HomeMy WebLinkAbout1305 Samara Dr - Building .... CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DWISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
~v~ r'/.~v. ~ ISSUED: 5/15/2002 I-'P_.I'~Nlll NO:13471
OWNER/APPLICANT PROPERTY LOCATION
1305 SAMARA DR
JIM BAERTSCHIGER
1305 SAMARA DR Lot: 14
Port Angeles, WA 98363 Block: [] Long Legal
360/452-4323 Subdivision: SAMARA WOODS I
T: S: Parcel No: 0630015801400
CONTRACTOR ARCHITECT
GREAT NORTHWEST ENTERPRISES N/A
PO BOX 2963
Port Angeles, WA 98362 , 98360-0000
206/452-9518 360/000-0000
PROJECT INFO
Project Value: $2,750.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
MFD Units: 0
Occupancy
Group:
Construction Type: MFD SQ FT: 0
Zoning Use: RS9
PROJECT NOTES
TEAR OFF, FELT, COMP
RECEIPT~9085
FEES ASSESSMENT
Misc Fee 1: $0.00
Building
Permit:
$83.25
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: $87.75
Plumbing: $0.00 AMOUNT PAID: $87.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
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
.5-
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS~ 1102, l 5 [4/2002 ]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT1S 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
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FIRE 417-4653 FIRE DEPT.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nl!
17471
Service, volts .......................................
No. wires .......................................
SIze wIres..................................._..
MaIn fuse .......................................
Enclosure .......................................
Type or wIring:
Entrance Cable .............................
Rigid Conduit .................
Metallic TubIng ....m....................
Current transformers:
No. & Size.......................................
Ser. No...............................................
Ser. No. .............................................
Ser. No...............................................
""'J ;;t- ,:;-/
Port Angeles, Washlngton.........../....__=..._..mm..mm.m......_m..... 19.!?..:'
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 d6 electrical work as listed below.
'.. . - #' 1'4',
" ~.,'C b. .~
Address __.I..;J...____~ooo.-'-~.."'"~...&_"'<oe.'ooo':::___."1_;{'''!.:7::t:__________._... Occupancy_____..:d.~_____ooo__ooo__.__
~::: ~t~:~:;~~:~~:~~~~~:~:::::z~1l~:r~;~::::~::::::._.::.~::::::::::=::::=::::::::::==:::::::::::::::=::
I (.
Light OutletB.......:.....__....._.........._.._..__.
'joO
Receptacle Outlets...............................
Dryer, KW n..n.....n~..n....nh...........
Range, KW .......__.I'.~__.....__..........
Type of Wiring:
Armored Cable ..........................__
Non-Metallic .............................__._
Knoh &0 Tube...................._____........
Rigid Conduit .....__....._............_____
Metallic Tubing __...........__.....__.....
Raceway ......................._.....___._
ClrcultB, Llght.....;:::.....____....__..._..__
~
Utility .'7.<'l'.................y:-
Heal __.......".__.......I',f.IC:.._.._.._.._
Je! Q
Range .............................................
jt" ""'-
Water Heater .......?'.:~......h.........
/
Motor ..._.....:.nh.............................
;r ~
Dryer ........f:I..................................__
Furnace .........................'~...................
:;i...3
Total.................................:.....
Ser. NO...n.........................................
.. y-""
Remarks: ___._........_..;_~1:~t.~~::".(.~!~~:__.__._.f~~~:?::'~..::?.~....-~~:.\...L____...__......_.._____._....._..__...__.....__.___....________._...__.__.______
Permit Fee
. .:J'~;? tf
$___..___.000_.______000.______..___..
Treas. Receipt
No..__.___ooo..................
I~ /J& (- t. .-
, . , (
I .
'----. - . y
By _.-'_.____L_.__.....,;::?r....,.~,t!d.,.".,~~__..:_.~.,,~
..' . . ."........
NOTICE-Current must not; be turned on until CerUflcate of Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected berore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
17471
Address..................._...................................................................................................................Date..._......_.._.._.._.........._......_......_.........
,
Owner..........................._......_......_.._......_......_.._...........................................................Tenant........................................................_..........
WIrIngContractor..............................._.._................................................................................"".~-1By..............................................._.............
NOTICE-Current must not; be turned on until CerUtlcate of Inspection has been issued. If work is to be con.
cealed due noUce must be given the Inspector so that work may be inspected before concealment. .
LJl!\
Water Heater: .'- ".
~~J!'
KW.n...................,,:O>.......................
Hen!, KW...../.5..~.!:.l!..i:.:M.!..?..~.
Motors: sIze. volts and phase:
If' .
....!.<...~.(...,!.AJ..........................._..
. iT
..j...."'L...=.............................
Total Load.............................
1M Olympic Printers, Inc.