HomeMy WebLinkAbout128 W. 1st Street Address:
128 W 111 Street
PREPARED 11/13/13, 9:53:23 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/13/13
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ADDRESS . : 128 W IST ST SUBDIV:
CONTRACTOR OLYMPIC HOME IMPROVEMENT PHONE (775) 5041
OWNER SMITH, WILLIAM F PHONE (360) 457-4737
PARCEL; 06-30-00-0-0-3220-0000-
APPL NUMBER: 13-00000906 COMM REMODEL
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PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
-- ------------------------—-------------—------------— -------
BL3 01 10/02/13 JLL BLDG FRAMING
10/02/13 AP October 2, 2013 9:31:11 AM pbarthol.
Mac
October 2, 2013 3:45:52 PM jlierly.
BL99 01 11/13/13 BLDG FINAL
November 13, 2013 9:21:20 AM pbarthol.
MAC 775-5041
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
'------------—----------------------—--------—-----—--------------
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ME99 01 11/13/13 JLC/'� MECHANICAL FINAL
- 1{���_�(V�— November 13, 2013 9:21:51 AM pbarthol.
MAC 775-5041
- -------------------------------------------------------------------------------------------
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PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
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PL2 01 9/25/13 JLL PLUMBING ROUGH-IN
9/25/13 AP September 25, 2013 8:12:00 AM pbarthol.
Mac 775-5041
September 25, 2013 3:49:40 PM jlierly.
PL99 01 11/13/13 J PLUMBING FINAL
November 13, 2013 9:22:06 AM pbarthol.
MAC 775-5041
--------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
�� DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
BIC 321 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000906 Date 8/21/13
Application pin number 556532
Property Address . . . . . . 128 W 1ST ST W
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3220-0000-
Application type description COMM REMODEL REPORT SALES TAX
Subdivision Name . . . . on your state excise tax form
Property Use . . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT to the City of Port Angeles
Application valuation 15000 (Location Code 0502)
Application desc
INTERIOR REMODEL FOR FOOD/BEVERAGE SERVICE
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Owner Contractor
SMITH, WILLIAM F OLYMPIC HOME IMPROVEMENT
PO BOX 967 381 LOFGRIN RD
PORT ANGELES WA 98362 SEQUIM WA
(360) 457-4737 SEQUIM WA 98382
(775) 5041
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Permit . . . . . . BUILDING PERMIT - COMMERCIAL
Additional desc . . INTERIOR REMODEL
Permit Fee . . . . 277.75 Plan Check Fee 180.54
Issue Date . . . . 8/21/13 Valuation . . . . 15000
Expiration Date . . 2/17/14
Qty Unit Charge Per Extension
BASE FEE 95.75
13.00 14.0000 THOU BL-2001-25K (14 PER K) 182.00
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Permit . . . . . . MECHANICAL PERMIT
Additional desc .
Permit Fee . . . . 57.25 Plan Check Fee .00
Issue Date . . . . 8/21/13 Valuation . . . . 0
Expiration Date 2/17/14
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 7.25
-
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 85.00 Plan Check Fee .00
Issue Date 8/21/13 Valuation 0
Expiration Date 2/17/14
Qty Unit Charge Per Extension
BASE FEE 50.00
3.00 7.0000 EA PL-PLUMBING TRAP 21.00 \^
1.00 7.0000 EA PL-WATER LINE 7.00 V'
1.00 7.0000 EA PL-WATER HEATER 7.00 \�
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Other Fees . . . . . . . STATE SURCHARGE 4.50
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 thorized 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 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 I 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
V 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 13-00000906 Date 8/21/13
Application pin number . . . 556532
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Fee summary Charged Paid Credited Due REPORT SALES TAX
----------------- ---------- ---------- ---------- ---------- on your state excise tax form
Permit Fee Total 420.00 420.00 .00 .00
Plan Check Total 180.54 180.54 .00 .00 to the City of Port Angeles
Other Fee Total 4.50 4.50 .00 .00 (Location Code 0502)
Grand Total 605.04 605.04 .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.ead 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 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 9
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
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
THE
ORTANGELES
CITY OFP .
For City Use
WASH
I N G T O N , U . S .
Permit#
Date Received: 7. I
321 East S'b Street
Port Angeles, WA 98362 to Approved
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address: i 28 W, ( S-,-
Main Contact: yin a� � ��,� Phone # A 0 715 '5041
r E-Mail: &c-S,5 acro CUh L
Property Name Phone
Owner (�c� `S7 4-73 -7Mailin Address Email
X67
city State zi
6 �i ; 6z lana �g3��
Contractor Na Phone
UL
Wit -- b U 75
Mailing Address Email
6 ri l- Yko)Gs lop( '24 Ve,
City � �� stag Ig �Z
C,._
Contractor License# CL MP4J2S -�. � � Expiration: r
Project Value: Zoning: Tax Parcel# y Lot#
$ c)c)3Zz0
Type of Residential ❑ Commercial IS Industrial ❑ Public ❑
Permit Demolition 12 Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
For the following,fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement
Mechanical 1�1 Plumbing P Other ❑ .
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms P posed Bathrooms
Yes 13No /v�
Project � rUzlPlhti!'� I'Z�G °i .��/'?et�L.
Description
act- W drev-
I have read and comlileteif the application and know it to be true 6d colFrect I am authorized to apply for this
permit I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be
considered abandoned and the fees forfeit
Date Print Name Signatu
l �
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed $$Value
Existing Structure(sj '41 Z-
Proposed Addition v
Tenant Improvement? �c, Kit i] 5 v
Other work(describe) c/V Vf
Area Totals
Lot/Site Coverage Calculations
Footprint(SQ FT)of all Structures: Lot Size: .i %Lot Coverage
50 0 �0 Z S is
SQ FT Site coverage(all impervious+ %Site Coverage
structures
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 #of Outlets:
Appliance Vent # ( Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # I 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 # '3 Fuel gas piping #of Outlets:
Water Heater # 1 Medical gas piping #of Outlets:
Water Line # 1 Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
Other(describe):
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