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Home My WebLink About1111 Columbia St - Engineering CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION I 321 EAST 5TH STREET, PORT ANGELES, W A 98362 __ / _ rY o :3 (.pO r./PORf ""Va 1....J,,~~(l' &~' L ~.~ ~ 'li~ Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation 03-00000688 Date 1111 COLUMBIA ST 06-30-00-5-3-0265-0000- COMM NEW CONST 7/29/03 326500 Owner Contractor BIRCH. GREGORY 918 CAROLINE STREET PORT ANGELES (360) 457-3183 Structure Information Construction Type Occupancy Type Other struct info WA 98362 HOCH CONSTRUCTION 4201TUMWATER TRUCK TRAIL PORT ANGELES WA 98363 (360) 452-5381 NEW 3265 SF DENTAL OFFICE TYPE V NON-RATED BUSINESS OFF/PRO/MED/REST NUMBER OF UNITS 1 00 2320 00 7/29/03 1/26/04 Plan Check Fee Valuation 00 o \f vJiY' .(~ /oJ ~ r!v ~/. - - ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS COMM WATER SERV Qty u~~~:er Extension 2 00 {1160 ~ PW W/M COM 1" ~ --------------- -------------------------------------------~ Permit SANITARY SEWER HOOK UP Additional desc Permit Fee Issue Date Expiration Date 95 00 7/29/03 1/26/04 Plan Check Fee Valuation 00 326500 r G - C ~ Qty Unit Charge Per Extensio~ ________~_~~_______~:_~~~~_~____:~_:~~~_~~~~:________________~ 95 00 ~ Permit RIGHT OF WAY Additional desc Permit Fee Issue Date Expiration Date 45 00 7/29/03 1/26/04 plan Check Fee Valuation 00 326500 cr- pJ Qty Unit Charge Per 1 00 45 0000 ECH RIGHT OF WAY PERMIT Extension C 45 DO=:> (; Other Fees STATE SURCHARGE 4 50 Fee swnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2460 00 2460 00 00 00 plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 2464 50 2464 50 00 00 - :// _ 7?rr/H/- ~r ~/1;'/n.6/~7 ~;-- .6~c~~k.;J- ~~~/ I(.~ p # /''/1/t51 ~'11~ 1$/~rh7/T) -I- 7~./~-f~"- Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This per 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 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 ~~~~}7.L YIJ. ~(1~_ 7-Zq-CJ3 Signa~ Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date TWLANNfNG\FORMS\ll02.15 [4/2002] Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . . . . . 1- Jvo JOitme Received by (phone, person) REQUEST III I Co I u vY\ ~ I c~ ---f?-o1 P \./ V e~ '" Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Phone No Permit No Plumbin~wer Excav Other (}7- ~fl INSPECTION NOTES _) I. Li Inspected Date 1?/ C' '1 Time I : 4--;. By 'E'LJ ~ Remarks (!"OAjr--- (l . / ;;rCJ_L-<...I..f6!~ / 412 tZL~a'0~' ~.~ tJ.!:: eA:(C- { I RESTORATION REQUIRED YES NO SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City o Repaired by Permittee [] No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST L Date ~ -. I ) - C L Time Received by (phone, person) Location of Work to be inspected J / II (; <3 / 0' j I- 1 ~ I (\ Name of person requesting inspection ' -;~U / / { c y Address of person requesting inspection I 7 cf /1 i-- f3 Phone No Type of Inspection (circle appropriate one) Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other o~~,g~ [/~ (:tf- f j/ INSPECTION NOTES Inspected Date -:2 - ) J - (t; Time , Remarks 1- Jv 5 -l.(' ( I ( J.- -- /" I' 1) (, l/J] e 5 -t ( c L0",,-t-t t5-P '1/(/1 (-e r 1-'~ /,t' J:RJ'::::', (1 {'1+( 6 N YV j.t C -;p <-6-- C v f c'{ /7{'1 fl--e J/.J7 c 1/~./-e X 1'5 1-( )1; ;;1 tY~rOR~~I~N~t;~JIF{~~~'/ \,~ V/NO ~.'~ i.'\t~"'~ ,\{l\OC}i~fP. ~~" ~'="-- 1/ Ij\ '\' rl rc.., 1&Z. 7210 IV rlc u2.Cf C G }u)/v1h) ~ By I rj\^I' (\4' I ~[ .' (:-. ~ k-- ?-q). f: "( -'L ~ } I~ ~ "- z ~ U,L --t If'\ C J:>( !JILt ;Y~~'1\f\.L~~ SURFACE RE TORA TION SURFACE TYPE D Unimproved 0 Gravel 0 Asphalt D Other Work Order # J i 7 G S- - c c 2- [] Repaired by Permittee 0 COMPLETE A'ttSJ.. ~"~~ ~ . D No Damage Found 0 INCOMPLETE v.:rr\lA ~o r }J\~ .'1, l{o~~~' . ~~/(L~ ~ D LUf-~O'1 ~_'!Ii/ ~_~{Z. L I~ 7 I __~~-e ~+-;7 ~ (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) OPCC D Repaired by City CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT . REQUEST Date Time Received by T<2 ENIA, (phone, person) Location of Work to be inspected II i \ LOLL 'I- I f'~l A- Name of person requesting inspection DI'--I--t t--/I<:>(2-l~IS<=cj,-j Address of person requesting inspection Phone No Type of Inspection (circle appropriate one) Permit No { f'E'-.f;.. ~ CSewer--' Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES- Inspected Date \ { 14 I D 4 Remarks 4" f4 (j .= 4" ~ c r--H:_ Time - /> Ie: . - S Pt'-'1 By E/Z-IL GON,G L 4-r~(Lr~L (t-l C?- E't;> C CrcD ( Tt ""<'~/ RESTORATION REQUIRED YES NO + I ~ s y~; ?.....vt <<. T~r C '- ~c He \-" tJP<,<-1 ~t-=~\LC L-. , t.c.....~";:~,-.c'--- r c.- "-- lq~ \+l -4~~'~ ~ k: , I ":>9 5' ' 0 ...... ..... 4')" . i_ I - ~ \ ~.Y 1') , ~AJ [')O$., .4 LCI'.IL -2. &1::: L" I..~ ""...<..,= ct: \-(" LK ...... >::"-7 /7- L., j\"/\; v..-':\..- L- r- / -..-..----- '-- L It\~ C--.9 L ----' I-.f\ C3 \ I>. SURFACE RESTORATION: SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Date ......... z/1~1 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . INSPECTION REPORT. . . . . . REQUEST Time Received by f7':::::- { I (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing -/fy~ll/ ('~~/ ,///1 ~();/uh16/~ Phone No ~~ Permit No ~---'~ Sewer Excav Other tJuA ~ - Chimney Plumbing Final INSPECTION NOTES Inspected Date Z/IS/O -4 Time II ~ ~ By EW Remarks tJ.,t::' - 1')'-0 "Dee CI~ C 5", I,)~ p~ PE ,e7Y Nc:FtJC;;; 7b $E Q,t4foVEP I r 'icH-t'P. cO ~F A~A-~ l) () Mt= fl_ RESTORATION REQUIRED II I YES NO SURFACE RESTORATION SURFACE TYPE D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST Date ~ -I ) - 0 y_ Time Received by (phone, person) Location of Work to be inspected J I / I (; 6 / u h/1 ~ ; -C\. Name of person requesting inspection t -; 0J / / {d Y Address of person requesting inspection l 7 ~fj/} i- /3 Phone No Type of Inspection (circle appropriate one) Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other o 3-&?~ t.}J c1cf- -e" y- INSPECTION NOTES' Inspected Date .2 - /J - 0 ~. Time Remarks. ~).; 5+c{. / ( .1- - I" ~ j) 0 VJz -e 5 -/-{ .-c LUtlt-e v . 5--P'i/(jl (-e t;- 1- - /,t' ~)R rei J C1.+r d N ~v-u'/( -P cb-. C-vf C{ !/}c! ~--f1.0 C?I/~ -€.-.X /'5' +1 hj l/r X'~'lS (, k"_-f-<' V 7-P VeL, C -Q ./ / R STORA TION REQUIRED. . .. YES V NO . 0 x~\l\~\\ ~ ~~, *'(., < ~F?-{}l 0" rl I Q(P2.. 72/0 G &2-4 C C5 /U Yvlh ) U\. By -~ ~ ,\\,-0 1Jf\ I ;;-CJ , "\ . \ $ () G\ l\ \ ~ '+- k-- ~q~ b" c-]: ~ ~ ~ .1- L J>( '7H S..evu~~t--rjVl~~ SURFACE RE TORATION: SURFACE TYPE D Unimproved D Gravel D Asphalt o Repaired by City Work Order # o Repaired by Permittee 0 COMPLETE o No Damage Found D INCOMPLETE ,1o!lk/~~A(i-3~ I pJ::,L~+--Jv r GU~ (Continue on reverse side if necessary) STREET SUPERINTENDENT D PCC 0 Other Ii? 0<) - 0 0 J- (DATE) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000688 Date 1111 COLUMBIA ST 06-30-00-5-3-0265-0000- COMM NEW CONST 7/29/03 326500 Owner Contractor BIRCH, GREGORY HOCH CONSTRUCTION 918 CAROLINE STREET 4201TUMWATER TRUCK TRAIL PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 457-3183 (360) 452-5381 Structure Information NEW 3265 SF DENTAL OFFICE Construction Type TYPE V NON-RATED Occupancy Type . . . .. BUSINESS:OFF/PRO/MED/REST Other struct info. . .. NUMBER OF UNITS 1.00 Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS COMM WATER SERV 2320.00 7/29/03 1/26/04 Plan Check Fee Valuation .00 o Qty 2.00 PW W/M COM 1" - - - Permit Additional desc Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 95.00 7/29/03 1/26/04 Plan Check Fee Valuation .00 326500 f\ G """'- C ~ () p" Qty Unit Charge Per 1.00 95.0000 EA SAN SEWER HOOKUP Extension 95.00 Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45.00 7/29/03 1/26/04 Plan Check Fee Valuation .00 326500 Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 Other Fees STATE SURCHARGE 4.50 en :t Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2460.00 2460.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 2464.50 2464.50 .00 .00 :// i? pc>r/H/- ~r p/.vh?.6J~'7 --/b.r ~~C'~~k;1- 11/1// ~r:f. / . I(.../. ~p ~ . I- '/1/i?1 '?'11~ /S, /'errn/T) ~ 7 ---:- /~ -f ~- Separate Permits are reqUired for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements This per 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 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. ~~~~n.L YI}. ~{'~_ 7~Z-1-{)3 Signa~Contractor or Authorized Agent Date Signature of Owner (If owner is bUilder) Date T \PLANNING\FORMS\1102.15 [4/2002J BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSULA TE 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 FOUNDATION: FOOTINGS "~I"~ \ WALLS " ( ; FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS I ,-- 1__- 1 SHEAR WALL ~ - -~---- - -~- - - WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIvIsion) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANIT AR Y STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R W / PW/ ,./ JJ).()/O ~ fp' CONSTRUCTION - R W ENGINEERJNG 417-4807 PW / ENGINEERJNG . , FIRE 4\7-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1102 15 [4/2002] ~ \~I CITY OF PORT ANGELES FIRE DEPARTMENT PERJ...1IT 32\ East 5th Street, Port Angeles, W A 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation . 03-00000669 Date 7/14/03 1111 COLUMBIA ST 06-30-00-5-3-0265-0000- FIRE ABANDON TANK INSPECTION 300 Owner Contractor BIRCH, GREGORY 918 CAROLINE STREET PORT ANGELES WA 98362 (360) 457-3183 HOCH CONSTRUCTION 4201TUMWATER TRUCK TRAIL PORT ANGELES WA 98363 (360) 452-5381 Permit Additional desc Permit Fee Issue Date Expiration Date UNDERGROUND TANK RES REMOVE UNDERGROUND TANK 15.00 Plan Check Fee 7/14/03 Valuation 1/11/04 .00 300 Qty Unit Charge Per BASE FEE Extension 15.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 15.00 15.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 15.00 15.00 .00 .00 .........-. --- """'-- -........-. ~ ~ ~ tI ~ ~ This pennlt becomes null and void If work authorized IS not commenced within 180 days, If work is suspended or abandoned for a period of 180 days afer the work has commenced, or If required inspectIOns have not been requested with 180 days from the last inspection. I hereby certIfy that I have read and exam me:! thIS application and know the same to be true and correct All provisions ofrecognlzed standards, laws and ordinances governing this type of work will be camp led with whether specified herein or not The granting of this permit does not presume to give authority to VIOlate or cancel the prOVISions of any state or local law regulating the work specified In the permit t:J::2;t Date Signature of Owner (If Owner IS builder) Date