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Home My WebLink About1114 Georgiana St - Building F YOkr.t,1. RECEIV -fir^";;i.::i`?;17'v.•, � CITY OF POR'r,ANGELES PERMIT APPLICATION fa� � � �� Building DivisOn/Electrical Ix1,spections East Fifth Street—)?.0. Fox 1150/Pont Angeles Washington,98362 �E�C��i�Ai Ph: {360} 417-4735 Fax: (360)417-4711 INSPECTIONS Dale; L Multi-Family or Commercial' Plan Review May Be Required, Please Complete Electric I Plan Revi Info tion heet Job Address: C!2tin 4 . ( rT7ia" Building Square Foatage: k Description of above i Owner Information y� Contractorinf r'mation� Name; Aim.,K ✓ d Name: mailin Address: !.. S Mailing Address: City: F.D�. . State: 1,a.. Zip: City:—. _Slate: Zip: phone: Fax: Phone: �FaX: License#1 Exp. License#1 Exp. Item Unit Charge Total Ot Multiplied by Unit C tle ServicelFeeder 200 Amp. $132.00 $ ServicelFeeder 201-000 Amp. $160.00 $ ServioelFeede-401-600 Amp $225.00 $ ServicelFeeder 601-1000 Amp. $288,00 _ $ Service/Fsedar ova(1000 Amp. $410,00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch CircuitWJ0 Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 14 $ 66.00 $ Temp_Servical Feeder 200 Amp. $102.00 $ Temp.ServloelFeeder 201-400 Amp. $121.00 $ Temp.ServicelFeeder 401-600 Amp. $164.00 $ Temp,ServicelFeeder 501-1000 Amp. $185,00 _ g_ Portal to Portal Hourly $ 96,00 SignlOutline Lighting $ 8$_00 $ � Signal CircuN limited Energy—Multi-Family $ 64.00 $ Signal Circuitl Limited Energy First 4500 sf—Commercial $ 88,00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Lass $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat Total Owner as defined by RCW.19.28,261:{1}Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is req fired to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor.l am m in9 the electrical fnstallatlon or alteration in compliance with the electrical laws,N.E,C,,RCW.Chapter 19.2"n,WAC,Chapter 296-46B,The Gily of lort Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signatu a of owner. electrical ca tractor or elecNcal administrator: D Cash p cnscK ❑ C;"",Card N A a o11D!lzo�z e ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14-00000058 Date 1/16/14 Application pin number . , , 280922 Property Address , . , . , 1114 GEORGTANA ST REPORTALES TAX ASSESSOR PARCEL NUMBER; 06-30-00-8-1-0414-0000 Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name , , . . . . to the City of Port Angeles Property Use - . . . . . . s n �f Property Zoning . . . . . . . COMMERCIAL OFFICE (Location Code 0502) Application valuation . . . , 0 Application desc Sign circuit Owner Contractor ------------------------ ------------------------ TATE BUILDING LLC KIRSCH ELECTRIC INC. 1800 BLANKENSHIP RD STE 200 P. C. BOX 3396 WEST LINN OR 97068 SEQUIM WA 98382 (503) 742-1942 (360) 683-6519 ---------------------------------------------------------------------- ----- Permit . , . . . , ELECTRICAL ALTER COMMERCIAL ., Additional desc . Permit Fee 89.00 Plan Check Fee .00 Issue Cate 1/16/14 Valuation . , . . 0 Expiration Date 7/15/14 Qty Unit Charge Per Extension 1.00 88,0000 ECH- EL-00MM-9IGN 88.00 I�, T^`^fF _ _ __ charged ___ -- `l.Credited Due_____- - _--- ee summary Paid (� ---- . ----------- ---------- ---------- ----- -_ ---------- f Permit Fee Total 88,00 88.00 00 .00 Plan Check Total .00 .00 .00 ,.00 Grand Total 88.00 88,00 .00 00 r� ' r l INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 1 FINAL COMMENTS: PERMIT WILL EXPIRE SIX(G)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEIBUILDING BuNing Divigio&Elect&al Ins pccitiom I EH'C E",�'l V 17E, U 321 East NAM Stvtet—PA Box 1150/Port Angelu'%Taskk�&A',98362 'Plan Review May Be Required Please Complete Ele i cai plian Reifiew ld�ztticn Sheet &McoNaader 2014 00 AnT. Sarvicolroodar 601 000 Amp. ~ _—�_--' Branch QrcuitWIS&vice Feeder 5,00 Emh Addilional Branch 9=4 5.6 Temp.SerNicdFeeder 201400 Amp. $121.1)0 Temp.Service/Feeder M-1 000 Amp. $ 85.00 ~ ~~~ Total Oymer as deined by RCW_192U6 1,(1)Owner Will 0MUpy the structure for W years Ar this eL-& 1perrfitisfinati2ed.(2�Owmerisfequ od 10 hire an eleGhical oontraclor if above 561d prope;ly is for sale,rent or leaoe,Perni t expires after six Tnths of W t inspec6oll, Alter reading the above staternant I hemby rerlfy that I am the oWner Of 0)e above named property or I ficensed eloGtiiA contracbr.I am n-8 mg c0m0an0e -----'------' ,'_^~ '~'` Chapter 19.2 of ort O � CITY OF PORT ANGELES PER1VHT APPL1'C,A mN �� f � `` • � V'� Building Airvilsiol/Electrical Tnspectio>as 321 East Fifth Street—P.O.Boa 1150/Port AAgeles Washington,98362 NOV 2o 6 Ph: (360)417-4735 Fax:(360)417-4711 1 �:f��:liir•':�""r'1�1 t w� Date; 4--12 o-I �Mufi-Family or Commercial* fi Plan Review May Be Rewired,Please Complete Electri l Plan Revi w Inform tion Sheet Job Address; I Building Square Footage: Description of above Owner Information , i !,y\ Contract C Infomnatio Name:_ Name; G Mailing Address: .F Mailing Address; City: State: Zip;r-- ._ CRY: e" state;—44&-7rp; 7 Phone: Fax: Phone: Fes; g� License#1 Exp. License#1 Exp. T Item Unit_. 0_�g Idol Qk Muiti lied Unit h ServicelFeedar200 Amp. $932,00 Service/Feeder 201.400 Amp. $160,00 $ Service/Feeder G01-500 Amp $225.00 - $ Service/Feeder 601-1000 Amp. $286.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $ 5.Q0 $ Branch Circuit W10 Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Cirwits 1-4 $ S6.00 $ .— Temp.Service/Feeder 200 Amp. $102.00 — $ Temp.ServicelFeeder 201-00 Amp. $121,00 �� $ Temp.Service/Feeder 401.600 Amp. $964,00 $ Temp.Service/Feeder 601-1000 Amp. $185,00 $� Portal to Portal Hourly $ 96.00 $ Sign/Outline lighting $ 68,00 $ Signal Circuit!Limited Energy-Multi-Family $ 64.00 Signal Circuit!Limited Energy/First 1500 9-Commercial $ 96.00 —�"` $ Note; $5.00 for each addltlonal 1500 sf " Rsnawable Electrical Energy-5KVA System or Less $113,00 2-600 Thermostat $ 56.00 g Note:$5.00 far each additional 7-Stat - re CL6f M 4 Req-uest --o cil-drd on -o low I Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is re juired to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires after six months of last inspection, After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed slecfical contractor.I am i iaking the electrical installation or alterafion in compliance with the electrical laws,KE,C., RCW.Chapter 19,28,WAC.Chapter 296468,The City of Part Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: Q each ❑ Che*k ogtad: _11 2Ca'� 011a1l2012 � �oiw F4 ELECTRICAL 4 L INSPECTION . WIRING REPORT KS& 417-4735 , DATE' PEAMIr#S r. -712 INSPECTOR OWN CONTRACTOR ADDRESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . ❑ ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . , . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: t,$ f4, LL_ Cy V t YZ__ �11 llll Iz NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - omwo , ELE CT"RICr4L INSPECTION WIRING REPORT ARKS 91 417-473 DA E; PERMIT# yQ�.il� r '1V INSPECTOR 0 IVER CONTRACTOR (1Z c ADDRESS APPROVED NOT APPROVED ® ...-J . . . . . . DITCH . ° •I9"�Vt)lP°L_ - ROUGH IN/COVER . . . . . . . . . . . . . . . ®. . . . . . . . . . . . . . . . . . . . SERVICE , , . . . , . . . . . . I� ®. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . CcaRRCTIONS NEEDED: co NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT (REMOVE — i i ELECTRICAL INSPECTION c WIRING REPORT c+rn & 417-4735 DATE; p PEAMI7 A 1 3 )78 NSPEGT - OWN J CONTRACTOR ADDRESS p APPROVED APPROVED CI . . . . . . . . . , DITCH . . . . . NOT }' ROUGH IN/COVER . ❑. . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . FINAL . . . . , . . . . . . . . . . . . . . . CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — u W ELECTRICAL INSPECTION WIRING REPORT `ARKS 6 417-4735 DA, E: PERMIT B l INSPECTOR O NER CONTRACTOR ADDRESS APPROVED 0 . DITCH NOT APPROVED , -~ t-1 • ROUGH IN/COVER . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . FINAL . . . . . . . L] 10FIRECTIONS NEEDED: p p1b NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETEp WITHIN 15 DAYS — Do NOT REMOVE — oFpORi'q,�, ELECTRICAL INSPECTION A L WIRING REPORT ■ ■T 417-4735 DATE PERMIT# INSPECT OWNER/CONTRACTOR ADDRESS c ) 6r-,-D��. APPROVED NOT APPROVED 0 . . DITCH . ROUGH IN/COVER . . . . . . . . . . . . . . . p ❑. . . . . . . . . . . . . . . . . . . . SERVICE . ❑ . . . . . . . . . . . . . . . . ❑ . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: C*-)L G v im" 1007 lD f10 r � z� I t 7 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS,INC.(380)q52-3381 E�E �R��1 o��oer,gi,. INSPECTION � y WIRING REPORT" I RKS 417-4735 IRATE, PERMIT# JOR OWNS CONTRACTOR ACbAE55 APPROVED ��aL,s Z,r,4�r.C. NOT APPROVED ® . . . . . . . DITCH . ROUGH !N/COVER ®. . . . . . . . . . . . . . . . . . . . SERVICE . ❑ 1. . . . . . . . . . .. . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . CORRECT11ONS NEEDED: � �y lc v/ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — ®O NOT REMOVE — i oFpoRrgN ELECTRICAL INSPECTION F WIRING REPORT %19 Ks 417-4735 DAT PERMIT# f }} INSPECTDA OWNER/�jNTRACTOR 4L kI �:TC'"f r7,—C ADDRESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . DITCH . 0 47%Z-" r. _ROUGH IN/COVER . . . . . . . . . . . . . . . d . . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTfONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - ®O NOT REMOVE OLYMPIC PRINTERS,INC.(360)02-1381 �I 4- � ELECTRICAL,•- CAL INSPECTI N �y WIRING REPORT" Ks° 417-4735 DATE: C .y+— 5 PERMIT 7d INSPEC7pR OWN R f3 1 3 CONTRACTOR ADDRESS APPROVED OT APPROVE ❑. . . . . . ROUGH I . . . . . . . . . . . . . . . . . . . . . . . N/COVER . . �. . . . . . . . . . . . . . . . . . . . SERVICE CI. . . . . . . . . . . . . . . . . . . . . FINAL . : . . . . . . . . . . . . . .. . . . ® >CORRECTIONS NEEDED: y; p � tJ A 'YZ �rf13ZL.., 5 c- A u . c`h Tri 3 W L 2 WCf� rLDW CAC - — lg NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETE®WITHIN IS DAYS — ®O NOT REMOVE — i O�PORT C� ELECTRICAL INSPECTION WIRING REPORT C�OAK9& 417-4735 I DAT PERMIT 4 INSPECTOR 2- a -- z.9 OWNER/CONTR CTOR ADDRESS APPROVED OT APPROV ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ CI. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . CORRECTIONS NEEDED: v )v -, n1 G 5 a*' r.c_ fin_ Y2- rc a NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE --. OLYMPIC PRINTERS,INC.(360)4S2-1381 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 13-00001283 Date 11/21/13 / Application pin number . . . 300197 Property Address . . . . . . 1114 GLORGIANA ST ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0414-4000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Subdivision ivipion Name Pro t0 the City of Port Angeles Property Zoning . . . . . . . COMMERCIAL OFFICE Application valuation . . . . 0 (Location Code 0502) Application desc walk in va clinic -------------------------------------------------------------------- ------- Owner Contractor ------------------------ ------------------------ TATE BUILDING LLC KIRSCH ELECTRIC INC. 1800 BLANKENSHIP RD STE 200 P. 0. SON 3396 WEST LINN OR 97068 SEQUIM WA 98382 (503) 742-1942 (360) 683-6819 Permit . . , . , , ELECTRICAL ALTER COMMERCIAL Additional desc . . VA CLINIC REMODEL Permit Fee . . . . 570.00 Plan Check Fee 00 Issue Date . . . . 11/21/13 Valuation . . . . 0 Expiration Date . . 5/20/14 Qty Unit Charge Per Extension BASE FEE 66,00 20.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 100.00 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 1.00 288.0000 ECH EL-COM 601-1000' SRV FEEDER 288,00 Special Notes and Comments November 21, 2013 9104;08 AM tamiot, if electrical service is upgraded to more than 800ampa there will be utility cost for transformer upgrades. --_-_ .--_-_----_----- .___________________._-__----_ --_---_- .--_--.._-.-_-.._--- Fee summary Charged Paid Credited Due ----------------- ----------_ __________ ---------- ---------- Permit Fee Total 570,00 570.00 00 .00 Plan Check Total ,00 .00 Do 00 Grand Total 570,00 570.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPaE SIX(6)MONTHS PROM LAST INS P I N 1 Signature of owner or Electrical Contractor X 7 Date: G:IEXCHANGEIBUILDING 1 ELECTRICAL PERMIT t CITY OF PORT ANGELES 360-417-4735 Application Number . , . . 13-0000128.3 Date 11/27/13 Application pin number 300197 Property Address 1114'; GEORGIANA ST �a®p�SALES�S �A v ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0414-0000- R r !S 4 Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . , . Property use , to the City of Port Angeles Property Zoning . . . , . . . COMMERCIAL OFFICE (Location Code 0502) Application valuation . , , . 0 Application desc wall< in va clinic ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ,'TATE .BUILDING LLC KIRSCH ELECTRIC INC. 18.00 'RLANKENSHIP RD STE 200 P. 0. BOX 3396 WEST LINN OR 97068 SEQUIM WA 98382 t (503) 742-1942 (360) 583-6819 Permit . . . . , , ELECTRICAL ALTER COMMERCIAL Additional desc VA CLINIC REMODEL Permit Fee 651,00 Plan Check. Fee ,00 Issue Date . . . 11/21/1.3 Valuation 0 Expiration Date 5/20/14 Qty Unit Charge Per Extension EASE FEE 86.00 20.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 100,00 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 5.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 25,00 1.00 288,0000 ECH EL-COM 601-1000 SRV FEEDER 288,00 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 Special Notes and Comments November 21, 2013 9:04;08 AM tamiot, if electrical service is upgraded to more than 800amps there will be utility cost for transformer upgrades. Fee summary Chargecl Paid Credited Due Permit Fee Total 651.00 651.00 .00 .00 Plan CheCk Total .00 .00 .00 .00 Grand Total 651,00 651.00 00 'Do INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL � COMMENTS: �� 6 � � PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION `f Signature of owner or EIectrical Contractor X Date: G:TI;XCI-fANGEIBUILDING • • . e. • • CERTIFICATE OF OCCUPANCY City of Port Angeles • Building Division This Certification issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance this structure was • in compliance with the various ordinances of the City regulating Building construction or use. For the following: PHYSICAL THERAPY 11003 Use Classification Building Permit No. • •• B VN CO • Group _ Type of Construction Use Zone owner of Busin-;.ssipesidenee ANGELES THERAPY Address 1114 GEORGIANA Building Address AP 4 EORGI 1� PORT: A NGELES, WA • � �'� r3' O , w%. . v tyAPCF4 97, 9000 But •ing Date Post on the e p } 0.00 spicuous place. Shall not be rerlit� ` `� . 1iieby Building Official.• • , • l 0 0 • • • • • a. CITY OF PORT ANGELS DEPARTMENT OF PUBLIC WORKS • INSPECTION REPORT REQUEST: Date j �� t).0 Time t F :;�;eived by (phone. person) Location of Work to be inspected /// � �-- Name of person requesting inspection C 57i.V / .l2 - - Address of person requesting inspection Phone No. /1 003 8 Type of Inspection (circle appropriate one): Permit No.// ZZi G�� - Sewer Foundation Framing Chimney Plumbi g Final S,..wer Excay. Other INSPECTION NOTES: Inspected: Date 3/Z 7/DD Time By • '•I Remarks: H 4 H It f • H O xx �a L*JHH RESTORATION REQUIRED YES NO cpi z A■■■■■ri H O d _H H o OHz f] H zoos H Ct� • t9 Htn O cn SURFACE RESTORATION: V SURFACE TYPE: L Unimproved n Gravel E]Asphalt ❑PCC ❑Other Repaired by City Work Order # _ `` Repaired by Permittee Li CrMPLETE i •\ [;No Damage Found E INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) e 4. • PORT ANGELES FIRE DEPARTMENT Fire Sprinkler Inspection Project Name: Angeles Therapy • Address: 1114- fifOT Georgiana Plan#99-14-11003 Comm R-1 ❑ Date: January 10, 2000 The following items were noted during a fire sprinkler inspection to ensure installation is in accordance with approved plans and/or NFPA 13. 1. Secure signage on wet system auxiliary drain, dry system auxiliary drain/inspector's test. 2. Provide a 3/4-inch head wrench in spare sprinkler box adjacent to riser. 3. Provide inspector's test signage on main drain at the riser. VJ r1 Prior to final acc e, the above items will need correction. Reviewed By -� Date I / I O/ 010 Building Department ❑ Fire Copy FP - 22 C Page 1 of 1 1 7,Q� ASSIGNMENT OF SAVINGS This agreement is for the purpose of fulfilling the requirement of landscaping required for a commercial structure in the Commercial Office zone by the City of • Flirt Angeles,Washington,as described in the records of the City Planning Department. The undersigned does hereby assign,transfer and set over unto the City of Port Angeles all right,title,and interest in and to S3.656.19 of account#?45026714,at North Sound )sank 1212 E. First Street, Port Angeles, WA 98362. (360)457-2962, with full power V C ) and authority to demand, collect and receive said deposit and to give receipt and - 1 j I ��) acquittance therefore for the installation of required improvements to be completed by �k j I, po 000 as prescribed by the City of Port Angeles. In the event of default by the �y a;' • • V, applicant,Angeles Therapy,it is understood and agreed that North Sound Bank holds the EI said at 'ngs account or time deposit in its possession and agrees to hold until a release of this assignment is received from the City of Port Angeles. i=4. o H ►4 n • Signed and dated by the City of Port Angeles, Washington, this 5 0�' day of q1 h4 �J t ?.,a 1999. )b ° N $'k-6— n ,,*Z. Pil 1 Brad Collins, Planning Director §yI M�! , 'Yy CCy oC ` ks 1.',''• Signed and dated by the applicant, Angeles Therapy Services PS this 23rd day of yo u) t,. December 1999. t4 ,' QI WT i (Applicant) Signed for North Sound Bank this 23rd day of December 1999. I • `l • By: ( l/ _ Linda Stocker,V.P.and Manager Assignment of Savings account#705026714 released by the City of Port Angeles, , Washington this 12.- day of September, 2000. ...... By: C Bra Collins Planning Director • - a . c«rY .OF. poRTANGELEs . . ........:: - . ..ftsit WASHINGTON, U. S. A. . DATE: December 1, 1999 �: livi E M 0 TO: Linda Childers, Building Division FIRE FROM: Dan McKeen, Fire Marshal ' DEPARTMENT RE: Fire Hydrant for Angeles Therapy, 1114 Georgiana Bruce W.Becker C r 1 Fire Chief (4651) I Linda, s. Ei Daniel K.McKeen '� H The Fire Department reconsidered its requirement for a new fire hydrant to he located Fire Marshal at the corner of Chambers and Georgiana Streets for the Angeles Therapy building 1� 1 i [4653] g project -- building permit #99-11003. This requirement was outlined in the plan ( y y Coral Wheeler review submitted by the Fire Department on July 2, 1999. (; En H Administrative Assistant to (4650] The Fire Department measured the distance from the existing fire hydrant located at H zo Front and Chambers Streets to the above building, using the Front/Georgiana alit: • H H I L.Keith Bogues as an approved access road. Using this route, the distance from the existing hydrant - p p Training Officer pp g [4652] to the closest corner of the building measured 240 feet, with the distance from the — hydrant to the furthest portion of me building (as measured by an approved -; o H 1 David R.Chastain acceptable route around the exterior of the building) measured 412 feet. This meets H ' Medical Officer the distance requirements established by the Port Angeles Fire Department and the G� N I [4665] Uniform Fire Code. y d ; 0 1 The existing hydrant at Front and Chambers Streets also provides the required fire 2 1 flow as set forth in the Uniform Fire Code Appendix 11I-B for the above mentioned y building.' tC t As the Front/Georgiana alley is an "acceptable" access road, and the existing Front/Chambers hydrant meets distance and fire flow requirements,the Port Angeles - Fire Department will not require a new fire hydrant at Chambers and Georgiana Streets. DM/cw pc: file-Angeles Therapy, 1114 Georgiana Gail Tate, Angeles Therapy r • ' The building is provided with a fire sprinkler system which allows for a reduction in the required fire flow. :' .,, 1 . • • • PORT ANGELES FIRE DEPARTMENT Fire Alarm System Plan Review • Projcct Name: Angeles Therapy Address: 1101 Georgiana • tll4 • Installer. Federal Firesafety Telephone: 457-3308 Type of System: Zoned R-3 ❑ R-1 ❑ Corn Eci ' Date: November 19, 1999 Permit -#99=t1- 0 0 3 We have checked this plan and find that it conforms to the requirements of our ordinance with the following exceptions: r • 1. Fire alarm system is approved per walk-through with Federal Firesafe ty the and th Fire tre Marshal on September 2'. 1Q99. The plans are consistent with the walk-through. • C c ■ E c i. Additionally: _ r G f 1. The systems shall be installed as prescribed in applicable NFPA 72. t 2. Fire alarm wiring to be done in accordance with PAMC and Washington Administration v Code. 6 c 3. A final field acceptance test will be conducted to ensure compliance with applicable codes p .. and ordinances before final approval is given. • i 4. An installation inspection and acceptance testing fee will be invoiced after final testing is �" completed. The fee for this project is$120.00. • ❑ Contractor Reviewed By k .NrBuilding Department Light Department ❑ Fire Copy Date 1 1 ) / 9 PI j FP-6 Page 1 of 1 PORT ANGELES FIRE DEPARTMENT Fire Sprinkler Inspection Project Name: Angeles Therapy Address: 1114 Georgiana Plan#99-5-11003 Corn® R-1 ❑ Date: September 28, 1999 The following items were noted during a fire sprinkler inspection to ensure installation is in accordance with approved plans and/or NFPA 13. yC, 1. Ensure insulation bats are above the fire sprinkler piping to allow heated air the ability to �+ reach the wet sprinkler system piping. 0 2. Ensure wet system sprinkler heads are not obstructed by insulation in concealed spaces. y Some wet sprinkler heads may be deleted depending upon protection available from the building's dry sprinkler system. O 3. Provide an intermediate temperature upright sprinkler head above the shower. H 4. Remove wet sprinkler head in unheated space adjacent to shower. 0 5. Add fire sprinkler protection in upstairs computer room. 6. Add fire sprinkler protection in north side of the concealed space in the room adjacent to the y fire sprinkler riser room (southeast corner building). Prior to final accep the above items will need correction. Reviewed By ' < Date -7 /a 8)q� 21 Building Department ❑ Fire Copy FP - 22 C Page 1 of 1 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT REQUEST: 5 G' Date 2'J —_ Time_._9 � __Received by (phone, person) _ / (� - •' Location of Work to be inspected_ -- =7L� '2/ /I)/52- Name of person requesting inspection Address of person requesting inspection_ Phone No. Type of Inspection (circle appropriate one): Permit N.. Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. INSPECTION NOTES: Gj t ._ �_, c.r/2sr.qrs- Inspected: Date 9' 2 _ ( � _ Time__ _ _ By— (7-- Remarks: RESTORATION REQUIRED YES NO n SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑i Asphalt ❑PCC ❑Other ❑Repaired by City Work Order # Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 1 "� c r- sY o f PORTANGELES �'�•`, WASHINGTON, U. S A. '® FIRE DEPARTMENT DATE: September 20, 1999 'e l i 14-- ll TO: Plan Review File#99-14-11003,-1tOt Georgiana FROM: Dan McKeen, Fire Marshal r - _ s A RE: Fire Alarm System i i d f t i I was contacted by Rocket Mechanical on September 17 regarding the specific requirements for a fire alarm system for Mcunt Angeles Therapy, Georgiana Street. The contractor was unaware that a separate fire alarm system other than the outside bell required for the building's fire sprinkler F system would be required. �- ! E The plan review conducted by the Fire Department dated July 2, 1999, specified the requirement t for a fire alarm system which would be extended to an "approved" central receiving station. This c requirement was submitted through the department's plan review as the building was over 7,500 E square feet. Subsequent to the plan review, the building's square footage was reduced to less than 7,500 square (� feet-- changing the fire alarm system requirement. The building, with its new square footage, will need a fire alarm system capable of notifying the building occupants in the event of a sprinkler activation. The fire alarm system will also need to be 1 capable of electronically supervising the building's fire sprinkler system's control valves, including the post indicating valve. Detection devices will not be required -- nor will the system need to be extended to a central receiving station. DM/cw pc: Linda Childers, Permit Coordinator . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT :: U QES - `� _. 3 �5 / Received by ?)----- (phone, person) • te Zd ___—Time i • Location of Work to be inspected Name of person requesting inspection L'Q .. g Address of person requesting inspection_ Phone No. 1 Type of Inspection (circle appropriate one): l/ Permit No. 0 r)- --- Sewer Foundation Framing Chimney Plumbing Final Sewer Excavd (,t � /� u U , INSPECTION NOTE : b Inspected: Date 9 ti\ `1� �o Time 1 Z —By Remarks: — H H )-C — 0 hi H Z P RESTORATION REQUIRED YES NO z I • ' H ilt6/7.v [0 aS_C6/- \t ..iil ry`. ii low■mr,■■■■■■■1. SURFACE RESTORATION: . SURFACE TYPE: ❑ Unimproved C Gravel ❑Asphalt ❑PCC Other Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ' ❑No Damage Found ❑ INCOMPLETE — — __. ..,,,,,+ fnATfl CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT REQUEST. • Date C?/I/3 G? _Time Received by c` (phone, person) Location of Work to be inspected____ 1//4- -' /twice} Name of person requesting inspection � ,e ? • Address of person requesting inspection Phone No. Type of Inspection (circle 'ate one): Permit No. //o 0 Sewer Foundation raming C imney Plumbing Final Sewer Excay. Other INSPECTION NOT S: F Inspected: Date / /1/ 7 P4'1 Time By Remarks: Cr, et RESTORATION REQUIRED YES NO c. z SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE • . . •.' .. _. __. r CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT REQUES : Z� - - Date �� Time f Received by (phone, person) • Location of Work to be inspected r .0-(- - e"\--- Name of person requesting inspection '` • Address of person requesting inspection a `- Phone No. Tope of Inspection (circle appropriate one): Permit No. 1 l 60 3 Sewer Foundation Framing Chi • ey Plumb'I/.g al Sewer Excay. Other INSPECTION NO liil S: =,o Inspected: Date L g 7 Time 7 By Remarks: — (9)----J-' REC►ORATION REQUIRED YES _ NO N. 00 " ..c■\ m 0 [ . SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑Repaired by City Work Order # . [J Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) i' , CITY OF PORT ANGELES 1111.• PUBLIC WORKS - ELECTRICAL DIVISION ' 121 EAST 5TH STREET. PORT ANGELES.WA 9/1-4(-2 N.:.i• !' ELECTRICAL PERMIT Issued: 8/25/99 Permit No: 6725 • OWNER/APPLICANT PROPERTY LOCATION ANGELES THERAPY SERVICES, PS 1114 GEORGIANA E 1114 GEORGIANA Lot: 6,7, S1/2 OF 8,9 • , • Port Angeles, WA 98362 Block: 4 Long Legal: 360/452-6116 Sub: HART & COOK T: S: Parc No: 063000810410,12 CONTRACTOR DESIGNER TWETER ELECTRIC 572 OBRIEN RD. PORT ANGELES, WA 98362 , .360/457-6759 000/000-0000 ip r H 't PROJECT INFO t1 H . 1 Prj Type: COML.NEW Prj Value: $0.00 y m OCC Type: Cnstr Type: '-< 1-3 OcC Grp: Occ Load: Land Use: CO o E n Electrical Heat Service Type H w 0 Baseboard KW: 0 Riser Voltage: 120,208 t=1H H Furnace KW: 0 X Overhead Service Diameter: -1 X-3 N o Heat Pump KW: 0 Underground Service Service Size: 600 AMPS H o Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS 0 y PROJECT NOTES -- !21(-) on NEW PHYSICAL THERAPY BUILDING OHy HC F t% ' • ts7 PROJECT FEES ASSESSMENT - Q H Cfl Service: $189.25 r' Additional Feeders: $0.00 Circuit wiring: $o.00 Temp Service: $0.00 TOTAL FEE: $189.25 Miser $0.00 Amount Paid: $189.25 •i : M TOTAL FEE: $189.25 Balance Due: $0. 00 COMMENTS/ACTION NEEDED ,• ' J ' • ELECTRICAL PERMIT INSPECTION RECORD • CALL 417.4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO DITCH ROUGH-IN/COVER SERVICE _ FINAL if/ 1 + • y:. b • • GENERAL COMMENTS: �C yy PW.I 102.13µ'set O y y xx [CHI I 0 ■ Hoy Ca 1-3 H H dHl Oy Ca • C; H ( zv ytia > yi O yl • xI • ° . t • • 4 i y . PORT ANGELES FIRE DEPARTMENT PLAN REVIEW • Project Name: Angeles Therapy Services Address: l q---1-t4? Georgiana Plan#99-14-11003 Com® R-1 ❑ Date: July 2, 1999 We have checked this plan and find that it conforms to the requirements of our codes and ordinances with the following exceptions. n 1. Under General Notes #5, add fire codes. riE 2. Please ensure there are outside address numbers plainly vi icy::, from the road. Address numbers shall be a mininium of six inches in height and contrast with their background. o 3. A security key box(Knox Box)will be required as indicated on the plans. Fire Department will identify the exact location of the Knox Box for the contractor. Please pick up an E• application for the Knox Box at the Fire Department. o 0 I-3 4. If a dumpster is utilized, it shall not be located within 5 feet of combustible walls or roof eve H n lines. H 5. Provide 2A-10BC fire extinguishers as indicated on the plans. The fire extinguishers shall 0 y be mounted no higher than five feet and be plainly visible at all times. It is recommended that wall mounted extinguisher cabinets are used. z yC ! 6. As indicated on the plans,a fire sprinkler system will be required.Plans have been submitted by the contractor for review and approval. 0 Y .l PP The underground piping dedicated to the fire sprinkler system shall be installed by a Level U or Level III fire sprinkler contractor.Coordinate location of the fire department connection and post indicating valve with the Fire Department. ' 7. A fire alarm system will be required. Please submit plans to the Fire Department for review and approval prior to installation. The fire alarm shall be extended to an 'approved"central receiving station. f Page 1 of 2 • MI 8. A fire hydrant will be required at the corner c. Jeorgiana and Chambers Streets as indicated on the plans. Contact fire department for placement prior to installation. r 1 NOTE: Prier to the Occupancy Permit being issued, compliance to the above;onditions 7i: met. Reviewed by Date 14 3 Building Department U File Copy FP-22 Page 2 of 2 • • -a • PORT ANGELES FIRE DEPARTMENT 102 East 5th, Port Angeles, WA 98362 360-417-4653 Fire Sprinkler System Plan Review Project Name: Angeles Therapy Services Address: 1114 Georgiana Installer Rocket Mechanical Telephone: 457-4242 Type of System: NFPA 13 R-3 ❑ R-1 ❑ Corn Ei Date: June 22, 1999 Permit#99-5-11003 'O We have checked this plan and find that it conforms to the requirements of our ordinance with the k following exceptions: 1. Coordinate the location of ceiling light fixtures to ensure placement does not obstruct y sprinkler heads. 2. Provide fire sprinkler protection in the mechanical (riser) room. N i H 3. Relocate wet pendant sprinkler head as indicated on plan sheet 1. 4. Provide high/low air detection device on the dry system. o 5. Provide a flow indicating device on the dry system. (-s6 6. Provide a tamper detection device on the system's post indicating valve. 7. Ensure the dry system's auxiliary drain and inspector's test is accessible and provided with appropriate signage. 8. Provide spare head box with spare sprinkler heads and wrench. Additionally: 1. All systems including underground mains, shall be installed by a state licensed and certified company as prescribed in WAC 212-80 and the system shall be installed as per applicable NFPA 13. FP- 9 Page 1 of 2 I • 2. All controlling valves shall be provided with tamper supervision consisting of devices that will cause a trouble alarm on the fire alarm control panel and/or annunciator. 3. All electronic components shall be capable with the fire alarm system voltage and per PAMC and Washington Administrative Codes. 4. A sprinkler system activation shall cause a water flow indication in conjunction with the zone of origin(dry flow or wet flow). 5. All systems will require witness underground flushing, hydrostatic tests for system, and underground pipe schedule inspection by the Port Angeles Fire Department prior to being covered. 6. Before final acceptance of the system, an inspection will be conducted by the Port Angeles Fire Department to ensure the system installation complies with NFPA 13. a TJ . x txi 0 H G) F O CJ n/, ❑ Contractor Reviewed by a Building Department ❑ Fire Copy Date 0 /a a 1 g 5 FP-9 Page 2 of 2 BUILDING PERMIT INSPECTION RECORD • CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSYDCTION TYPE .E I ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS W ALI.S FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) ROUGH-IN PLUMBING UNDER FLOOR/SLAB ROUGH-IN WATER LINE }t ~ BACK FLAW/WATER AIR SEAL WALLS I I CEILING FRAMING JOISTS/ GIRDERS I SHEAR WALL _ WALLS/ROOF/CEILING DRYWALL T-T BAR ..� - ��• INSULATION SLAB WALL/FLOOR/CEILING MECHANIC AL CHIMNEY rt C WOODSTOVE/PELLET Ir D — UCTS 1 PW UTQSPIFS/SITE WORK (Engineering Division) ' WATERLINE/MEIER SEWER CONNECTION SANITARY STORM SITE DRAINAGE/EROSION CONTROL PARKING OMER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED • YES NO = ELECTRICAL-LIGHT DEPT. 417.4746 El ECTRICAL UGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417 407 PW/ENGINEERING • FIRE(MULTI-FAM.ONLY) 417-4654 FIRE DEPT. BUILDING 417-4315 - BUILDING GENERAL COMMENTS: ---- PW.l 172.13 14/961 °"Pft"� CITY OF PORT ANGELES ;, PUBLIC WORKS - BUILDING DIVISION <-- 321 EAST 5TH STREET, PORT ANGELES,WA 98362 'mss+ s- CERTIFICATE OF OCCUPANCY ISSUED: 6/18/1999 PERMIT NO: 11003 OWNER/APPLICANT PROPERTY LOCATION ANGELES THERAPY SERVICES, PS 1114 GEORGIANA E - 1101 GEORGIANA Lot: 6,7, S1/2 OF 8,9 Port Angeles, WA 98362 Block: 4 ® Long Legal 360/452-6116 Subdivision: HART&COOK . T: . • S: Parcel No: . CONTRACTOR. ARCHITECT • LINDBERG &ASSOCIATES• 319 S PEABODY SUITE"B" Port Angeles,WA 98362 000/000-0000 360/452-6116 01 PROJECT INFO H ' H Project Value: $379,155.00 SFD Units: 0 Commercial: 7 '-4 i Project Type: OFFICE BLDG SFD SQ FT: 0 Industrial: 0 0 j Occupancy Type: COMMERCIAL Garage: 0 )-3i Occupancy Group: B MFD Units: 0 \ X i Construction Type:VN MFD SQ FT: 0 t 0 Zoning Use::O .,i,H i 0 ' PROJECT NOTES 1 , 1 PHYSICAL THERAPY FACILITY • PLANNING:ZONING LOT COVENANT,LANDSCAPE PLAN,BLDG CANNOT EXCEED 30',D/VV tO ON GEORGIANA ONE-WAY CL:LOAD CALCS,PROVIDE ELECT EASEMENT, FIRE: F.H. n REQ'D,FIRE SPRK ALARM SYS REQ'D,KNOX BOX PW:DRAINAGE PLAN, C.B.W/OIL T lll R D/W TO CITY STDS,PRETRMT FORM,PRKG PLAN, R/R SIW-ALLEY z t OCCUPANCY CONDITIONS • • R/W SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work,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 as 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 e 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. •t : Signature of Contractor or Authorized Agent Date Signature of Owner Of owner is builder) Date • - ` s ` . . ilk CITY OF PORT ANGELES .• , PUBUC WORKS -BUILDING DIVISION ,_ r 321 EAST STII STREET, PORT ANGELES.WA 983662 BUILDING PERMIT Issued: 6/18/99 Permit No: 11003 • Conditions: . M OWNER/APPLICANT PROPERTY LOCATION ANGELES THERAPY SERVICES, PS 1114 GEORGIANA E 1101 GEORGIANA Lot: 6,7, S1/2 OF 8,9 _ Port Angeles, WA 98362 Block: 4 Long Legal: , 360/452-6116 Sub: HART & COOK T: S: Parc No: CONTRACTOR--*. DESIGNER ' ' LINDBERG & ASSOCIATES 319 S PEABODY SUITE "B" Port Angeles, WA 98362 • 000/000-0000 360/452-6116 a c PROJECT INFO i. Prj Value: $379, 155.00 SFD UNITS: 0 MFD UNITS: 0 E Prj Type: OFFICE BLDG SFD SQ FT: 0 MFD SQ FT: 0 ; Occ Type: COMMERCIAL Occ Group: B Occ Load: 26 COMMERCIAL: 7,221 Cnstr Type: VN INDUSTRIAL: 0 GARAGE: 0 , • Land Use: CO : PROJECT NOTES t PHYSICAL THERAPY FACILITY • PLANNING:ZONING LOT COVENANT,LANDSCAPE PLAN,BLDG CANNOT EXCEED 30' ,D/W ; ON GEORGIANA ONE-WAY CL:LOAD CALCS,PROVIDE ELECT EASEMENT, FIRE: F.H. REQ'D,FIRE SPRK ALARM SYS REQ'D,KNOX BOX PW:DRAINAGE PLAN, C.B.W/OIL T Q D/W TO CITY STDS,PRETRMT FOSM,PRKG PLAN, R/R S/W-ALLEY PROJECT FEES ASSESSMENT BUILDING PERMIT $2,024.81 $0. 00 $0.00 11 I PLAN CHECK $1,649. 15 - $0. 00 RADON $0.00 ,1 STATE SURCHARGE $4.50 - $0.00 fire inspect $100.00 HOUSE MOVING $0.00 $0.00 $0.00 ). MANUFAC HOME $0.00 $0.00 $0.00 C, SIGN $0.00 $0.00 - ____=====sue PLUMBING $160.00 $0.00 TOTAL FEE: $4,127.46 MECHANICAL $189.00 $0.00 AMT PAID: $4,127.46 $0.00 $0.00 $0.00 $0.00 BA1. DUE: $0.00 r THIS PERMIT DOES NOT•REQUIRE A SEPA,SHORELINE OR ESA PERMIT Applicant Staff Dare RW SANITARY _ WATER DWY STORM DRA� OTHER Sepsrate Permits are required for electrical work, utilities. private and public improvements. This permit becomes null and void If work or cortets:Ion auttrorized is not commenced within 180 days,I construction or works suspended or abandoned for a period of 180 days after t the wont as oonmmenced,or I requied inspections ha.-s not been requested within 180 days horn the last inspection. I hereby certify thet I have reed and eorflined this appicalfon and know the same to be true and corral AI provisions of laws and ordinances governing this type of work . will be compiled with whether specified herein or not The grantin0 of a permit does not presume to give authority to violate or cancel the p ov_ione of any state or local law regulating construction or the performe a of construction. • ature of Corn?sct�r or Authorized • • Date : - of Owner it owners •• •- e • • BUILDING PERMIT INSPECTION RECORD CALL 417-481 S FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER INSULATE OR CONCEAL ANT WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE trancrion TYPE DATA ACCEPTED COMMENTS Yu I NO FOUNDATION / FOOT4g$ WALLS FOUNDATION DRAINAGE ELECTRICAL IJA"T) PZUOFI~DI I 1 I PLUMBING MADER FLOOR/SLAB ROUGH-.' —9 lc r, WATER LINE 1C BACK FLOW/WATER C MR SILAL WALLS [9 -l?` 1 /p i{J'/ H CEILING I MILKING h r.)ISTS/GIRDERS • SHRAR WAIL IIN• ]• WALLS/ROOF/CEILING MEIVIS11111111 D DRYWALL T-SAR F F 1 MUTATION 1- 1- SLAB I ./ g -,QTR,nom jer;10 `- - ?-:GAM C MECHANICAL C C MUNEY C IY00DSTOVI/PELLET g s DUTS - ► ■ F IV UTILITIES/UTZ WORK (E/1p.r..vs Dreams` • WATERLINE/METER L - CONNEC.TION SANITARY STORM SITE DRAINAGE/EROSION CONTROL PARKING r 1J17ER • FINAL.ears:Cfloms RTQULRED PRIOR TO OCCLRANCY/USE 0. '0 RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES S NO ELECTRICAL•LllAiT 17£M 0174746 EL ECIRUCAL i LIGHT DEPT . 6, 66 t'f ,/ 4� LW /PW CW NGNUERION G W 37`il P 47107 FIRE(WILTI-FAM ONLY) 41 14654 1 FIRS DEPT —/0 • • r; 417415 BUILDING .-,' 4. BUILDING - - -- -- --`• — GENERAL COMMENTS: — --- -- — —_ —�lw-II 15140101 • •,., • is ' . 0 d• FOR OFF1C1 USE• • • . �-> BUILDING PERMIT - PREAPPLICATION Date ,i . Pre-Ap Complete? The Building Permit -Preapplicatlon must be filled out completel completely. Date Approved:_ . • 1ascvrc>e. Please type or print in ink. If you have any questions,please call 417-4815 Applicant and/or Agent: Phone: %?: Owner: �, i7 tel--7 7 . .c,e-# es ci -C c) Phone: ? "41 Z-G/ • Address: /7 1 l*t r m City: /ft.:- Pe;S — Zip: . • ' Architect/Engineer:_/-eY--s --•vi ft�'z�f.'- Phone: - 9 e-,(7;:=, • Contractor _License#: 1 Exp: Phone:4' - /id(� Address: ��2( �n�rx1 1 f /tie City: �.� 1 �t Zip: Jl-,Z PROJECT ADDRESS:_ /1 /4 ,,- c)-1' 01A7(4-\ ZONING n t LEGAL DESCRIPTION:Lot: Block:_ Subdivision: 10 C. • t- t /V • = TYPE OF WORK: SIZEALUATION: H • t ❑ Residential ❑ New Constr. ❑ Reroof ❑ Woodstove SF.@ S /SF.=S • • + I n Multi-family 0 Addition ❑ Move ❑ Garage SF.@ S /SF.=S '•< r ❑ Commercial ❑ Remodel ❑ Demolition 0 Deck SF.@ S /SF.=S ,, O E ' , 1 ❑ Repair ❑ Sign 0 _ TOTAL VALUATION $ L-�j GD G N BRIEF DESCRIPTION OF TILE PROJECT: ---...7-_----/-•:^:!/— /�% "�' XL_ 9 ' t U7 COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: 0 z No.of Stories: Lot Size:— _ %Lot Coverage: % H C Existing Lot Coverage: /sq. ft. +Proposed Lot Coverage: /sq.11 =TOTAL LOT COVERAGE: /sq.11 H • PLANNING USE ONLY: APPROVALS: PLAN i t Notes: BLDG C7 H DPW O H FIRE i ic:11 ! ESA/Wetland(s):❑Yes❑No SEPA Checklist requir- /o Yes❑ No Other OTHER C PREAPPLICATION SUBMITTAL: Your application and site plan must be filkd out completely to be accepted for review. The Building • tv E Division can provide you with more detailed information on the application and plan submittal requirements H O • ' BUILDING PERMIT APPLICATION SUBMIITAL: Your completed application,site plan(for additions)and building construction I 1-3 plans are to be submitted to the Building Division tri VALUATiON-OF CON:.IRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and • may be revised by the Building Div.to comply with current fee schedules. Contact the Pennit Coordinator at 417-4815 for assistance. /` PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other ' Y permit fees are due at the time of permit issuance. • EXPIRATION OF PLAN REVIEW: If no permit is issued within IR0 days of the date of application,this application will expire by ' • limitations. The Building Official can extend the time for action by the applicant up to 180 days,on written request by the applicant(see Section , -..', 304(d)of the Uniform Building Code,current edition) No application can he extended more than once I hereby certifr that I have read and examined this application and know the saute to be true and correct,and I am authorized to apply for this permit. 1 understand it i3 not the City's legal responsibility to determine what permits are required; it remains the applicant's , • responsibility to determine what permits are required and to obtain such , \, . _ I lair: - PV.-1102 I tire. :'ar.t M" • ' ` , e •, CITY OF PORT ANGELES • s � • • DEPARTMENT OF PUBLIC WORKS ... INSPECTION REPORT REQUEST: 6 ¢C C— i Date /�/ q6) Time Received by__ (phone, person) ; • Location of Work to be inspected I � '��/✓�.fi/ Name of person requesting inspection C'`<cc.-4 �t'� Address of person requesting inspection �� Phone No. • • Type of In ction (cir le appropriate one): Permit No. /1 7-2 ,�• Sew Foundation F aming Chimney Plumbing Final Sewer Excay. Other ‹tee.'Gum..;, SPECTION NOTES: -` ' Inspected: Date 6 `1�" [ Time / By t • ■ A. • Remarks: N — — 0' of y , x : tl 1 • • c RESTORATION REQUIRED YES_ NO H 1 z ( 0 1 p • 21 c . z , He • t 'r .P• I.( 1- -P. _ ,L. . .: , , . SURFACE RESTORATION: . SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other . • ❑Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE '4t • .• (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) I• , t . f , • • td` 4 CITY OF PORT ANGELES ' 441111 ;, PUBLIC WORKS -BUILDING DIVISION ' `--j 321 EAST 5TH STREET, PORT ANGELES,WA 98362 • 'tae:-; ------ ' . BUILDING PERMIT Issued: 6/14/99 Permit No: 11221 , ' Conditions: OWNER/APPLICANT PROPERTY LOCATION- - ANGELES THERAPY SERVICES, PS 1114 GEORGIANA E • 1114 GEORGIANA Lot: 6,7, S1/2 OF 8,9 Port.Angeles, WA 98362 Block: 4 Long Legal: ' 360/452-6116 Sub: HART & COOK T: S: Parc No: gib •,/- CONTRACTOR DESIGNER VISION BUILDERS I 221 FOGARTY Port Angeles, WA 98362 , • 360/452-1186 000/000-0000 ,or ■ C t PROJECT INFO � ? • Prj Value: $20,000.00 SFD UNITS: 0 MFD UNITS: 0 y� Prj Type: POOL-INDOOR SFD SQ FT: 0 MFD SQ FT: 0 ,- Occ Type: COMMERCIAL o Occ Group: Occ Load: COMMERCIAL: 0 hi ` ' Cnstr Type: INDUSTRIAL: 0 GARAGE: 0 '.3 � Land Use: CO t4F ti PROJECT NOTES •• 16' X 32' X 6' INDOOR THERAPY POOL \ HC 01- . , HI- h 0 I- j % PROJECT FEES ASSESSMENT of BUILDING PERMIT $287.25 $0.00 $0.00 -3c PLAN CHECK $186.71 $0.00 RADON $0.00G' STATE SURCHARGE $4.50 $0.00 $0.00.` c HOUSE MOVING $0.00 $0.00 $0.00 lit MANUFAC HOME $0.00 $0.00 $0.00 x SIGN $0.00 $0. 00 PLUMBING $0.00 $0.00 TOTAL FEE: $478.46 MECHANICAL $0.00 $0.00 AMT PAID: $478.46 $0.00 $0.00 • $0.00 $0.00 BAL DUE: $0.00 THIS PERMIT DOES NOT REQUIRE A SEPA,SHORELINE OR ESA PERMIT • ,,,, "" Applicant Staff Date • ' RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, utilities,private and public improvements. This permit becomes null and void if work or • constnx:tion authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as 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 appicaton and know the same to be true and correct All provisions of laws and ordinances governing this type of work win 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. Q Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date ."•• i - BUILDING PERMIT INSPECTION RECORD CAI L 017.4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, • INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE • • INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO l • FOUNDATION: FOOTINGS i • • WALLS FOUNDATION DRAINAGE • ELECTPJCAL (LIGHT DEPT) . ' ROUG:1-LN I I I PLUMBING UNDERFLOOR/SLAB • • ROUGH-IN WATER LINE . • ' ' BACK FLOW/WATER - AM A SEAL C C WALLS I4 CEILING f E I e FRAMING h JOISTS/GIRDERS .. • ' SHEAR WAIL y F • WALLS/ROOF/CEILING CI I- 9. DRYWALL. 0 0 T-BAR ;U `< INSULATION - H H r " WALL/FLOOR/CEILING . MECHANICAL C7 F .• CHIMNEY 8 r- 2 1-• C/ •.. . WOODSTOVE/PELLET . DUCTS . HC• PW UTILTITESS/SITE WORK (Enimem Tv 118 D $i) • _` WATERLINE/METER FF . SEWER CONNECTION C SANITARY STORM LT .• . SITE DRAINAGE/EROSION CONTROL • PARKING • OTHER FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE, RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED •• • YES NO ELECTRICAL-LIGHT DEPT. 41'.4746 ELECTRICAL LIGHT DEPT CONSTRUCTION R.w./PW/ CONSTRUCTION.RW. • ENGINEERING 417-4807 PW/ENGINEERING FIRE(MULTI-FAM ONLY) 4174654 / FIRE DEPT. • BUILDING 417-4515 3//i1/ & „>20 BUILDING GENERAL COMMENTS: PW.11S2.1514961 • 1' . 1 1 . • • 2; MAY 19 1999 ' ZONING LOT COVENANT 1. LWE the undersigned owner(s)of the following described property: ,T (Insert legal description here) Lots 6 & 7 of Block 4, Hart and Cook do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.032 • "Z"of the Port Angeles Municipal Code. This covenant creates one inseparable building lot and may only i be removed through compliance with Chapter 58.17 RCA(subdivision regulations)and/or the City of Port Angeles'short st,bdivtaion regulations(Ordinance No.2222,as amended). i This covenant shall be binding on the owner(s),heir(s),assign(s),and successor(a)in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), • heir(s),assign(a),and succc sor(s)in interest and is for the further purpose of compliance with state and load land time and building regulations. This covenant may be enforced by injunction or other lawful procedure . and covenant by the recovery of any damages resulting from non compliance. DATED this day of January .19 99 Gail Tate _ 4)a-d 4. r (Owner) (Owner) (Owner) (Owner) STATE OF WASHINGTON) u COUNTY OF CLAL.LAM /) �Q H / Notary Public in and for the State of W B y.do hereby cants/ the on s day of ifRA!/ I pa,onally appeared before me �o X II _ A _ to me known to be the individuals)derrtbe3 in and who executed the within instrument and acknowledged that i fii� _signed and sealed the same as .44CA free and voluntary act and deed for the purposes herein mentioned. GIVEN UNDER MY HAND AND OFFICIAL SEAL tbu /7 rAday of FE.B,Q/114i7// 1g.19 . ``� 111llltt/flp�// `�'``�N>\. Pie � p '').41. �� X07,1 w% /. i / /,.4,_, '�� to A?'aTARY PUBLIC in and for the Sate of A iZppr = = I ashingb=residing at Pat Angeles. /+i11]lif)R'S i'FjtTTFIrATffC�4t` trst.IC Filed for record at the request off/ 'WA SHt�„\,∎•• this—day of tegtt k+” twin`"r • 9 CLALLAM COUNTY AUDITOR • • • CITY OF pORTANGELES 1.'i w .i►.' } WASHINGTON,I N G T O N, U. S. A. -- , _ .. r�— - :• PLANNING DEPARTMENT Date: May 19, 1999 •• To: ' eta Childers,Building Permit Coordinator a From: 'id Sawyer, Senior Planner , Subject: Planning Department Review of Building Permit Application 10 . • Building H Permit Number: #11003 K Property Owner: Angeles Therapy Service PS 0 L•' Site Address: 1114 Georgiana Street • O .„ With regard to submittal requirements for Planning Department review,the above referenced application is H • COMPLETE. In order for this application to be processed, the following checked (0) items must be H submitted to the Planning Department before our review can continue. p, d Required Item n O Completed Applicant Project Review Sheet 2, z Hi Site Plan accurately dimensioned showing all property lines, : . environmentally sensitive areas,setbacks,existing and proposed structures, 1 ttf parking areas per the City's Parking Lot Design Handout and landscaping. Iande';aping and parking information may be submitted on separate sheets- provided. + O SEPA checklist(with copy of fee receipt) •• O ESA application O Geological Hazard Area Report O Other:Zoning Lot Covenant- provided Final review and approval cannot he issued until the application is determined complete and the 15 day public comment period and subsequent SEPA determination have been completed,after which the Panning Department will issued its final review and comments. • - If you have any questions,please give me a call at extension 4752. III4GEOR.PC3 • _-.• , . C _ • CITY OF poRTANGELEs w •,_. -lip. • WASHINGTON, U. S. A. . t.. r N'.."--... PLANNING DEPARTMENT Date: May 18, 1999 To: Linda Childers, Building Permit Coordinator From: IP, '. Sawyer, Senior Planner Subject: / Planning Department Review of Building Permit Application Building • Permit Number: #11003 Property Owner: Angeles Therapy Service PS Site Address: 1114 Georgiana Street This is an update on the status of materials requested for completeness and materials received. • The applicant has indicated a zoning lot covenant has been recorded put has not yet provided staff a copy of the recorded document. The required landscaping plan was received May 14th. As soon as a copy of the recorded document is received,the Planning Department's required information will be complete. After you have received all the information and drawings required by the other • departments and determine the application complete, Planning will be able to begin the required 15 day comment period per the City's Consolidated Development Permit Process (PAMC 18.02, aka 1724). • With regard to submittal requirements for Planning Department review, the above referenced application is INCOMPLETE. In order for this application to be processed, the following checked (0) items must be submitted to the Planning Department before our review can continue. I Required Item • ❑ Completed Applicant Project Review Sheet 1 O Site Plan accurately dimensioned showing all property lines, environmentally sensitive areas,setbacks,existing and proposed structures, parking areas per the City's Parking Lot Design Handout and landscaping. Landscaping and parking information may be submitted on separate sheets- i provided.I o SE 'A checklist(with copy of fee receipt) 0 ESA application i Planning Department Memo Page 2 .-_'••''). . Review of Building Permit#11003 May 18, 1999 ❑ Geological Hazard Area Report ® Other:Zoning Lot Covenant-not yet provided 1 The application as submitted and the following Zoning Code requirements have been reviewed and the Department's preliminary comments are as noted. Zoning CO Use ok __ Development Standards: Setbacks (front) ok (rear) ok (side) ok Lot Coverage ok Height ok Parking ok (based on 14 spaces required for 7 b therapists) F Special Conditions: 1. Georgiana Street driveway limited to one y way only- addressed with Public Works. 0.4 2. Zoning Lot Covenant required-not yet 0 hi provided 3. Landscaping plan consistent with PAMC H 17.20.230 required -provided 1 N 0 This is a preliminary review to allow the applicant an early opportunity to address any H additional Planning Department permits/approvals that are required and/or any elements of the t0., project that do not meet the City's Code requirements as submitted. Final review and approval cannot be issued until the application is determined complete and the 15 day public comment period and subsequent SEPA determination have been completed, aver which the Planning t7 Department will issued its final review and comments. 0 2 If you have any questions, please give me a call at extension 4752. Z H I I • I4GEGR.PC2 • Lt__4AY 19 1999 IL, � Port Angeles City Light PURT ANGELES Engineering Division PUNNING DEPARTMENT I • • Project#8975 (over-under) RIGHT OF WAY EASEMENT ., • . ayy a For good and valuable consideration,receipt of which is hereby acknowledged,the undersigned,owners of the land s below described,hereby grant to the City of Port Angeles, a municipal corporation,the perpetual right to place, Hy locate,consur:et,operate,repair,maintain,replace and keep clear thereon an overhead and/or underground electric '4 :,, �:- transmission and distribution line or system,together with such communication lines and equipment as may be placed o i H upon the poles or other structures thereof by the grantee or by others with its consent,including the right to cut down ''i f'' . and trim trees to the extent necessary to keep them clear of such line or system and to cut down,from time to time, y O all dead,Weak,leaning or dangerous trees that are tall enough to strike the wires;providing further that the property 4 H H owners shall not erect or place any structure,building,tree or shrub on the land below described without the express fn +° written permission of the City of Port Angeles. ; H Q 0 • H� t The land referred to is in Section I1_,Township_TPA 30 N,Range_6 WWM,Ciallam County, • Washington,and the easement is more specifically described as follows: Parcel N0630008104150000 "Frb Cl Lot 9,Block 4 Hart and Cook vol.225,Page 142 t' F � � An easement 10 fee!in width .bmmencing at the South Easterly Property corner and terminating at the Northerly I • • Property line with the existing overhead service wire being the center of the easement. N H tt7� C. . • t4 E f O(ft r • 1' w' At such time in the future when the power lines are r-moved end the right-of-way easement is nc'.onger necessary, N the rights conveyed to the City of Pun Angeles by th' asement will thereupon revert back to the property owners) N and this easement shall be void. • ' Grantee shall at all times have the right to full and free ingress to and egress from such said property for all • purposes herein mentioned and to remove It any time all of the poles, wires and other articles constituting such electrical system. • The right herein granted shall inure to the benefit of the grantee's successors and assigns,including any party which • It may grant contact,joint user or other similar rights. • • DATED 4/.7/�GJ 4 st j i • STATE OF WASHINGTON) COUNTY OF CLALLAM ) as. n 9 ,/• This la cerrtify th t on this 7 day of,4?0i '/` 19 / l peraoni lly appeared before me s 4A/L X,1-4-7-E to me known to be the individual_described in and who , executed the foregoing instrument,and acknowledged thatS,if4e signed the same as)4c-4 free and voluntary act and deed, for the uses and purpose therein mentioned. Given under my hand and official seal this 7,171 day of//M/L. , 19 99 '�p�SHffi./p�� .�(/�e l/9,/ai.�%�sV( � tC-1 NOT .i 1 t Public in and for the State of Washington A G� 9� w Residing /1 / da *1107 C' Residing at v..' �� / • • • ' CITY OF PORTANGELES j a r.. WAS H I N G T O N, U. S. A. i i ` .r•- . - -', PUBLIC WORKS & UTILITIES DEPARTMENT • ' ," o: Angeles Therapy • I' -: Angeles Therapy Facility 1 , .:-�- . Its • Gail Tate ti • ■ March 3' 1999 the City received ty your application for a building permit to construct a physical therapy facility .•-;•:,1'±• ■-• at 1114 Georgians.r Your proposal was reviewed at the City's pre-application meeting and the following ' ,: „ ' -. • ations have been made based on the results of that meeting: + _ :.', '.1 t has been determined,your project is not exempt from the State's Environmental Policy Act(SEPA). • +, '`. t _ I:ecause of this,more time than normal is required before a permit can be issued. This determination has been :. -. r':,,,ade due to the reasons)checked below: � 4,..:`r`.x!t",t 'r _ i`i't; ❑ The presence of an Environmentally Sensitive Area(ESA)on the property; .'do-',.13,-,i, _ $• ❑ The size of the project. •,� rii, c s:� � • i Y ❑ Other: x,iI t has also been determined that your application is: X complete 0 incomplete i .1::1 4 `'r` !4. I If your lication has been determined ' µt '` app canp_te no further information or action is required from you until permit is issued. At this time,the City'will publish a notice of application which begins a 15-day review • ,,-,�,4''''1‘,.;',':,,..:‘,--• Y period , er which the City will issue the required SEPA determination. After the SEPA determination is made your I. d:, "t•uilding permit can be issued, however, depending on the potential impacts of your project, there may be an r �'•`r 4edditional 15-day waiting period after the SEPA determination is made before your ? a r a y y permit is issued. .� air fir, I,t,': If your application has been determined incomplete the following checked items must be completed and '' .r 1,7 J'.unmitted in order to resume processing: 1. , ;,,,'A i Int'x ❑ An Environmentally Sensitive Areas(ESA)application and required information; .* 's; • r ❑ A Star Environmental Policy Act(SEPA)Checklist and S100 fee; +v `.1a, 1 • ''''''';'=; t"' r ❑ Other: �' , '•`ZJr' C I ,+ + �.: y r;y4s soon as the requested items arc submitted,the processing o.your application will resume. .. `f )+ ryou have any questions,please call the City Building Division at 417.4815. "� 4 ly, it�::1:1,,+.2' r:��lncere -.r,.. •. 1 ^' i;a. is ""+ ;f j inda K. Childers r # •,-- •erntit Coordinator • t 3t g lit " a ,I • Planning Dept.r 7� a f.;1,, . lb� ' Y �'ar 7v•xc5 't: 321 EAST FIFTH STREET • P 0 BOX 1 150 • PORT ANGELES. WA 98362-0217 rHONE '."> .$ I -• :N,_.S • FAX ' • TTY 3r, , .1 I . ;,•¢ :••,• 3• E-MAIL PUBWORKS(a1CI PORT ANGELES WA US . J f ••, \. c ,. . . CITY:,OF OR 1 NGELES. • w WASHINGTON, U. S. A. a- `NW. . PLANNING DEPARTMENT i Date: March 10, 1999 To: Linda Childers,Building Permit Coordinator ' • From: 4,11. id Sawyer, Senior Planner V' Subject:\ Planning Department Review of Building Permit Application Building i Permit Number: #11003 Property Owner: Angeles Therapy Service PS • Site Address: 1114 Georgiana Street • • . The application referenced above is a Category 3 permit and is to be processed in accordance with the City's Consolidated Development Permit Process(PAMC 18.02,aka 1 724). With regard to submittal requirements for Planning Department review,the above referenced application is INCOMPLETE. In order for this application to be processed, the following checked (Z) items must be • submitted to the Planning Department before our review can continue. Required Item O Completed Applicant Project Review Sheet • El Site Plan accurately dimensioned showing all property lines, environmentally sensitive areas,setbacks,existing and proposed structures, parking areas per the City's Parking Lot Design Handout and landscaping. Landscaping and parking information may be submitted on separate sheets. O SEPA checklist(with copy of fee receipt) Y 0 ESA application 0 Geological Hazard Area Report . ® Other:Zoning Lot Covenant • The application as submitted and the following Zoning Code requirements have been reviewed and the Department's preliminary comments are as noted. . • Planning Department Memo Review of Building Permit#11003 Page 2 • March 10, 1999 • w, Zoning CO Use ok • Development Standards: Setbacks (front) Not Approved-Awning may not extend further than 30"into required 25'setback and support post may not be located in setback area (plans show 36'9. (rear) ok (side) ok Lot Coverage ok Height Not Approved-30'maximum allowed (SEPA review and plans indicate 31) 4 Parking ok(based on 14 spaces required for 7 therapists) Special Conditions: 1. Georgiana Street driveway limited to r one way only. lc 2. Zoning Lot Covenant required. 3. Landscaping plan consistent with PAMC 17.20.230 required. • This is a preliminary review to allow the applicant an early opportunity to address any h additional Planning Department permits/approvals that are required and/or any elements of the project that do not meet the City's Code requirements as submitted. Final review and approval F cannot be issued until the application is determined complete and the 15 day y public comment period and subsequent SEPA determination have been completed, after which the Planning Department will issued its final review and comments. r- a p- • t• r. gIf you have any questions, please give me a call at extension 4752. I I I4GEOR.PC I • • • N i . ' • t , • 03-10-1999 01:34PM FROM TO 4711 P.02 • BUILDING APPLICATION REVIEW MEETING March 10, 1999 • II. A new 1,312 sq/ft manufactured home for Jed Cunningham to be located at 935 Grant Ave. An access road with a minimum unobstructed width of 20 feet shall be provided to the proposed manufactured home. If the access road is greater than 150 feet, the access road shall be provided with an approved turn around • • 2. A 320 sq/ft addition and a 100 sq/ft deck cover for Ray Chapman to be located at 522 East 7th Street. The Fire Department has reviewed the preapplication and has no requirements. 3. A 864 sq/ft garage for Scott Younkin to be located at 2510 West 10th Street. The garage will require heal detection electrically connected to an outside bell. 4. A new 7,221 sq/ft physical therapy facility to be located at 1101 Georgiana for Angeles Physical Therapy. A. A fire hydrant will be required at the corner of Georglana and Chambers Streets. • B. The proposed physical therapy building will require a fire sprinkler system meeting NFPA 13 Standards. The underground piping dedicated to the fire sprinkler system =r- . shall be installed by a Level U or Level ILT fire sprinkler contractor. C. An audible alarm system shall be provided inside the building to alert the occupants in the event of a sprinkler activation. • D. A security key box(Knox Box).will be required 5. A new 720 sq/ft garage for Stepen Thanem to be located at 227 West 12th Street. The Fire Department has reviewed the preapplication and has no requirements. • .asD 'CITY. OF. poRTANGELES WASHINGTON, U. S. A. • DATE: March 9, 1999 M E M 0 TO: Building Dept. Linda • FROM: Light Dept, Gail PUBLIC WORKS DEPARTMENT RE: Building Application Review Jack Pittis Director(4801) Phyllis Rasler Administrative Assistant [4800] 1. 935 Grant Ave. Manufactured home t1 Cate Rinehart Electrical ser/ice to be underground and may come off pole that serves the Administrative Assistant woo] premanufactured house to the north. Ken Ridout 2. 522 E 7th -addition Deputy Directactor r[[4802] Relocate electrical meter base. Electrical permit and load information required. Bob Titus 11..• Deputy Director[4701] • 3. 2501 W 10th - garage Gary Kenworthy City Engineer[4803] Access to padmount transformer must be maintained. Electrical permit required. Jim Harper Electrical Engineer[4702) 4. 1101 Georgiana-Angeles Physical Therapy Lou Haehnlen Electrical load calculations required before costs can be estimated for facility Building Official[4816) upgrade. TomSpedine Provide an easement for electrical service wire to 223 Chambers St. and provide an Sr,Electrical Inspector[4735] and 18 foot clearance over parking area. Scott McLain Power Manager[4703] Electrical permits required. Ralph Ellsworth Water,Wastewater Collection 5. 227 W 12th - garage Superintendent(4855) Electrical permit required. Pete Burrett Equipment Services Superintendent[4835) Mark Shamp Light Operations Manager[4731] • Kevin Curtis Treat Plant Supervisor[4845] Tom McCabe SW Collection Supervisor[4876] Steve Evans . Landfill Supervisor[4873] Dave Wilcox Street Maintenance Supervisor [4825] • e _ _._ .■. hI•••<H'�h I . • tdfl `i`'.■ O r €n <u z III `� U ' .. j - 1I. it w ° ' • J 2 o Tt ', 1 i1 ri. G) !A < _ /r l I co a • T P '.1 2 hi a ° N' co u , c .r =0� w Ia < 3 <I s Z m e 4 c LC c4 a ?� Vu w -u, W c oCa. O �a. oU j <I co S w a w w z ' ■ 2 a> O c 7 .� Z d..: a a V cc < ¢ o■ Z ° a. w ° of� O K_ O O w al `� w S < U ,3 0 0p � � a taa / W ■ d' ry O Z 0 vi C F-7 s °� w x F I _+ V 3 n v v m w ycd < < Q Z w uu< y r C z O U ' � 3 7 ce j 5 O O 1 d co X y w z w u u r, ;,: t F- F- I o $ O < C O _ < rn NC Srr o w .t 'r ^ s w tx a.C w y :1: w . _ E.- , '� G w c C C s u r y 7 x o G w _ Oar oa x a v 1 11 C CC i 3 rnV7 d vi C - > y x Y ? 0 � w Tz ■ wY FS M oG O O O i y Z 3 r i+ 1 F J rah rt i - N tLLi.11F = d W 7 2 u: w W O C u „ Fl r y ti FF�- >( Z c c Z < W Zz >- < Y .' a -5 F- < Z Z °f 2 g ; < <a 3Q3 z < U v cis. 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E z . w w u; a w V) cr � o Z . ,. u E. °t 2 u z II (z •��1` -. H U-E ac w cj ✓ Y E T. 2 2Z O % UatC O ••..."-" z Y. 0 0 0 u L ni e.-3 4 0: g • • • eFOR OFFICIAL USE ONLY: _.. BUILDING PERMIT - PREAPPLICATION Date Rx: Permit x: /I Q -` Pr-Ap Complete? - .. The Building Permit -Preapplication must be filled oast completely. Date �`°�'� "YOB Please type or print in ink. If you have any questions,please call 417-4815 Applicant and/or Agent:) INBBFRG ARCHITECTS. Charlie Smith Phone: 452-6116__ Owner. Angeles Therapy Service PS, Gail Tate Phone. 452-6216 Address: 716 S. Chase St. City: Port Angeles Zip: 98362 Axchitect/Engineer: LINDBERG ARCHITECTS Phone: 452-6116 • Contractor Unknown @ this time License#: Exp: Phone: Address:_ It/4- City: Zip:_ PROJECT ADDRFS . — ��oeGi1°/`i/ • ZONING 0.C. LEGAL DESCRIP ION:Lot: 6 & 7 Block: 4 Subdivision: Hart & Cook •: ., TYPE OF WORK: SIZE/VALUATION; �' F ,o s/ '•P`' �p @❑ Residential NewCcnstr. ❑ Reroof ❑ Woodstove 7221 SF. S E. _^, - � ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF.(a3 S /SF.=S IR Commercial ❑ Remodel ❑ Demolition ❑ Deck SF.@ S /SF.=S ❑ Repair ❑ Sign ❑ TOTAL VALUATION S =47 1!-�S.' ' ,.:. •• BRIEF DESCRIPTION OF THE PROJECT: r • New (2) story Physical Therapy Facility • COMMERCIAL/RESIDENTIAL: Occupancy Group: B Occupant Load; 'LC) Construction Type: V non rated No.of Stories: 2 Lot Size: 21,000 %Lot Coverage: 27.82 % . . Existing Lot Coverage: 0 /sq.ft.+Proposed Lot Coverage: 5842 /sq.it=TOTAL LOT COVERAGE: 5342 /sq.R , • PLANNING USE ONLY: APPROVALS: PLAN f Notes: BLDG DPW • FIRE • ESA/Wetland(s):❑Yes❑No SPA Checklist required?❑ Yes❑ No Other. OTHER_ PREAPPLICATION SUBMITTAL: Your app&radan and s1 a plan must be fiord out awrrplehty to be accepted for eerie,. The Building . .• Division can provide you with more detailed information on the application and pin submittal requirements. BUILDING PERMIT APPLICATION SUBMITTAL: Ynur completed application,site plan(for additions)and building• ostructian plans are to be submitted to the Building Division. VALUATION ALIIATION OF In all cases,a valuation amount must be entered by the applicant This figure will be reviewed and may be revised by the Building Div.to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,this application will expire by limitaticns. The Building Official can extend the time for action by the applicant up to 180 days,on written request by the applicant(see Section 304(d)of the Uniform Building Code,cement edition). No application can be extended more than once. 1 hereby certify that I ha>,e read and examined this application and brow the same to be true and correct,and I am authorized to apply or this permit. I understand it is not the City's legal responsibility to determine what permits are required: it remains the applicant's =. • responsibility to determine what permits are required and to obtain such. °'' Applicant N `\ \''--- Date: fi$F • �, i M1 Pw-I IO2_I31ray.2/961 p . • / Vim•, v.•.�.�e • / .. --.4:6-.... --.4:6-.. Applicant Project Review Sheet • Applicant: L I NDBERG ARCHITECTS Property address: //6'/ Goo "R'`J' Owner: ANGFLFS THERAPY SFPVICES PS Proposedusa Therapy Zoning: 50 Building , : • Is plan proposed use listed as a"permitted use"or an"accessory use"in this zone? ( yes:ok 0 no:requires PD ` review Is this the only use(business,residence,etc.)on this site? 51 yes:ok 0 no:requires PD review ( `. Has there ever been a subdivision,siaortplat,or PRD approved for this site,or has one ❑ uires PD lei no ok been submitted and is pending approval? 0 y es:� review Does the proposed use require a new buisness license? O yes:requires CC CI no:ok • review Does the project extend into any required setbacks or cross any lot lines(interior or ❑yea:requires PD no:ok b exterior)? review �+ • ' Does the project exceed the permitted height cllowance or cause the property to exceed ❑yea:requires PD [. no:ok H the allowed lot coverage in this zone? , • review • in this theme project require any additional parking or special design/landscape improvements ❑yes:requira PD C3 no:ok O review M Does the project eliminate any existing parking spaces? O yes:requires PD al no:ok y • review N • • Is the project located within 200'of the shoreline? 0 yes: ires PD (3 no:ok review O • Are there any envirorumentally sensitive areas on or within 200'of the property,including ❑yes:requites PD (3 no:ok H :,,, H • wetlands or areas of standing water(year round or seasonal); . _ • streams(year round or seasonal); • areas with a slope of 40%cc greater;or • areas that have evidence of past ground movement or erosion? Have O Site Plan submittals born provided by Construction �the ltraction Drawings O yea:ok O no:mark n required O Parking/Drainage Plan ❑Civil Drawings item(s) a Energy Cale O Supporting Eng.Cale 2 0 Landscape/Lighting Plan 0 Other y •. • • • I Planning Deportment review is required, the processing time may be extended. If it is determined a separate Planning i pennit(s)Is needed,the Planning Department permits)must be npproved prior to the issuance of any other permit. • The hionnrrtiar provided above is 0-ve to the best el''sty bwwfedge,I wtdcrstard that in the rent that any of this information is determLed by the City to be incorrect,skis project will be slopped until such time the Ciy determines the correct information is provided and any subsequently required review and approvals are completed and granted Applicant . . •o Permit Category N (see reverse side) Building Permit g ( l 003 Master Tracking N • , Route to: C BD 0 CC 0 FD 0 ID 0 PD ❑PW 0 File 0 Other Stan-Initials Date -22 •2, Cf Completion of this form is required for all category l b, 2&3 permits Compkdan is not 11 required for category/a permits unless they result in a potential change of an or omrpancy. • Arms "~ '\ti,....""" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 9H,62 ELECTRICAL PERMIT Issued: 4/23/99 Permit No: 6615 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ ANGELES THERAPY SERVICES, PS 1114 GEORGIANA E 1114 GEORGIANA Lot: 6,7, Sl/2 OF 8,9 Port Angeles, WA 98362 Block: 4 Long Legal: 360/452-6116 Sub: HART & COOK T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- TWETER ELECTRIC 572 OBRIEN RD. PORT ANGELES, WA 98362 360/457-6759 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: TEMPORARY SVC. prj Value: $0.00 Occ Type: Cnstr Type: Occ Grp: Occ Load: Land Use: CO Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 120,240 Furnace KW: 0 X Overhead Service Diameter: X-I -3 Heat Pump KW: 0 Underground Service Service Size: 0 AMPS Fan/Wall KW: 0 X Temp Service Feeder Size: 100 AMPS PROJECT NOTES----------------------------------------------------------------___ PROJECT FEES ASSESSMENT-----------------------------------------________________ Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $42.50 $0.00 Misc TOTAL FEE: Amount Paid: $42.50 $42.50 --------------------------------- --------------------------------- -------------------------- TOTAL FEE: $42.50 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO UnCtl 1W1JGIr-INTi I , ,HM7.TH E- FIN A T. '"' I I GENERAL COMMENTS: PW-II0'2.J.514196l er r I I I I I I I I- I I II I I r I 16tr�q��>' I d )U 1 I I I I I I' I C 1 c..../ I r L j Xiii G I 1; I 1 I I 1 I 1 1 1 I I r I 1 i I I 1. I I 1 I. I 1 I i I 1 1 r I' 1 I I f r, I I 1 I AR fe„ 7 ISO k L. g I -ct'') v 14 r I i IT i i I I I I AVcA. in C ig s O.'n 1 6 &c R 9; I I J I I 1 I I 1 I' I. I 1 -£a _,C, I I' I 1 1 1 iv..? Ct�1 L o i r`,4 3 I go 7 L1697Y-+ (V 61 Z77 1 1 I f I C tayaiLSio l_ki•I 4v 4 tst4,) (2.(?.L(_..0 .3r.1 I Pl,v 1,).!a I i I 1 I I I I I I' I I 1. I I I I 1 1 I. 1 I I j I I I I I 4...&...e_ E_rx 4i:� °a�_i I '��g9L� 1 a'SA 1 ��40, c O .Z�Z A c 1 I I PA VI i I .Q �r+F 1 V G I I I I I I I I I -I -1-17 c .'i! 6 i, l i 'q Ir GPI �p �e �r I Y L O 1 2.-. -L .c._- 1 1 1 I I 1 i j i I I i I 1 I I i I I 1 I Q C1 C.„ -e i�."1 tM sZ'" '.1c' I 1 I I 1' 1 I I C.. •c• i 9 .3p t' E :tz' IS JtJ s' K G'L .iair, i I L:�W 1.1 I 1 1 I r 1 I F q -I0. t', a ¢T 4.. +E• 7 A I I I 1 I I I I I II 1I 1 I 1 I_ I I 1 I I,Qp.,- s 9_1:1_:ZQ.).4O )(p Z FK0.9 Q�{.O.RS'�.49,0�3� I n. !Z`'1 I C 1=C ��O_� �:2. D _CO Sr) r o. I I I 1 `I I IT I I 1 I I i l. I I I I I ES��1 .'2 �l n 3_I I 'RI n 0:2_,..1 '2 Cr. R L NTL'O I I 1 I 1 1 L.L.S. LjNi?�G! cv40 r� e PC I I I 1 1 I I I I I I I I 2 -1X 71� �I I I i I I I I'3~l4 �Z "tom L f ,I I I I I 1 14,s 1 c% le” .D.s I I I l �.o 6 w� c _S_ L` o F a_ o A. c e a "t1.2.1.E I I 1 I b ._a r. .a TI I. I I I I I I I 1 1 I q kJ ..._%1_:____C, 4 2 i2,� .___r c kS.Ai(I 1 �LtL>;.►..F_k? c +)?s_c s G.6 I I SEE A r- A QNw)N I I 1 1 I I I I I I I 1 I i' I. I P I I I. I. I I I I I I; I I I I i I I I i. I 11 l l I I ill S T R I DATE. DESIGNED BY rte_ PROJECT -ISC—. S ri OILG FOR: LIAIL -,&X S SHT OF 2. I NTl NORTHWESTERN TERRITORIES, INC Engineers Land Surveyors Planners Construction Coordination Materials Testing 717 SOUTH PEABODY PORT ANGELES, WASHINGTON 98362 .(360) 452 -8491 Knowing D and Q looking for H in feet Sharp Edge Orifice with C= 61 D= d= Q= 1 42 17 080 0 047 Feet Inches CFS H (0 0676)(Q "2)4D^4) Feet H 3 6E -05 Feet Knowing H and Q looking for D in feet H= h= Q= D= 2 32 27 84 0 129 Feet Inches CFS 510 *Q^ 5)/(H ^.25) 014842 Feet Knowing D and H looking for Q in CFS D 1 Feet d 12 Inches H 0 93833 Feet h 11.26 Inches Q= (H *D ^4/ 0676)^ 5 Q= 3726 CFS ENTER DATA ENTER DATA or h 0 000 Inches ENTER DATA Q= 1187 ENTER DATA or d 1 781 Inches ENTER DATA ENTER DATA Stir 2/2_ 0 30 60 SCALE IN FEET LEGEND CB— CATCH BASIN GRID U CONTROL R UNIT CLEANOUT 6D EXISTING STORM DRAN —89-- PROPOSED STORM DRAN I I I I I I I I EXPIRES 12/30/2000 d G C EORC AAA 33 EXISTING 18' STOR�!i D RAM CONNECT TO EXISTING ST M F.— APPROXIMATELY 6 5' DEEP TO FL ,-Ai 7 r� April 29 1999 9 16:09 a.m. .5% I I I I,II I 1 I IS DPE SYM. I REVISION I DATE I BY (CHECKED NORTHWESTERN TERRITORIES, INC. 1999 Drawing. G PROD \DWG \PAT \LIND9902 \ORAINAGE.DWG (KMB) SCALE. 1' 30' (DATE. 9 DESIGNED I NAGE SITE PLAN DESIGNSIGNED BY ROBERT A. LEACHH, P.E P.E. DRA Br KARENANN At BEST CHECKED BY ROBERT A. LEACH, PE ANGELES THERAPY BUILDING REVIEW ENGR. CONST FOR: LINDBERG /SMITH ARCHITECTS PAT SHEET OF u MANHOLE COVER ELEVATION 92.2' —i -FIELD LOCATE FOR 165 LF OF I8'HDPE 8'PVG j j j X 92 9 PR9 '0SED BUILDINCs j r /A' L Engineers Land Surveyors Planners Construction Coordination Materials Testing NT 1 717 SOUTH PEABODY PORT ANGELES, WASHINGTON 98362, (360) 452 -8491 NORTHWESTERN TERRITORIES, INC 18 "x18" TEE ADS N -12 PARKING LOT PAVING 18x6 ECCENTRIC REDUCER J CLEANOUT DETAIL NOT TO SCALE SOLID LID CAST IRON a. I CLEANOUT COVER 89 14 e 1J 6" PLUG 2 45' BENDS STORM SEWER IN GEORGIANA STREET I I 1 I I I I I I I April 30, 1999 10:33.46 a.m. Drawing: G. \PROD \DWG \PAT \LIND9902 \MISCDTLS.DWG (KMB) SY1.1. I REVISION I DATE I BY (CHECKED NORTHWESTERN TERRITORIES. INC. 1999 1 SCALE AS SHOWN I DATE 4/29/99 DRAINAGE DETAILS DESIGNED Br ROBERT A. LEACH, P.E CHECKED BY ROBERT A LEACH. P.E. ANGELES THERAPY BUILDING REVIEW: ENGR. CONST FOR: LINDBERG /SMITH ARCHITECTS SHEET 2 OE e- 8" PVC 2.8% STEEL 86.82 SCREWS (3) 6" 4 86.82 MIN. 85.32 6" 4 I M /N. e e O e y tl e4 e• d 1 -3/4" ORIFICE DRILLED IN PLUG PAT 92.0± WSDOT /APWA TYPE 1 L CATCH BASIN ti e STAINLESS 5.L CONTROL RELEASE UNIT (CRU) DETAIL NOT TO SCALE NT I 18 "x18" 18" HDPE ECCENTRIC ADS N -12 REDUCER 0.5% EXPIRES 12/30/00 Engineers Land Surveyors Planners Construction Coordination Materials Testing NORTHWESTERN TERRITORIES, INC 717 SOUTH PEABODY PORT ANGELES, WASHINGTON 98382, (380) 452 -8491 90.62 WSDOT /APWA TYPE 1 CATCH BASIN `a DRAWN BY KARENANN M. BEST CHECKED BY ROBERT A. LEACH, P.E. REVIEW: ENGR. CONST SHEET 3 OF3 T 18" MIN. V 1 tr POLLUTION TEE •88.64 DETENTION PIPE CATCH BASIN AND END /VENT NOT TO SCALE 5t 18"x6" ECCENTRIC REDUCER UP FOR VENTING I I I I I I I April 30, 1999 10:33.46 a.m. Drawing: G. PROD \DWG \PAT\L /ND99O2 \MISCDTLS.DWG (KMB) SY 1. I REVISION I DATE I BY 'CHECKED i NORTHWESTERN TERRITORIES, INC. 1999 SCALE. AS BY• ROBERT I DATE. 4/29/99 DRAINAGE DETAILS DESIGNED ROBERT A. LEACHH, E. P. 18" HOPE ADS N -12 0.5% WSDOT /APWA TYPE 1 87 62 CATCH BASIN ANGELES THERAPY BUILDING FOR: LINDBERG /SMITH ARCHITECTS OUTLET PIPE SHALL EXTEND TO THE SHOULDER OF THE TEE. PAT A Li c m r 6' PVC PIPE 4 1 CC INSTALL4TION h 91.52 4 NT A mwi 89.52 r 4 A N MANHOLE ADAPTOR PVC TEE (SAME DIAMETER AS OUTLET PIPE.). CATCH BASIN IN DRIVEWAY AND POLLUTION CONTROL TEE DETAIL NOT TO SCALE EXPIRES 12/30/00 NORTHWESTERN TERRITORIES, INC Engineers Land Surveyors Planners Construction Coordination Materials Testing 717 SOUTH PEABODY PORT ANGELES, WASHINGTON 98362, (360) 452 -8491 PUBILIC WORKS & R/W PERMIT OWNER/APPLICANT 0 Attached Notes ANGELES THERAPY SERVICES, PS 1114 GEORGIANA Port Angeles, WA 98362 360/452-6116 PROJECT INFO Work is Inside Traveled Road Plans Required. Contractor' VISION BUILDERS Performance Bond Required: Proof of Insurance Work to Perform. Issued: 9/08/1999 Permit No Work Order' PROPERTY LOCATION 1114 GEORGIANA E Lot: 6,7, S1/2 OF 8,9 Subdivision HART & COOK Parcel No / /966 o Block: 4 Value Work: o Long Legal Start Date 1 1 Finish Date. 3601452-1186 Amount: $000 o Sanitary Sewer o Storm Drain o Underground Tele/Elec o Install o Repair o Watermain o Mise PROJECT NOTES 1 1/2" water service, 4 on 8 tap for fire service $700 00 + 6 on 8 tap for Fire Hydrant $700.00 $700 00 by Rocket Mechanical 9/8/99 $1500 00 paid 9/24/99 for w/m $000 1 1 FEES ASSESSMENT 1 ) R/W Excav' 2.) Sidewalk: 3 ) Curb/Gutter' 4 ) Driveway' 5 ) Dwy Culvert: 6 ) Street Cut: 7 ) Other R/w' 8 ) Fire Hydrant: 9 ) Res Water Servo 10 ) Comm Water Servo 11 ) Other Water Service. 12 )Water System Dev' 13 ) San Sewer SFR $0 00 15 ) Other San Sewer' $000 16) Sew Tap Wye/Man Tap $0 00 17 ) Sew Capl W/M Removal: $0 00 18 ) Alter Repair Sewer $0 00 19 ) Storm Drain $0 00 20 ) Catch Basin per ea. $0 00 ~ ~);,Sewer System Dev' ~ Iv ~kv1ilwaukee Dr Sew Ass. ~-o q~ 23) R/W Use Perm: ~$O 00 ~~ 24 ) Admin Cost (D RA) 700 00 25 b CJ RA. 00 ~+ ~"'iSC: :~ ~~ 911/11 TOTAL FEE. Amount Paid' o 1 1/2" o $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $000 $2,200.00 $2,200 00 $000 Balance Due. $0.00 ,., CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . . . . REQUEST. _ q (j Date 1- ~ -\ Received by (phone, person) ..M ., J- c...{ G, eo':}~" . Location of Work to be inspected I ( I C 11-~LWI b-e V 5 Name of person requesting inspection -r~ U.) , \ ( 0 r<- / I! 0 ckd- En 7 Address of person requesting inspection I '1+-l1 i-'~ Phone No Type of Inspection (circle appropriate one) Permit No c;bb Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other [utl_ 1-C1--" Time INSPECTION NOTES Inspected Remarks Date Time H?;~ -MP It'" l L 111-"- · 75'( FI/1t: By /1 C ~,(\.. I)-I ~. S ei"t/I e t...IJ't,,~. RESTORATION REQUIRED AI~ YES NO V ~-~ .~~" I f ~\l,<" " '4 V) -~, fir 6)'\ \- c)'~ V\. ~ ~ I y ~ ~ -- \~ ~ \j / SURFACE RESTORATION SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt 0 PCC D Repaired by City D Repaired by Permittee D No Damage Found WorkJ1rder # I]YfOMPLETE o INCOMPLETE o Other lei C( '6 (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . REQUEST Date 1 - 1- ) 1 t{ t( Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other 111 ~ C--~'d-;~ Tw /'\ l 66; J 1 f1 c6- 6 Phone No 9&(P /A>>ti-eV INSPECTION NOTES Inspected Remarks Date Time ;f/J)~U 5-e.r tJ I (...e.. W , tl J~w . l-~ By / YL l)Jq~ ) YL.. ~f--CY- # 1'0 Z817Q/ c::.. 13~~ RESTORA TION REQUIRED .JJ t YES NO I G--eO y ~lo-fl'lC\ t , ,., \. 170 (" ~ 1 7 ~ 2: 'f;Y c.. ~ ~ ~:{ u l' 1 r~W;(-<' SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC D Repaired by City D Repaired by Permittee [] No Damage Found Work Order # D Other /'-1 Cf 7 o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST Date Time Received by (phone, person) Location of Work to be inspected J I , &.of Q,.e.ov.J ;.=:2.11 CL Name of person requesting inspection \ ) I , l () '" (T..J Northern) Address of person requesting inspection Phone No Type of Inspection (circle appropriate one) Permit No @ Foundation Framing Chimney Plumbing Final Sewer Excav Other 9C-(" INSPECTION NOTES Inspected Remarks Time By r ) ',1 / ~ I SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel D Asphalt 0 PCC o Other D Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) �'�� ' CITY OF Pt ANGELES PUBLIC WORK, n"& • • BUILDING DIVISION — PERMIT APPLICATION + -3402 • Date Received !/ ! :; •Date Issued (? °! j� e-• • N Name Address Phone Lfc. No. "' 1. Owner �l!�I�l�i � a+• 2. c• t • to '0i1/ AV iii' /v. Ism"J /1'14/Alrl ,\�, 3. Architect/Engr. 4.Class of Work: ❑ New Ad ition ❑ Alteration •epair ❑ Move ❑ Demolition S ;: 5. Description of WorK: /' / 6. Type of Permit: ' 'uilding ❑ Plumbing Contractor No Fixture Type Fee Valuation $ 1 ___ ��_ _ Water Closet _i �.. ' j_ Lavatory • • Permit Fee Afire j Bathtub - -frk Plan Check Fee receipt# ; Shower a Investi•ation Foe j Kitchen Sink ,. ,ten{ :'Other fig/ r % j Disposer Total ,t=o Receipt# Floor Drain ! Floor Sink Building Sq. Ft. Clothes WP.sher , n Y Occupancy Group Urinal f Occupant Load I Water Heater • ` No. of Stories MIN Drinking Fountain 4 . Type of Construction �_ Lawn Sprinkler � ` Occupancy Permit Issued Date: Vacuum Breaker 1 Legal Description: Lot: Block: AI_ Soar Panels .• :' Subdivision .'i''�".'�ie I Other , <;, Land Use Zone j� Sub Total Y ivt. '.>: Lot Area _ i� Permit Fee I ; r- - i si.r. Lot Coverage % = Sq.Ft, = ' Receipt# Total"'$ ' "• ❑Sign Contractor ❑ Mechanical Contractor'` �" No. Type of Equipment ' r 4 ' • Illumination Elec. Furnance � .= 9 't a Overall Height Heat Pump Sign Width _ Woodstove Sign Height _ Oil Furnace . = _. .• .. Sq. Ft. Kitchen Hood „ Clearance Other Land Use Zone I� I Fee Total $ Receipt# Receipt# Total $ " rI1VfEPTEDBY PLANS CHECKED BY A �SUANCEBY Special Conditions: , ' NOTICE i,, • .� . • A setter�rmil is naguired for electrical. .- This permit becomes null a•d void if wo•k or construction authorized Is not commenced within 160 days,Ortf construction or work is suspended or abandoned lore period of 1tyJ ••1 . days at any time after work.s commenced. I hereby Codify that I have read and'trammed this application end know the same to be ••r • • '; true and ebrreet.Alr provisions of laws a^d ordinanceu governing this type of wort,will be r �..i,. Complied with whether,specified herein Or 1Ot.Tha rant( of s>. v, •+; Dec granting permit does riot presume ; - o 1,- r t ,be glve_rithorlty to violate or cancel the brovltlons of any Colter state or local law I S a, ►pulatinpeemtrve:lonathel ax/nano,ofoomintaldn Other Permits: ",• ' y' "•w.pi w:.. zit r �- ...-.y ''..,. ay •y , ;z, r u .wro<..» ..a�. ;, „may. v `r�r «« +oriz.d t rain ' Sewer RIW Agent i � = N, *. x y ! Driveway Other,, V---'a • >i 1 :.wit, a of171isfdfou N r `t -. —:. `k y ' t3,, :. a^ r-:...r .<' r' a i4"--:i';1 a� t g.„, faltltlNi} � ..r � late}. m _�, r.•y t+', r`: ♦ ♦ .^e:1• Y° .aw. r�r+±+x,.y*�•wrw.rtw T9rn' wr ,,� .o, a, �h via,rSYs.,t.�af#..✓'.+ �n.t ,..FF,�%_.G..+w*��+♦L_;�' �. rr .. . ...�t' • ,;: ...>t_ , . ,,t':1 41rw'arn:a`a' 7:1 "' :r ry"T.. 4,.. .Z".7..U;;: vw 1X".•,:,-,,5r•.; x4• x.n'.1 t . 7'''' ...w�• *' '7 ,-k,. '`� Lv -y "''':-.1,:i-,;.,-.:',' ■ •'''. ,fix`�4,r. 1g0 INSPECTION RECORD ' pERINIT ,.� - a �� ``�° '., ,r yVr 7 ,r..• , ' ,.-�'' IT IS UNLAWFU 0 ' 3TH RINiSE ON r ..,t... (AVER INSULATE, E C CEAL:ANY WORK • ' ° Y .BEFORE INSPECT D &ACCEPTED. .;:r` 4 ;,•• g=, , fiw i HOUR NOTICE REQUIRE ' 104T ti R G7'l6�l:P OSt illI'; ,PEC71QN'RECORD yi " t ,o-°0» ,, «� .l� A,CO�lSP1C000S r OCATION,•APPROVED PLANS MUST BE ON JOBbiTE `AT TIME, ~ >.'. INSSPECTIONS.,71{S a f .s" w: • ' ' 3:; ;; ,� . , . , : inspection Accepted ' °" Date Inspector Foundation Footings )-- �, r', '17k' • ,, "4,,,t1 x , 4 Corrections j. -.,, ,.„ , ,4 ▪'`f Foundation Walls \'% `.$ ,r` 1 '• . • Gor`ections .. .t Y R,t;ti, �' Sough lit Electrical: YFt f a .1'; ,'�� f t � . --° Corre' t - -. _ t �� . �; cf ons ;' tom '•� F- A'E .x,.. •••. $ ' •, --- ,0,;,,,,,, . d'i Ski! A-. r a r t 4 Plumbing t € t '.4.',$•3 } • < Corrections ' r, . p +„. 4`-'' =i4 °a . >4 P.%., ):,k' 'I'''. 4 �;..* ' r t? :. ' 3t E' av t� ' � 44 tS• I„+'1t, t . t v ,� Ya "� � r� f=raming `. # , , ,; ,, ., ,.-1.4...)11, , f ' ,, xt �-rah ' . Ww-.i ,r '" ' Corrections .. - , ,� .� '�'� 1.;,.. a a .. f 1 '1 ^Ih�'• *"Chimney , -, �; a� ,,. , 1 ;Corrections ---••} •}:�;'. , � , � tl ,Mechanical ;, • • Corrections . M. • • .r .Insulation ' t y +d w:iaanpa Corrections - t < I.?.� Ti► 4 t- } x 4 v i . • 4. .i Electrical Final 4* ' Corrections 4 L w 1, 'e ,.`t,%41° �• Ya*,4 `.� ` Final Inspection �� P� , y r > Corrections :• •aE ' FA ! ;ig .Jr' :j4�," 4.CAx 1 al� ,• ia . , c ,,,t „AT °� h` r„, 't. . 'v ;;, , 'b °f . r..��n .*it. r d• ; r t"•• i , _ # ,. * , T• E • . .'. 'x t ,10''' tli ,N , 4 tr ari. W.4..„4`,.‘'"'.,• , 0i�'IIAl y� iC Nij� i _ his kf FINAL INSPECTION IS REOUIREDPRtof TO ANY:OCCU1> 'AN r ��ti, '�..; v k wry{. a. ! .a• t {• '.,.,,',4,4,....7-1,T,. ,..s .� rf ;w:, `r'a e'�Y'.t aYZ =x,� F<•3 �. ,. r.' r•Y' Lt y .eF`�e•' ,... •, ,y,.f ,x 4.4'..,,z°, r 'r�x A!',-- - -• Y+* Y + ... ` • ■ Application Number . . . . . 23-00000294 Date 3/31/23 Application pin number . . . 732654 Property Address . . . . . . 1114 GEORGIANA ST ASSESSOR PARCEL NUMBER: 06-30-00-8-1-0414-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL OFFICE Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Furnace / Heat Pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SWEET HOME FORESTRY LLC BLACK DIAMOND ELECTRICAL CONTR 1128 TAMERA DRIVE 502 BLACK DIAMOND RD KLAMATH FALLS OR 97603 PORT ANGELES WA 98363 (541) 331-5863 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 74.00 Plan Check Fee . . .00 Issue Date . . . . 3/31/23 Valuation . . . . 0 Expiration Date . . 9/27/23 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 74.00 74.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 74.00 74.00 .00 .00 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _ OWNER INFORMATION Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRICAL CONTRACTOR INFORMATION Name: License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS llim! Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Sign / Outline Lighting Signal Circuit/Limited Energy -Multi-Family Signal Circuit/Limited Energy/First 1500 sf -Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ TOTAL Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD PREPARED 3/23/23,14:13:50 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000294 1114 GEORGIANA ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 74.00 TOTAL DUE 74.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/21/2023 23-294 TAP OWNER CONTRACTOR Black diamond Electric PROJECT ADDRESS 1114 Georgiana St