 2/ - 0</
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.3-/9 -6 r
permit#:~
Date APproved~
Date Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
OArv
40 'lr G" <S;ctLl ~Nb11.....
Architect/Engineer: 4- 5 ~s ,,;.r<:)
Contractor AU/'Glx..-S 5trlvi co:- UNit:'{ State License #:AUtrEtSL Yb101 Exp:
Address: S- b ')~) Hi-V'1 IlL City: fui'U AAH.> t:tF~
PROJECT ADDRESS: L'j u ') e.... 5c ref~fJli:.YL
{VI rJ (7..(2../ S 0,-.1
Phone: 1 L y "3 u 'i ')-
t1 '51. 7 I 7'f
Phone:
Applicant or Agent: .:::, \ L l..- .Tlc. u C K <=N'M f <... <...8t
Owner:
Address:
City:~(Lr A~&H(;:\
{..vA
Phone:
3-0';
Zip: "1 <zr "3 (, -1-
Lfi)1.301)
Phone: 'f ~ t "StY;}-
Zip: 9 ';"3 (, .~
lA-A
ZONING:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER: () b ''3 () z 1. "2. I 00 '5 b
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
8. Residential 0 New Constr. 0 Re-roof
o Multi-family R Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
Lij' Garage
o Deck
o Other
SIZEN ALUATION:
'6 q 0 SF. @ $ ICO /SF. = $ I 5""1 6 0
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL V ALUA TION $ I 5" 10 (J
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: ?clf.--<,; (~u, '-0 'M&
No. of Stories: L Lot Size: ):~ !HOb") Existing Sq. Ft. :> IJ C '+ & Proposed Sq. Ft. '640 = TOTAL 'Sq.Ft. 51S" ~
Existing lot coverage --'---- % & Proposed lot coverage ~% = Total lot coverage 2 ~.~ %
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLlCA TION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days ofthe date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I a authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that lust 0 ain such permits prior to work.
T:\FORMS\APPS\Buildingpermit. wpd
Applicant:
Date: 3 -IJ--o I