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Home My WebLink About240 W. Front Street Address' 240 W Front Street PREPARED 5/31/16, 10:08:22 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/31/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 240 W FRONT ST SUBDIV: CONTRACTOR : PHONE : OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE : (360) 452-7891 PARCEL 06-30-00-0-0-1405-0000- APPI, NUMBER: 15-00001034 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------ --- -------------------------------------------------------------------- BL3 01 8/19/15 JLL BLDG FRAMING 8/19/15 AP August 19, 2015 8:44:45 AM jlierly. Rob 460-1284 August 19, 2015 4:18:07 PM jlierly. BL99 01 . 5/31/16 BLDG FINAL KID May 27, 2016 4:16:00 PM jlierly. 13;�yl Rob GALE -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00001034 Date 8/18/15 Application pin number . . . 815006 Property Address . . . . . . 240 W FRONT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1405-0000- on your state excise tax-form Application type description COMM REMODEL Subdivision Na me . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 35000 ---------------------------------------------------------------------------- Application desc NEW OFFICE SPACE ON 2ND AND 1ST FLOORS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DOWNTOWN AMBULATORY HEALTH CTR OWNER 240 W. FRONT ST., STE. A PORT ANGELES WA 98362 (360) 452-7891 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc NEW 1ST/2ND FLOOR OFFICE SPACE Permit Fee . . . . 518.75 Plan Check Fee 337.19 Issue Date . . . . 8/18/15 Valuation . . . . 35000 Expiration Date 2/14/16 Qty Unit Charge Per Extension BASE FEE 417.75 10.00 10.1000 THOU BL-25,001-50K (10.10 PER K) 101.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.SO ----------------------------------------------------------------------------- ftow Fee summary Charged Paid Credited . Due ----------------- ---------- ---------- ---------- ---------- cam Permit Fee Total 518.75 518.75 .00 .00 Plan Check Total 337.19 337.19 .00 .00 Other Fee Total 4.50 4.50 .00 .00 COD Grand Total 860.44 860.44 .00 .00 Law Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T: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 UNLAWFULTO 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: Tootings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall I Hold Downs Walls/Roof/Ceiling Drywall(interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-in Gas Line .44 Wood Stove I Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs ,Skirting PLANNING DEPT. Separate Permit#s SEPA Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 L Building 417-4815 T:Forms/Building Division/Building Permit THE For City Use LES RT �GE CITY OF P A� Permit# A293 V� A S H I N G T 0 N, U . S. Rate Received: A 321 E 51h Street te Approved Port Angeles,WA 9836 IK If J0 P:360-417-4817 F:360-417-4711 Email:permits0ci1yofpa.0 BUILDING PERMI APPLICATION Project Address: 6q'/o wef- Frt�^-� s+, Por�A n�,4?5 Phone: 36o- q(oo 1 ,2_�3 Ll Primary Contact: 2010&& �5c-34 �C>%4..',(,C Email: ed OLY Phone Nam olv'p� o ��4A Ce v,+e,r 36o -Ab -'�9 Property Mailinj Address Email Owner '139 Ccv-,t�,ie �1 - qk 0 eA.'cr4A -o�r� City State Zip Y36 2— Name Phone Contractor Address Email Information city el'�S� Zip IContractor License# I Exp.Date: Le'gal Description: Zoning: Tax Parcel# Project Value: (materials and labor) $ 3��C)TD Residential 11 Commercial �EL Industrial El Public 11 Permit Demolition El Fire 11 Repair 1:1 Reroof(tear off/lay over) 1:1 Classification For the following,fill out both pages of permit application: 4 (check New Construction 1:1 Exterior Remodel 1:1 Addition 11 Jenant Improvement appropriate) I Mechanical 1:1 Plumbing 0 Other 1:1 Fire Sprinkler System Proposed I Irrigation System Propos posed Bathrooms Proposed Bedrooms or Existing? Yes 0 No E(I Existing? Yes 13 No��or 7ro _ I - In addition to standard hard copy" sulimittalS please send a PDF copy of all Stormwater plans and Engineering to www.stormwaterociI3�of�a.us Project Description -Dewi 0 0 C 0'1Q- Wq a y- S Q Is project in a Flood Zone: Yes 13 NoM- Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ 1 have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application will be considered abandoned and the fees will be forfeited. Date PrintName 1�06 (�'\-9' Signature Residential Structures Existing Proposed Construction For Office Use Area Descfipt11-0ns-,(SQ FT) Floor area Floor area $Value new area Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 2"d floor) Garage Carport Other(describe) Area Totals Commercial Structures Area Descriptions(SQ FT) Existing Proposed Construction For Office Use Floor area Floor area $Value new area Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov lot size) Max Bldg Height I all structures sq ft Site Coverage(Sq Ft of all impervious) %of Site Coverage (total site cov-- lot size) Mechanical Fixtures Indicate how many of each type of xture to be installed or relocated as part of this project. Air H=dl r Size: # Haz/Non-Haz Piping Outlets: Appliance # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor # Heatin pp ance # epair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) t7� !I lace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets- Ventil ngle duct # Si Furnace mp/ Size: # Ventilation System--� # m P' Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixtu e to be installed or relocated Plumbing Traps # Water Heater # Plumbing Vent piping -lq-e-dical gas piping #of Outlets: #of Outlets: Water Line # Fuel gas piping Sewer LYn–e— # Industrial waste pretreatment interceptor(Grease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx Address: 240 W Front Street PREPARED 7/29/16, 10:04:29 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/29/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 240 W FRONT ST SUBDIV: CONTRACTOR : PHONE OWNER OLYMPIC MEDICAL CENTER PHONE PARCEL 06-30-00-0-0-1405-0000- APPL NUMBER: 16-00000364 COMM REMODEL ------------------------------------------------------------------------------------------------ PERNIT: BPC 00 BUILDING PERNIT - COP94ERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------------------------- --------------------- BL3 01 5/27/16 JLL BLDG FRAMING 5/27/16 AP May 27, 201G 8:31:17 AM jlieriy. Rob gale 460-1284 May 27, 201G 4:14:54 PM jlierly. BL99 01 7/26/16 JLL BLDG FINAL 7/26/16 DA July 26, 2016 8:26:13 AM jlierly. Ropb gale 460-1284 July 26, 2016 4:11:43 PM jlierly. Verify w/h temp at 120/ label over head lines with afluent and direction per code/jll BL99 02 7/29/16 1 BLDG FINAL ly 29, 2016 10:07:34 AM jlierly. --------- COMMENTS AND NOTES ------------------------------------ IN------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION clr� 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00000364 Date 0/02/161 Application pin number . . . 840888 Property Address . . . . . . 240 W FRONT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1405-0000- Application type description COMM REMODEL on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation . . . . 187000 ------------------------------------------------------------------------ Application desc RESIDENCY CLINIC, ADD EXAM ROOM ------------------------------------------------------------------------- % Owner Contractor - --- - ------------------------ ------------------------ OLYMPIC MEDICAL CENTER OWNER 240 W. FRONT ST., STE. A PORT ANGELES WA 98362 i— ------------------------------------ ------------------------------------------- - Permit . . . . . . BUILDING PERMIT COMMERCIAL Additional desc Permit Fee . . . . 1507.45 Plan Check Fee 979.84 Issue Date . . . . 4/28/16 Valuation . . . . 187000 Expiration Date 11/23/1'6 Qty Unit Charge Per Extension BASE FEE 1020.25 87.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 487.20 ---------------------------------7------------------------------------------ Permit . . . . . . MECHANICAL PERMIT Additional desc MECHANICAL Permit Fee . . . . 113.90 Plan Check Fee .00 Issue Date . . . . 6/02/16 Valuation . . . . 0 Expiration Date 11/29/16 Qty Unit Charge Per Extension BASE FEE 50.00 6.00 10.6500 EA ME-VENT SYSTEM 63.90 7--------------------------------------------- ----------------------------- Permit . . . PLUMBING PERMIT Additional desc REMODEL PLUMBING Permit Fee . . . . 141.00 Plan Check Fee .00 -Issue Date . . . . 6/02/16 Valuation 0 Expiration Date 11/29/16 Qty Unit Charge Per Extension BASE FEE 50.00 5.00 7.0000 EA PL-PLUMBING TRAR 35.00 –5— 5.00 7.0000 EA PL-WATER LINE 35.00 3.00 7.0000 EA PL-DRAIN VENT PIPING 21.00 - ---------------------------------------------------------------------------- Special Notes and C'omments April 12, 2016 1:08:47 PM kdubuc. Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced,or if required inspections have not been requested within 180'days from- iih e- 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 permitdoes. not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. e-r 0 vk' 6'r." (L Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is bu.ilder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backfiow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Sternwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Ua-s Line Back Flow/Water '411 SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-In 5as Line Wood Stove I Pellet/Chimney Commercial Hood/Ducts MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs iSkirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction -R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC' DEVELOPMENT- BUILDING DIVISION _C19 ) 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 16-00000364 Date 6/02/16 Application pin number . . . 840888 REPORT SALES TAX ---------------------------------------------------------------------------- Special Notes and Comments on your state excise tax form If new partition walls impair existing sprinkler coverage then sprinklers wil need to be reporsitioned and/or added in to the City of Port Angeles to ensure that proper coverage is provide,d. (Location Code 050;).. ---------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ------------------------------------------------------------------------- ...'Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1762.35 1762.35 .00 .00 Plan Check Total 979.84 979.84 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 2746.69 2746.69 00 .00 A Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and Public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced,or if required inspections have not been requested within 18' 0 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) t:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backfiow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Sternwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) �LUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(interior Braced Panel Only) T--Bar INSULATION: Slab Wall/Floor/Ceiling iTECHANICAL: Heat Pump/Furnace/FAU/Ducts �ough-ln Gas Line Wood Stove/PellWt/Chimney Commercial Hood I Ducts MANUFACTURED HOMES: Footing/Slab jBlocIdng&Hold Downs ISkirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction -R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 1 Building 417-4815 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00000364 Date 4 r28/16 Application pin number . . . 840888 Property Address . . . . . . 240 W FRONT ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1405-0000- REPORT SALES TAX Application type description COMM REMODEL on your state excise tax form S ubdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0M) Application valuation . . . . 187000 4 -------------------------------------------------------------------- ---- Application desc RESIDENCY CLINIC, ADD EXAM-ROOM ------------------------------------------------------------------------ Owner Contractor ---- ---------------------I--- ------------------------ OLYMPIC MEDICAL CENTER OWNER 240 W. FRONT ST., STE. A PORT ANGELES WA 98362 -------------------------------- ------------------------------------------- Pe rmit . . . . . . BUILDING PERMIT COMMERCIAL Additional desc Permit Fee . . . . 1507.45 Plan Check Fee 979.84 Issue Date . . . . 4/28/16 Valuation . . . . 187000 Expiration Date 10/25/16 d C. Qty Unit Charge Per Extension BASE FEE 1020.25 87.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 487.20 ---------------------------------7------------------------------------------ Special Notes and Comments April 12, 2016 1:08:47 PM kdubuc. If new partition walls impair existing sprinkler coverage then sprinklers wil need to be reporsitioned and/or added in order to ensure that proper coverage is provided. 0�. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 C' --- ------- -------- ---- -------- --- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -- ---------- ---------- Permit Fee Total 1507.45 1507*45 .00 .00 Plan Check Total 979.84 979.84 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 2491.79 2491.79 00 .00 L Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void ifwork orconstruction authorized is not commenced within 180 days,ifconstruction orwork is suspended orabandoned 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 knot presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of r construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permil BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 4174831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Sternwall Foundation Drainage/Downspouts Piers P7ost Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof I Ceiling Drywall(interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump I Furnace/FAU/Ducts Rough-In Gas Line Wood Stove I Pellet/Chimney Commercial Hood/Ducts MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs jSkirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 THE For City Use CITY OF ANGELES- P� Permit# W A S H I NGTON. U . S. Date Received: LT-1 321 E 51h Street t Date Approved I L101 Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permitsOcityofi2a.us BUILDING PERMIT APPLICATION Project Address: IA4 tAl Akj�['f 5 Phone: 3(a0 -q(,o -1-2- 16 L( Primary Contact: IR06 C'1' Email: Iq get 0�yng,(_ew e- -,L c, Name Phone 0141--O�c rVttJCCC'1 ce'�-� L-2-SL/ Property Mailing Addess Email Owner '1-5 1 (-axoLkw )QJCV�-e ONmWA-7C C*t State Z' 7b4A^v.1,rs WA q 93Q wA Name Phone Contractor Address Email Information State zip Contractor License# Exp.Date: Legal Description: Zoning: Tax Parcel # Pr ect Value: (materials and labor) $ 0)07J00U Residential Commercial Industrial 0 Public 0 Permit Demolitionl-� Fire Repair El Reroof(tear off/lay over) Classification For the following,fill out both pages of permit application: (check New Construction 1:1 Exterior Remodef 11 Addition 11 Tenant Improvement appropria,e) -L Mechanical 11 Plumbing El Other 11 Fire Sprinkler System Proposed Irrigation System Proposed-or I Proposed Bathrooms Proposed Bedrooms rri or Existing? Yes E3 No 13 rExisting? Yes 0 No J31, In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater(&cityofpa.us Project Description Na--A- a4fff"/;C= L4eA t+k-cr-e- &Z+W" As I'J'-A C% h I s project in a Flood Zone: Yes 0 NaM Flood Zone Type: I�in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application will be considered abandoned and the fees will be forfeited. Date Print Name (e-_ Signat re Residential Structures Existing Proposed Construction For Office Use Area Descriptions(SQ FT) Floor area Floor area $Value new area Basement---- First Floor Second Flo or Covered Deck/Porch/Entry Deck(over 30"or 2 Id floor) Garage Carport Other(describe) Area Totals Commercial Structures Area Descriptions(SQ FT) Existing Proposed Construction For Office Use Floor area Floor area $Value new area Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Tot Lot/Site Coverage Calcufations Lot Size(sq ft) Lot Coverage(sq ft)f nt of %Lot Coverage(Total lot cov lot size) Max Bldg Height all structures s Site Coverage(Sq Ft of all impervious) %of Site Co—ve-r-a-g-eTio—tal site cov-- lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. 'fJt,-f-(,o,-- Air Handler Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # 7 Heating/Cooli appliance # Boiler/Compressor Size: # -repwZ96iiation Evaporative Cooler(attached,not Pellet Sto—ve7WZY�rn�ijng/Gas # portable) Fireplace/Gas Stove/Gasrbbk-StQve/Misc, Fuel Gas rip—in-g-- #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pu Size: # Ventilation System Forced Air Unit i�p I # Plumbing Fixtures Indicate how many of each type of fixture to be inst 110,or relocated Plumbing Traps # - a er Heater # Plumbing Vent piping # Medical gas piping #of Outlets: Water Line Fuel gas piping #of Outlets: Sewer Line # Industrial waste pretreatment _0" interceptor(Grease Trap) Size Other(describe): T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx Address: 240 W Front Street PREPARED 5/25/16, 8:20:49 INSPECTION TICKET PAGE 21 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/25/16 --------------------------------------------------- ----- ----7---------------------------------- ADDRESS . : 240 W FRONT ST SUBDIV: I CONTRACTOR HANSON SIGN CO. PHONE (360) 613-9550 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (3GO) 452-7891 PARCEL 06-30-00-0-0-1405-0000- APPL NUMBER; 16-00000342 SIGNS ------------------------------------------------------------------------------------------------ PERMIT: SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------- -------------------------------------------------------------------- BL99 01 5/25/16 BLDG FINAL May 25, 2016 8:07:41 AM jlierly. Connie hanson signs 360613-9550 ---------------------- --------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number. . . . . . 16-00000342 Date 4/15/16 Application pin number . . . 417170 Property Address . . . . . . 240 W FRONT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1405-0000- Application type description SIGNS on your state excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc MONUMENT ENTRANCE OF BUSINESS 15SF - ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DOWNTOWN AMBULATORY HEALTH CTR HANSON SIGN Co. 240 W. FRONT ST., STE. A PO BOX 928 PORT ANGELES WA 983G2 SILVERDALE, WA. (360) 452-7891 SILVERDALE WA 98383 (360) 613-9550 ---------------------------------------------------------------------------- Permit . . . . . . SIGN Additional desc ILLUMINTED Permit Fee . . . . 47.00 Plan Check Fee .00 Issue Date . . . . 4/15/16 Valuation . . . . 0 Expiration Date 10/12/16 Qty Unit Charge Per Extension 1.00 47.0000 PER S-ALL SIGNS < OR = TO 25 SF 47.00 ---------------------------------------------------------------------------- Special Notes and Comments April 4, 2016 10:34:31 AM pbarthol. Sign is using existing monument base, located on the back side of the driveway on a one way street. no land use problems anticipated. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due -------- ---------- ----------------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 - .00 .00 Grand Total 47.00 47.00 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permitbecomes 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 regul t' construction or the performance of construction. t Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permft 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 Sternwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs lSkirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighti g ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction -R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 1 Building 417-4815 19 %IORF SIGN PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician For City Une Only: Date Received 321 E. Fifth St., Port Angeles,WA 98362 Permit# 7 (360)417-4815 fax(360)417-4711 Date Approved__ Applicant or Agent 60,0,C,;/e, Awe- 0-k/3 -qS,5-C) Property Owner ea ACA e-- P o n Property Owners Address dq(D W f=y-pn-� Lij r4 9 A-3(42 1, Contractor Pati,50A) Ci VI 60. Phone Jtpo'-�d,3 Contractor's Address qaB lf� Joerdcde� typr 9?,3 Y -;s License # 14W -5 p:T�,3 7,A� )-J I Expires Project Address 0?,qn u ) r-rojn+ :5+. Business Name Ajt)-v:�-k 'He-o-k-kcar?. Parcel Number Q(2� ()QQD D Lot Zoning Submit an 8 % "x 11 "site plan & three sets of plans that include: Type of sign (wall-mounted, projecting, freestanding, illuminated, other... Placement and sq. ft. area How the sign will be securely attached (Engineering specs may be required for freestanding signs) Separation distance between the bottom of projecting and freestanding si gns and the surface below See "'Chapter 14.36 Sign Code"of the City of Port Angeles Municipal Code for sign requirements. Sign Type&Brief Description (Type, location, sq. ft.) Sign #1 &)rl um'I no-Ile 130', L4 M r-I UAAaC�eJ S-a ec-( SWE2: M I h& U, Sign #3 Sign #4 Totals(Unit changes Sign(s) Unit Charge Quantit multiplied by guantities) Type of Sion Valuation$ L4.Z 0 CD $47.00 x = $ All signs less than or equal to 25 sq. ft. $85.00 x = $ Wall sign or marquees, over 25 sq. ft. $115.00 X $ -Freestanding sign or projecting sign, over 25 sq. ft. GRAND TOTAL Make Checks Payable to: City of Port Angeles $ Credit Cards(Except American Express)are accepted +0 V3 P- ..J Existing sign(s)area rcmouec6q, ft. +Proposed sign(s)area q!S- sq. ft. = Total sign(s) area 14S sq. ft. Building fagade area (height -c2,5-ft- X width—L.&- ft.),= '40 D sq. ft. (if a building has more than one business in it, onlymeasure the area of the building faqade that is used by the business applying for this permit.) I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date 111411 Print Name (?,0 1 e- Signature _r) ti d 61,�e V T:Forms/Building Division/Sign Permit Application.doc 258 W F,.xit St-Google Maps https://www.g000,le.com/maps/place/240+W+Front+St�+Port+Angele.. Go qleMapS 258WFrontSt 04111 4W Image capture:Sep 2015 2016 Google Port Angeles,Washington Street View-Sep 2015 FILE CITY o'PORTAN"LES—Construction Plan The 1, � 'NtMnee Of th, 's Permit based upon these plans 'calions and other data shall not Prevent the "'ilding Official from ther after Correct ion of errors in said plans,spe requiring the C,f Icat,ons and other data. or from preventing building operations being carried on thereunder when in viol 0120fam codes and ordinanc ati ALL WoRy es orthisjurisdiction. Date I ,SU ECTTORELDAppaoVAL -42241'a 13, Z-O I of 1 1/14/2016 1:58 PM 240 W Frunt St-Goo-le Maps https://www.c000,,Ie.com/maps/place/240+W+Front+St,+Port+Angele.. (jo ale tvlapS 240 W Front St '7 Ci A '1�' 4?'?'/A6- A f "N IWO 0 a Imagery @2016 ogle,Map data @2016 Google 50 ft � e A CD I of 1 1/14/2016 1:50 PM 111-311 - 10'-0 1/4" 8'3" i'lorlholyllipu: N ET%110 R K MOTO I 1Wsiqn&Sa1es cr, L—' D EPA North 01 ic i , P.O.BOX928 YMP I 6338NWWAREHOUSEWAY I co SILVERDALEWA98383 Healthcare PHONE(360)613-9550 FAX(360)613-9515 -0 R K 40 m-whansonsigns.com NI - E T -W AKEA CALCULATIONE) CUSTOMER: NORTH OLYMPIC HEALTHCARE CHANNEL WRAF LOGO PIMEN51ON5 48"X 135" AREA 45 5Q. FT. DATE:I/IZ/2016 SCALE OPTION REVISION ROUTER CUT ALUMINUM COPY AND LOGO MOUNTED TO TOTAL AREA 45 5Q, FT. SALES:RAN DY HANSON EXPANDED METAL BACKGROU N D- I EACH DESIGN:1,11 CflAEL B RASI ER COMMENTS: TOP VIEW A This sign is intended to be Installed In accordance virith the requirements of 1/4" STU D AnIcle 600 of the National Electrical Code an or other applicable local c des. LETTERS ALUMINUM Thd'includes proper groundino and 3/8" X 4"' LAG SCREWS INTO WOOD MOUNTS EXPANDED boin'ding of the sign. FRAMING MEMBERS ALUMINUM ANGLE @ 2016 TO ATTACH EXPANDED METAL METAL THIS SIGN DESIGN IS THE�ROPERTY OF HANSON SIGNS INC&IS NOT TO BE 4 TOP - 4 BOTTOM AS REQUIRED TO 2" PAINTED BLACK SQUARE FRAME REPRODUCED IN ANY WAY WITHOUT PERMISSION OR TRANSFER BY SALE. 258 W F�pnt St-Google Maps https://www.goo-le.com/maps/place/240+W+Front+St,+Port+Angele.. Go I e a s 258 W Front St lip 71, Image capture:Sep 2015 @ 2016 Google Port Angeles,Washington Street View-Sep 2015 I of 1 1/14/2016 1:58 PM 240 W Front St-Google Maps https://www.-Oo,-,Ie.com/maps/place/240+W+Front+St,+Port+Angele.. (oo gle MapS 240W Front St oil oil, z .4o V < A A, Al Imagery @2016 ogle,Map data 02016 Google 50 ft 0 C-) L 1 of 1 1/14/2016 1:50 PM 111-311 - 10'-0 1/4" 8'3 W1 Noflh Olympic NETWORK Dftiqn&-%1es L04" I P T 1 E 11 T North 01 ic YMP P.O.BOX928 6338 NWWAREHOUSEWAY 1 W9 Co SILVERBALEWA98383 Healthcare PHONE(360)613-9550 - FAX(360)613-?515 �M-- N E T W 0 R K %-A-whonsonsigns.com AREA CALCULATION5 CUSTOMER: NORTH OLYMPIC HEALTHCARE CHANNEL WRAF LOGO I)IMEN51ON5 481,x 1351, AKEA 45 50. FT. OATE:1/12/2016 SCALE OPTION REVISION 1/2"=]' A 0 ROUTER CUT ALUMINUM COPY AND LOGO MOUNTED TO TOTAL AKEA 45 50, FT. SALES:RAN DY HANSON EXPANDED METAL BACKGROUND- I EACH DESIGN:AICHAEL BRAS]ER COMMENTS: TOP VIEW This sign Is intended to be Installed In accordance with the requirements of 1/4" STU D Article 600 of the National Electrical Code and/or other applicable local codes. LETTE RS ALUMINUM This in d s proper grounding and 3/8" X 4" LAG SCREWS INTO WOOD MOUNTS EXPANDED bonclincgluof"the sign. FRAMING MEMBERS ALUMINUM ANGLE @ 2016 TO ATTACH EXPANDED METAL METAL THIS SIGN DESIGN IS THE PROPERTY Of 4 TOP - 4 BOTT OM AS REQU I RE D HANSON SIGNS INC&IS HOT TO BE TO 2" PAINTED BLACK SQUARE FRAME REPRODKED IN ANY WAY WITHOUT PERMISSION OR TRANSFER BY SALE. Address: 240 W Front Street PREPARED 5/25/16, 8:20:49 INSPECTION TICKET PAGE 20 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/25/16 ------------------------------------------------------------------------------------------------ ADDRESS . : 240 W FRONT ST SUBDIV: CONTRACTOR HANSON SIGN CO INC PHONE (360) 613-9550 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452-7891 PARCEL 06-30-00-0-0-1405-0000- APPL NUMBER: 16-00000079 SIGNS ------------------------------------------------------------------------------------------------ PERMIT: SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------- -------------------------------------------------------------------- BL99 01 5/25/16 L BLDG FINAL May 25, 2016 8:06:48 AM jlierly. w Connie hanson signs 360-613-9550 ------------------------- ---------- COMMENTS AND NOTES -------------------------------------- .. .I - CITY OF PORT ANGELES .r S"=M DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 16-00000079 Date 4/15/16 4 Application pin number . . . 629601 Property Address . . . . . . 240 W FRONT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1405-0000- Application type description SIGNS on your state excise tax form subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 6502) Application valuation . . �. . 4200 ---------------------------------------------------------------------------- desc 3 ---------------------------------------------------------------------------- Owner Contractor J - ------------------------ ------------------------ DOWNTOWN AMBULATORY HEALTH CTR HANSON SIGN CO INC 240 W. FRONT ST., STE. A PO BOX 928 PORT ANGELES WA 98362 SILVERDALE WA 98383 (360) 452-7891 (360) 613-9550 ---------------------------------------------------------------------------- Permit . . . . . . SIGN Additional desc 45SF WALL MOUNTED SIGN .4- Permit Fee .. . . . 85.00 Plan Check Fee .00 Issue Date . . . . 4/15/16 Valuation . . . . 4200 Expiration Date 10/12/i6 Qty Unit 'Charge Per Extension 1.00 85.0000 PER S-WALL SIGN OR MARQUEE > 25 SF 85.00 Fee summary Charged Paid Credited Due ------------------------------------------------------------------------- Permit Fee Total 85.00 85.00, .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 85.00 85.00 .00 .00 Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within.180 days,if construction or work is suspended or abandoned for a period of 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 g construction or the perform nce of construction. I,-- // I k7 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 BIdgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU I Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs lSkirting PLANNING DEPT. Separate Permit#s ISEPA: CSA: Parking/Lighting I I s Landscaping I I ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction -R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 I Building 417-4815 SIGN PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician For City Use Only. 16 321 E. Fifth St., Port Angeles,WA 98362 Date Received (360)417-4815 fax(360)417-4711 Permit# Date Approved AJJ�7 I I CC Applicant or Agent e- Atire,' one 3&Q 4 1- Property Owner -Dc>u_;,q4-qton �Anqbt".i e Property Owner's Address (2 40 W FvoiAf !S-+. Contractor Parl60A,) 6i`�4yj - 60. Phone L?-Jpi 3 -!J5'SC) q42- , ��> Contractor's Address P,0 BJ0,k_9a8 License # /4 AW �5 D T Expires 13 Project Address c-�YD W re04+ Business Name 410r" O/Wirnof"g- Parcel Number oto ()_00d01L4a0o0r10_ Lot Zoning 0,R n Submit an 8 V2 "x 11 "site Wan & three sets of 131ans that include: 0 Type of sign (wall-mounted, projecting, freestanding, illuminated, other... v Placement and sq. ft. area a How the sign will be securely attached (Engineering specs may be required for freestanding signs) E Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code"of the City of Port Angeles Municipal Code for sign requirements. Sion Type&Brief Description Crype, location,sq. ft-) Sign #1 Moni&me/r,+-, Enkrone-e- :5k Sign #2 Q301 '.Siee��A �rkpni�qe_ Sign #3 Sign #4 Totals(Unit changes Sign(s) Unit Cha Quan multiplied by quantities) Type of Shan Valuation$ $47.00 x $ All signs less than or equal to 25 sq. ft. $85.00 x $ Wall sign or marquees, over 25 sq. ft. $115.00 x $ Freestanding sign or projecting sign, over 25 sq. ft. GRAND TOTAL Make Checks Payable to: City of Port Angeles $ Credit Cards(Except American Express)are accepted OL f-CK Existing sign(s)a. Ale sq. ft. �-Proposed sign(s)area 15: sq. ft. = Total sign(s)area 1 sq. ft. Building fagade area (height_ft. X width ft.) sq. ft. (if a building has more than one business in it, only measure the area of the building lagade that is used by the business applying for this permit.) I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects, Date3 IaLe_ Print Name- (!�0A.)A)(' f._ MCLWf_V_ Signature 601441L�P /020_e,� T:Forms/Building Division/Sign Permit Application.doe 240 W Fzont St-Google Maps https://www._-Oo-le.com/maps/place/l40+W+Front+St+Port+Angele. i,jo gle apS 240 W Front St N�, ........... L ....... t AQ -A jfO* -7 rim Slk"� Imagery 02016 Google,Map data 02016 Google 50 ft Google Maps ft a- I of 1 3/3/2016 2:55 P� 6011 SIDE VIEW AKEA CALCULATION5 North Olympic PIMEN,510N,5 5'x 51 Healthcare AREA 15 50. FT. TOML AKEA 1550, N E T W 0 R K Design &Sales I I A n T _rt—C—uf P.O.BOX928 <1 ENTRANCE .2 0 6338 NWWARE HOUSE WAY .2 SILVERDALE WA 98383 t; =2 r-7,23 g 0' 'j— > 5. 2 E– PHONE(360)613-9550 FAX(360)613-9515 un 1? wAy-hansonsignsam 240 West Front Street A Z-2 CUSTOMER: C? NORTH OLYMPIC HEALTHCARE &4 DATE:I/]Z/2016 0 SCALE OPTION �R�EVIWN 0 3/4"=11 A 0 0 S/F ILLUMINATED ALUMINUM MONUMENT WITH ROUTER CUT LETTERS PUSH THRU ACRYLIC LETTERS I EACH SALES:RANDY HANSON ALUMINUM BASE WITH NON ILLUMINATED ROUTER CUT LETTERS DESIGN:MICHAEL B RASHER NEW SIGN TO BE MANUFACTURED TO SLIDE OVER AND BE FASTENED TO EXISTING BASE AND FOOTING COMMENTS: This sign Is Intended to be Installed n accordance with the reoulrements of Arlicle 600of the Nati.nal-Electrical Cod. ndlo,olule.,.a,,,,p.,Igbge,.,*caI codes, This In, u.",g bonding Of the sign. n and 240 West Front Street 2016 THIS SIGN DESIGN IS THE PROPERTY OF HANSON SIGNS INC&IS 1101 TO BE REPRODUCED IN ANY WAY WITHOUT EXISTING BASE PERMISSIOU OR TRANSFER BY SALE. ........................................................ SIDE EXISTING SIGN VIEW 413' WIDE ftsign&-Sales NEW SIGN D E P A t " E YX 5'WIDE P.O.BOX928 CONOMUCPON PETAIL 633811WWAREHOUSEWA Y 27�x,2"�ANGLE IRON FKAME 5ECURE0 T'O PIPE UOING SILVERDALE WA 98383 2(4)112-xl-112-13OLT-3 THROUGH ANGLE IRON 3A,919LE PHONE(360)613-9550 1 EACH rOP&130rTOM FAX(360)613-9515 YNA-Aonsonsigns.com N EW 2"ALUMI N UM SQ.TU B E CUSTOMER: NORTH OLYMPIC HEALTHCARE 3/8"X 4" LAG BOLTS THRU 2"SO TUBE NEWALUMINUM DATE:1/1 Z/2016 )o INTO EXISTING CONCRETE -T BASE SCALE OPTION REVISION T� 3/4"=I' A 0 SALES:RANDY HANSON EXISTING BASE DESIGN:MICHAEL BRASI ER EXISTING FOOTING mm—m COMMENTS: p This sign Is intended to be Installed ............................................................... .......... ....... In accordance with the requirements of Article 600 of the National Electrical Code and/or other applicable local codes. This includes proper grounding and bonding of the sign. @ 2016 THIS SIGN DESIGN IS THE PROPERTY OF HANSON SIGNS INC&IS NOT TO BE REPRODUCED IN ANY WAY WITHOUT PERMISSION OR TRANSFER BY SALE. 240 W Eimant St-Google Maps https://www.google.com/maps/Place/-940+W+Front+St,+Port+Angele. Qoo 9. 1e �lapS 240 W Front St .77 411 Aw. "Ok, jr �t2 46F -V MR a o *�,,Nt V -77-z J: AkL Imagery @2016 Google,Map data @2016 Google 50 ft Google Maps I-0\�jl- t 01- X)Q� I of 1 3/3/2016 2:55 P� -6011 SIDE VIEW AREA CALCULATION5 I)IMEN510NO 13,x 51 North Olympic AREA 15 50. FT. Healthcare TOTAL AREA 1550. C:? N E T W 0 R K P.O.BOX928 < ENTRANCE 6338NWWAREHOUSEWAY i SILVERDALE WA 98383 PHONE(360)613-9550 FAX(360)613-9515 240 West Front Street vAm.hansonsigns.com (USTOMER: N ORTH OLYMPIC H EALTHCARE DATE:1/12/2016 SCALE OPTION I REVISION 3/4?"=IV, 0 __[A S/F ILLUMINATED ALUMINUM MONUMENT WITH ROUTER CUT LETTERS PUSH THRU ACRYLIC LETTERS- I EACH SALES:RAN DY HANSON ALUMINUM BASE WITH NON ILLUMINATED ROUTER CUT LETTERS DESIGN:MICHAEL BUSIER NEW SIGN TO BE MANUFACTURED TO SLIDE OVER AND BE FASTENED TO EXISTING BASE AND FOOTING COAWENTS: This sign Is Intended to be Installed am n accordance with the ran uirements of Article 600 of the National Electrical Code andror other applicable local codes. This Includes Proper grounding and bondi ng of the sign. 240Wast Front Street 2016 THIS SIGN DESIGN IS THE PROPERTY OF C.&IS HOT TO BE HANSON SIGNS IN REPRODUCED III ANY WAY WITHOUT EXISTING BASE PERMISSION OR TRANSFER BY SALE. ....................................................... EXISTING SIGN SIDE VIEW 413' WIDE A Msign&Sales I P A � T .� E !i j NEW SIGN J,- YX YWIDE P.O.BOX?28 CONOTIZUCT'ION PE7-AIL L33811WWAREHOUSEWAY 27x2"�AN,CKE IIZON FKAME 5ECUR69*TO PIPE U51N0 SILVERDALE WA98383 (4)112-xl-112-13OLT-5 THROU6H AN0LE IRON 5AVL?LE PHONE(360)613-9550 1 EACH TOP&130TTOM FAX(360)613-9515 %-A-m.honsonsignvom NEW 2"ALUMINUM SO.TUBE CUSTOMER: k OLYMPIC HEALTH(AR 7-7- -L 3/8"X 4"LAG BOLTS -L-,*0 TH RU 2"SO TUBE NEW ALUMINUM INTO EXISTING CONCRETE DATE:1/1 W2016 T- BASE SCALE OPTION REVISION OPT 3/4 Irl A 0 EXISTING BASE SALES:RAN DY HAN SON EXISTING FOOTING D ESIGN:MICHAE L B RASI ER COMMENTS: This sign Is Intended to be Installed .................................................................................... In accordance with the requ:rements of Article 600 ofthe National E ectrical Code andior*ther applicable local codes. This Includes proper grounding and bonding of the sign. @ 2016 THIS SIGN DESIGN IS THE PROPERTY OF HANSON SIGNS INC.&IS NOT TO BE REPRODUCED IN ANY WAY WITHOUT PERMISSION OR TRANSFER BY SALE.