HomeMy WebLinkAbout1403 E 1st Street Address:
1403E 15t Street A
PREPARED 1/20/17, 10:50:35 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/20/17
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ADDRESS . : 1403 E 1ST ST A SUBDIV:
CONTRACTOR : PHONE :
OWNER HUBERT E HERTZOG PHONE : (206) 940-8771
PARCEL 06-30-99-1-0-1040-0000-
APPL NUMBER: 14-00000613 COMM REMODEL
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PERMIT: BPC 00 BUILDING PERMIT - COMMERCTAT.
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL3 61 11/26/14 JLL BLDG FRAMING
11/26/14 AP November 26, 2014 9:59:34 AM jlierly.
nick 360-941-3537
November 26, 2014 4:05:32 PM jlierly.
BLI 01 12/03/14 JLL BLDG INSULATION
12/03/14 AP December 3, 2014 8:52:04 AM pbarthol.
Nick 360-941-3537
December 3, 2014 3:29:06 PM jlierly.
BL99 01 1/20/17 L BLDG FINAL
------January 20, 2017 10:51:28 AM jlierly.
------------------------- Nick
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PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME1 01 1/20/17 JLL MECHANICAL ROUGH-IN
1/20/17 AP January 20, 2017 10:52:37 AM jlierly.
January 20, 2017 10:54:59 AM jlierly.
ME99 01 1/20/17 L MECHANICAL FINAL
January 20, 2017 10:55:14 AM jlierly_
-----------—------------- --------- COMMENTS AND NOTES -
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00000613 Date 6/17/14
Application pin number . . . 675725
Property Address . . . . . . 1403 E 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-99-1-0-1040-0000- REPORT SALES TAX fj
Application type description COMM REMODEL
Subdivision Name . . . . . . on your state excise tax form 6•
Property Zoning . . . . . . . COMMERCIAL ARTERIAL to the City of Port Angeles
Application valuation . . . . 10000 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
add two ada restroom and divide space
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HUBERT E HERTZOG OWNER O
122 W LAURIDSEN BLVD
PORT ANGELES WA 983627752
(206) 940-8771
----------------------------------'--------_---------------------------------
Permit . . . . BUILDING PERMIT COMMERCIAL
Additional desc 2 ADA RR AND DIVIDE SPACE
Permit Fee 207.75 Plan Check Fee 135.04
Issue Date . . . . 6/17/14. Valuation . . . . 10000
Expiration Date 12/14/14 .
Qty Unit Charge Per Extension "+"
BASE FEE 95.75
8.00 14.0000 THOU BL-2001-25K (14 PER K) 112.00
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT l
Additional desc .
r
Permit Fee . . . . 123.70 Plan Check Fee .00
Issue Date . . . . 6/17/14 Valuation . . . . 0
Expiration Date 12/14/14
Qty Unit Charge Per Extension
BASE FEE 50.00
4.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 59.20
.2.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 14.50
----------------------------------------------------=-----------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . . REMODEL FOR ADA RR
Permit Fee . . . . 85.00 Plan Check Fee .00
Issue Date . . . . 6/17/14 Valuation . . . . 0
Expiration Date 12/14/14
Qty Unit Charge Per Extension
BASE FEE 50.00
4.00 7.0000 EA PL-PLUMBING TRAP 28.00
1.00 7.0000 EA PL-WATER HEATER 7.00
------------------------------------------- --------------------------------
Special Notes and Comments
May 29, 2014 9:25:33 AM tamiot.
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.
�e I`1 lu P(Ck 9Wat'n
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
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
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Page 2
Application Number . . . . . 14-00000613 Date 6/17/14
Application pin number . . . 675725
---------------------------------------------------------------------------- REPORT SALES TAX
Special Notes and Comments our state excise tax form
ELECTRICAL PERMIT IS REQUIRED FOR ALL ELECTRICAL WORK. on Y
IF ELECTRICAL SERVICE IS UPGRADED AND CHANGES ARE REQUIRED to the City of Port Angeles
TO THE city's FACILITIES THESE COSTS WILL BE REQUIRED TO BE
PAID BY THE OWNER. (Location Code 0502)
The Fire Department has reviewed the project application and
has no comments
June 11, 2014 8:37:19 AM sroberds.
The proposal is for remodel of a retail space. Retail area
is 700 sq.ft. with employee area of 170 sq.ft. 4 off street
parking spaces must be provided for the retail use.
Public Works Utility Engineering has no requirements for
this plan review.
-------'---------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
--------------------------------- ------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ----------- ---------- ---------- ----------
Permit Fee Total 416.45 416.45 .00 .00
Plan Check Total 135.04 135.04 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 555.99 555.99 .00 .00
t,
ti
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 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 /O-7-/
Water Line Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date - -/ Accepted tby;�)
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
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
14M E: For City Use
CITY OF
Perm it#
W A S H I N G T 0 N. U . S. Date Received:
321 E 51h Street Date Approved <1Q41
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits Ocityofpa-us BUILDING PERMIT APPLICATION
Pro'ectAddress: 1103 t::-. F'TJ 6-V
Phone: 3(o Q 91'1 353
Primary Contact: Email: -
n E 1A L
NamePhone
4VIO&A 4d-rZol IqQ -9-1-71
Property Mailing AddressEmail
Owner qma
City Pory State ffP qo JSP z
Name Phone
A
Contractor Address Email
Information city State Zip
—Contractor License# Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
Residential ❑ Commercial 52 Industrial 11 Public 0
Permit Demolition ❑ Fire 1:1 Repair 0 Reroof(tear off/lay over) 0
Classification For the following,fill out both pages of permit application:
(check New Construction 11 Exterior Remodel I Addition 1:1 Tenant Improvement
appropriate) Mechanical 11 Plumbing .0 Other ❑
Will a fire sprinkler system be installed Irrigation System? Proposed Bathrooms Proposed Bedrooms
or modified? Yes 13 No Yes 13 No la
Project Description All 2- 46A
0
Q +
Is project in a Flood Zone: Yes 0 Noa 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 iSo days of submittal,the application
will be considered abandoned and the fees will be forfeited.
'5)2-7I1q O,�Otx-4- A9
Date Print Name Signat
F .
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed ss value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or i" floor)
Garage
g
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?
Other 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 man 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 #
re air/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):
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L<< .!? or OF PORT ANGELES—CahstlUCifosl^!�1e
?,yr Issuance of this perm'
—:1 l,pon these p!ans.spec'sfi-
cations and other da+ -I-'! not p"''°"r the buMMFi official
frnm thereafter rer?'"- the correc':71 of errors in said
/ plz"`, spawd of data, ar from en inn
bIrinn operations t •B c? ried or; L:,aeunder
When
in
P tier, ol ail codes sof this juns c-
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---
WSW_
PREPARED 3/12/15, 12:37:40 INSPECTION TICKET s PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/12/15
------------------------------------------------------------------------------------------------
ADDRESS 1403 E 1ST ST A SUBDIV:
CONTRACTOR : PHONE :
OWNER HUBERT E HERTZOG PHONE : (206) 940-8771
PARCEL 06-30-99-1-0-1040-0000-
APPL NUMBER: 14-00000613 COMM REMODEL
------------------------------------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------
PL2 01 10/07/14 JLL PLUMBING ROUGH-IN
10/07/14 AP October 7, 2014 9:26:05 AM pbarthol.
Nick 360-941-3537
October 7, 2014 4:09:40 PM jlierly.
Partial inspection on north wall center of building/jll
PL99 01 3/10/15 JLL PLUMBING FINAL
3/11/15 DA March 10, 2015 10:05:26 AM pbarthol. -
Nick 360-941-3537
March 11, 2015 11:32:35 AM pbarthol.
PL99 02 31 JLL
PLUMBING FINAL
March 12, 2015 12:07:35 PM pbarthol.
-------------------------- -- ------- COMMENTS AND NOTES