HomeMy WebLinkAbout1317 Samara Dr - BuildingPREPARED 10/02/08 9 23 30 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/02/08
ADDRESS 1317 SAMARA DR SUBDIV
TENANT NBR GLEN ROGGENBUCK
CONTRACTOR PHONE
OWNER GLEN /JENNIFER ROGGENBUCK PHONE (360) 457 6951
PARCEL 06 30 01 5 8 0120 0000
APPL NUMBER 08 00001166 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 10/02/08
U/
1
BLDG FINAL
October 2 2008 8 37 56 AM 1pangrle
GLEN 457 6951
BLDG FINAL RE ROOF
THE PERMIT IS ON THE GARAGE WALL
COMMENTS AND NOTES
Date
Application Number 08 00001166
Application pin number 347036
Property Address 1317 SAMARA DR
ASSESSOR PARCEL NUMBER 06 30 01 5 8 0120 0000
Tenant nbr name GLEN ROGGENBUCK
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 5600
Application desc
TEAR OFF RE ROOF
Owner
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Contractor
GLEN /JENNIFER ROGGENBUCK OWNER
1317 SAMARA DR
PORT ANGELES WA 98363
(360) 457 6951
Structure Information 000 000 TEAR OFF RE ROOF
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF
Permit pin number 134478
Permit Fee 151 75 Plan Check Fee 00
Issue Date 9/12/08 Valuation 5600
Expiration Date 3/11/09
4 00
Other Fees
Fee summary
Qty Unit Charge Per
BASE FEE
14 0000 THOU BL -2001 25K (14 PER K)
Charged
T Forms /Building Division /Building Permit (05 /13 /08).wpd
STATE SURCHARGE 4 50
Paid Credited Due
Date 9/12/08
Permit Fee Total 151 75 151 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 156 25 156 25 00 00
Extension
95 75
56 00
Print Name Signature of Contractor or Authorized Agent
/7
1 p
so
o cto
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 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.
6
Signature of Owner (if owner is builder)
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES. CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION
FOOTINGS
SHEAR WALLS WALLS
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT S's SEPA.
PARKING/LIGHTING I ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417-4807
FIRE 417 -4653
I PLANNING DEPT 417 -4750
I BUILDING 417 -4815
T ❑,ic Pe mil (05 /13 /081.wnd
BUILDING PERMIT INSPECTION RECORD
I I I
I I I
I n -Z-1) R I PLC.,
FINAL
DATE ACCEPTED BY.
FINAL DATE ACCEPTED BY.
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
Applicant or Agent
Property Owner
Property Owner's Address
Contractor /Engineer
Contractor /Engineer's Address
License
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
e -roof
Demolition
Heat System
Other
BUILDING PERMIT
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
d /e R031 et/I bUc►c
PROJECT ADDRESS f 31 Sa qr
elec. r
/317
'e
(f4
Residential Commercial
Heat pump wood burning stove gas fireplace pellet stove other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other Rw
Total footprint of structures
Max. height of proposed structures
Will a lawn sprinkler system be installed?
W II a fire sprinkler system be installed?
Pep teAe 300
sq ft. Lot size
Occupancy group
Occupant load
Construction type
APPLICATION Print in ink
Phone
Phone
Phone
Expires
Lot
per sq ft.
For City Use Only
Date Received Cl.- Os_
Permit
Date Approved
x/57 -69s
Zoning
Multi- family Industrial
Pect a b►t oO ,S'1O0
TOTAL VALUATION
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects.
Date 6 u Print Name
Kie Signature (5 A
T Forms /Building Division /B:dg Permit Appl 2006 Code.doc
'~' CITY OF PORT ANGELES
°~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDRqG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
,[~,,';-',~-,';,.'~--, ~'"~-.~'~',;'~'T ISSUED: 11/07/2002 HERMIT NO: 13842
OWNER/APPLICANT PROPERTY LOCATION
1317 SAMARA DR
GLEN RUGGENBUCK
1317 SAMARA DRIVE Lot: 12
Port Angeles, WA 98363 Block: [] Long Legal
360/457-6951 Subdivision: SAMARA WOODS # 1
T: S: Parcel No: 063001580120000
CONTRACTOR ARCHITECT
ALL WEATHER HEATING & COOLING N/A
302 KEMP STREET
PORT ANGELES, WA 00009-8362 , 98360-0000
360/452-9813 360/000-0000
PROJECT INFO
Project Value: $2,284.00 SFD Units: 0 Commercial: 0
Project Type: HEAT PUMP ADD SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
INSTALL HEAT PUMP
RECEIPT~9903
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $34.15
Plumbing: $0.00 AMOUNT PAID: $34.15
Mechanical: $34.15
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 heroin or not. The granting of a permit does no!
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'o~uthorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING~FORMS\ 1102.15 [4/2002]
FiLL LIE~THER NEGATING & COOLING FPlX NO. : 360 452 5177 Now. ~6
BUILDING PE~ff- APPLICA~ON
] ~:
PI~ ~ er print In ~ If you ha~ ~y qu~ pa~ e~ 417~15
~ Ph~c:,
~ D~ON, ~ .... Block: Su~i~: _
~ ~: . Ci~:..
~t ~ e: ~,, E~, D~: ~, MC
~ ~ N~ ~. ~ ~f ~ W~mv~ ~. ~ $ /~F, ~ $ .,
~ n ~1 ~ D~on 0 ~ ....... SF. ~ $, ~ /~.
~~o~~: .....
No.~, . ~:,. ~ %~v~: ., % ....
~~e: .. , /~. ~ * ~ ~t ~v~agc: /~. fl, ~ ~AL LOT ~GE:
= DPW
~s): ~ Y~ ~ ~o S~A ~ ~d? u Y~ ~ No O~: , O~,
~. ~c B~ ~v~ ~ ~v~ you ~ ~ ~ed mfo~fion ~ ~ a~hca~ ~d
E~ ~ ~ ~ ~ ~ f~ ~fion by ~ a~c~t ~ ~ 180 da~ ~ ~ ~u~a~ ~ ~ a~a~t (~ ~ 107.4 of
th~ ~. ] u~ It ~ ~t the Ct~s legal r~ibili~ m dete~ine what pe~i~ are r~at~; it remat~ t~ ~plicant'~
T:~P~u~/t ~ ~
-
~
ELECTRICAL PERMIT
N~
18001
CITY OF PORT ANGELES
LIGHT DEPARTMENT
Port Angeles. wasb1ngton__mL.:::..c.:'~....m__....m..__....m.....m..., 19m[ C
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.
M. dress ..1...5'.!2..J.~.,.,.~.."~.__..~~.,,..:~s?....__m.m..__ Occupancy.A.5.':~__....m__"""____"hm...
Ouner -i.;!!i.z:...~L4!t;__.~..;____..__m7tm. (T~~nL.m____.m.m___.m__m._...........mm..__........m.m.__
Wiring Contractor .~,.r.'./.t!':..f-g.~.L~--!C?;.y./~. By......m.m....mm__.......m...............__......m...______
/? /~~~ 'J;'
LI:rht Outlets........___........::.....?_.._....' Service, volts ~.....:.;j7n....~...-------_h.....
Receptacle Outlets....___~.~..:?_____...._... No. wires .....-.:?.--...........-..----..:~....--
,-- ;::{:)~, ..-
::::'r:::~~~?:.=?::::::.:...............: :::~o::::B::~~g:~::~~:::::::.::~::
KW..mm.m.7!:..5..~_mmm.m..m.. Type of wIring:
Heat: KW.......?~:::::'..k'.."",,;k Entrance Cable .............................
Motors: size. volts and phase: Rigid Conduit on___m......'"
/~;l~:~:::::::::::
( ') TyP:::::~~ble ...........................
Non-Metallic ................---..............
Knob & Tuben.....__mh.....__.._____......
Rigid Conduit ...............................
Metallic Tubing .___m......___........._.
Raceway .......___....................._......_
Circuits. Light.......................................
Utility.............................................
Metallic Tubing ..................
}Ieat ..............--............................-..
Current transformers:
Range ..................__.......................__
Ser. No..............................................
Water Heater ...............................
Motor ..._........................................
/'
I
No. & Size..............................
Set. No. ..u.........................................
Dryer................................................-
Furnace .........................._...................
Ser. No...............................................
Total Load............................. Ser. No.................._.......................... Total....................................... )
Remarks: .~.;7'~.<I.."~."".c:__uuc.~.,,:':::-::.r5n..n(;j;!.m.nn.nuumuu.u--m....m...m.m.u.n......m......mum....m........1
_.__._~.._-----_._.._._.._----_.__.~---------_._.._..._-----_.__..._---_.__._.------------_....~....__._---_...--.-.------..--.----.-------..--..-----------....-.-.-----...-.--
.......u_u...._...nuunun..uuun.n.._huuu_n.nnu.un...u.nu....n.hn.n.uu.nn_.._.n.unu...nn_._n__..nnn_.u.n__h____n__..~_nu._nun
By 7l!~%..?~d::.,~uL.mum.\
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- \
cealed due notice must be given the Inspector so that work may be inspected before concealment.
Treas. Receipt
Permit Fee
::)/ &f/
$......L?:::::...nmumm..__...
NO.m...........m.......m.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
'm
N~ 1 800 1
ELECTRICAL PERMIT
Aldress........................................................................................................................................Date..._.........._.._.._..........-......-.................
C wner ..................................._......_.._......_......_.._......................................................... Tenant....................................................................
V.?iringContractor..........................................................................................................................By..............................................................
NOTICE-Current must not. be turned on until Certificate of Inspection has. been issued. If work is to be con-
e Jaled due notice must be given the Inspector so that work may be inspected before concealment. .
1M
Olympic Printers, Inc.
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