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Home My WebLink About621 S Lincoln Street Address: 621 S Lincoln Street PREPARED 1/14/15, 10:57:57 _INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/14/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 621 S LINCOLN ST SUBDIV: CONTRACTOR : PHONE OWNER SECOND REDDING ASSOC PHONE PARCEL 06-30-00-0-2-0100-0000- APPL NUMBER: 14-00000993 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -----------------------——--' BL3 01 11/14/14 JLL BLDG FRAMING 11/14/14 AP November 14, 2014 8:21:13 AM pbarthol. Jack 360-624-3830 - November 14, 2014 4:20:28 PM jlierly. BL3 02 11/20/14 JLL BLDG FRAMING 11/20/14 DA November 20, 2014 8:37:32 AM pbarthol. Jack 360-624-3830 November 20, 2014 12:18:35 PM jlierly. Electrical not complete/jll BL99 01 1/14/15 JLLBLDG FINAL o;e January 13, 2015 9:48:37 AM jlierly. JAck requested inspection on Wed 14th 360-624-3830 -- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------- -------------------------------— ME99 01 1/14/15 LL MECHANICAL FINAL bJanuary 13, 2015 9:49:33 AM jlierly. ------------- ----- --- ---------------------------------------------------------- PERMIT: PL 00 PLUMBING P IT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --—-----------------------------------—--------------------------—-------------------------- PL2 01 11/14/14 JLL PLUMBING ROUGH-IN 11/14/14 AP November 14, 2014 8:21:39 AM pbarthol. Jack 360-624-3830 November 14, 2014 4:20:28 PM jlierly. PL99 01 1/14/15 d L PLUMBING FINAL January 13, 2015 9:49:56 AM jlierly. ---------�---v - - COMMENTS AND NOTES --------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 14-00000993 Date 10/07/14 Application pin number . . . 164279 Property Address . . . . . . 621 S LINCOLN ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-0100-0000- REPORT SALES TAX Application type description COMM REMODEL on your state excise tax form Subdivision Name . . . . . . Property U3e . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR (Location Code 0502) Application valuation . . . . 48000 Application desc ADD CONSULT ROOM, NEW SHELVING ARRANGEMENT. . . -------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SECOND REDDING ASSOC OWNER PO BOX 260765 ENCINO CA 914260765 ------------------------------------------ --------------------------------- Permit . . . . BUILDING. PERMIT - COMMERCIAL Additional desc . . INTERIOR REMODEL, ADD CONSULT Permit Fee . . . . 650.05 Plan Check Fee 422.53 Issue Date . . . . 10/07/14 Valuation . . . . 48000 Expiration Date 4/05/15- Qty /05/15Qty Unit Charge Per Extension BASE FEE 417.75 23.00 10.1000 THOU BL-25,001-50K (10.10 PER K) 232.30 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . Permit Fee . . . . 71.30 Plan Check Fee .00 Issue Date . . . . 10/07/14 Valuation . . . . 0 Expiration Date . . 4/05/15 Qty Unit Charge Per Extension BASE FEE 50.00 2.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 21.30 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 71.00 Plan Check Fee .00 Issue Date . . . . 10/07/14 Valuation . . . . 0 Expiration Date . . 4/05/15 Qty Unit Charge Per Extension C� BASE FEE 50.00 s 1.00 7.0000 EA PL-PLUMBING TRAP 7.00 1.00 7.0000 EA PL-WATER LINE 7.00 1.00 7.0000 EA PL-DRAIN VENT PIPING 7.00 ---------------------------------------------------------------------------- Special Notes and Comments September 5, 2014 3:36:23 PM sroberds. 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 law regulating construction or the performance of construction. J/j 10102 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit C 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 b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting E ING DEPT. Separate Permit#s SEPA: /Lihtin ESA: ping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/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 T:Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 2 Application Number . . . . . 14-00000993 Date 10/07/14 Applicationpin number . . . 164279 - ----------- --------------------------------- REPORT SALES TAX Special Notes and Comments on your state excise tax form Interior remodel only. No land use issues. --------------------------------------------------------------------- to the City of Port Angeles Other Fees STATE SURCHARGE 4.50 (Location Code 0502) Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 792.35 792.35 .00 .00 Plan Check Total 422.53 422.53 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1219.38 1219.38 .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 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 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 b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting E ING DEPT. Separate Permit#s SEPA: /Lihtin ESA: ping 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 For City Use CITY OF Pe it# W A S H I N G T O N ' U . S. D Received: Z�'-/ 321 E 51h Street D e Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits0cityofVa,us BUILDING PERMIT A LICATION Project Address: C' l'r►ccs/h S-V- Phone: 42-r- 2-7/- l S'7S' Primary Contact: �C Email: Nam�l l Q Phone Property MailineAddre�s o� Email Owner ri City 7d/ State Zip Name Phone Contractor Address Email Information City State Zip Contractors License# Exp.Date: Legal Descri ti, n• Zoning: Tax Parcel# Piro je t Value: (materials and labor) Resid ntial ❑ Commercial Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ Classification For the following,fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition benant Improve appropriate) Mechanical�Q Plumbing Other ❑ Fire Sprinkler System? Irrigation S stem? Proposed Bathrooms Proposed Bedrooms Yes No ❑ Yes ❑ No I�A Project Description 1 pra-, 'f o 60h V f i v w► ;to . L t 1�7 'f'v VvL4 l vlf 14~17 f"iv�►&vIro o c I/2 r` wr - ter!? lS A04— X4 0 Is project in a Flood Zone: Yes ❑ No❑ Flood Zone Type: If 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 1.174- Si Residential Structures For Office Use Area Description(SQ FT) Existing Proposed ss value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or a° floor) Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed ss Value Existing Structure(s) Za -In 511 Senn Proposed Addition v Tenant Improvement? Other work(describe) Site Area Totals aaD Lot/Site Coverage Calculations Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage_lot size) Sile Coverage(Sq Ft of all impervious) %of Site Coverage(total site coverage_lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # re air/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: # r-- Ventilation System # Forced Air Unit ( yh�-✓1 Plumbing Fixtured ' Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line l f y��IV # ( Plumbing Vent piping # Sewer Line < # I Industrial waste pretreatment interceptor Grease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current AP Application\Building Permit 4-17-13.docx MEN H.G.KIMURA �; ARCHITECT.PIAC Howard G.Kimura,Principal Date: September 5,2014 To: Mr.Pat Bartholick Building Department City of Port Angeles PO Box 1150 321 E.5th Street Port Angeles,WA 98362 360.417.4817 From: Howard G.Kimura,AIA HG Kimura Architect PLLC 18012 W.Lake Desire Dr.SE Renton,WA 98058 Tel.425-271-1875 Fax 425-271-2383 RE: Rite Aid 5257-Port Angeles,WA-Tenant Improvement Project 621 South Lincoln Street Port Angeles,WA 98362 Transmitting: Dear Pat: Once again,thank you for your assistance over the telephone yesterday. Please find attached the following: • Check for$796.85 for the final building permit fee Please send a receipt for payment to my email address: hgkimura@comcast.net and feel free to call me if you need any further information. Thank you. 18012 W.Lake Desire Dr.SE■Renton,WA 98058■425.766.5000 n Fax:425.271.2383■email:hgkimura@comcast.net H.G.KI MU RA ARCHITECT.PLLC Howard G.Kimura,Principal Date: August 19,2014 To: Mr.Pat Bartholick Building Department City of Port Angeles 321 E.5a'Street Port Angeles,WA 98362 360.417.4817 From: Howard G.Kimura,AIA HG Kimura Architect PLLC 18012 W.Lake Desire Dr.SE Renton,WA 98058 Tel.425-271-1875 Fax 425-271-2383 RE: Rite Aid 5257-Port Angeles,WA-Tenant Improvement Project 621 South Lincoln Street Port Angeles,WA 98362 Transmitting: Dear Pat: Once again,thank you for your assistance over the telephone yesterday. Please find attached the following for a tenant improvement building permit submittal. Refer to front cover sheet of the drawing set for the main scope of work for this interior remodel. Attached: • 2 sets of plans • 1 building permit application • Check for$422.53 based on a valuation of$48,000 Please send a receipt for the$422.53 payment to my email address: hgkimura@comcast.net and feel free to call me if you need any further information to get this project in the queue for the tenant improvement permit review. Thank you. 18012 W.Lake Desire Dr.SE■Renton,WA 98058■425.766.5000•Fax:425.271.2383■email:hgkimura@comcast.net