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Home My WebLink About303 W. 8th Street Ad d ress: 8 Ih Street 31) 3 LJ `3 5 7- PREPARED S/05/14, 13:05:32 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/05/14 ------------------------------------------------------------------------------------------------ ADDRESS 303 W 8TH ST SUBDIV: CONTRACTOR PHONE OWNER CLALLAM CNTY PUBLIC HOSPITAL PHONE (360) 417-7170 PARCEL 06-30-00-0-2-3470-0000- APPL NUMBER: 14-00000026 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED * RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 3/21/14 JLL BLDG FRAMING 3/21/14 AP March 21, 2014 9:09:22 AM pbarthol. Rob 460-1284 Call Ist so he can meet you March 21, 2014 3:43:48 PM jlierly. BL99 01 5/05/14 L BLDG FINAL May 5, 2014 1:06:10 PM pbarthol. Rob 460-1284 Call 1st so he can meet you there. --------------------------- -------------------------------------------------------------------- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME1 01 3/21/14 JLL MECHANICAL ROUGH-IN 3/21/14 AP March 21, 2014 9:10:07 AM pbarthol. March 21, 2014 3:43:48 PM jlierly. ME99 01 JLL MECHANICAL FINAL A 10 May 5, 2014 1:06:47 PM pbarthol. Rob 460-1284 TIT_ Call 1st so he can meet you there. --------------------- ]LIT----------------------------------------------------------------- PERMIT: PL 00 PLUMBING P REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 01 3/21/14 JLL PLUMBING ROUGH-IN 3/21/14 AP March 21, 2014 9:09:48 AM pbarthol. March 21, 2014 3:43:48 PM jlierly. PL99 01 5/05/14 PLUMBING FINAL May 5, 2014 1:07:14 PM pbarthol. Rohl 460-1284 Cal 1st so he can meet you there. -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 QA Application Number . . . . . 14-00000026 Date 2/06/14 Application pin number . . . 46G190 Property Address . . . . . . 303 W 8TH ST 'KI ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3470-0000- 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 . . . . . . . COMMERCIAL NEIGHBORHOOD Application valuation . . . . 50000 (Location Code 0502) ---------------------------------------------------------------------------- Application desc 2 office convert to exam rooms ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CLALLAM CNTY PUBLIC HOSPITAL OWNER DISTRICT 2 DBA OMC 939 CAROLINE ST PORT ANGELES WA 983623909 (360) 417-7170 --------------------------------- ------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . 2 OFFICE INTO EXAM RM Permit Fee . . . . 670.25 Plan Check Fee 435.6G Issue Date . . . . 2/06/14 Valuation . . . . 50000 Expiration Date 8/05/14 Qty Unit Charge Per Extension BASE FEE '417.75 25.00 10.1000 THOU BL-25,001-50K (10.10 PER K) 252.50 ---------------------------------------------------------------------------- Permit . . . . MECHANICAL PERMIT Additional desc REMODEL FOR EXAM ROOMS Permit Fee I . . . 100.90 Plan Check Fee .00 Issue Date . . . . 2/06/14 Valuation . . . . 0 Expiration Date 8/05/14 Qty Unit Charge Per Extension BASE FEE 50.00 2.00 10.6500 EA ME-VENT SYSTEM (NON-HVAC) 21.30 2.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 29.60 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc REMODEL EXAM ROOMS Permit Fee . . . . 92.00 Plan Check Fee .00 Issue Date . . . . . 2/06/14 Valuation . . . . 0 Expiration Date 8/05/14 Qty Unit Charge Per Extension BASE FEE 50.00 2.00 7.0000 EA PL-PLUMBING TRAP 14.00 2.00 7.0000 EA PL-WATER LINE 14.00 2.00 7.0000 EA PL-DRAIN VENT PIPING 14.00 ---------------------------------------------------------------------------- Special Notes and Comments January 28, 2014 10:09:49 AM sroberds. Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes nul I and void if work or construction authorized is not commenced within 180 days,if construction.olr work is suspended or abandoned for a period of 180 days after the work has commenced, or if required"insoectidns 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 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 Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove I Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 L 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 . . . . . 14-00000026 Date 2/06/14 Application pin number . . . 466190 ---------------------------------------------------------------------------- REPORT SALES TAX Special Notes and Comments The project willresult in interior remodel to an exist on your state excise tax form medical office use. Applicant indicated no additional to the City of Port Angeles personnel only interior restructuring. No add off street pkg is therefore required. Site provides 29 off st pkg (Location Code 0502) spaces. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 8G3.15 863.1S .00 .00 Plan Check Total 435.66 435.6G .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1303.31 1303.31 .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 orwork 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:FormstBuilding 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 4174831 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) 'f-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-in (�as Line Wood Stove I Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Sepa rate Permit#s SEPA: Parking/Lighting ESA: Landscaping iSHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 CIO Construction-R.W. PW Engineering 417-4831 Fire 417-4653 I Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit THE For City Use CITY OF RT ANGELES, P -A- Permit# ILI No W A SH I NGT 'ON, U. S. Date Received: 1) JILI 321 E 51h Street Date Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permitsOcityofpa.us BUILDING PERMIT APPLICATION 03 Wes+ OA S+- Project Address: PC) VA q& Phone: 3�,o L/11-7 - 7rlo Primary Contact: 'Q'k r-'C'� (scok-+7�ScWW Email: Name c Phone Lit 71 7o 0 Iq - kcrl � 3(,. V11 a'c Gal(\k'r- Property Mailing Add re-1 Email Owner 9-�C1 Ck 1:VAe S 01 4'�q City State Zip Name Phone Contractor Address Email Information city bo VO,--,— State Zip [Contractors License# Exp.Date: Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) $ -52 .ZO C)(D Residential Commercial Industrial 11 Public Permit Demolition El Fire 1:1 Repair 11 Reroof(tear off/lay over) Classification For the following, fill out both pages of permit application: (check New Construction 0 Exterior Remodel El Addition 11 Tenant Improvement appropriate) Mechanical El Plumbing JZ[ Other 11 %1" Fire Sprinkler Sy�tem? Irrigation System? osed Bathrooms roposed Bedrooms Yes E3 No Yes 0 No ff Project Description 0 41 a I I-Q �K Le,5 or\ tooc +LJO Is project in a Flood Zone: Yes 13 NoO. Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ 1 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 wfll be forfeited. Z)6c-- V19oi� Fo6 6,q4t-p,� Date Print Name Sig nature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $5 value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 2"'floor) Garage Carport Other(describe) Arei Totals T 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/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 fixtu e to be installed or relocated Plumbing Traps # 2_ 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