HomeMy WebLinkAbout2308 Samara Dr - Building CITY OF PORT ANGELES
r DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
g 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 10- 00001469 Date 1/04/11
Application pin number 048497
Property Address 2308 SAMARA DR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-5-8- 0270 -0000-
Tenant nbr, name PHILLIP L ADAM on your state excise tax form
Application type description RES REMODEL to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 131629
Application desc
REMODEL FIRE DAMAGED HOME
Owner Contractor
PHILLIP L ADAM HOCH CONSTRUCTION
2308 SAMARA DR 4201 TUMWATER TRUCK RT
PORT ANGELES WA 983631400 PORT ANGELES WA 98363
(360) 460 -9611 (360) 452 -5381
Structure Information 000 000 D
Permit BUILDING PERMIT RESIDENTIAL
Additional desc REMODEL FIRE DAMAGED HOME
Permit pin number 179127
Permit Fee 1199.45 Plan Check Fee 779.64
Issue Date 1/04/11 Valuation 131629
Expiration Date 7/03/11
Qty Unit Charge Per Extension
BASE.FEE 1020.25
32.00 5.6000 THOU BL- 100,001 -500K (5.60 PER K) 179.20
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 179465
Permit Fee 86.25 Plan Check Fee .00
Issue Date 1/04/11 Valuation 0
Expiration Date 7/03/11
Qty Unit Charge Per Extension
BASE FEE 50.00
5.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 36.25
Permit PLUMBING PERMIT
Additional desc
Permit pin number 179481 Y�
Permit Fee 57.00 Plan Check Fee .00
Issue Date 1/04/11 Valuation 0 1 0
Expiration Date 7/03/11 llli��G
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.0000 EA PL- PLUMBING TRAP 7.00
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 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 rovisions of any st :te or local law regulating construction or the performance of
construction.
y lI ��r l-rt 4is t t
Date Print Name Signature of Contrac or or Authorized Agent Signature of Owner (if owner is builder)
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
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 FINAL Date Accepted b
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 FINAL Date Accepted b
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
1
Page 2
Application Number 10- 00001469 Date 1/04/11
Application pin number 048497 REPORT SALES TAX
Other Fees STATE SURCHARGE 4.50 on your state excise tax form
Fee summary Charged Paid Credited Due to the City of Port Angeles
Permit Fee Total 1342.70 1342.70 .00 .00 (Location Code 0502)
Plan Check Total 779.64 779.64 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 2126.84 2126.84 .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 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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MIN /MUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735 C-
Public Works Utilities 417 4831 Backflow Prevention Inspections 417
—o
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
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING: 5110UsP.• eail 3 14
Under Floor Slab
Rough In 01 SL
Water Line (Meter to Bldg)
Gas Line n
Back Flow Water FINAL Date b L Acceptedy IA-
AIR SEAL: 01 1S -1 I
Walls
\A
Ceiling
FRAMING: O( 13 U. 0
Joists Girders Linder Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only) n
T -Bar v
INSULATION: P8
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney 2 t I
Commercial Hood Ducts FINAL Date O X2 Accepted
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 4831 (4
Fire 417 -4653
Planning 417 -4750 f/
Building 417 -4815 ID -2z-11
T:Forms /Building Division /Building Permit L�-
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BUILDING
CI OF PORT. ANGELES
Correction Notice
Job Located at s30 8 Sit-7,.9 e.9
Inspection of your. work revealed that the following is
not in accordance with the codes governing the wor in
e y this jurisdiction 40 i c 002A)..ApiAvL.)
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These corrections must be made and are not to be
covered until.reinspection is made. When corrections
have been made, please call 417471'
for inspection.
r
Date 1 -1 1-
Inspector for Building Division
DO NOT REMOVE THIS TAG
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r �u� s°Rr,,1,� BUILDING PERMIT APPLI TION Print in ink
L: Ff
6 tri"v• CITY OF PORT ANGELES For City Use Only:
Attn: Building Permit Technician Date Received IZ- ►'I -a?
321 E. Fifth St., Port Angeles, WA 98362 Permit 1
(360) 417 -4815 fax (360) 417 -4711 I D.. to Approved
I
Applicant t l- jc,{11 .s y sA,L, Pho l i &O kw -SEE'
Property OwnerOu 0.m Phone r
Property Owner's Address a 30 g(rvt.a.va. be. a t wA- pm 3
Contractor /€Beer elk ,a I J; A. hone 310p, 5 AA_
contractor/ s i— rLI.M. t,v[,L. -k2 n-tc fa• t<? A c itst c 2
License vit to e.to 1 14 Expires 91 (tfJ I E -mail h k t
PROJECT ADDRESS o? cV,4 AAA b -ems (3 A w f}•-9 4
Parcel Number Lot Zoning
Project Type Brief Description: Residential Commercial Multi family Industrial
Check all that apply
New Construction ill 2S/10 per hone. c<.0 w•t•k to Noc11 Neu.; S4oVe. 1cc&+i tnS lIIi y
Addition
5 t-� tK+ n i l i
*Remodel We+tl trer►t e.
�,n �—t�'P t e �l-e 4 t clt n n ew t� ■le s
Repair +"Y F i re S 1, (1�l.x.t1 Q1Z s LQ W Q-1Act �tteo O
Re -roof �hR� dtc.a,� mil( �se.'6..IGti. c�cll)n 4 b e:./444 Stliafz�. „u�i'( J
Demolition JUL(riesred
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement l (p i 4 ie /S, 1 per sq. ft. /FD/o. 3 y
1 s Floor 4f L 562 73
2n Floor I /58'w.f'i-, -8- j 5A,O 9y
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION /31629. 0.'m
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage ok
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will afire sprinkler system be installed? Construction type of half baths
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
1
projects.
Date 1 '\1 1 \O Print Name (t'ivfr �j' g+ Signature 1 I L
Clallam County Assessor Treasurer Property Details 63042 PHILLIP L ADAM for Page 1 of 6
Clallam County Assessor Treasurer
Property Search Results 63042 PHILLIP L ADAM for Year 2011 2012
i Property
Account
Property ID: 63042 Legal Description: SAMARA WOODS #1
LOT 27
Geographic ID: 0630015802700000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi Family Redevelopment: N I
Township: Section:
Range:
Location „Q
Location
Address: 2308 SAMARA DR Mapsco:
PORT ANGELES, WA 98363
Neighborhood: Cycle 5 Res Map ID: 3
Neighborhood CD: 10955130
Owner
Name: PHILLIP L ADAM Owner ID: 10186
Mailing Address: 2308 SAMARA DR Ownership: 100.0000000000%
PORT ANGELES, WA 98363 -1400
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 12/17/2010
Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the
click RECALCULATE to obtain the correct total amount due.
I T 7
First i
Half Half I
,Base Base
Year I Statement ID I Taxing Jurisdiction Amt. Amt. I Penalty' Interest Base Paid
2010 45600 ST SCH STATE SCHOOL $245.94 $245.95 $0.00 $0.00 $491.89
2010 45600 CC -GEN COUNTY CLALLAM $130.90 $130.87 $0.00 $0.00 $261.77
2010 45600 PORT PORT OF PORT ANGELES $18.40 $18 39 $0 00 $0.00 $36.79
2010 45600 PORT ANG CITY OF PORT ANGELES $303.05 $303.03 $0.00 $0.00 $606.08
2010 45600 SD #121 SCHOOL DISTRICT #121 $318.56 $318.57 $0.00 $0.00 $637.13
2010 45600 NTH OLY LIB NORTH OLYMPIC LIBRARY $38.03 $38.03 $0.00 $0.00 $76.06
2010 45600 HOSP #2 HOSPITAL #2 $53 69 $53.69 $0 $0 00 $107.38
2010 45600 WSMET PK DIST WILLIAM SHORE MET PARK DIST $17.08 $17.09 $0.00 $0.00 T_- $34.17
2010 45600 CITY_STORMWATER CITY STORMWATER $36.00$36.0O $0.00 $0.00 $72.00
2010 45600 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63
2010 45600 TOTAL: $1162.47 $1162.43 $0.00 $0.00 $2324.90
2009 630422008 ST SCH STATE SCHOOL $316.05 $316.04 $0.00 $0.00 $632.09
2009 630422008 CC -GEN COUNTY CLALLAM $159.96 $159.93 $0.00 $0.00 $319.89
i 2009 630422008 PORT PORT OF PORT ANGELES $22.66 $22.65 $0.00 $0.00 $45.31
2009 630422008 PORT ANG CITY OF PORT ANGELES $350.83 $350.82 $0.00 $0.00 $701.65
1 2009 630422008 SD #121 SCHOOL DISTRICT #121 $390.82 $390.88 $0.00 $0.00 $781.70
http: /vpn. clal lam. net: 8084 /propertyaccess /Property. aspx ?cid =0 &year =2011 &prop_id =6... 12/17/2010
ELECTRICAL PERMIT .1.-
o
3
d CITY OF PORT ANGELES
360-417-4735 Oct'
c-A
Application Number 10- 00001162 Date 10/14/10
Application pin number 606238 REPORT STATE SALES TAX
Property Address 2308 SAMARA DR
ASSESSOR PARCEL NUMBER: 06- 30- 01 -5 -8- 0270 -0000- on your excise tax form
Application type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Fire remodel
Owner Contractor
ADAM PHILLIP L NORTH PENINSULA ELECTRIC
2308 SAMARA DR 761 FRESHWATER PARK RD
PORT ANGELES WA 983631400 PORT ANGELES WA 98363
(360) 477 -1764 9zo 9 7 OQ
Permit ELECTRICAL ALTER RESIDENTIAL Q
Additional desc
Permit pin number er 175430
Permit Fee 122.90 Plan Check Fee .00 (A
Issue Date 10/14/10 Valuation 0
Expiration Date 4/12/11
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50
19,00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 49.40
Fee summary Charged Paid Credited Due
Permit Fee Total 122.90 122.90 .00 .00
Plan Check Total .00 .00 .00 .00 n
Grand Total 122.90 122.90 .00 .00 U
4
ft.3
r
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN i i 1 1 ,;f
FINAL vivo 4 At
IP
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
2010 -10 -12 22:25 NORTH PENINSULA ELEC 3609289409 360 417 4711 P 1/1
V t'2‘ .k .)Sc._
':;1 q L6 C C- C A e"--
City of Port Angeles Permit Application r T J `l1 1 if
Building Division /Electrical Inspections ,,u
321 East Fifth Street P.O. Box 1150 r 1-_-u i
Pon Angeles Washington, 98362 10
Ph: (360) 417.4735 Fax: (380) 417-4711 I
Dale: \..a`,G E��CTRICA�
�1lSP�C�iO�!S -4,411"../.. 1 2 Single Family Dwelling
Multi Family or Commercial
Commercial Addition Alteration /Remodel Repair
Plan Review May Be a red, P se Complele Ele rice PI Review Intimation Sheet
Job Address: M 6 1-A Y 1''..
Building Square Footage:
Description of above L...2. r L Y c....-. \k
Owner Inform ion .1 n�trac or Infarmati•n
Name: A �CoCo
Ps'�''\ Vt-} l U -12' Name: t,.. r'
:1VLc1:-- r U
Mailing Address: 2.408 F„i/•--k r (L.A Mailing Address: '1 U v 'LEA 1- Y
City: State: Zip: City: y.7 State' ip: 3': �1
Phone: Fax: Phone: L Fae `P. °l_- \c L}
License 1 Exp. License Exp. 1 #-1-1_ fit' rn L
Unit Charge Total (Qty Multiplied by Unit Charnel
3119.90 Service /Fe 200 Amp.
145.50 Service/Feeder 201 -400 Amp.
S 204.60 S Service/Feeder 401-600 Amp.
262.20 5 Service/Feeder 601.1000 Amp
S 372.50 Service/Feeder over 1000 Amp
$.60 Branch Circuit WI Service Feeder
73.50 5 13 T U Branch Circuit W/O Service Feeder
2.60 r S H ra 4 p Each Additional Branch Circuit
92.70 Temp Service/ Feeder 200 Amp.
$110.30 Temp. Service/Feeder 201 -400 Amp.
S 148 70 S Temp. Service/Feeder 401.600 Amp.
'$167.90 Temp. ServicelFeeder 601.1000 Amp.
5 95.90 Portal to Portal Hourly
88.20 Slgn /Outline Lighting
S 95.90 Signal Circuit/ Limited Energy Commercial Additional 1500 55.00
S 63.90 Signal Circuit/ Limited Energy -1 2 Family Dwelling
63.90 Signal CircuiU Limited Energy Multi-Family Dwelling
119 90 Manufactured Home Connection
S 102.30 Renewable Electrical Energy 5KVA System or Less
5 110.30 First 1300 Square FL
S 3520 5 Eacn Additional 500 Square FI. or Portion of
S 73.50 S Each Outbuilding or Detached Garage
110.30 S Each Swimming Pool or Hot Tub
56.00 rmostat
$4 I `Total
Owner as defined by RCW.19,28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if
above said property Is for sale, rent or lease: Permit expires after six months of last Inspection.
After reading the above statement. I hereby certify that 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or
alteration In compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.469, The City of Pon Angeles Municipal Code, end Utility Specifications.
Signature of owner, electrical contractor or electrical administrator 0 Cash
i
O Check
X tA
g: i I L. J Credit Card II 2 I .l_J4-
o Ditch Inspection O.K.
~1\1'1 ~j Rough-in/cover O.K.
o O.K. to connect service
11"\ l' Final O.K. ~ n..... \.-C.--
Site Address: c-
~'30<e ::::''''II''\~....-~c..
.
.
.
~
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
,
PERMITNQ o/73Z
DATE~
ELECTRICAL PERMIT
Site Address: '2. '3 0 '0 S C'I VV\ 0. ,... " 0.. \:)r; v~ o READY FOR o WILL CALL FOR
INSPECTION INSPECTION
Installed By: Ow '" € V- I LiceN' ~u~r Phone:
Owner/Busine~: 146. Co. VV\ -f~on\:6. ~"/
N\c........ I 0..
Owner/Business Address: Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
~DD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
a
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
D1f6 D3f6
SERVICE SIZE
FEEDER SIZE
-1, (\,
GI'-J,Cl.\
-rCC V'V\
AMPS
AMPS
o TEMPORARY SERVICE
0. ""
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
Dy-;<..Je..
.,
Permit/Receipt No.
~""e<~ 11< 38TL.
Installer:
au.; ~er
New Meters
N GV\.e..
~'teh I ~ 4-
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and 0. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Buildi rmit. PHONE 457-0411, EXT. 224.
J-f'X.A-. 00
~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ L 0 -
Elecrfi'callnspector - Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Depl., Bottom: City Hall
OLYMPIC PRINTERS INC