HomeMy WebLinkAbout1304 Samara Dr - Building CITY OF PORT ANGELES
PUBLIC WORKS BUILDING DIVISION
321EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 1/29/2001 PERMIT NO: 12463
OWNER/APPLICANT PROPERTY LOCATION
1304 SAMARA DR
RENATE PETTIGREW
1304 SAMARA DR Lot: 8
Port Angeles, WA 98363 Block: DlVl [] Long Legal
360/457-6082 Subdivision: SAMARA WOODS
T: S: Parcel No:
CONTRACTOR ARCHITECT
TOPNOTCH N/A
1235 W. 9TH STREET
Port Angeles, WA 98362 , 98360-0000
360/457-7441 360/000-0000
PROJECT INFO
Project Value: $4,800.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS7
PROJECT NOTES
TEAR OFF SHAKE- REPLACE With 3TAB
FEES ASSESSMENT
Building Permit: $111.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $115.75
Plumbing: $0.00 AMOUNT PAID: $115.75
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 pedod 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 pen'nit 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.
Signature of Contractor or Authorized Agent Date Signature of Owner~(i~oow"~er(j~builder) Date
BUILDING PERMIT INSPECTION RECORD -
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCE,4L ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE I YEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
RODGH~IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF ! CEILING
DRYWALL
T-BAR
INSULATION
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WODDSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
pW UTILITIES / SITE WORK IEngineehng Division) SEPARATE PERMII #'s:
WA/ERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARA1 E PERMIT #'s SEPA:
PARKING/LIGHTI NG ESA:
LANDSCAPING SHORELINE:
FINAL iNSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 41%4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW / PW/ CONSTRUCTION- R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 41%4653 FIRE DEPT
BUILDING 417 4515 s~--C~l-- C)l L~_~ BUILDING
C:ka. PPL.W PD
FOR OFFICIAL USE ONLY:
Building/Utility/Electric/Fire Permit Application Dat~ ~,~:
Pern~t #:
Please fiH out completely. Type or print in ink. If~u have questions l~Appl
5HB1724: Y N
please call (360) 4174815 or Fax: (360) 417-4711 Letter of Completcnes~
e-mail: www.ci.port-ang*J~.w~.u~ Bldg. P~it .~pl:
B.P. I ~u~:.
Applicant and/or Agemt: \\ ~ ~ ~' ~
~it~n~i~: , ~e:
LEG~ DRSC~ON: ~t: BI~:. Su~si~:
Bil~ Ad~s: .Ci~: ~ ~p:
Cr~i Card ~ ~p Date: ~MC
T~ OF WO~: ~ /~ S~UATION:
a ~d~ a N~ ~. of a Stov~s~ SF. ~ $ /SF. = $
a M~-fsmily ~ Ad~on a Mov~ a G~e SF. ~ $ /SF. = $.
~ ~mm~ ~ R~ ~ D~olig~ a D~k SF. ~ $ /SF. = $
o EI~c~ a ~-~ a Si~ a UST T~ VALUATION $
co nc sm :
No. of St~: ~i~: % ~t Co~ag~ %
E~a~g ~t Co~ ~/sq. fl. + ~o~s~ ~t Co,age: /sq, ~. = T~ L~ CO~GE: /~ fl
P~G USE O~Y: ~PROV~: ~
P~i~ R~: Not~: BLDG
M~. H~t: S~bac~: ~n~g: D~.
Site Pl~ ~d Use Ap~ov~ ~: Dar:. g~
ESPied(s): ~ Y~ a No SEPA Ch~i~ r~? a Y~ o No ~: O~
P~CA~ON S~T~: ~our a~lica~oa and Mte p~a ~ 6e filled out co~kte~ ~o be ~cce~ted f~r r~. ~e
B~l~g Di~on c~ ~de ~u ~ m~e d~l~ i~on on ~e ~pli~on ~d pl~ ~bmi~ r~m~.
B~D~G ~ ~ICA~ON S~'I'I'~: Yo~ ~mpla~ ~h~ ~tepl~ (~r M~fi~s) ~d ~g ~on
pl~s ~e ~ be sub~ m &e B~g Di~sion.
V~UA~ON OF CONS~UC~ON: ~ ~ ~ a ~ ~o~t m~t ~ ~t~ ~ ~e ~hc~t. ~is fi~e ~ ~ r~
~d m~ ~ r~s~ ~ ~e ~g ~v. ~ ~ly ~ ~mt f~ ~. ~n~ ~e P~t ~na~ a 417~815 for ~sist~c~
P~ C~CK ~: Yo~ pl~ ~ f~ ~ ~e ~ ~c time ~e ~l~g p~t ~plic~on ~d ~n~c~on pl~s ~e sub~. All
o~ p~t f~ ~e ~e a ~e ~me ofp~t is~ce.
~P~ON OF P~ ~W: If no p~t is issu~ ~in 180 ~ys of~e dar of applicon, ~is appB~on ~1 ~ire
~ l~s. ~c ~g ~ ~ ~d ~e ~e for ~gon ~ ~e ~pli~t up to 180 days, on ~ r~u~ ~ ~e ~h~t
(see S~on 107.4 of ~e Unifo~ ~l~g C~ c~t ~fion). No ~plicaion c~ ~ ~t~d~ ~e ~ ~ce.
I hereby ce~ ~hat I have ~ad aad ~lned th~ ~iica~on ~ad k~ tM s~e to be true ~ co~ect, ~nd I ~ ~ut~d t~
a~ply for th~ ~e~i~ I unde~t~ it ~ ~ t~ Cl~'s le~l ~o~bi~ to ~te~ine w~t pe~i~ are reqm~d; it ~m~ tM
applicaM's re~o~bili~ to dete~ine w~t pe~its are required and to obtain s~K
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
REQUEST.~ .......... ;INSPECTION REPORTi ' ' '~';
Date ~--- ~ O~ ime Received b phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No, /~/*~>
Sewer Foundation Framing Chimney Plumbing(F~ Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date ~ Time. By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel ~]Asphalt []PCC [~Other
[] Repaired by City Work Order #
~] Repaired by Permittee [] COMPLETE
[--} No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
.
. CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457.0411
ELECTRICAL PERMIT
Site Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
I nslalled By:
Owner/Business:
Owner/Business Address:
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o FAN/WALL KW
~ RESIDENTIAL
b COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
~' SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
Details/Description:
PERMIT NO.
s-/~ 0
c;./2:J h 5-
.
DATE
Phone:
Sq. Fl.
o RISER
o OVERHEAD SERVICE
Ii' UNDERGROU0SERVICE
VOLTAGE: /7 n zyD
~1~ D3~
SERVICE SIZE <:9.:.9cJ AMPS
FEEDER SIZE AMPS
AP1.-.
.
tn~
~J.J
-
/L1.P.lEt h -(J A f.-,
(J~A.-A L.
- - ..
l~ ~Qt
7
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.
o Rough-in/cover O.K.
~'fl.O.K. to connect service
o Final O.K.
Installer:
New Meters
)
~
Notify Port Angeles City Light by Street Address and Permit Numberwhen 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 Permit. PHONE 457-0411, EXT. 224. J
~ ~ NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT $ -,r 30
Electrical Inspector Permit Fee
.
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
GREEN - Top: Meter Dept" Bottom: City Hall
CITY' OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17834
J/-/r; ~/:2
Port Angeles, Washlngtonmmmnm__n._..?_..nmnmm._.m..._____m_.... 19.!.nm
i
i 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 .m/3n~nt_mg?.z?.'~."!..d.d.~..Jt2~~_m.nn..n Occupancy.__..~!''''~,m__nnn.._______..mm
ow~er .c!!{~.Lf..:.(1j;jf_j;ff:(j,-~ye~ Tenant..mmm_m.....___mn_m_m___mmm__n__.._m.....__nm
Wiring Contractor m__mm_mm.__nmmm.mm___nmnm_______..._m Byn.nnm......mm.mmnnm.__nm_mnnmnm._nn__n
3 (/ (j /" 0/::> {/C
Light Outlets....m...............m......_.._.._.. Service, volts ..~...............~.................. Type of Wiring:
Receptacle Outlets.....f.9.................. No. wires ..~..~.............................. Armored Cable ................h.........._
C Y/tJ
::;~, ::.......~_._Z~~_.~_._.....~~~-_-..~.--.------ ::~n ;~::s::~.4X?/:::::::::::~::
.s
Enclosure .......................................
Water Heater: .....-
f/)
KW.n...................,.............. .....
Heat: Kw..__.."'1.CJ...f..tI..!-:::.............
Type of wiring:
Entrance Cable .......................
Motors: size, yolts and phase:
.......!....d{c:~:/!................___............
.../...4:.c.';<_n........._...........___
Rigid Conduit ...............................
Metall1c Tubing ...........................
Current transformers:
No. & Size.......................................
Ser. No..............................................
Ser. No..............................................
Ser. No..............................................
Total Load.............................
Ser. No.................._..........................
Non-MetalUc .................................
Knob & Tube................................_
Rigid Conduit .......nn....n........n....
Metallic Tubing ...........................
Raceway ......................._....._._..._
Circuits, Light........_............................
UtllIty.._..........................................
Heat ...............................................
Range .............................................
Water Heater ...............................
Motor .............................................
Dryer ..................................................
Furnace ...............__........_~...................
Total.......................................
~
Remarks: nnuu~..--;1~tul!_::1._-:....t.:=:.nu..n...~.(.J:.'?:f..:~{!.t.:::...!...uuunuuu__nuon.nn_n_U_"..uuouu...nnonnn_n___Un.ononnonn_
no_.nonn._onnnn.__._....h.hunonuuouunuon.n__._...h.n.unonnnnnnonnnn.n...h.hh".n..._nnnonuuuunu..nnnnn_~n...h.UOU_onu
Pe~it g~e ~
'> 6-
$.m_m___m____m_mm_m.m..
Treas. Receipt
NO.m..n.n..........._______
By ~lftf..~~~~~L~~m_.
NOTICE-Current must not. be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so tbat work ma.y be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 7834
Address..................._...........................................................................0.......................................Date..._........:._.._.._.........._...0.._...0.._.........
Owner ..................................._......_.._......_......_.._............................_.............................. Tenant......................n............................................
Wiring Contractor.....................................................................................................;.................... By..............................o...............................
NOTICE-Current must not. be turned on until Certificate of Inspection has been Issued. If work Is to be con-
cealed due notice t;IlUst be given the Inspector so that work ma.y be inspected before concealment.
1M Olympic Printera. Inc.