HomeMy WebLinkAbout118 E. 8th Street Address:
118E 8th Street
_ I (� C . � Sfi - .
PREPARED 12/11/15, 10:18:04 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/11/15
---------- ---
ADDRESS 118 E 8TH ST SUBDIV:
CONTRACTOR BY DESIGN GROUP INC PHONE (360) 582-1843
OWNER PENINSULA COMM MENTAL HLTH CTR PHONE
PARCEL 06-30-00-0-2-6808-0000-
APPL NUMBER: 15-00001110 COMM REMODEL
-------------- --- --- ----
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL99 01 12/11/15 BLDG FINAL
12 December 11, 2015 10:21:45 AM jlierly.
Wes 461-7386
--—------------------- ----------- COMMENTS AND NOTES -----------—----------------—-------
% ► CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00001110 Date 9/11/15
Application pin number . . . 353430
Property Address . . . . . . 118 E 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6808-0000- REPORT SALES TAX
Application type description COMM REMODEL
Subdivision Name . . . . . . on your state excise tax form
Property Use .. . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR (Location Code 0502)
Application valuation . . . . 27517
Application desc
Remodel two bathrooms
----------------------------------------------------------------------------
Owner Contractor
PENINSULA COMM MENTAL HLTH CTR BY DESIGN GROUP INC
118 E 8TH ST 11 EAST RUNNION RD
PORT ANGELES WA 983626129 SEQUIM WA 98382
(360) 582-1843
----------------------------------------------------------------------------
Permit BUILDING PERMIT COMMERCIAL
Additional desc BATHROOM REMODEL
Permit Fee . . . . 448.05 Plan Check Fee 291.23
Issue Date . . . . 9/11/15 Valuation . . . . 27517
Expiration Date 3/09/16
Qty Unit Charge Per Extension
BASE FEE 417.75
3.00-- 10.1000 THOU BL-25,001-50K (10.10 PER K) 30.30
----------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
wt - ----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Do ----------------- ---------- ----
Permit Fee Total 448.05 448.05 .00 .00
Plan Check Total 291.23 291.23 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 743.78 743.78 .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
Q 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
i not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
S -9' d
Date Print Name Signature of Contractor or Authorized Agent Sig re 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 INCONSPICUOUS 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 Onl
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pum /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:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction-R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THEORT �jGELESI For City Use
CITY OF ,t1
Permit# f D
W ASH I N GrT O N, U. S.
D e Received:
321 E 5th Street to Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@cityofpa.us BUILDING PERMI A 41CATION
Project Address: F C k r/-/ T- POAT AAArAr c.�
Phone:
Prima Contact: Email:
Name ^ Phone
J O 3I
Property Mailing Address Email
Owner
City State Zip
w A
Na Phone
/,�c -
Contractor Address Email
411 06-a
Information city State Zi
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$ RZe 5I
Residential ❑ Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ElFire 1:1Repair 11Reroof(tear off/lay over) El
Classification For the following,fill out both pages of permit application:
(check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
appropriate) Mechanical ❑ Plumbing ❑ Other ❑
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes 0 No 0 Existing? Yes 0 No D
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to .
www.stormwater@cityofpa.us
Project Description 21CA20 ib r 1 1-1A T i-c; gos ms A%
I R S i '^''C oo R L, O DC7 L-y Wf7H DA-'�
3 I */-?g —r
Is project in a Flood Zone: Yes 13 NA Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
I have read and completed the 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 work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within 18o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
I k-C Z-1 YnIng f�
Date Print Name
Signature
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area Floor area $Value new area
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or i" floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Area Descriptions(SQ FT) Existing Proposed Construction For Office Use
Floor area Floor area $Value new area
Existing Structure (s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage (Total lot cov_lot size) Max Bldg Height
all structures sq ft
Site Coverage(Sq Ft of all impervious) %of Site Coverage (total site cov_lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended, Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Water Heater #
Plumbing Vent piping # Medical gas piping #of Outlets:
Water Line # Fuel gas piping #of Outlets:
Sewer Line # Industrial waste pretreatment
interceptor Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx
PENINSULA BEHAVIORAL HEALTH
TOILET ROOM REMO
110 E. 8TH 5TfREET
f=OfRT ANGELES
BTA�t3
U EXTG fi=ROJECT IDATA
OFFICE
OWNER:
EXM PENINSULA BEHAVIORAL HEALTH
EXTG
X RECEPTION �
SITE ADDRESS:
- ExTG ExtG IIS E. 8th STREET
OFFICE OFFICE PORT ANGELES, WA 98362
® PROJECT DESCRIPTION:
AREA OF WORK
j —————————————— RENOVATION OF EXISTING MEN'S AND WOMEN'S
TOILET ROOMS AT FIRST FLOOR LOBBY TO COMPLY
EEM � � 0 WITH ADA ACCESSIBILITY REQUIREMENTS.
( I ExlSTIN� PROJECT WILL CHANGE EXISTING ARRANGEMENT OF
L055YMAITING ( 0 EXISTING EXISTIt 0 I RES TOILETS/URINALS AND PROVIDE NEW TOILET
WOMEN'S �,S PARTITIONS AND GRAB BARS AT ACCESSIBLE STALLS.
AREA OF WORK 0 RESTROOM RESTROOI"f
—�—— 1 Ell EXISTING WORK ALSO INCLUDES NEW LAVATORYS AND COUNTERS, .
I UTILITY NEW PLASTIC LAMINATE WAINSCOAT, NEW FLOOR
T� ,� I O O O COVERING AND NEW PAINT.
CITY OF PORT ANGELES—Construction PIans
Ex5 EM The Issuance of this permit based upon these plans
i�Y `———————— —————— specifications and other data shall not prevent the
L
— , TOILET ROOMS DEMOLITION SCOPE: building official from thereafter requiring the
correction of errors in said plans,specifications and
U REMOVE ALL EXISTING TOILET PARTIONS other data,or from preventing building operations LAW
1) t-mlbein carried on thereunder when in vioof an
2) REMOVE TOILETS AND URINALS AS INDICATED codes lationand ordinances of this jurisdiction.
E 3) REMOVE EXISTING LAVATORYS AND COUNTERS ALLWp BJECTTOFIELDAPPROVAL
4) REMOVE EXISTING FLOOR COVERING AND BASE
5) REMOVE EXISTING WAINSCOAT ALL WALLS Die �L
®� f=:>L -4 I NORTH (o) REMOVE ALL DISPENSERS, COVER PLATES, LIGHTS AND IRRORS t �FAAA/�
5C,4LE= lib = 1'-0" AND STOCKPILE FOR RE-INSTALLATION.
"-mac 914 LOC-/'v
319 south Peabody St. PENINSULA BEHAVIORAL HEALTH
PATE:
5
Suite B
IJNDBF-RP9PMffHPort Angeles, WA 98382 TOILET ROOM REMODEL
ARC H E T E C T S Phone:(380) 452-8118
Fax(380) 452-7084
118 E. 8TH STREET, PORT ANGELES
s
'.rry
OF WOfR< (TOILET F,OOi"I5)
DEMOLITION:
EXTG 1) DEMOLITION WORK OUTLINED ON SHEET A-1
14U
P OFFICE
MATERIALS TO BE RE-USED:
EXT' 1) EXISTING ELECTRICAL SWITCHES, OUTLETS, LIGHTS AND
EXTG FANS TO BE RE-USED.
X RECEPTIONExT' 2) EXISTING TOILET ROOM ACCESSORIES AND MIRRORS
TO BE RELOCATED AND RE-USED.
EXTG
OFFICE OFFICE NEW CONSTRUCTION:
1) FOLLOWING ALL DEMO WORK AND PLUMBING WORK,
w
p PATCH 4 REPAIR ALL WALLS AND FLOOR TO PROVIDE SMOOTH
® AND EVEN SURFACES FOR NEW FINISHES.
AREA OF WOE 2) PROVIDE NEW 48 HIGH PLASTIC LAMINATE WAINSCOAT AT
IP o a ALL WALLS. COLOR TO BE SELECTED BY OWNER.
EXTGI ;- EXT' ;EXT -; a 3) REPAINT ALL WALLS AND CEILING. COLOR TO BE SELECTED
LOBBY/WAITING I O 306 R
EXISTING HC
RE
4) PROVIDE NEW PLASTIC LAMINATE LAVATORY COUNTERS
O t "1 �- REM D�O I AND BACKSPLASH. COLOR TO BE SELECTED BY OUTER.
M5) PROVIDE (2)NEW ADA TOILETS AND RE-USE EXISTING TOILET
AREA OF�—� I pclStit AND URINAL AS DELINEATED ON DRAWING. PROVIDE NEW
I I UTILITY SINKS AND FAUCETS AT NEW LAVATORY COUNTERS.
I (o) REINSTALL EXISTING MIRRORS AT TOP 01= BACKSPLASHES.
�Glf:�r
W6 ILa
Q Q REINSTALL EXISTING SOAP DISPENSERS ON WALLS
EACH SIDE OF MIRRORS.
I EXTG `�_ REINSTALL EXISTING PAPER TOWEL DISPENSERS AT
`0_ e----v- -- TOP OF WAINSCOAT.
-'s REINSTALL TOILET SEAT COVER DISPENSERS AND
NEW DOORS EXISTING AUTOMATIC DOOR TOILET PAPER DISPENSERS AS INDICATED.
PROVIDE NEW STOREFRONT DOORS PUSH PAD ON WALL l) PROVIDE NEW SHEET VINYL FLOORING AND NEW RUBBER BASE
FRAME AND THRESHOLD AS FOLLOWS: SEE SHEET A-3 FOR WITH TRANSITION STRIP AT DOORS.
VERIFY EXISTING OPENING SIZE AND CONDITIONS PRIOR TO ORDERING ENLARGED TOILET PIAN FLOORING: ALTRO SUPREMA SAFETY FLOORING (10 YR WARRANTY)
COLOR SELECTED BY OWNER
VERIFY EXISTING FLOOR FINISHES AND SLAB CONDITIONS
81) PROVIDE NEW TOILET PARTITIONS AS INDICATED ON DRAWINGS.
1) DOORS: SOLID, HIGH-DENSITY POLYETHYLENE (HDPE)MATERIAL, V THICK
KANEER 350 SERIES MEDIUM STYLE DOOR OR EQUAL FLOOR ANCHORED, HEADRAIL BRACED PARTITIONS.
MILL FINISH COLOR SELECTED BY OWNER.
3Y2" TOP 4 SIDE RAILS, 10" BOTTOM RAIL
INSULATED TEMPERED GLASS, I" OVERALL
w/ 1/4" LOW E GLASS AT OUTBOARD PANE AND 1/4" INBOARD PANE
OFFSET PIVOT HINGE SYSTEM � I I
2) FRAME: �L L®IJJs�e��i�CJ
Pi4" x 41/2" ALUMINUM FRAMEf;Pi ®�
MILL FINISH .,4 I Q 1) PROVIDE AN ALLOWANCE OF 6,500,FOR
i�l O STH
3) THRESHOLD: ®® I \l NEW PLUMBING FIXTURES AND FAUCETS
ADA COMPLIANT THRESHOLDi'—o°
VERIFY EXISTING CONDITIONS AND FLOOR FINISH
4) EXIT DEVICES:
CONGEALED ROD EXIT DEVICE
DOOR-O-MATIC 1690 OR EQUAL
O 318 South Peabody St PENINSULA BEHAVIORAL HEALTH 5-14-15
5) DOOR CLOSURE: suite B
NORTH DOOR: NORTON 8101 PARALLEL ARM SURFACE MOUNT (OR EQUAL) Plu :0 ' �� eases -TOILET ROOM REMODEL
SOUTH DOOR RE-USE EXISTING AUTOMATIC OPERATING SYSTEM A R (C% IH[ I T IE C T Phone:(38°� 4sz-aus 118 E. 8TH STREET, PORT ANGELES A -2
Fay 330 452-7064
NEW PLASTIC LAMINATE EXISTING 1., NEW PLASTIC LAMINATE
COUNTER E BACKSPLASH WALL I ' —22 L COUNTER E BACKSPLASH
w/NEW SINKS a FAUCETS EXTG w/ NEW SINKS d FAUCETS
XTG DO EXTG D00
O
' NEW ' NEW
INYL
/FLOOR
YIN 0 i EXISTING 1BOX ON FLOOR
' UNDER COUNTER TO BE COVERED
�4 i4B" x 54" i i WITH NEW FLOORING AND BASE
_
> 0!CLEARANCE
CLEAR WOMEN'S MEN'S
�
RESTROOM RESTROOM _6
NEW TOILET STALL 6, „ 3� 1�� r��_p�� "v
PARTITIONS 2 NEW TOILET STALL
PARTITION
NEW GRAB BARS NEW GRAB BA
(SEE ELEVATIONS) (SEE ELEVATI S) MIN.
iYERI
p EXTG RE-USE EXTG URINAL THIS LOCATION
PROVIDE NEW ADA TOILET io LOWER WATER AND DRAIN LINES
TO REPLACE EXTG TOILET O TO ADA COMPLIANT HEIGHT
THIS LOCATION �' rE�n
PROVIDE NEW ADA TOILET REMOVE EXTG ADA URINAL
"REMOVE EXISTING WATER CL05ET TO REPLACE EXTG TOILET THIS LOCATION AND CAP
PLUG EXTG FLOOR DRAIN THIS LOCATION WATER AND DRAIN LINES IN.WALL
AND COVER w/ SELF-LEVELING
CONCRETE MATERIAL RE-USE EXISTING
REMOVE WATER LINE AND CAP WATER CLOSET
INSIDE WALL THIS LOCATION
®JD E L
NORTH
D TE:
O 319 South Peabody St. PENINSULA BEHAVIORAL HEALTH 5-14-15
Suite B
Port Angeles, WA 98382 TOILET ROOM REMODEL
A R C H I T E C T S Phone:(380) 452-8118 118 E. 8TH STREET, PORT ANGELES A -3
F
gas 380 452-7084
TOILET SEAT COVER GWB WALL
DISPENSOR ABOVE TOILET (PAINT)
TYPICAL ,
TOILET
PARTITION RE-USE EXTG LIGHT
___—__�_ �_____= VERTICAL 3'-3" Q RE-USE EXTG MIRROR
------- � I GRAB BAR
4 14 � I I
p�ql.� PAPER TOWEL DISPENSOR
WAINSCOT ON EAST WALL
5 p LIP
GRAB BAR NEW COUNTER 4 BACKSPLASI-I
FACE OF SUPPORT ANGLE
PROTECTIVE COVER
OVER PIPES
WE5T TOILET STALLS NOT SHOWN NORTH-{ TOILET SEAT COVER DISPENSOR
FOR CLARITY AND TOILET PAPER D15PENSOR
UNDER GRAB BAR 9 NC STALL
f;;ZE1"1®DE1_
Uj®r_1EN5 FRE a
Sc:_.4LE- 1/4 - t O
TOILET STALLS NOT SHOWN
FOR CLARITY
r-7--- VERTICAL
_ I I GRAB BAR
\ II I 1"x 9.OV L A1YaLP FWNT 4 PACK EDGE6 OCM ANGLE TO xKU OnVS
O 4 II I 6ClffUED TO BOTTOM Gf COWiER OR OOLID BLOC104
P/LAM r=RE-MANF STEEL vla.�Na.BFZ4CF
WAINSCOT rW SIVe�i oc EDc�t
p --------- - --
9 GRAB BAR n ——— WExtGTE �,�`
tel_-- II
PBFIQUCOWT�EFAWAE
4 ----- L - EGBJAL MAL
V
I
WE5T AC-CEURINAS515LE
i�l E lJJ
0 319 South Peabody St PENINSULA BEHAVIORAL HEALTH EA
4-15
suite B
Port Angeles, WA 98362 TOILET ROOM REM®DEL
ARCHITECTS Phone:(360) 452-6116 118 E. 8TH STREET, PORT ANGELES ®4
Fas 96o 462-7084
Address:
118E 8t" Street
PREPARED 10/15/14, 10:53:02 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/15/14
-------------------------------
ADDRESS . : 118 E 8TH ST SUBDIV:
CONTRACTOR : PHONE
OWNER PENINSULA COMM MENTAL HLTH CTR PHONE
PARCEL 06-30-00-0-2-6808-0000-
APPL NUMBER: 14-00000760 COMM REMODEL
----------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL3 01 8/19/14 JLL BLDG FRAMING
8/19/14 AP August 19, 2014 8:57:26 AM pbarthol.
Mike 461-7464
August 19, 2014 5:01:37 PM jlierly.
BL99 01 10/15/14 JLIA BLDG FINAL
October 14, 2014 9:25:32 AM pbarthol.
Mike 461-7464
-----—----------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
® 321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 14-00000760 Date 8/08/14
Application pin number . . . 498040 �\
Property Address . . . . . . 118 E 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6808-0000- REPORT SALES TAX
Application type description COMM REMODEL on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR (Location Code 0502)
Application valuation . . . . 2000
Application desc
CONVERT 108 SQ FT OF LOBBY TO OFFICE
----------------------------------------------------------------------------
Owner Contractor
------ ------------------------
PENINSULA COMM MENTAL HLTH CTR OWNER
118 E STH ST
PORT ANGELES WA 983626129
---------------------------------------
-------------------------------------
Permit . . . . BUILDING PERMIT COMMERCIAL �rp
Additional desc . . 108 SQ FT NEW OFFICE SPACE
Permit Fee . . . . 95.75 Plan Check Fee 62.24 `n
Issue Date . . . . 8/08/14` Valuation . . . . 2000 �"}
Expiration Date 2/04/15
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 62.24 62.24 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 162.49 162.49 .00 .00
Separate Permits are required forelectrical 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.
fK
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 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 INCONSPICUOUS 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 Pum /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
V
NNING DEPT. Separate Permit#s SEPA:
n /U htin ESA:
scaping I I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THE ORT NGE E For City Use
CITY OF .1�. l�! L �7 /
---) Permit#
W A s H ! (V o r o N, U . S. Date Received: —!
321 E 51h Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:hermits@cit r�ofpa.us BUILDING PERMIT P 'ICATION
Project Address: jC �
{ �' cj'� �O (3�L.
l �N s
h n
Poe:
Primary Contact: O/ I l 1 h'i m Email:
l�
Nance Phone
SAW
g V AL
Property Mailing Address Email
Owner S
City State Zip
c� i c_Name Phone
Phone
Contractor Address Email
Information city State zip
Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
S V-:) $ .2 Odo
Residential ❑ Commercial Industrial ❑ r Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
Classification For the following,fill out both pages of permit application:
(check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
appropriate) Mechanical ❑ Plumbing ❑ Other
Will a fire sprinkler system be installed Irrigation System? Proposed Bathrooms Proposed Bedrooms
or modified? Yes�K No ❑ Yes ❑ No-,
Project Description -
Is project in a Flood Zone: Yes ❑ Nolt Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
I have read and completed the 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 work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
27 '1Y crz
--yi
Date Print Name Signature
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or i" floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Proposed For Office Use
Area Descriptions(SQ FT) Existing Proposed ss Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Qther work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage_lot size)
Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site coverage_lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment
interceptor Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx
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CM!C6 PORT ANGELES—Constme'Oon flans
'ri,e Issuance of this permit„'°c>-t nMn these plans,spe.-ifi-
nns and other dot* not pr .nt the build�ng official
! m thereafter re v� riga the correct'en of errors in said
fic4frs'Ad other data, or from preventing
ratios arried on f%ereunder ,rhen in
of all codes and ordmi,-,,. s of this jurisdiction.
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Address:
118E 8t" Street
ll 'i q-, 8- fir.
PREPARED 4/03/14, 13:09:49 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/03/14
------------------------------------------------------------------------------------------------
ADDRESS . : 118 E 8TH ST SUBDIV:
CONTRACTOR : PHONE
OWNER PENINSULA COMM MENTAL HLTH CTR PHONE
PARCEL 06-30-00-0-2-6808-0000-
APPL NUMBER: 14-00000156 COMM REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
-------------—--------------------------------—----------------——-------------------------
BL3 01 3/06/14 JLL BLDG FRAMING
3/06/14 AP March 6, 2014 8:17:22 AM pbarthol.
Mike 461-7464
March 6, 2014 3:57:45 PM jlierly.
BL3 02 3/21/14 JLL BLDG FRAMING
3/21/14 AP March 21, 2014 9:08:36 AM pbarthol.
Mike 457-0431
March 21, 2014 3:43:48 PM jlierly.
BL99 01 4/03/14 BLDG FINAL
April 3, 2014 9:38:25 AM pbarthol.
Les 461-7386
------------------------- ------------ COMMENTS AND NOTES ------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ti
Application Number . . . . . 14-00000156 Date 2/20/14
Application pin number . . . 296660
Property Address . . . . . . 118 E 8TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-2-6808-0000-
Application type description COMM REMODEL REPORT SALES TAX
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR to the City of Port Angeles
Application valuation 9750 (Location Code 0502)
Application desc
CONVERT TWO GROUP ROOMS TO 4 OFFICES
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PENINSULA COMM MENTAL HLTH CTR OWNER
118 E 8TH ST M
PORT ANGELES WA 983626129
------------------------------------------ -------------------
Permit . . . . BUILDING PERMIT COMMERCIAL
Additional desc . . INTERIOR REMODEL/4 OFFICES (�
Permit Fee . . . . 207.75 - Plan Check Fee 135.04 Z
Issue Date . . . . 2/20/14 Valuation . . . . 9750 `
Expiration Date 8/19/14
Qty Unit Charge Per Extension
BASE FEE 95.75
8.00 14.0000 THOU BL-2001-25K (14 PER K) 112.00
----------------------------------------------------------------------------
Other Fees . . . . . . . . .. STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 207.75 207.75 .00 .00
Plan Check Total 135.04 135.04 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 347.29 347.29 .00 .00
Separate Permits are required forelectrical 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.
1✓VI r� !2 G�� -c
Date Print Name Signature of Contractor or Authorized Agent ignature 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 by
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 Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /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
TY OF' 0'R 1GLES For City Use
Permit#
W A s H I N G T O N. U . S. Date Received:
321 E 5th Street Date Approved 19 L /..9:.
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permitsPcitvofoaus BUILDING PERM APPLICATION
Project Address: 1 S i20i n) e_,�- F_ -5-
Phone:
Phone: -7y (,L4
Primary Contact: I ( 'Zl M In 0-A, Email:
Nae Phone
r �� su��, ►� A� a� y 5 — 043
Property Mailing Address Email
Owner t I ? f= 9?'/-f T
City State Zip 83 Z
Name Phone
Contractor Address Email
Information city State Zip
Contractors License# Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
7S-0
Residential ❑ Commercial Industrial ❑ Public ❑
Permit Demolition . ❑ .. Fire -'❑ ,.kepair .❑ -._ Reroof�(tear off/lay over) ❑
Classification For the following fill out both pages of permit application:
(check New Construction ❑ Exterior.Remodel ❑ Addition ❑ Tenant Improvement .. .
appropriate) Mechanical ❑ Plumbing ❑ Other ❑
Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms
Yes No.. 0 -Yes 0 No
Project Description (3 p/J cam' Wry L L 1 /U 57-A i-L 000)9,s
,,JVr7 WO GR ONp ROOT5 I 41T6 U
Is project in a Flood Zone: Yes ❑ Noo- Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
I have read and completed the 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 work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within 18o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
2kZ /ry1r�1 ►=� 2
Date Print Name Signature
Residential Structures
For Office Use
Area De'sci•iption(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or i" floor)
Garage '
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed $$Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Covera a Calculations
Lot Size(sq ft) Lot Coverage,(sq ft) _ %Lot Coverage(Total lot coverage_lot size)
Site Coverage'(Sq Ft of all imperviousy %of Site Coverage(total site coverage_lot size)
Mechanical-Fixtures - _ ..
Indicate how many of each typa of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
-Boiler/Compressor Heating/Cooling appliante--- - --— #----------- "
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment
interce for Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BPApplication\Building Permit4-17-13.docx
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s� The Issuance this perms. myon these plans,specifi-
cations and of er dat?. -oat p
-1 the building official
from thereat repo`•�,g the corre� i of errors in said
4'0� kplan;, specifi tion- and other data !!r fron preventing
buildingoper ions t.eing carried on :°.treunder when in
viciatioof a codes a sof this jurisdiction.
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