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Home My WebLink About1024 Columbia St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000293 Date 4/22/11 Application pin number 442939 Property Address 1024 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-3- 0410 -0000- Tenant nbr, name CLALLAM CNTY HOSPITAL on your state excise tax form Application type description DEMOLITION to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning COMMERCIAL OFFICE Application valuation 0 Application desc DEMOLISH THE HOME GARAGE Owner Contractor CLALLAM COUNTY HOSPITAL D H ENTERPRISES DISTRICT NO 2 PO BOX 631 939 CAROLINE ST FORKS WA 98331 PORT ANGELES WA 98362 (360) 374 -9500 (360) 417 -8628 Structure Information 000 000 DEMOLISH THE HOME GARAGE Permit DEMOLITION Additional desc DEMOLISH THE HOME GARAGE Permit pin number 183350 Permit Fee 50.00 Plan Check Fee .00 Issue Date 4/22/11 Valuation 0 Expiration Date 10/19/11 Qty Unit Charge Per Extension BASE FEE 50.00 Special Notes and Comments It is the responsibility of the building owner and /or demolition contractor to contact ORCAA (Olympic Region Clean Air Agency)for demolition permit needs regarding asbestos abatement. Olympic Region Clean Air Agency 116 W. 8th St., Suite 113 Port Angeles, WA 98362 (360) 417 -1466 or 1- 800 422 -5623 www.ORCAA.org The Fire Department has reviewed the project application and has no comments r n April 7, 2011 12:35:24 PM sroberds. nail The proposal is demolition of existing structures. No land MM/NV use issues anticipated. April 6, 2011 10:19:38 AM Bob Larson. Schedule removal of electric meter and overhead electric supply line prior to demo with Jim Klarr at 417 -4731. MAINTAIN CLEARANCES FROM POWER LINES. Sewer lateral shall be exposed to the property line, an inspection by Public Works Engineering is required. The 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. l-a(- Z c� gRa 6. 1 1/ 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 IN CONSPICUOUS 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 by 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 FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping 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 4 1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00000293 Date 4/22/11 Application pin number 442939 REPORT SALES TAX Special Notes and Comments on your state excise fax form sewer lateral will be capped. A 2 "X4 "X36" pressure treated f0 the Lilt of Port Angeles post, painted green and marked S. S. Stub indicate depth y g to service to the nearest foot. Attach a 12 gauge galv. wire (Location Code 0502) to cap and stake. Water meter is to remain, water service is to be capped at customer side of meter setter by the owner. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 54.50 54.50 .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. 1 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 IN CONSPICUOUS 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 by AIR SEAL: Walls Ceiling O 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 FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping _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 y� T:Forms /Building Division /Building Permit f-mot CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES WA 98362 tk,c,„ Application Number 11- 00000293 Date 4/22/11 Application pin number 442939 Property Address 1024 COLUMBIA ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -5 -3 -0410 -0000- on your state excise fax form Tenant nbr, name CLALLAM CNTY HOSPITAL I4 1 Application type description DEMOLITION to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning COMMERCIAL OFFICE Application valuation 0 Application desc DEMOLISH THE HOME GARAGE Owner Contractor CLALLAM COUNTY HOSPITAL D H ENTERPRISES DISTRICT NO 2 PO BOX 631 939 CAROLINE ST FORKS WA 98331 PORT ANGELES WA 98362 (360) 374 -9500 (360) 417 -8628 Structure Information 000 000 DEMOLISH THE HOME GARAGE Permit PUBLIC WORKS INSPECTION Additional desc CAP SEWER Permit pin number 184028 Permit Fee 55.00 Plan Check Fee .00 Issue Date 4/22/11 Valuation 0 Expiration Date 10/19/11 Qty Unit Charge Per •Extension 1.00 55.0000 HR PW INSPECTION 55.00 Special Notes and Comments It is the responsibility of the building owner and /or demolition contractor to contact ORCAA (Olympic Region Clean Air Agency)for demolition permit needs regarding asbestos abatement. Olympic Region Clean Air Agency 116 W. 8th St., Suite 113 Port Angeles, WA 98362 (360) 417 -1466 or 1- 800 422 -5623 www.ORCAA.org The Fire Department has reviewed the project application and has no comments April 7, 2011 12:35:24 PM sroberds. The proposal is demolition of existing structures. No land use issues anticipated. April 6, 2011 10:19:38 AM Bob Larson. Schedule removal of electric meter and overhead electric supply line prior to demo with Jim Klarr at 417 -4731. MAINTAIN CLEARANCES FROM POWER LINES. Sewer lateral shall be exposed to the property line, an inspection by Public Works Engineering is required. The 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 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. C k ZS •201 Signature of tractor or Author( d Agent Date Signature of Owner (if owner is builder) Date T:Forms/Building Division /Public Works Permit PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY 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 NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE. SITE EROSION CONTROL PARKING 4 SIDEWALK CURB &GUTTER x DRIVEWAY APPROACH BACK FLOW DEVICE S 2t 1 l Y FINAL IN I R T UPANCY /USE s RESIDENTIAL': DATE I ES NO COMMERCIALµ DATE ACCEPTED YES NO CONSTRUCTION R W P,W/ CONSTRUCTION. R ?W ENGINEERING? 4171807: PW ENGINEERING FIRE 417 -46:53 FIRE DEPT. PLANNING DEPT. 417 47 i0 PLANNING DEPT. BUILDING BUILDING 4815 T Forms /Bwldmg Divtsion/Publtc Works Permit E �F� CITY OF PORT ANGELES U F N PUBLIC WORKS UTILITIES 1_ 321 EAST 5TH STREET, PORT ANGELES WA 98362 Page 2 Application Number 11- 00000293 Date 4/22/11 Application pin number 442939 REPORT SALES TAX Special Notes and Comments on your state excise tax form sewer lateral will be capped. A 2 "X4 "X36" pressure treated to the City of Port Angeles post, .painted green and marked S. S. Stub indicate depth (Location Code 0502) to service to the nearest foot. Attach a 12 gauge galv. wire to cap and stake. Water meter is to remain, water service is to be capped at customer side of meter setter by the owner. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 55.00 55.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 59.50 59.50 .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 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T: Forms /Buiiding Division /Public Works Permit PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, 3 INSULATE OR CONCEAL ANY WORK EEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION 1 SANITARY STORM SITE DRAINAGE, SITE EROSION CONTROL PARKING u SIDEWALK •CURB &'GUTTER DRIVEWAY'APPROACH, BACk FLOW. DEVICE t f a t 1 .,�a ?u fir. s FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE' I ES NO COMTvIERCIAL DATE ACCEPTED- RESIDENTIAL! e DATE CONSTRUCTION R W 6W/ CONSTRUCTION, R W ENGINEERING,'i 417 -4807 PW ENGINEERING FIRE 417 -46:53 FIRE DEPT. „PLANNING DEPT. 417 -47:50 PLANNING DEPT.. BUILDING 410 i. BUILDING c' 4815 T FormslBwldmg Diviston/Publu Works Permit -.5" Goy vv'e bsi C l o�(l00 Co, ni) .Nos Pill Dis- c t- IJo Z 13 g C c�ra lire S Po NI- An 2e)$ w, 36Z Gv'n -ex C7r 0 ?cm' A k BUILDING PERMIT APPLI TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician For City Use Only Date Received `1 -1 l 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Permit pate Approved Applicant R_ Eqs Iio e P lane ifi 7-862'S Property Owner )LyNeit IIAi_ CEk)/ P one Property Owner's Address ?'jl cAR13 -z is C Contractor t ii H r r y $P.S Phone 366— 3 --7 4 540. Contractor's Address PO f30 („.l 1 for10) WA 1'331 640- 34 License DH C NTA- 0)1 6 S Expires 1 f 512013 E -mail NI T w PROJECT ADDRESS Z/ Cale.+ h im i Parcel Number U.,36 .5364/0 i Lot,j{ t l Zoning �Q c t Project Type Brief Description: Residential Multi- family Commercial Industrial Check all that apply f A u 4 New Construction w J e /J 5e7 6 L? /rcdrp---- k,Z.a j P€x- //,ee�f 4, Addition (j f7C 1 /22 i-i i V t�4 /J h 3 e o- yv 7, 21.if Remodel ti a _ve, h C p G+�s._ S �3' f (i �rt 1 •e. C '4..c.�f e'••∎ Repair R 0 $,A S- 5 i e -1,4d 415 6 e �Shtel o ft Demolition �md it r�+�- �ia fo d-e o Re -roof House garage other fear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement 4/®{, a`• per sq. ft. 1 Floor 79Z- -•e" 2nd Floor 7/ L ,.eCj 3 Floor Garage i-I(j Carport Covered Porch 4541 Deck Shed Other Roger Eason UeJ 64-05 -I f and said. I Imo 414,,e, 9 `t e. -A-ot, I not do O r 0. COrerwcu V ALUATION Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths 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 Print Name aCie CEISC Si g nature /0f4.24 /A T:Forms /Building Division /Bldg Permit.doc r S>,, ,/Jo-YV/l tr-- NOTES Permit 1 0Z6 3 1 *0-- r H,TL ekt4 6 PO delc i e3 not\ ,/c,Z/ s x'8 33/ 9 6 3 I 3 .c, C) 8 G s O F Gz z 75 9 t el/4 e. •04 c -p4;4- At, s o e_ deb-+ tic 7 �2�oz. -�c� A A P („Z‘li A I y r-ec., iczA T:Forins /Building Division/Notes GI co ..44 i t:' 1 1/ ''''I.., f„.., c, 1:4,7"..,,,,,,:,=,i,,,,,#:/:„.4/,',,,,t:: i :1 '4!• 4 1::: ''''i ill_? 7 e. r.,4/1 ,440,,,,,, ',..,...:,;'..4,„.,,,,-„,:.;„....,-","-,'2'/•/;,,4,K,_7.... •Ni.,igF„,,,V.:,,,,T,;,-.C'.,..", !'s. -1,:v•. .''',•,',1k.:'''-• 7:'''''''' as ,,i '',,,,,,ZN'-, Clallam County Assessor Treasurer Property Details 61786 CLALLAM COUNTY Page 1 of 2 'Malian County Assessor Treasurer Property Search Results 61786 CLALLAM COUNTY HOSPITAL DISTRICT NO 2 for Year 2011 2012 Property Account Property ID: 61786 Legal Description: LOTS 3 AND 4 BLK 4 PSCC SUBD PLATS V1 PG5 Geographic ID: 0630005304100000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: ./y. Location Address: 1024 E COLUMBIA ST Mapsco: \�VI n PORT ANGELES, WA 98362 Neighborhood: Cycle 5 Res Map ID: 2 Neighborhood CD: 10955130 %rt yp. A Owner Name: CLALLAM COUNTY HOSPITAL DISTRICT NO 2 Owner ID: 196449 Mailing Address: 926 CAROLINE Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Property Tax Information as of 04/05/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. First Second Half Half 1 Base I Base l Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest f Base Paid Amount Due'': 2011 156204 ST SCH STATE SCHOOL $198.36 $198.36 $0.00 $396.72 $0.00 $0.00 w. j 2011 156204 CC -GEN COUNTY CLALLAM $109.52 $109.49 $0.00 $0.00 $0.00 $219.01 2011 156204 SD #121 SCHOOL DISTRICT #121 $259.30 $259.29 $0.00 $0.00 $0.00 $518.59 2011 156204 CITY PORT ANG CITY OF PORT ANGELES $252.81 $252.78 $0.00 $0.00 $0.00 $505.59 2011 156204 PORT PORT OF PORT ANGELES $15.41 $15.41 $0.00 $0.00 $0.00 $30.82 2011 156204 NTH OLY LIB NORTH OLYMPIC LIBRARY $45.93 $45.92 $0.00 $0.00 $0.00 $91.85 2011 156204 HOSP #2 HOSPITAL #2 $44.95 $44.95 $0.00 $0.00 $0.00 $89.90 2011 156204 WSMET PK DIST WILLIAM SHORE MET PARK DIST $13.67 $13.66 $0.00 $0.00 $0.00 $27.33 2011 156204 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $0.00 $72.00' 2011 156204 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.00 $1.63 2011 156204 TOTAL: $976.77 $976.67 $0.00 $0.00 $0.00 $1953.44' 2010 44481 ST SCH STATE SCHOOL $196.38 $196.37 $0.00 $0.00 $392.75 $0.00 2010 44481 CC -GEN COUNTY CLALLAM $104.51 $104.50 $0.00 $0.00 $209.01 $0.00 2010 44481 SD #121 SCHOOL DISTRICT #121 $254.36 $254.37 $0.00 $0.00 $508.73 $0.00' 2010 44481 CITY PORT ANG CITY OF PORT ANGELES $241.96 $241.97 $0.00 $0.00 $483.93 $0.00 2010 44481 PORT PORT OF PORT ANGELES $14.69 $14.69 $0.00 $0.00 $29.38 $0.00 2010 44481 NTH OLY LIB NORTH OLYMPIC LIBRARY $30.36 $30.37 $0.00 $0.00 $60.73 $0.00 2010 44481 HOSP #2 HOSPITAL #2 $42.87 $42.87 $0.00 $0.00 $85.74 $0.00 44481 WSMET PK DIST WILLIAM SHORE MET PARK DIST $13.64 $13.64 $0.00 $0.00 $27.28 $0.00 2010 44481 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00 http: /websrv8.c1a1lam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop id=61786 4/5/2011 00020 INVITATION TO BID O p t O,st,s m t 5 t i c� f i e c h �c. el C a c� OLYMPIC MEDICAL CENTER 939 CAROLINE STR. PORT ANGELES, WASHINGTON 98362 HOUSE DEMOLITION PROJECT Bids will be received by the Olympic Medical Center, 939 Caroline Street, Port Angeles, Washington, up to, but no later than 2:00 PM April 13, 2011, for the "House Demolition Project Work includes demolition and disposal of one residential structure, to include capping water and sewer lines. Location of the work is 1024 Columbia Street, immediately east of the Olympic Memorial Hospital. Bids are to be submitted in a sealed envelope addressed to Scott Bower, Plant Operations and Construction Manager, Olympic Medical Center, 939 Caroline Street, Port Angeles, Washington 98362. The envelope shall also bear, plainly marked, "House Demolition Project It is the sole responsibility of the bidder to see that his bid is received by the designated time. Telephonic reproduction (FAX) of bids will be accepted at (360) 417 -8627. Details and bid documents may be obtained at the Plant Operations Office located at the above address. Contact Roger Easling at 360- 417 -8628 for further information. The Board of Commissioners of the Olympic Medical Center reserves the right to reject any and all bids and to waive any informalities or irregularities in the bidding, and to accept the bid deemed best for the Hospital District. Scott Bower Plant Operations and Construction Manager Olympic Medical Center 939 Caroline Street Port Angeles, Washington 98362 00020 -1 "Olympic Medical Center House Demolition Project" C� A ,CONTENTS ?ems KO pc' Ea 'i 151 k j,- -00020 Invitation to Bid l 00300 Bid Form 00500 Form of Agreement 1. Statement of Work 2. Time of Commencement and Completion Liquidated Damages 3. Contract Sum 4. Progress Payments 5. Bonding Requirement, Insurance 00620 Performance and Payment Bond 00700 General Conditions 00800 Supplementary Conditions Division 1 GENERAL REQUIREMENTS L. 01010 Summary of Work 01025 Payment 01313 Certificate of Compliance 01425 Wage Rates v,r.. Photos House and Landscaping DIVISION 1- GENERAL REQUIREMENTS 01010 SUMMARY OF THE WORK PART 1- GENERAL 1.01 REQUIREMENTS INCLUDED A. General Requirements. B. Work Covered by Contract Documents. C. Contractor Use of Premises. 1.02 WORK COVERED BY CONTRACT DOCUMENTS A. General (9 a The Olympic Medical Center intends to contract for the House Demolition and regrading of disturbed areas of the site. The work shall i nclude providing all supplies, tools, equipment, transportation, utilities, services, superintendence, and labor, and the furnishing of all materials, items, and accessories needed for the House Demolition Project, in strict conformance with the Contract Documents. a. PERMITTING- Olympic Air Pollution Control Authority Permit City Demolition Permit, and City Landfill Permit are to be obtained by the Owner. Disposal charges are to be paid by the contractor. C. Project Description a. BUILDINGS INCLUDED- The residence at 1024 Columbia Street is included in this demolition contract, Work is to include the removal of all concrete slabs and sidewalks. Paving surrounding garage and City sidewalks are to remain. b. SALVAGE- The Contractor is encouraged to allow salvage of materials. c. COORDINATION WITH UTILITIES- Water service meter is to remain, service is to be capped at meter by the contractor. Sewer is to be capped airtight within ten feet of sewer main and marked with vertical steel #5 rebar brought to within 4" of finished grade. Contractor is to coordinate electrical service abandonment. d. PRESENCE OF ASBESTOS AND LEAD- The contractor's attention is drawn to the fact that testing of materials have resulted in findings of no asbestos. Should the contractor discover concealed asbestos, they should immediately cease work and notify the Hospital District. Also tests for lead, have identified quantities under acceptable limits. Both reports have been submitted to the City and will become a part of the Landfill Permit. e. DISPOSAL OF MATERIALS- Brick and concrete rubble is to be demolished and disposed of at contractor expense and discretion. Items disposed of at City Landfill will be at contractor expense. Burning of demolished materials will not be allowed. f. Backfill of the basement area will be required with imported structural fill compacted to 95% modified density. Regrading of disturbed areas will be required to a smooth condition suitable for mowing. g. LANDSCAPING- All shrubs, trees, and stumps are to be removed by contractor. Site is to be left in a graded condition, suitable for mowing. h. DUST CONTROL- Contractor to be responsible for all dust control as needed for containment of dust to this property. C. Provide the work as described in the Contract Documents required to complete the project. D. Prior to bidding, the Contractor shall visit the site and fully inform himself of the areas in which work is to take place, including the limits of area allowed for working conditions and the areas limited for access to the work. The Contractor represents that he has carefully examined, prior to bidding, all Contract Documents and site conditions, understanding the character, quality and quantity of work called for and all conditions of the Contract. 1.03 CONTRACTOR'S USE OF PREMISES A. The Contractor's exterior work limits will be limited to the residential lot, allowing continual public access surrounding the site. B. Contractor shall limit his use of premises for Work and for storage to allow for full responsibility for protection and safekeeping of equipment under this Contract stored at Site. C. The Contractor shall provide appropriate barricades to prevent traffic from damaging his work and signage directing traffic to alternate routes. 1.04 MISCELLANEOUS A. Work includes, but is not limited to: 1. Cleaning Up: The Contractor shall daily keep the premises and surrounding area free from accumulation of waste materials or rubbish caused by operations under the Contract. At completion of the work the Contractor shall remove from and about the Project the Contractor's tools, construction equipment, machinery, and surplus materials. PART 2 PRODUCTS Not used. PART 3 EXECUTION Not used. 01010 -3 1 i 'I NORTH AND WEST ELEVATIONS Residence and all trees and shrubs are to be removed. EAST AND NORTH ELEVATIONS 1 1 F 1 VIEW FROM ALLEY LOOKING NORTH Brush and shrubs to be removed. VIEW TO WEST PROPERTY LINE s a' c to 4. F"" '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98]62 Application Number Appl~cat~on pin number. Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation (' \ ' './, ;, 12/15/05 05-00001226 828364 1024 COLUMBIA ST 06-30-00-5-3-0410-0000- ELECTRICAL ONLY Date @) qDMMERCIAL OFFICE , o , " I Owner Contractor MARILYN A SIMPSON/C C SMITH JT 1523 W 11TH ST PORT ANGELES WA 983635511 OLYMPIC ELECT~IC '. ""~...... .. t>o, 4230 TUMWATER '.' u ",~ ...,.~ PORT ANGELES WA 98363 (360) 457-5303 .: 1 Permit Additional desc Perm~t p1n number Sub Contractor Permit Fee Issue Date Exp~ration Date ELECTRICAL ALTER RESIDENTIAL OLYMPIC EL/ 200A PNL CHANGE 67199 OLYMPIC ELECTRIC 66 90 Plan Check Fee 12/15/05 valuation 6/13/06 00 o Qty Unit Charge Per 1 00 66 9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66 90 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- ,,,.-. Permit Fee Total 66 90 66 90 00 00 Plan Check Total 00 .00 00 00 Grand Total 66 90 66.90 00 00 COMMENTSI ACTION NEEDED "'- <::b ~ ~ " j tb " ~ V\ ,~ \ " 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 " "'''''r._ f YES NO nITt:'l-I ROUGH-IN I l,;UYhK ).ooA ~v'c... ;SbK V ICE . - HTl\T !J. T 112.. - 2.'--Dlr' ACII.1 . ... > VI GENERAL COMMENTS: PW-II02 15 (4'96] .. /, .. .. or j > . 12/12/2005 10:48 3604523498 OLYMPIC ELECTRIC PAGE 01 (;/uj ~ W' ELECTRICAL WORK PERMIT APPLICATION .lob wired by a Electrical Contractor a OWJIer lnSUlllanon description o Commercial ta1i'esidtntial Electrical contractor name Oluca.l"/ E/,,/."fr;;: purciWfscr'r'mailing ilc1drcss ~?/? 7?//lu/d rh/P Ci}; State ZIP .,&zr--r .4.__ ~( ft/;;'. 7/..;4:::3 Telephone n:;:;'~r FAX number License number Dtnc 'E.:q:tirc!'i <1l.y/?/7EC-2f)PI aNew a Altered! Addition R74~ A;:?/?'.;?r?)P' ~/7// .-~ ~..'"... ,.., .' ~; .' prt.~be(j owner':; name f ) ;7/1// / ..fl/J~'"p/? Addren or in!pettton 6 I/ZZ If r I" A,/r/ /T} .,,..:? CI~ A ! ~. /1<" '?r' .- Phone number 10 'l:hedll\c inspection: . "..- I .~ -,' , Owner os dr;fined by RCW.J9.28.26/:(}) OWfler will ncr:upy rile srrucWI't! fOf two years after this dee/nen/ permir i.~ jinalize(!, (1) Owner is required 10 hil'/! 011 c!eclrif.;{Jl conlraClor if ahove said PTnper-ly h for sale. f('tlt or l(!a.ff:. After Ttading the l'lbovc St.1tcmcnt. I hereby certify that 1 am toe oWI'cr of the above nomed 'Property or :\ licensed electrical eontrnctOT. I llm mol::in~ tlu: c1ectric3\ im:tal- lation or 31tcrntion in compliance with the clectr;call.<lwl<. N,f.l,.C.. RCW. Chapter 19.28. WAC. Chapter 296-46B. The City of 'Port Angelc~ Municip:.l Code, 3ml Utility Specifications. Slgn.tun of ownr:r. elet.trlc.nl eontr8Cfor or electrical administrator Cl Cash a Chcck # \a'trcdit Card Visa Card # Mastercard Discover ------~--------- x: Date: Expimlion Date of card lnsp,tio fee $ e?/ .'!!3 ~~Informallon vonaga .t-Y17 Ph... 19', a 3 Sarvice Size: Jf!j;Z' Feeder Size; ~ Il...oad Additions and or subt!.il&!l2..1'll a NO LOAD CHANGES o Baseboard _ KW Q Furnace KW o Hea1 Pump _ Ton _ LAA a Fan.Wall KW ~erhead Service o Temp Service Q underground Service \Y tV I\J ~ ~ i\j SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT "' SERVICE "..Ie ^PJll"C"'cd Dy Dn(( ^Pflt(!'\Ied Hy D~le ~rpn>"Cil ~y FINAL 5' ~ ^pp~ved81 DITCH FEEDER Dn\e ,l.rprDV(;oJ By t>.lt AflrfOVllllfty Area. Bu.ilding or Equipment Inspected Action Taken Electrical In!lpectQJ ~-~ C /} .. ..,r,--.'- .....:...\ r~\,~".~~.~;:-..~ ~::~~'.\ \../1 ) .. \--'-;'.!-'-",n: \ _.- rv.--' C\ ~, /Z -/:5-05