HomeMy WebLinkAbout504 S. Lincoln Street Address:
504 S Lincoln Street
PREPARED 7/14/16, 10:43:22 INSPECTION TICKET PAGE" G
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/14/16
------------------------------------------------------------------------------------------------
ADDRESS . : 504 S LINCOLN ST SUBDIV:
CONTRACTOR PENINSULA HEAT INC PHONE (360) G81-3333
OWNER DASHMESH PETROLEUM 13 INC PHONE (360) 751-4905
PARCEL 06-30-00-0-1-6700-0000-
APPL NUMBER:: 16-00000566 COMM MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 7/14/16 NLe MECHANICAL FINAL
July 14, 2016 9:55:11 AM jlierly.
fu*lk- nick 360-7S1-4905/ mary 681-3333
1 U
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
i Qmi DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDI`NG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ZT11111111 W
Application Number . . . . . 16-00000566 Date 4/21/16
Application pin number . . . 136056
Property Address . . . . . . 504 S LINCOLN ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6700-0000- 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 . . . . . . . COMMUNITY SHOPPING DISTR (Location Code 0502)
Application valuation . . . . 9850
----------------------------------------------------------------------------
Application desc
INSTALL UNITARY DUCTED HEAT PUMP + DUCTWORK
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DASHMESH PETROLEUM 13 INC PENINSULA HE)kT INC
JL_ 1133 HWY 6 782 KITCHEN-DICK RD
CHEHALIS WA 98532 SEQUIM WA 98382
(360) 751-4905 (360) G81-3333
---------------------------: -------------------------------------------
Permit . . . . . . MECHAN ICAL PERMIT
Additional desc
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 4/21/16 valuation . . . . 0
Expiration Date 10/18/16
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
----------------- ---------- ---------- ---------- ----------
lv*� 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 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 ISO 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.
"We
,e
q121116 Za Csll-o—
f 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 Backfiow 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.
Inspic-tion Type Date Accepted By Comments
FOUNDATION:
Footings
Sternwall
Foundation Drainage I Downspouts
Piers
Post Holes(Pole BIdgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water
WIR-SEAL-
Walls
Ceiling
FRAMING:
Joists/Girders I 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 I FAU I Ducts
Rough-In
Gas Line
Wood Stove I Pellet/Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
,Skirting
PLANNING DEPT. Separate Permit#s ---IFSEPA:
Parking/Lighting JESA:
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
Building 417-4815
THE For City Use
50 T
CITY OF I R _ ANGELES
P -4 -11-
Permit#
WASH INGTON , U. S. Date Received:
321 E Sth Street Date Approved
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits0cit3mfpa.us BUILDING PERMIT APPLICATION
Project Address: 5a </, S",
Phone: Yr. 3 Y � Z
Primary Contact: Ke- i, �' 5 F,--il- C6"q—
Name hone
b a.s7k vn e 5A PAT-,,�13 ji,c, P
Property Maili�g Address Email
Owner city 1133 HWYC St.ate zip 5 77
C"/C 4&/0. %'V e,
Name Phone
Address Email
7 6 Z
Contractor - /L' rk-r�A�'t C'a
Information city Le Amr� State
ek- zip 9 0,3.
Contractor Lfense# PC- h I At 0 L/ C�yu E-p-Date:
Legal Description: Zoning: Tax Parcel# Pro ct Value: (materials and labor)
1 $ �8 5-d -,
Residential 11 Commercial N Industrial 0 Public 0
Permit Demolition El Fire 11 Repair 11 Reroof(tear off/lay over)
Classification For the following,fill out both pages of permit application:
(check New Construction El Exterior Remodel 11 Addition 11 Tenant Improvement
appropriate) Mechanical N Plumbing 11 Other 0
Fire Sprinkler Sys'tem Proposed T—irri–gation System Proposed or roposed Bathro oposed Bedrooms
or Existing? Yes 0' No 0 1 Existing? Yes 0 No 0 T
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 J4�n� JAJ
U
.1sprojectina Flood Zone: Yes [3 NoM Flood Zone Type:
If in a Flood Zone,what is the value of the structure�efore 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 win be forfeited.
Date 4//Z,0// Print Name
Z, fi�;-o M Signature "-Z�
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 2'd 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) All
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
iMl
all structures sqft
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 w #
Boiler/Compressor Size: # Heating/Cooling appliance #
I 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 # 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:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 201SO41S.docx
Address:
504 S Lincoln Street
PREPARED 6/09/16, 15:45:39 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/09/16
------------------------------------------------------------------------------------------------
ADDRESS 504 S LINCOLN ST SUBDIV:
CONTRACTOR WH CARPENTRY INC PHONE (360) 388-0407
OWNER DASHMESH PETROLEUM 13 INC PHONE (360) 751-4905
PARCEL 06-30-00-0-1-6700-0000-
APPL NUMBER: 15-00000811 COMM REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL3 01 3/03/16 JLL BLDG FRAMING
3/03/16 AP March 3, 2016 9:26:31 AM jlierly.
360-388-0407
March 3, 2016 4:25:52 PM jlierly.
BL3 02 3/25/16 JLL BLDG FRAMING
3/25/16 AP March 25, 2016 8:14:56 AM ilierly.
Partial frame in main store areas/ This inspection is the
area where coolers will be instgalled only/jll
March 25, 2016 4:07:11 PM jlierly.
BLWS 01 6/09/16 JLL BLDG INSULATION WALL/FLOOR
6/09/16 AP June 9, 2016 3:48:55 PM jlierly.
'June 9, 2016 3:49:20 PM jlierly.
BL99 01 BLDG FINAL
June 9, 2016 3-:49:55 PM jlierly.
--------- --------- COMMENTS AND NOTES --------------------------------------
321 E 5TH. STREET
PORT ANGELES WA 98362
C E R T I F I C A T E 0 F 0 C C U P A N C Y
T E M P 0 R A R Y
Issue Date . . . . . . 6/09/16
Expiration Date . . . . 7/11/16
Parcel Number . . . . . 06-30-00-0-1-6700-0000-
Property Address 504 S LINCOLN ST
PORT ANGELES WA 98362
Subdivision Name . . .
Legal Description . . . LOTS 1+2 BL 1G7 TPA
Property Zoning . . . . COMMUNITY SHOPPING DISTR
Owner . . . . . . . . . DASHMESH PETROLEUM 13 INC
Contractor . . . . . . WH CARPENTRY INC
360 388-0407
Application number 15-00000811 000 000
Description of Work COMM REMODEL
Construction type . . .
Occupancy type . . . .
Flood Zone . : * * ' *
Special conditions
June 9, 2016 3 : 52 20 P jlierly
Provide parking d (lie)t�ion and e ada van space/ adress
numbers/ health re jil
Approved . . . . . . .
VY��lin g Official
/yl
VOID UNLESS SIGNED BY BUILDING OFFICIAL
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000811 Date 10/29/15
Application pin number . . . 838821
Property Address . . . . . . 504 S LINCOLN ST
ASSESSOR PARCEL NUMBER: OG-30-00-0-1-G700-0000- 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
Application valuation . . . . 45000 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
REMODEL FOR STORE/NEW FRONT FACADE
-- - ----------------------------------------------------------------------------
owner Contractor
----- ------------------------
DASHMESH PETROLEUM 13 INC WH CARP ENTRY.INC
1133 HWY 6 402 N DIAMOND ST G
CHEHALIS WA 98532 CENTRALIA WA 98531 Cb
(360) 751-4905 - (3GO) 388-0407
--------------------------------------------------------------------------
Permit . . . . . . 13UILDING PERMIT - COMMERCIAL
Additional desc REMODEM INTERIOR/FACADE
Permit Fee . . . . 619.75 Plan Check Fee 402.84
Issue Date . . . . 10/29/15 Valuation . . . . 45000
Expiration Date 4/26/IG
Qty Unit Charge Per Extension
BASE FEE 417.75
20.00 10.1000 THOU BL-25,001-50K (10.10 PER K) 202.00
— ----------------------------------------------------------------------------
Special Notes and Comments
July 14, 2015 8:12:09 AM tamiot.
ELECTRICAL PERMIT IS REQUIRED FOR ALL ELECTRICAL WORK.
IF ELECTRICAL LOADS REQUIRE FOR SERVICE TO BE UPGRADED THERE
MAYBE CHARGES TO INCREASE TRANSFORMER SIZE.
ELECTRICAL SERVICE WILL NEED TO BE EXTENDED TO MEET
CLEARANCE REQUIREMENTS.
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
A minimum 2A-10BC fire exinquisher is required.
Extinguishers must be mounted, with the top no more than 5'
off the floor. Suggested extinguisher placement is
adjacent to an exit.
July 14, 2015 10:07:47 AM kdubuc.
If a deep fat fryer is installed it must be provided with a
fire suppression system.
Public Works Utility Engineering has no requirements for
this plan review.
----------------------------------------------------------------------------
. Other Fees . . . . . . . . . STATE SURCHARGE 4.50
-----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due >
----------------- ---------- ---------- ----------- ----------
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes Q-0
null and void if work or construction authorized is not commenced within.180 days,if construction or work is suspended or abandoned —7,
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.
lolgq'lls-
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder).
TForms/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 Backfiow 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
Foundabon Drainage Downspouts
71—er s
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-in
Water Line(Meter to Bldg)
Gas Lind
Back Flow Water
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders Under Floor
Shear Wall/Hold Downs
Walls I Roof/Ceiling
Drywall(Interior Braced Panel Only)
T-Bar.
INSULATIONt
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pum*p Furnace FAU Ducts
Rough-In
Gas Line
Wood Stove Pellet Chimney
Cornmercial Hood/Ducts
MANUFACTURED HOMES:
Fobtind/Slab
Blocking&Hol 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 /Engineering 417-4831
fire 417-4653
Planning 417-4750
Building 417-4815
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 15-00000811 Date 10/29/15
Application pin number . . . 838821
Permit Fee Total 619.75 G19.75 .00 .00 REPORT SALES TAX
Plan Check Total 402.84 402.84 .00 on your state excise tax form
Other Fee Total 4.50 4.50 .00 .00
Grand Total 1027.09 1027.09 .00 .00 to the City of Port Angeles
(Location Code 0502)
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:Form s/B uilding 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.
POSIT PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date __7Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Tost Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water
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/Pellet Chimney
Commercial Hood/Ducts
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
_C onstruction- R.W. PW /Engineering 417-4831
fire 417-4653
—Planning 417-4750
Building 417-4815
THE For City Use
CITY OF ORT jGELES
P A� Permit#
Per
WASH INGTON, U . S. Date Received: -7
321 E Sth Street Date Approved 10
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permitsOcityofl2a.us BUILDING PERMI A PLICATION
Project Address: al,4
Phone: (Je,.-J 9Ar eD�-/o
Primary Contact: CIZ11111le-4,��1Vc.,4f 2- Email: 40 q ,
Name I DWOw AL- Phone 3 GO - -7 S I —7q 9 o!:,;-
Property ' Mailing AddresA.3 Email
Owner
City State 4�1 ziP
=�� Phone
Contractor Address Email
�P�2 U,
Information city zip�;r
State
Contractor License# FE-p.0�e:
(IJAICk 9 12 e,-Z 1 9
Legal Description: Zoning: Tax Parcel # IPA J ect Value: (materials and labor)
Residential 11 Commercial ff- Industrial 11 Public 11
Permit Demolition El Fire El Repair 1:1 Reroof(tear off/lay over) El
Classification For the following, fill out both pages of permit application:
(check New Construction El Exterior Remodel El Addition El Tenant Improvement El
appropriate) I M. ,echanical 0, Plumbing El Other )4
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes C3 No M I Existing? Yes 0 No P I 1 10
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwaterocityofaa.us
Project Description
Is project in a Flood Zone: Yes 0 NoEl 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 prior4o work. -1 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 petmit is not picked up/issued within i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
0,710 C,/ �4j/l to /ez-
Date 05 Print Name Signature
C-�-"y CP,( �. /-P I ao I I c ya�—
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 2 Id 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 are
Existing Structure (s)
Proposed Addition
Tenant improvement?
Other work(describe 0,
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 /S sq ft I
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 I Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended, Floor,Recessed wall) #
Size: # Heating/Cooling appliance #
Boiler/Compressor —1 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 I
Plumbing Fixtures
Indicate how many of each type of fixtu e 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
foro i i I U91 :10TI WE rgm 1��:10
2012 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over 3 stories and all R1 Revised Oct 2013
Project Address Port Angeles Convenience store Date 09/28/2015
Occupancy Group * commercial 0 Group R For Building Department Use
Change in occupancy or space conditioning 0
Note-Proposed UA may exceed Target UA by 10%per C101.4.4 and C101.4.5
Fenestration Area as%gross above-grade wall area Max.Target: 30.0%
Skylight Area as%gross roof area Max.Target: 5.0%
Vertical Fenestration Alternates: None Selected on ENV-SUM
Notes:1:ff vertical fenestration orskylightarea exceeds maximum allowedper C402.3.1,then TargetArea Adjustment of allapplicable envelope
elements will be calculated by the compliance form. Refer to Target Area Adjustments worksheet for this calculation.
2:U-factors shall come from Appendix A, Chapter C303,or calculated per approved method as specified in C402.1.2.
Building Component Proposed UA Target UA
Provide source of U-factor,page/plan#of assembly detail&ID U-factor x Area(A) UA(U x A) U-factor x Area(A) UA(U x A)
R= �D:crossection existing r-10+ new R21 0.034 1560 53.0 ' 0.034 7560 53.0
Q) R= D: Above Deck Insulation U-0.034
R= ID:
R= ID: 0 031
CO R= ID: �eta'l Building U-0.031
R= ID:
R= ID: 0.021
R= ID: Single raft,attic,other U-0.021
0 JR= ID:
R= ID:existing r 11 plus new R-21 0.055 1300 71.5 0.055 1300 71.5
R= ID: Steel/metal frame U-0.055
R= ID:
0 R= ID: 0.052
_<0 R= ID: Metal Building U-0.052
21R= ID:
CU
3: R= ID: 0.054
Q)
z R= ID:
Er a Wood Frame,other U-0.054
CU 0
6- R= ID:
0
R= ID: 0.104
R= ID: Mass Wall U-0.104
2 R= ID:
-0 R= ID: 0.104
R= ID: Assumed to be Mass Wall U-0.104
0
R= ID:
0 R= ID:
U) R= ID: 0.031
U)
m R= ID: IMass Floor U-0.031
E2 2
0 R= ID:
0 -a R= ID: 0.029
LL a)
E R= ID: Joist/Framing U70.029
LL R= ID:
F-factor x Perimeter UA(U x A) F-factor x Perimeter UA(U x A)
_0 R= ID:Existing slab on grade 0.540 1560 842.4 0.540 1560 842.4
a) R= ID: Slab-On-Grade U-0.54
[2
0)
CL z) R= ID:
0 -0 R= ID: 0.550
�6 (D
R= ID: Heated Slab-Cin-Grade U-0.55
R= ID:
*Proposed non-residential CMU walls meeting Table C402.1.2 Area UA Area UA
Footnote D requirements can use the target U-value of 0.104 rather Page 1 ---
than Appendix A values.Show footnote requirements in plans. Subtotal F 4420 4420 967
Component Performance Compliance (UA) UA COMPLIES
'Component Performance Path, pg. 2 Zones 405b M-UX
2012 Washington State Energy Code Compliance Forms for Commercial Buildings including R2&R3 over Revised Oct 2013
Project Address Port Angeles Convenience store Date 09/28/2015
Fenestration Area as%gross above-grade wall area Max.Target: 30.0% For Building Departm ent Use
Skylight Area as%gross roof area Max.Target: 5-096
Notes:1:If vertical fenestration or skylight area exceeds maximum allowed per C402.3.1,then Target
Area Adjustment of all applicable envelope elements will be calculated by the compliance form.
Refer to Target Area Adjustments worksheet for this calculation.
2:Provide NFRC rated Ll-factor or default U-factor from Appendix A for the fenestration assembly
thermal performance(combination of frame and glazing).
3:Fenestration that separates conditioned space from a non-conditioned or semi-conditioned
Building Component Proposed UA Target UA
Provide source of U-factor,page/plan#of assembly detail&ID U-factor x Area(A) UA(U x A) U-factor x Area(A) UA(U x A)
E2 U= ID:Entry 0.360 42 15.1 0.37 62 22.9
0
0 U= ID:West door 0.360 20 7.2 Opaque Swing Doors U-0.37
U)0 U= ID:
U= ID: 0.37
0 U= ID: Opaque rollup&sliding U-0.37
0
U= ID:
U= ID: 0.30
U= ID: Non-Metal Frame U-0.30
U= ID:
0
Z U= ID:
U= I D:south end East windows 0.36 120 43.2 0.38 362 137.6
U= ID:north end East Windows Metal Frame,Fixed U-0.38
2 0.36 114 41.0
'E U= 0.36
ID:North end window 78 28.1
U=
ID:east entry minus door 0.36 50 18.0
LL U= ID: 0.40
0 -0.40
U= ID: Metal Frame,Operable U
(U U= ID:
>
U= ID:
U= ID: 0.60
C:
T U= ID: Metal Entrance Door U-0.60
U= ID:
U= ID:
U= ID: 0.50
0) CL U= ID: All types U-0.50
U= ID:
-Ne =
Cn < U= ID:
Area UA Area UA
Page 2 Subtotal 424 153 424 161
To comply: Page I Subtotal 4420 967 4420 967
1)Proposed Total UA shall not exceed Target Total UA.
2)Proposed Total Area shall equal Target Total Area. Total 4844 1120 48 7
lComponent Performance Compliance (UA) UA COMPLIES
60' 0"
41' 0" 12- 0" 7- 0"
K x x N N f N R N I 1 5 N N
rl I, I
EXISTING
COOLERS MENS 6' 0"
OFFICE STORAGE AREA
NEWCONVENIENCE 41 011 EXISTING
U) STORELAYOUT WOMEW o..
w F-1
26' 0'- -j ELECTRICAL PANEL 261011 CL
0
0
41011 41011 CHASHIER
41011 PHONE NUMBER
E� 6%OFIXEDWNDOW m FiXFD WNXW 60" Ll 1-360-740-4349
-ml 61 011 60" 4
410" 61011 41 Of' ��-� Yf
51 011 5' C 241011 SHELL CONVENIENCE&
FLIELSTORE
PROOED
FLR
IsIt
Aw
----------
%we
47,
FILE
CITY OF PORT ANGELES-Consbiwtion Plans
The Issuance of this permit based upon these plans
specifications and other data shall not prevent the
building oll'icial from thereafter requiring the
ewmion of orrors in said plans,speci I ications and
601 011
4110" 121011 71 011
U
EXISTING
COOLERS MENS 6' 0"
NEW CONVENIENCE OFFICE STORAGE AREA I V)
41011 EXISTINGT
V\K)ME1\lS`-
CD STORE LAYOUT (7011
too
26' 0' ELECTRICAL PANEL 261011
0
0
CHASHIER
41011 41011
6/28/15
28/15
R—i.i.,Vl—. Date
"'PHONE NUMBER
41011
foil 1-360-740-4349
4- 5
6050 FIXED V\ANDOW 6050 FIXED V\AN DOW I Emp TEMP
61011 61011
41011 61011 41011 rProject Name and Address
SHELL CONVENIENCE&
4- 5101 51 011 2410" FUELSTQR
6-0"1-59ao L6:06tj
PROPOSED
07/01/2015 FLR PLN
601011
411011 12' 0" TO"
EXISTINGT jo
MENS 6' 0"
EXISTING
EXISTING SHOP AREA VVOMEPg, Oil
26' 0' ELECTRICAL PANEL 261 Oil
EXISTING
CASHIER/OFFICE
'PHONE NUMBER
10, oil 10. oil 10, 0., 1-360-740-4349
OVERHEADDOOR
2' 0" 21011 21 01 v 241011
FP-J..N—."Add—.
SHELL CONVENIENCE&
FIJELSTORE�,
E5�ISTING
LR PLN
V)
V)
114 411011 121 5 71 011
jo
61011
6' 011
261011
6/28/15
RevisiorVl—
PHONE NUMBER
101011 101011 101011 1-360-740-4349
21011 21011 21011 �-Project Name and Address
SHELL CONVENIENCE&
FUELSTQRE
07101r2015
FLR PLN
tn
E1E:7:1L:l L-:]=[ -1
1, 'J, 101011 111A h1li 101011 101011 bll.A 241011
v P, 7 7 Ul
Zo 21011 21011
EXISTING ELEVATION
71 011 101 Off 141011 6128/15
ReisioVl—
PHONE NUMBER
1-360-740-4349
51011
61 0 /Project Name and P 11:14 ss
41011 SHELL CONVE`,J�E l i�,F
FUELS-�qRE
NEW FRONT ELEVATION
FRONT
07101M15 ELEV
EXISTING STRUCTURAL BEAMS AND
ROOF COVERS NO CHANGES TO EXISTING >
N PC
DROP CEILING, V\ARES INSTALLED PER NWWALL NEW DROP
A N D-C-E[L 1.N-G-B-U-R EA-U-aTAN DA R CEILING IN OFFICE EXISTING RESTROOMS
A hL NO CHANGES CLEAN
'��PICAL EXTERIOR WALLS AND PAINT ONLY
2 X 6#2 @ 24" O.C. R-21 INSULATION
W/ 1/2" GYPSUM WALL BOARD
FASTENED @ 6" O.C. EDGES
12" O.C. FOLD. 101. off
NEWWALLS LOCATION
PER FLOOR PLAN
6/28/15
Revisim/1—e Dt.
"-PHONE NUMBER
1-360-740-4349
/'-Project Name and Address
SHELL CONVENIENCE&
FLIELSTORE
J ZA/061
PROPOSED
07/01M15 CROSS
SECTION