HomeMy WebLinkAbout2427 Samara Dr - BuildingPREPARED 10/08/08 11 11 15 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/08/08
ADDRESS 2427 SAMARA DR SUBDIV
TENANT NBR MIKE SHANA SIMMONS
CONTRACTOR CUSTOM SIDING INC PHONE (360) 457 4336
OWNER MICHAEL SHANA SIMMONS PHONE
PARCEL 06 30 01 5 9 0220 0000
APPL NUMBER 08 00001201 SIDING
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 10/
JL�
BLDG FINAL
October 8 2008 8 47 21 AM 1pangrle
NO NAME WAS LEFT ON THE MESSAGE MACHINE 461 0833
BLDG FINAL SIDING
COMMENTS AND NOTES
T.Forms /Building Division /Building Permit (05 /13 /08).wpd
Owner
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 08 00001201 Date 9/19/08
Application pin number 521159
Property Address 2427 SAMARA DR
ASSESSOR PARCEL NUMBER 06 30 01 5 9 0220 0000
Tenant nbr name MIKE SHANA SIMMONS
Application type description SIDING
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 1910
Application desc
REPLACED DAMAGED VINYL SIDING AND SOFFIT
Contractor
MICHAEL SHANA SIMMONS CUSTOM SIDING INC
2507 BAYOU BEND RD PO BOX 1025
GAUTIER MS 39553 PORT ANGELES WA 98362
(360) 457 4336
Structure Information 000 000 REPAIR FIRE DAMAGED SIDING SOFFIT
Permit BUILDING PERMIT NO PR FEE
Additional desc REPAIR SIDING SOFFIT
Permit pin number 134965
Permit Fee 95 75 Plan Check Fee 00
Issue Date 9/19/08 Valuation 1910
Expiration Date 3/18/09
Qty Unit Charge Per Extension
BASE FEE 50 00
15 00 3 0500 HND BL -501 2K (3 05 PER C) 45 75
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 95 75 95 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 100 25 100 25 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 st e or loca law,egulating construction or the performance of
construction
Gn �h �0 o�
Date Print Name Signature of Conte =cto orAuthorizJ Agent Signature of Owner (if owner is builder)
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
FOUNDATION.
FOOTINGS
SHEAR WALLS WALLS
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
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
ELECTRICAL LIGHT DEPT 417 -4735
BUILDING PERMIT INSPECTION RECORD
DATE ACCEPTED
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
I FIRE 417 -4653
I PLANNING DEPT 417 -4750 I y�
I BUILDING 417 -4815 I —C OS P I
YES NO
FINAL
FINAL
PLANNING DEPT SEPARATE PERMIT fi's SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING I SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
COMMENTS
DATE ACCEPTED BY.
DATE ACCEPTED BY.
DATE
ACCEPTED
YES I NO
I I I
I I I
I I 1
Applicant or Agent
Property Owner
Property Owner's Address
Contractor /Engineer
License 6a5 0 igikPeiik
PROJECT ADDRESS
Contractor /Engineer's Addres
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
'Repair
Re -roof
Demolition
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
I
T Forms /Building Division /Bldg Permit Appl. 2006 Code doc
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
.Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
&ize
r 2 1 -12-7 $a-frrerra, e
:7;4
Residential Commercial
INO
■re. v--r> J
Phone
Phone
Expires
Lot
ey* e& a /,n f V Q SO.G /7
Heat pump wood burning stove gas fireplace pellet stove
Existing (sq. ft.) Proposed (sq. ft.)
Total footprint of structures sq ft. T Lot size
Max height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
For City Use Only
Date Received o t- I c l Og
Permit# ('fig- ►2O(
Date Approved
Phone 4'57.9336
Zoning
Multi- family Industrial
other
per sq ft.
TOTAL VALUATION M/y-
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
1 have read and completed this application and know it to be true and correct. I am authorized to apply for this
understand that it is my responsibility to determine what permits are required, and to °stair permits pior t
projects.
�i
Date /�9/ Print Name ��G� Sign_
00.
OA
ermit and
working on
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
PERMIT NO. :3 7~S
8/zs/'7c:.
DATE
ELECTRICAL PERMIT
Installed By:
;;( .;J..
tJucfi.
L~
tJr..
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
OwnerfBusiness Address:
Sq. Ft.
IW'RESIDENTIAL
o COMMERCIAL
o BASEBOARD KW _
o FURNACE KW
~ FAN/WALL KW ~
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
,811 NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
1;:] OVERHEAD SERVICE
IJiJ UNDERGROUN S VICE
VOLTAGE: zO Z
)1l1' SINGLE PHA E
~E~~~~ESi~A~,OO AMPS
DetailslDescription:
l1)fAf ~
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
//IPf tiJ Rough-in/cover O.K.
1JM.1'f'I O.K. to connect service
~ ijl Final O.K.
Installer:
G..-
Site Address:
.
Notify Port Angeles City Lig t by Street Address and P mit Number when 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 ~rmit. PHONE 457-0411, EXT. 224. ~
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ f 0 -
Electrical Inspector Permit Fee
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Halt
OLYMPIC PRINTERS INC.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
J {,O,2
.s-/7ftz
DATE
ELECTRICAL PERMIT
In51.lIed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
~sf
Phone:
Owner/Business Address:
Sq. Ft.
III RESIDENTIAL
ti COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
~ FAN/WALL KW $-Ie-
o HEAT PUMP KW_
o SIGN
o TEMPORARY SERVICE
81 PERMANENT SERVICE
li/I NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o OVERHEAD SERVICE
J8 UNDERGROU~D SERVICE
VOLTAGE: /20 @~(../
~ SINGLE PHASE
o THREE PHASE
SERVICE SIZE <:9&0 AMPS
Details/Descriptio
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
--
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Site Address:
.:<
Permit/Receipt No.
.::?/OZ-
Installer:
New Meters
.
Notify Port Angeles City Light by Street Address and Permit Number when 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.
--;;;;,
.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
cPO
70-
Permit Fee
Electrical Inspector
WHITE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. :JS'/Z-
..3 .4y~,,"-
/ r
DATE
Installed By:
~ 0/.;2
-
/WU
L~
Smn~ ~
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
Phone:
Site Address:
~.$f:
Phone:
Owner/Business:
Owner/Business Address:
Sq. Ft.
D RESIDENTIAL
D COMMERCIAL
D BASEBOARD KW _
D FURNACE KW _
D FAN/WALL KW _
D HEAT PUMP KW_
D SIGN
)i1 TEMPORARY SERVICE
D PERMANENT SERVICE
D NEW CONSTRUCTION
D REMODEL
D ADD/ALTER CIRCUITS
D SERVICE UPGRADE/REPAIR
D SPECIAL EQUIPMENT
(LIST BELOW)
D OVERHEAD SERVICE
~ UNDERGRO~lUIlID.~RVICE
VOLTAGE: IZO"lil~
& SINGLE PHA E
D THREE PHASE
SERVICE SIZE /U2L/ AMPS
-
Details/Description:
-4.
.
W.S. No. SERVICE SIZE
CAPACITY:
D O.K. NOT O.K.
ACTION REQUIRED: D CHANGE TRANSFORMER
D INSTALL SERVICE POLE
DATE
ENGR.
D CHANGE SERVICE WIRE
D OTHER
D Ditch Inspection O.K.
D Rough-in/cover O.K.
~'I:. O.K. to connect service
D Final O.K.
Installer:
.
Notity Port Angeles City Light by Street Address and Permit Number when 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.
-r;;::
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
~~
Electrical Inspector
Permit Fee
WHrrE - File by address
YELLOW - file by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC.