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HomeMy WebLinkAbout128 W. 1st Street Address: 128 W 111 Street PREPARED 11/13/13, 9:53:23 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/13/13 ------------------------------------------------------------------------------------ -------------------------------------------------------------------------------------- ADDRESS . : 128 W IST ST SUBDIV: CONTRACTOR OLYMPIC HOME IMPROVEMENT PHONE (775) 5041 OWNER SMITH, WILLIAM F PHONE (360) 457-4737 PARCEL; 06-30-00-0-0-3220-0000- APPL NUMBER: 13-00000906 COMM REMODEL ---------------------------------------------------------------------------------- PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -- ------------------------—-------------—------------— ------- BL3 01 10/02/13 JLL BLDG FRAMING 10/02/13 AP October 2, 2013 9:31:11 AM pbarthol. Mac October 2, 2013 3:45:52 PM jlierly. BL99 01 11/13/13 BLDG FINAL November 13, 2013 9:21:20 AM pbarthol. MAC 775-5041 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS '------------—----------------------—--------—-----—-------------- ------------------- ME99 01 11/13/13 JLC/'� MECHANICAL FINAL - 1{���_�(V�— November 13, 2013 9:21:51 AM pbarthol. MAC 775-5041 - ------------------------------------------------------------------------------------------- - PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------------------------------------------------------- PL2 01 9/25/13 JLL PLUMBING ROUGH-IN 9/25/13 AP September 25, 2013 8:12:00 AM pbarthol. Mac 775-5041 September 25, 2013 3:49:40 PM jlierly. PL99 01 11/13/13 J PLUMBING FINAL November 13, 2013 9:22:06 AM pbarthol. MAC 775-5041 --------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES �� DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION BIC 321 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000906 Date 8/21/13 Application pin number 556532 Property Address . . . . . . 128 W 1ST ST W ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3220-0000- Application type description COMM REMODEL REPORT SALES TAX Subdivision Name . . . . on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT to the City of Port Angeles Application valuation 15000 (Location Code 0502) Application desc INTERIOR REMODEL FOR FOOD/BEVERAGE SERVICE ---------------------------------------------------------------------------- Owner Contractor SMITH, WILLIAM F OLYMPIC HOME IMPROVEMENT PO BOX 967 381 LOFGRIN RD PORT ANGELES WA 98362 SEQUIM WA (360) 457-4737 SEQUIM WA 98382 (775) 5041 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . INTERIOR REMODEL Permit Fee . . . . 277.75 Plan Check Fee 180.54 Issue Date . . . . 8/21/13 Valuation . . . . 15000 Expiration Date . . 2/17/14 Qty Unit Charge Per Extension BASE FEE 95.75 13.00 14.0000 THOU BL-2001-25K (14 PER K) 182.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . Permit Fee . . . . 57.25 Plan Check Fee .00 Issue Date . . . . 8/21/13 Valuation . . . . 0 Expiration Date 2/17/14 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 7.25 - Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 85.00 Plan Check Fee .00 Issue Date 8/21/13 Valuation 0 Expiration Date 2/17/14 Qty Unit Charge Per Extension BASE FEE 50.00 3.00 7.0000 EA PL-PLUMBING TRAP 21.00 \^ 1.00 7.0000 EA PL-WATER LINE 7.00 V' 1.00 7.0000 EA PL-WATER HEATER 7.00 \� ---------------------------------------------------------------------------- Other Fees . . . . . . . STATE SURCHARGE 4.50 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or thorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-- Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW I Engineering 417-4831 Fire .417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION V 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 13-00000906 Date 8/21/13 Application pin number . . . 556532 - ---------------------------------- - ------------------------ Fee summary Charged Paid Credited Due REPORT SALES TAX ----------------- ---------- ---------- ---------- ---------- on your state excise tax form Permit Fee Total 420.00 420.00 .00 .00 Plan Check Total 180.54 180.54 .00 .00 to the City of Port Angeles Other Fee Total 4.50 4.50 .00 .00 (Location Code 0502) Grand Total 605.04 605.04 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have.ead and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling 9 Drywall(Interior Braced Panel Only)__ T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit THE ORTANGELES CITY OFP . For City Use WASH I N G T O N , U . S . Permit# Date Received: 7. I 321 East S'b Street Port Angeles, WA 98362 to Approved P: 360-417-4817 F: 360-417-4711 permits@cityofpa.us Building Permit Application Project Address: i 28 W, ( S-,- Main Contact: yin a� � ��,� Phone # A 0 715 '5041 r E-Mail: &c-S,5 acro CUh L Property Name Phone Owner (�c� `S7 4-73 -7Mailin Address Email X67 city State zi 6 �i ; 6z lana �g3�� Contractor Na Phone UL Wit -- b U 75 Mailing Address Email 6 ri l- Yko)Gs lop( '24 Ve, City � �� stag Ig �Z C,._ Contractor License# CL MP4J2S -�. � � Expiration: r Project Value: Zoning: Tax Parcel# y Lot# $ c)c)3Zz0 Type of Residential ❑ Commercial IS Industrial ❑ Public ❑ Permit Demolition 12 Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ For the following,fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement Mechanical 1�1 Plumbing P Other ❑ . Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms P posed Bathrooms Yes 13No /v� Project � rUzlPlhti!'� I'Z�G °i .��/'?et�L. Description act- W drev- I have read and comlileteif the application and know it to be true 6d colFrect I am authorized to apply for this permit I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned and the fees forfeit Date Print Name Signatu l � Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $$Value Existing Structure(sj '41 Z- Proposed Addition v Tenant Improvement? �c, Kit i] 5 v Other work(describe) c/V Vf Area Totals Lot/Site Coverage Calculations Footprint(SQ FT)of all Structures: Lot Size: .i %Lot Coverage 50 0 �0 Z S is SQ FT Site coverage(all impervious+ %Site Coverage structures Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping #of Outlets: Appliance Vent # ( Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # I Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace Gas Stove Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # '3 Fuel gas piping #of Outlets: Water Heater # 1 Medical gas piping #of Outlets: Water Line # 1 Vent piping # Sewer Line # Industrial waste pretreatment # interceptor Other(describe): T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX P��a� w I►wows - WAN ew W.,N ! , i ! I _ t n�f ' - I IC ' 1 IA iei� � � I W I i ( r r ( I ! 1 } ! I , , I r I I — I e ITY PF PORT{ANQELEis—tions rust' n Pf' ns he Issancelof thi permit Msbd these p!a s,speci,�' — — theLdata ShOILMIM nt buildim!offi_ial om terea er requiring the correctton f errors in!said At i I } j { — E ui!din ope'atiol bating cariied thelwnde'r when in ; , hof pit C u Is Ad ugullim, ., . ppr Mal D �S �y ' i milli I —f L