HomeMy WebLinkAbout141 W. 1st Street Address:
141 W 151 Street
PREPARED 5/05/15, 9:51:07 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/05/15
------------------------------------------------------------------------------------------------
ADDRESS . : 141 W 1ST ST SUBDIV:
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-3901
OWNER NORTH OLYMPIC PENINSULA SVCS PHONE (360) 461-7210
PARCEL 06-30-00-0-0-1533-0000-
APPL NUMBER: 15-00000367 COMM MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT= ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETEDRESU T RESULTS/COMMENTS
---------------------
-- - ----------------------------------------------
ME99 01 5/05/15 J MECHANICAL FINAL
May 5, 2015 9:54:06 AM jlierly.
sandy 683-3901
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
' 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000367 Date 4/10/15
Application pin number . . . 593053
Property Address . . . . . . 141 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1533-0000- REPORT SALES TAX
Application type description COMM MECHANICAL PERMIT on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502)
Application valuation . . . . 22417
Application desc
3 HEAT PUMP PKG UNITS
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
NORTH OLYMPIC PENINSULA SVCS AIR FLO HEATING CO INC
PO BOX 351 221 W. CEDAR
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 461-7210 (360) 683-3901
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . 3 HEAT PUMP UNITS 5TON OR UNDE
Permit Fee . . . . 94..40 Plan Check Fee .00
Issue Date . . . . 4/10/15 Valuation . . . . 0
Expiration Date 10/07/15
Qty Unit Charge Per Extension
BASE FEE 50.00
3.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 44.40
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 94.40 94.40 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 94.40 94.40 .00 .00
�I
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.
62Date 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 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 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 8 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
T:Forms/Building Division/Building Permit
04/08/2015 WED 16: 00 FAX 360 683 3971 Air Flo Heating Co. 0001/003
0
(
TH = � For City Use
CS
CITY F ,— � �
Permit# ��
1N A S H I N;;; G.,..;T O N, U. S. Date Received: t4—le-IA-
321 E Sth Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits 6Wcityofpa.0 s BUILDING PERMIT APPLICATION
Pro'ect Address: ly 1 WEST 1s-r- Po 4z A n
Phone: 3(op .
Prima Contact: Jim ke Email:
Na t Fri L P�
Property Mailing Address Email
E Owner 105Q)-Eli
Cizin
D r+- State, A �(�2
Name Pho
Contractor Address Email r
L W. eidAzz
Information
City V State
�J
Contractors License#A 2 F 20t.,PExp.Date: g- 1i
Legal Description: Zoning: Tax Parcel# Project Valu materials and labor)
Residential ❑ Commercial Industrial ❑ 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 EJ Addition ❑ Tenant Improvement ❑
appropriate) Mechanical ❑ Plumbing ❑ Other ❑
Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms
Yes ❑ No ❑ Yes ❑ No ❑
Project Description
w
111- 4MA- PJ rV1 1
red
Is project in a Flood Zone: Yes ❑ No❑ Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
i
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
Date q,jk-pS Print Name �an&141 d- Signature a-
Address:
141 W 151 Street
PREPARED 5/13/15, 11:15:46 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: PAT BARTHOLICK DATE 6/18/14
------------------------------------------------------------------------------------------------
ADDRESS . : 141 W 1ST ST SUBDIV:
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-3901
OWNER NORTH OLYMPIC PENINSULA SVCS PHONE (360) 461-7210
PARCEL 06-30-00-0-0-1533-0000-
APPL NUMBER: 14-00000949 COMM MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
—----------------------------------------------------------- ----
ME99 01 6/ /14 PB MECHANICAL FINAL
�t/I May 13, 2015 11:18:51 AM pbarthol.
----------- '---- / COMMENTS AND NOTES
--- --------------------------------------
I
CITY OF PORT ANGELES
r DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT-BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 14-00000949 Date 8/11/14
Application pin number . . . 236298
Property Address . . . . . . 141 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1533-0000- REPORT SALES TAX
Application type description COMM MECHANICAL PERMIT on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502)
Application valuation . . . . 4979
Application desc
DUCTLESS HEAT PUMP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
y
NORTH OLYMPIC PENINSULA SVCS AIR FLO HEATING CO INC 'r
PO BOX 351 221 W. CEDAR
PORT ANGELES WA 98362 SEQUIM WA 98382 ,
(360) 461-7210 - ----- ---(360) 683-3901
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00 )$
Issue Date . . . . 8/11/14 Valuation . . . . 0
Expiration Date . . 2/07/15
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
--=-------------- ---------- ---------- ---------- ----------
r
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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 s e or local law regulating construction or the performance of
construction. /
$x12 1 Y �z{ L. j) S G�
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:
f 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 /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
08/08/2014 FRI 13: 52 FAX 360 683 3971 Air Flo Heating Co. 10001/001
THE
CITY 4P For City Use
s
Permit# 9�1
Date Received: //V-
321 East 5tl°Street !/
Date Approved
Port Angeles,WA 98362 /
P: 360-417-4817 F:360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address: .A j - 7- Is
r57,,ef- e-e 7—
Main Contact: Phone#
E-Mail:
rOwner
operty Name i r Phone J I— 3/
MaH sdy 3S/ Email
City a�-�� e
s� z1P 3 G Z
Contractor Name ` 1 Phone 69-3- 3ri o i
MallingAddress Email {, t
W.
City state Zip
Contractor License# ` L` � Expiration: I ,}5 1
r
Project Value: D Zoning: Tax Parcel# Lot#
$ _AA
Type of Residential ❑ Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
For the following,fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant improvement ❑
Mechanical Plumbing ❑ Other ❑
E fisting Fire Sprinkler System? I Maximum height of structure Proposed Bedrooms Proposed Bathrooms
( Yes ❑ No ❑
Project
Description _
f
I have read and completed the application and know it to be true and correct.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
t prior to worldng 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 Signature
i
Address:
141 W 11 Street
c n
PREPARED 5/13/15, 11:28:56 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: PAT BARTHOLICK DATE 6/18/14
------ ----------
ADDRESS . : 141 W 1ST ST SUBDIV:
CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-3901
OWNER : NORTH OLYMPIC PENINSULA SVCS PHONE : (360) 461-7210
PARCEL 06-30-00-0-0-1533-0000-
APPL NUMBER: 14-00000436 COMM MECHANICAL PERMIT
---- ------- -
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------
ME99 01 6/ 8/14 PB MECHANICAL FINAL
May 13, 2015 11:32:02 AM pbarthol.
------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
��� DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
o® 321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 14-00000436 Date 4/09/14
Application pin number . . . 916856 IN.
Property Address . . . . . . 141 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1533-0000- REPORT SALES TAX ,
Application type description COMM MECHANICAL PERMIT on your state excise tax form
Subdivision Name . . . . . .
Property Use to the City of Port Angeles
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502)
Application valuation . . . . 24831
Application desc
REPLACE LIKE IN KIND TWO HEAT PUMP SYSTEMS
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
NORTH OLYMPIC PENINSULA SVCS AIR FLO HEATING CO INC
PO BOX 351 221 W. CEDAR \
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 461-7210 (360) 683-3901
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . 2 HEAT PUMP REPLACEMENT UNITS
Permit Fee . . . . 83.00 Plan Check Fee .00
Issue Date 4/09/14 Valuation . . . . 0
Expiration Date 10/06/14
Qty Unit Charge Per Extension v m
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
1.00 18.2000 EA ME-FURN/HP/FAU > 5 TON 18.20
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- -=-------- ----------
Permit Fee Total 83.00 83.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 83.00 83.00 .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 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
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
CITY OF For City Use
x
Permit# 3
Date Received: `!
321 East S'"Street
Port Angeles, WA 98362 Date Approved
P: 360-417-4817 F. 364417-4711
pern3itsC>dtyofpa.us
Building Permit Application
Project Address:
ILA k N.JES� 'P%0,5 LeE i
Main Contact: Phone#
Jt M LG E E-Mail:
Property Name
IF 'T Ir D E Q L- rbo®e 7 q
Owner MaaingAddress
o.o. Sol 3 % . Awt®
VJ
Contractor Name �I k none
KaUlegAddt6'9 - 3161
ens gn�apIt
W. sDIkQ a Eeef •
"� 'SS hk VS
Contractor License# 1 Z PLA XO(e D & Expiration:
Project Value: Zoning: 'Can Parcel# Lot#
$ ' 4$ 31. V
Type of Residential ® Commercial Industrial E3 Public 0
Permit Demolition 0 Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
For the following,fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical Plumbing ❑ Other ❑
®dating Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Pro
Yes No ® Posed Bathrooms
Project LI KG t If 1� Qs PL '�'
Description
I have read and completed the application and know it to be true and correct.I am authorized m apply for this
permit. 1 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 alter 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 ifthe permit is not issued within 180 days of receipt,the application will be
considered abandoned and the fees forfeit
Date Print Name Signature
T 'd I L6C 689 096 01A N i l WdL I :B t l oa 60 add
Residential Structures
Area Description(SQ FT) Existing Proposed S$value For Office Use
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Area Descriptions(SQ F1) fang Proposed $$Value For Office Use
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe).
r
Area Totals
LOUSite Coverage Calculations
Footprint(SQ F r)of all Structures: Lot Size: %Lot Coverage
SQ FT Site coverage(all impervious+ %Site Coverage
structures
Mechanical Fixtures
Indicate how of each of fixture to be installed or relocated as Part of this project.
Air Handler S ,A t L1 # Haz/Non-Haz Piping #of Outlets:
Appliance Vent
# Heater(Suspended,Floor,Recessed wall) #
Boller/Compressor Size: # Heating(Cooling appliance #
revairialteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burnhWGas #
portable) Fire lace Gas Shove Gas Cook Stove isc
Fuel Gas Piping #of Outlets: Ventilation Fan,sire duct #
Furnace/Heat Pump/ Si e: t Z # Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of eachtYPe of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of outlets:
Water Heater # Medical gas piping #of out-lets:
Water Line # Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
Other describe
TABt11I DDIG9APP ATION FORMS\BiMMWG AMMrr 081212M=
Z 'd iL66 689 096 01A NIU WULI :8 b102 60 JJU
Address:
141 W 1St Street
PREPARED 9/19/13, 13:44:49 INSPECTION TICKET r' 1 PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/19/13
ADDRESS . : 141 W 1ST ST SU13DIV:
CONTRACTOR HEILMAN SERVICES PHONE (360) 452-4278
OWNER NORTH OLYMPIC PENINSULA SVCS PHONE (360) 461-7210
PARCEL 06-30-00-0-0-1533-0000-
APPL NUMBER: 13-00000557 COMM REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------------------------------------------------
BL3 01 6/10/13 JLL BLDG FRAMING
6/11/13 AP Tune 1n, 2013 8:18:35 AM pbarthol.
Gary 775-9237
June 11, 2013 8:09:16 AM jlierly.
BL99 01 9/19/13 L BLDG FINAL
September 19, 2013 8:49:46 AM pbarthol.
Gary 775-9237
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000557 Date 5/31/13 1
Application pin number . . . 683123
Property Address . . . . . . 141 W 1ST ST \iS
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1533-0000- REPORT SALES TAX �1
Application type description COMM REMODEL
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT to the City of Port Angeles
-----Application valuation 4753 (Location Code 0502)
- --------------------------------------
------------------------------
Application desc
ADD 1 OFFICE, ENLARGE 1 OFFICE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
NORTH OLYMPIC PENINSULA SVCS HEILMAN SERVICES
PO BOX 351 726 GEORGIANA ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461-7210 (360) 452-4278
---------------------------------"-------------------------------------------
Permit . . . . . . BUILDING PERMIT - COMMERCIAL
Additional desc . . ADD OFFICE/ENLARGE OFFICE
Permit Fee . . . . 137.75 Plan Check Fee 89.54
Issue Date . . . . 5/31/13 Valuation . . . . 4753
Expiration Date 11/27/13
Qty Unit Charge Per Extension
BASE FEE 95.75
3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
--------- ---------- ---------- ----
Permit Fee Total 137.75 137.75 .00 .00
Plan Check Total 89.54 89.54 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 231.79 231.79 .00 .00
v I
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 ordinan s governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to authority to violate r 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
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 /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
THE
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CITY RT NGELESFor City Use
ff'
WASHIN G~ T O N , U . S .
Permit# i3- sS 7
Date Received: 27 �3
321 East St' Street
Port Angeles, WA 98362 Date Approved �' 3
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Applicatio
Project Address:
,-�kj
Main Contact: Phone # 77S - 9Z37
6knI E-Mail:
Property Name Phone
Owner 3 r l 1
Mailin Address Email
State Zip
Contractor Name Phone '•
G.2vse-C-5 -77s- (/Z37
Mailing Address Email
-7.26 0/7-G17.4ti14
City L9f , A, G���s Statim pit Zip
Contractor License # Expiration: �
M �//6 /1-3
Project Value: Zoning: Tax Parcel # D6D� /S Lot#
Type of Residential ❑ Commercial 10 Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
For the following, fill out both pages of permit application:
New Construction ❑ Remodel E. Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No a�
Project
Description �-� �Fs-f Ey--1 0�FZ7c-F .,.J g C te.4rr A-
Gw — Z.
I have read and completed the application and know it to be true and correct.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 Signature
a
��L-M.4,-�
Residential Structures
For Office Use
Area Description (SQ FT) Existing Proposed $$value
Basement
First Floor
Second FloQr ,
t..
Covered beck/Porch/Entry
Deck
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?
tither work(describe)
Area Totals
Lot/Site Coverage Calculations
Footprint(SQ FT) of all Structures: Lot Size: %Lot Coverage
t ,
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: # 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 # Vent piping #
Sewer Line # Industrial waste pretreatment #
interceptor
Other(describe):
T.\BUILDING\APPLICA ON FORMS\BUILDING PERMIT 081212.DOCX
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Address:
141 W 111 Street
PREPARED 5/13/15, 11:59:31 INSPECTION TICKET ' PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/25/14
------------------------------------------------------------------------------------------------
ADDRESS . : 141 W 1ST ST SUBDIV:
CONTRACTOR HEILMAN SERVICES PHONE (360) 452-4276
OWNER NORTH OLYMPIC PENINSULA SVCS PHONE (360) 461-7210
PARCEL 06-30-00-0-0-1533-0000-
APPL NUMBER: 14-00000030 COMM REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
-----------—---------—---------------------------------—----------------—
BL3 01 1/23/14 JLL BLDG FRAMING
1/23/14 AP January 23, 2014 8:29:11 AM pbarthol.
Gary 775-9237
January 23, 2014 4:24:30 PM jlierly.
BL99 01 2/25/14 JLL BLDG FINAL
--------- �- --------- COMMENTS AND NOTES ---------------------
CITY OF PORT ANGELES
ev � DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00000030 Date 1/15/14
Application pin number . . . 629660
Property Address . . . . . . 141 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1533-0000-
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 j
Application valuation 5000------------- - Location Cod 0502) `,h
-----
----------------
------- ------------- --- ------
Application desc
remodel teller area
----------------------------------------------------------------------------
Owner Contractor
NORTH OLYMPIC PENINSULA SVCS HEILMAN SERVICES
PO BOX 351 726 GEORGIANA ST
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 461-7210 (360) 452-4278
------ -------- i
Permit . . . . . . BUILDING PERMIT - COMMERCIAL
Additional desc . . REMODEL TELLER AREA tAI
Permit Fee . . . . 137.75 Plan Check Fee 89.54
Issue Date . . . . 1/15/14 Valuation . . . . 5000
Expiration Date 7/14/14
Qty Unit Charge Per Extension
BASE FEE 95.75
3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00
----------------------------------------------------------------------------
Other Fees . . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 137.75 137.75 .00 .00
Plan Check Total 89.54 89.54 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 231.79 231.79 .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 theprovisio f 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 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 I Chimney
Commercial Hood/Ducts FINAL Dale 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
THE `OR lANGELESFor City Use
CITY OF �i 1
Permit# i�I
w A s H i N G"
T o N , U. S. Date Received:
321 E Sth Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permitsPcityofpa.us BUILDING PERMIT APPLICATION
Project Address: L/ J (,v 7 s f Pi9,2T- A/NC-/:L"--S e tit/, . '7136 2--
Phone: 36 0 - -77 S - ci 2 3
Primary Contact: cja,/ Email:
Name Phone _
%�/`- T
Property M ' g Address. f Email
ail
Owner 2,y, �
CitState Zip
ZNameypo"T N �I w/¢ 36-2-
Name,,
„ Phone
Contractor Address Email
Information �� {)mac-044. e--
Cit Pa,ZT /�N��L� State �a �y z►p rf936 -
Contractors License#C— 'may.LM ls/�l� Exp.Date:�/t "7 / /S'
Legal Description: / Zoning: Tax Parcel # Project Value: (�m4erials and labor)
k0T- /3 ic}C/4- LS $ DC7 0
Residential ❑ Commercial Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
Classification For the following, fill out both pages of permit a lica 'o :
(check New Construction ❑ Exterior Remodel AdditionTenant Improvement ❑
appropriate) Mechanical 11 Plumbing 1:1 Other ❑
Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Be rooms
Yes E3 No 13 Yes D No V
Project Description A/0e-*,--t+ e� �_� /3 7 c G�t�e, -� /��„✓
L-PIe,.. le-FIV1-1 -, f-- �t/!��,.. do�,� r � �L� L,-uA y
i,v /L,4-v-c e5 i L 00
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.
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
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 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/Mise.
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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Making a difference.Together.
Kent Sommerfeld,PMP
Facilities Manager
Vice President 105 W.Eighth Street
P.O.Bax 351
kent.sommerfeld@ourfirstfed.com Port Angeles,WA 98362
360.417.3111 Phone
360.461.4475 Cell 800.800.1577
360.457.5194 Fax ourfirstfed.com
.(allam County Assessor& Treasurer - Property Details - 55931 FIRST FEDERAL SAV... Page 1 of S,
Clallam County Assessor & Treasurer
r'
Property Search Results > 55931 FIRST FEDERAL SAVINGS & LOAN for Year 2010 - 2011
t
Property
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r. _._ ..�......._....._.. .._.__. _ _ ..._.,., ......__-
Property ID: 55931 Legal Description: S 83.9 EXC E 5' LT 11 BL 15
Geographic ID: 0630000015330000 Agent Code:
Type: Real
Tax Area: 0010-PA 121 PORT ST CNTY H2 L Land Use Code 61
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi-Family Redevelopment: N
Location
Address: 141 W FIRST ST Mapsco:
PORT ANGELES,
Neighborhood: Cycle 5 Comm Map ID:
Neighborhood CD: 20953140
Owner
__......................................................... ............................................... ..........
Name: FIRST FEDERAL SAVINGS 8 LOAN Owner ID: 193961
Mailing Address: PO BOX 351 %Ownership: 100.0000000000% `
PORT ANGELES,WA 98362
H
Exemptions:
Taxes and Assessments Due
Property Tax Information as of 01/28/2010
Amount Due if Paid on: M.
_.... .. _ ___. ..
First !Second
Half Half i
€Statement 'BaseBase ? Base {Amount;
Year ID Taxing Jurisdiction Due Due Penalty`Interest Paid (Due
I ..._.__
2009 559312008 ST SCH STATE SCHOOL $931 79 $931 78 $0.00 $0.00 $1863.57 $0.00
_ ....
12009 559312008 CC GEN-COUNTY $471.56 $471.57 $0.00 $0.00 $943 13 $0.00
2009 559312008 PORT-PORT $66.80 $66.79 $0.00 $0.00 $133 59 $0.00
... ...
2009 559312008 PORT ANG PORT ANGELES $1034.35 $103433 $0.00 $0.00 $2068.68 $0.00
2009 559312008 SD#121 -SCHOOL DISTRICT#121 $1152.29 $1152.33 $0.00 $0.00 $2304.62 $0.00;
2009 559312008 NTH OLY LIB NORTH OLYMPIC LIBRARY $137.02 $137.02 $0.00 $0.00 $274.04 $0.001
2009 559312008 HOSP#2-HOSPITAL#2 $193.40 $193.39 $0.00 $0.00 $386.79 $0.00
2009 559312008 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00'
12009 559312008 WEED CONTROL-WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00
2009 -559312008 TOTAL: $4024.03 $4024.02 $0.00 $0.00 $8048.05 $0.00'
NOTE: If you plan to submit payment on a future date, make sure you enter the date and RECALCULATE
to obtain the correct total amount due.
Values
(+)Improvement Homesite Value: + N/A
(+)Improvement Non-Homesite Value: + N/A
(+)Land Homesite Value: + N/A
(+)Land Non-Homesite Value: + N/A Ag/Timber Use Value
(+)Curr Use(HS): + N/A N/A
(+)Curr Use(NHS): + N/A N/A
http://vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=55... 1/28/2010