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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.