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Home My WebLink About240 W Front St - BuildingCERTIFICATE OF OCCUPANCY City of Port Angeles. :Building Division This certificate is issued°pursuant to the requirements of Section 170 of the 2006 International Building Code certifying that at:-thelime.of issuance this structure was in compliance with the various ordinances of the City regulating 'buildinkconstruction.<or use for the following Subject to parking agreement0vjj Business name zQ Medical-Center, `X= Ray ;Therapy and Business address 240W Front:St. `Ste B Health: &'Wellness Education Property owner Downtown Ambula:tory`Heaith; CtrF Property owner &address 240 W Frott'.St: Suite Port Angeles WA 98362 Automatic fire sprinkler system. Required° Use occupancy class f cation Business: Occupant load. Mixed Use -See 20061BC Table 1004 1 1 Building permit number X1.0 =$5 Type of construction. `,�'Lo e. r= 03/08/10 Date Post on the premises in a conspicuous place. This' certificate shall not be removed except by the Building Official. eca 3 l& to z op co Print in ink CERTIFICATE OF OCCUPANCY APPLICATION Permit CITY OF PORT ANGELES c i3.%.4161 Yzrm i- F n 42- Attn: Building Permit Technician 0 Certificate. /Inspection v4v.av 321 E. Fifth St. Port Angeles; WA '98362 (1100.00 arking Business Improvement Area (PBIA) (360) 417 -4815 fax (360) 417 -4711 fee charged for downtown locations BUSINESS NAME Q L ytv s. Cc,r�w X'c k n c ,,11 *-)j( Hil.c&A\ 41. �t�i�vwyi. E-1 lc BUSINESS ADDRESS c w F, s+ S'f-.c- g C iarfi t ,_p 4);p ft-- Zoning c 6 Business mailing address 1 `l b W Fre„L Ssk Sta. A Phone ir'S Opening date 2--1. -t D Days hours of operation 8 RT'(1 lo0r, NV' cr So. Q„L,,....3 1 5 e>r Washington State Tax I.D If known, list the name of the previous "IA (OW VI p business at this location en Pi; Brief description of proposed business S..wv■ ■S I Business owner's name 0/. Phone'# 5 5 -01 a0 I Business owner's home address e139 Q_o.,..n \C A 9 (F 0,- ,Lc, Y4- R7 I_ I PLEASE NOTE: A Business License is also required for the following businesses: Taxi, Peddlers, Second -hand' dealer Pawnbroker Dance, Hotel Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417 -4634 for additional information. ACTION I WILL THERE BEANY OF THE FOLLOWING? Electrical changes New business New or relocated signs Construction changes, Transfer of Business Mechanical changes (ventilation, heating, cooling, etc.) location from a Plumbing changes PBIA location Fire sprinkler system changes Fire alarm system changes Transfer of business New or relocated sewer or water service location from a Excavation or filling of lots non -PBIA location Work done in the City right of-way New driveway openings Change of:ownership I Grading site drainage-(parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Remodel Is this a home occupation? Is this a second- hand'dealer or pawnbroker business? Temporary business Is there off street narking for this business? Is the street in front of this business paved? Change of use Is there a sidewalk in front of this business? Isthere a curb gutter in front of this business? Call for Certificate of Occupancy Inspections before Opening business. Building Department Inspection 447-4315 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections For City use only: Department Approved Rejected Inials> dal' I Initials date Building 1 '414 It "U .I' Fire I 2-1— O bAKDO PBIA I 26`0 R Planning 11-26-10 L J 1� 11 City Clerk 11 0 �IfT Public Works 13 Is I io 01 T:Forms/Suildinp Di As:oniCerificate or Occupancy Application Comments !.Conditions Type of construction Occupant Load Automatic fire sprinkler system required no NO/ YES/ 1 IF YES CONTACT' Electrical Dept. at 4174735 Building Div at 417 -4815 iem? Caf 0 I ssued 2 -5 -10 feJr L Public Works at•417 -4807 Water Dept. at'4.17 ,4886 Planning Div at 417 -4750 City Clerk at 4174634 How many spaces? Please•sign up.for utilityservices at the cashier counter 1. hereby apply for a. Certificate :of Occupancy l acknowledge that 'I have read this application and state thaf;the information.1 have' supplied is correct to the best of my knowledge. Date i zs,1 0 Print Name Cc...14:.v`.•.. Signature yes 7 1 42--110 1 4 52=7 reew-TKotr\k cell LA) Hin. (Furni nekel MyYvint54A-0 corlut Cof Fm i'-9 OW..1 Ct Oe- af PO n y9 4 .1. 1 4 4° I SA-e. A (01G s e f 15,657sf 5 ((I oVil% vtat$ Orrnet'G elezt44: 33.z§0 15) sf PREPARED 2/05/10 8 46 08 CITY OF PORT ANGELES ADDRESS 240 W FRONT ST TENANT NBR OLYMPIC MED CENTER CONTRACTOR OWNER DOWNTOWN AMBULATORY HEALTH CTR PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 10 00000085 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS CO1 01 2/05/10 JLL INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV COMMENTS AND NOTES PHONE PHONE (360) 452 789 PAGE 5 DATE 2/05/10 BLDG C/O INITIAL INSP TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 02/04/10 TIME 11 48 10 February 4 2010 11 46 27 AM 1pangrle LONNIE 360 440 4770 TEMPORARY C OF 0 FOR OLYMPIC MEDICAL CENTER AFTERNOON NATHAN OK D THIS INSPECTION TO BE CONDUCTED TODAY Lest■-tp V('' '1-.X,"1-12- WAIL- c9 e e 0 C oVriko i Print in ink BUSINESS NAME Q Ly,_ C �cO.a.c, tot 1 H�1�`+? U�4w E� BUSINESS ADDRESS F,,- S-(- ,S1- Pay" v.Q rS paip{ Zoning .c p .Business mailing address .%4 w Frb,,.� Ste. Phone# e ns ers Opening date o Days &hours of operation 8 t�rii .loh„ e( -fir So:,.� a�»L,,.�s� 5:p>~. Washington State Tax I.D If known, list the name the previous 4) CO 1 Q e l business at this location o Pt; Brief description of proposed business 1 Business owners name CI. 0 0 4 Cow,. Phone# 54 5 01 a0 I Business owner's home address S C PLEASE NOTE: A'Business.License is also. required for the following businesses: Taxi, Peddlers, Second -hand dealer ,Pawnbroker Dance, Hotel- Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417 -4634 for additional information. ACTION New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of.ownetship I Remodel I Temporary Change of use CaII for Certificate of Occupancy inspections before opening..business. Please sign. up. utiri_tyservices Building Department.lnspection.41.7 -4815 Fire Department Inspection 417 -4653 at the cashier counter Please provide a minimum 24 -hour notice for inspections 1. hereby apply for a. Certificate-.of Occupancy 1 acknowledge that 1 :have read this application and state that..the information 1 have supplied is correct to the best of my knowledge. 9-1pP Date 0 Print Name -L Signature For City use only: Department Building Fire PBIA I Planning I City Clerk I Public Forks Approved Rejected Initials date I .Initials date 1 T:Formsl8i.iI n9 0: ;s:on'Cerll Occupancy Application CERTIFICATE OF OCCUPANCY APPLICATION Permit.# CITY OF PORT ANGELES s�? Bv� �r� njt Yep m it FEES a LZ_ Attn!• Building Permit Technician $,A100 Certificate_/ Inspection WC. v 321 E.' Fifth St. Port Angeles; WA 98362 �10000� forking Business Improvement Area (PBIA) (360) 417 -4815 fax (360) 417 -4711 fee charged for downtown locations WILL THERE: BE -ANY OF THE FOLLOWING? f NOV' YES/ -Electrical changes New or relocated signs Construction changes, Mechanical changes (ventilation, heating, cooling, etc.) Plumbing changes Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in the City right -of -way New driveway openings :Grading site drainage .(parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Water Dept. at•4.17.4886 Is this a home occupation? r Planning Div at 417 -4750 Is this a second hand dealer or pawnbroker business? City Clerk at 417 -4634 Is there off street parking for this business? How many spaces? Is the street in front of this business paved? Is there a sidewalk in front of this business? Is there a curb gutter in front of this business? Comments IF YES; CONTACT Electrical Dept. at-4.174735 Building Div at 417 -48.15 Public Works.at 417 -4807 Type of construction Occupant Load Automatic fire sprinkler system required no yes RLI under said bond. Bond No RSB4134902 RLI insurance Company P.O. Box 3967 Peoria IL 61612-3967 Phone: 309-692i1 000 Fax: 309-692-8637 We hereby release-and discharge the said Improvement Bond Downtown Ambulatory Health Center LLC. effective on the 22 day of our favor as Obligee, it is released and discharged effective the day of Signed at Port Angeles Washington RU Insurance Comoanv from any and all liability By Title RELEASE OF THE RLI Insurance Company February 2010 For this bond, in this /2 day of rco <1e_ 1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT PO Box 1150 Port Angeles, WA 98362 M0089904 Sue Roberds From. Roger Vess Sent: Thursday April 28 2011 9 AM To Sue Roberds Cc Eric Walrath Subject: Improvement bond release 240 W Front St Sue, After multiple site inspections over the past year it has been determined the asphalt placement item indentified in bond at the NW corner of Cherry Street and the alley will not be required The anticipated pond does not occur and water does drain to the catch basin and curb Engineering has completed inspections for items covered in bond, the bond may be released Please contact Rob Epstein at Family Medicine, 461 1145 he would like to know that the bond is being released Roger Vess Assistant Civil Engineer City of Port Angeles 360 417 -4812 cell 360 775 -8901 rvessi citvofoa.us E (1/1 4/2011) Linda Pangrle Re _Family Medicine of PA (Bonded Work) #08 -622 240 W Front Sf Page 1 i From Roger Vess To: Linda Pangrle Date: 1/14/2011 7 32 AM Subject: Re Family Medicine of PA (Bonded Work) #08 -622 240 W Front St. CC: Eric Walrath, Sue Roberds v.\\ After talking with Sue, it was my understanding she was going to contact them about :s completing the bonded' work. I thought Community Development requested the bond 5„4, oq, not Engineering If I misunderstood, let me know, I will have Eric contact them Now that my wife works for them, I would like not to be involved �No Roger Linda Pangrle 1/12/2011 11 29 AM Hi Roger, On 12 -09 -10 you and I discussed this bonded work. I gave you a copy of the Improvement Bond dated 03 -01 -10 The work was supposed to be done within 120 days. Have they done the work yet? Will you be checking on this? I'd like to get your public works final approval for this in HTE, so I can truly finalize this permit. Please let me know when you have entered your HTE approval Thanks, Linda 1(12/9/2010) Linda Pangrle Re: Family Medicine of PA #08 -622 240 W Front St Page From. Linda' Pangrle To Roger Vess Date 12/9/2010 2.18 PM Subject: Re Family Medicine of PA #08 -622 240 W Front St Hi Roger Thanks Linda Roger Thanks Linda Thanks for the update Will you be checking with them about the status of their project? If you need me to check with them may I please have a copy of what the bonded work is and who to contact? Roger Vess 12/9/2010 12 38 PM As far as I know the bonded work has not been completed or they have not requested an a public works inspection for this work Linda Pangrle 12/9/2010 9 36 AM Hi Roger On 03 -09 -10 you and I discussed the above permit You mentioned you won t give your public works final approval until the 'bonded' work has been completed Has the work been completed yet? If so please give your final public works approval in HTE If the work hasn t been completed when are they supposed to be done? RLI Surety 9025 N. Lindbergh Dr. Peoria, IL 61615 Phone: (800)645 -2402 I Fax: (309)683 -1610 Know All Men by These Presents: That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes, but may be detached by the approving officer if desired. That RLI Insurance Company an Illinois corporation, does hereby make, constitute and appoint: William M. Gellor, Michelle R. Ashby Dahannal Dau, meta Forbush, Holli Fisher of Port Angeles, Washington its true and lawful Agent(s) and Attomey(s) in Fact, with full power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety the following described bond. i Any and all Surety Bonds, providing, however, that the penal sum of anyone such bond executed hereunder shall not exceed Five Hundred Thousand Dollars ($500,000.00). The acknowledgement and execution of such bond by the said Attorneys) in Fact shall be as binding upon this Company as if such bond had been executed and acknowledged by the regularly elected officers of this Company All authority hereby conferred shall expire and terminate, without notice, unless used before midnight of October 23rd 2012 but until such time shall be irrevocable and in full force and effect. The RLI Insurance Company further certifies that the following is a true and exact copy of the Resolution adopted by the Board of Directors of ELI Insurance Company and now in force to-wit: All bonds, policies, undertaings, Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary any Assistant Secretary Treasurer or any Vice President, or by such other officers as the Board of Directors may.authorize. The President, any Vice President, Secretary any Assistant Secretary or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds, policies or undertakings in the name of the Company The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer.and the corporate seal may be printed by facsimile. The penal amount of the bond herein described may be increased if there is attached to this Power, written authority so authorizing in the form ofan endorsement of letter signed by the President, Vice President, Assistant' /ice President, Treasurer, Secretary or Assistant Secretary of the RLI Insurance Company specifically authorizing said increase. IN WITNESS WHEREOF the RLI Insurance Company has caused these presents to be executed by its Vice President with its corporate seal affixed this 23rd day of October 2007 State of Illinois County of Peoria 4638002020208 Iss Cherie L. Montgomery Notary Public J jt10E 00 R i o Z 0141.0110.,„ cc On this 23rd day of October 2007 before me, a Notary Public, personally appeared Rov C. Die who being by me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of the RLI Insurance Company and acknowledged said instrument to be the voluntary act and deed of said corporation. 'OFFICIAt SEAL CMERIE L MONTGOMERY CPYMRIC Tm @MM SEAL t1N0 RLI Insurance Company By Roy C. Die POWER OF ATTORNEY (Irrevocable) BOND NO RSB4134902 CERTIFICATE Vice President I, the undersigned officer of RLI Insurance Company a stock corporation of the State of Illinois, do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable; and furthermore, that the Resolution of the Company as set forth in the Power of Attorney is now in force. In testimony whereof, I have hereunto set my hand and the seal of the RLI Insurance Company this 12,.t4 day of L.r..ar D RLI Insurance Company By Roy C. Die *IMPORTAN must be the sa Vice President t be filled in before it is attached to the bond and it ond. A0061105 +Of 90 1' 4 Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division NAME OF PREMISES IP A ''`Dx'r e c 1 C e /f/ SERVICE ADDRESS 2 L' w DAP r <S T7 LOCATION OF DEVICE. A/ /4r a 11 �s f it A I l /A l CA ASSEMBLY ",11/ A l Manufacturer IS THIS AN APPROVED ASSEMBLY? YES g, NO 0 IS ASSEMBLY INSTALLED CORRECTLY'' YES Q NO DATE OF INSTALLATION r r 1 UNKNOWN Initial Test Repairs Details COMMENTS DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #1 CHECK VALVE #2 I RELIEF VALVE Leaked Leaked Did Not Open Closed Tight ©K Held at 7 Psi Held at psi Opened at psi P Cleaned Replaced AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO r /i Model REDUCED PRESSURE PRINCIPLE ASSEMBLY Replaced Replaced 0 REPAIRS Final Closed Tight 17 Test Held at 7 psi Held at psi Opened at psi i N' .flee red/ 76f f L J 1 j C'",� I Date.Time Tester Signature Initial n Test f `�g 8E :c/cox Repairs Final j Test 3-4° 1 l/ i l f. 1 R )(l Size 3 psi Buffer YES NO TYPE OF HAZARD WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Cleaned Replaced Official Use Only Assem.# 7 1 Received AIR INLET Did Not Open Opened at psi Serial No RP RPDA DC DCDA PVB Air Gap SVB AVB PVB/SVB Cleaned Cleaned CHECK VALVE Leaked Held at psi AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES Line Pressure psi Held Backpressure YES..-NO #2 Shutoff Held YES rd NO Relief Valve Exercised YES Er NO Cert. Test Kit Passed Failed /1.1 z NAME OF PREMISES I'j �c 7 4 if /I A v J i`/ 6 J SERVICE ADDRESS 2 T�/� f P�V r r LOCATION OF DEVICE. k r Af 6 A /I p'k aA /6r Iv g(1 Z 7G -1-7 ASSEMBLY WA 1 r; 6 0 x7 5 3 4 4 i G Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY? YES ErNO 0 IS ASSEMBLY INSTALLED CORRECTLY YES 0 NO 0 DATE OF INSTALLATION UNKNOWN 0 Initial Test Repairs Details AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO COMMENTS Initial Test Repairs Cleaned Replaced I Date 'Time Tester Final 7 Test Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division REDUCED PRESSURE PRINCIPLE ASSEMBLY DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #1 Leaked 0 Held at K i/ psi CHECK VALVE #2 Leaked Closed Tight Er Held at psi Cleaned Cleaned Replaced 0 Replaced 0 Final Closed Tight Test Held at X Opsi Held at psi Opened at 2. fo psi Zile ilk7f: rf -fd 'f 7" a '1 19 ft Signature -s, 3 psi Butler YES NO 41 1 RELIEF VALVE Did Not Open Opened at l psi Replaced 0 TYPE OF HAZARD ✓)I! Line Pressure t G psi I/2 14 L= WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Official p Use Only Assem.# n 3 Received ,e? RP 0V RPDA DC DCDA PVB Air Gap 0 SVB AVB PVB/SVB AIR INLET Did Not Open Opened at psi AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES r h' i W r CHECK VALVE Leaked Held at psi REPAIRS Cleaned Held Backpressure YES NO 0 #2 Shutoff Held YES Cr NO Relief Valve Exercised YES NO Cert. Test Kit Passed Failed Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Lighting for billing department 1 circuit Owner DOWNTOWN AMBULATORY HEALTH CTR 240 W FRONT ST STE A PORT ANGELES WA 98362 (360) 452 7891 Permit ELECTRICAL Additional desc Permit pin number 171322 Permit Fee 73 50 Issue Date 8/13/10 Expiration Date 2/09/11 Qty Unit Charge Per 1 00 73 5000 ECH Fee summary Permit Fee Total Plan Check Total Grand Total Charged 73 50 00 73 50 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000852 423732 240 W FRONT ST 06 30 00 0 0 1405 0000 ELECTRICAL ONLY CENTRAL BUSINESS DISTRICT 0 Contractor OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES (360) 457 5303 ALTER COMMERCIAL 73 50 00 73 50 Plan Check Fee Valuation EL BRANCH CIRCUIT WO /FEEDER Paid Credited INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 00 00 00 1216116 r Ii Date 8/13/10 WA 98363 1.57 .3ttcYL2 RESULTS 00 0 Extension 73 50 Due 00 00 00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date: l 0 08/12/2010 08 26 FAX 360 452 3498 City of Port Angelea Permit Application Building Division!Electrical Inspections 321 Ecat Filth Street– P.O. Box 1130 Port Angeles Weehington, 98382 Ph: (360) 417 -4735 Far (360) 4174711 Date: R I 10 1 2 Single Family Dwelling Multi-Family or Commercial' Zr Commercial Addition I Alteration Remodel I Repair' Plan Review May Be Re99ulred, Please Complete Electrical Plan Review Information Sheet Job Address: W F/RDAlI Building Square Footage: Description of above Acid l i qk+i al I l Unit Cheroe 119.90 5145,50 204,80 262.20 S 372.60 2.60 73.50 2.60 92.70 110.30 S 148.70 S 167.90 95.90 88.20 96.90 S 63,90 63.90 119.90 $102.30 5 110.30 35.20 73.50 $110.30 56.00 1_ 0 Check '9/VP, Olympic Electric Co lj 001 /001 AUf 12 2QU J ELECTRICAL INSPECTIONS Cr edit Card 0 Owner Information Contractor Informal g. Name: peterrixsuits d n e tli Nth" Name: Mailing Address: 2W) W FROP T Mailin Ad. s: gA•e 1I 4-1.4.451 t M' City: Pie Slate; WA Zip: 4Th fp.'1;.. City: State: Y. Zip: 9/ f J Phone: 41c- 7F191 Fax: Phone: –47-1 x Fax: Y ear License Exp, License Exp.,z& v,11v i. ,PS ii. Total (sty Multiolied by Unit Champ SeMce/Feeder 200 Amp. Service /Feeder 201.400 Amp. Service/Feeder 401 -800 Amp. 5 Service /Feeder 801 -1000 Amp. 5 Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder S 7 3 '5 0 Branch Circuit W/O Service Feeder Each Additional Branch Circuit S Temp, Service/ Feeder 200 Amp. Tamp, Service /Feeder 201.100 Amp. Temp. Service/Feeder 401 -600 Amp, Temp. Service /Feeder 601.1000 Amp. Portal to Portal Hourly Sign /Outline Lighting 5 Signet Clrcult/ Limited Energy Commercial. Additional 1500 $5,00 Signal Circuit/ Limited Energy 1 5 2 Family Dwelling 5 Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft or Portion of it Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thormestat S Total Mantras defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit Is finalized. (2) Owner is required to hire an electrical contractor if above said property is for vale, rent or leeve. Permit expires after six months of lest Inspection. After reading the Shove 'Whence'. I hereby certify That 1 am the owner of the above named property or licensed electrical contractor. I em making the electrical lnetalieUon or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 1928, WAC, Chapter 296.46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator 0 Cash FOR 22 DATP Urgen f TIME A.M. P.M. While You Were Out M 0 Y� r OF C_ J C�.� FM /(,o —4s8 AREA CODE NUMBER EXTENSION TELEPHONED 11 FLEAS CALL CAME TO SEE YOU I II WILL :O$644 AGAIN I RETURNED YOUR CALL I i WANTS TO SEE YOU I. PHONF MESSAGF 1 I 1(--, J ap, Mama SIGNED 9711 .:ts s '.0..Ha=3967 Ysma;Il.61612-3967 Idtaz= 309442-140D Tar 309661.8637 KNOW ALL MIEN UY THESE PRESENTS: Thai Dowtown Ambulatory Health Center LLC, 240 W Front Street Port Angeles WA. 98362 as .Poincip 4, hereinafter called Principal, and :RLI insurance :Company, a• r orporstibn of the state •c7 •Illinals, with its home' office in the City rif Peoria. Wir+nis, tl:S.A., as surety, hereinaftercatled: heirl.and.firnl Y City of Port Angeles P 0 Box 1150 Port Angeles WA. 98362 bound: unto .az.PhIige4 Sixteen Thousand Eieht Hundred Forty Five and 00/100 dollar_. called° Magee, in the :amount of 16,845.00-- A for the p ityment wh mf Sweity kod thern*VeN, their:heirs, izarocUtors, ad nfni tars,:racesesocs nd. assigns jah fly eves rally► yby 'R it119 ETE S, the Principal has a t6 tt= .Ertho aviagreetnent:Withthe to= Completion of the landscaping the 10/12/09 Lands Plan d 12/02/09 Estimate. Pave a 10' X 10' asphalt patch in the East PADA Parking lot Pave and place asphalt as necessary ridge at the NW corner of Cherry Street and the alley to eliminate ponding of water and provide positive runoff flow to the adjacent catch basin. Each of the above mentioned performances shall be implemented per the attached estimates. All work shall be completed within 120 days of the date the bond is executed. 4/03 Il+lIPR:O EM E1 T BOND /P!t}V, THEREFORE:lire THEREFORE: oonclificai srl'_this obligeSon •ts much, .that;; if the Ptincip l shelf construct. sB improvements eccoriring to -the ai?proied Owl; there -his bligatian shall• be atiLE:thatil vaid, Whet to .remain in full force and effect. No .right. of action a rue. on this bond to or for the trse• of eny pe rsan ar carporaficn other than the Obligee named herein- or-theirheias, exI adrninisiratnrs 'pr rS. of the :Obligee. 1st March J10I0 Signed aacr sealed thlw day-of e chael S. MaxwEll, MD O PANc c i S P4 %r sz SEAL RECEGYIE MAR 3 2010 CITY OF PORT ANGELES Dept. of Community Development EScr#r1'l+tn. RSB4134902 Principal ATTORNEY-0J -FACT Addendum 11/30/09 Port Angeles Downtown Ambulatory Health Center Landscape Plan 10/12/09 Design Goals General Appearance Professional Office. Installation. meet or exceed budgetary goal of the project. Maintenance Low maintenance. All vegetation will tolerate seasonal trimming shaping. Environmental. Plantings will thrive in ambient climate and moisture regime Wildlife Perching, foraging, and nesting for native avian, amphibian, species where desirable. Storm water Meet or exceed codes and standards. Shading: Maximize shading of grounds balancing other goals and site limitations. Security Open understory and ground covers at maturity Allow visual transparency across the facility Budget 10,000 00 to include materials and installation. Priorities (in descending order) Substrate Support (drip system, fertilizer) Trees Shrubs Planting area 2 Other plants Species List' Key Everareen Trees a. Pinus contorta b Calocedrus decurrens c Juniperus scopulorum Medium to Low Evergreen Shrubs Medium to Low Deciduous Shrubs 1 Potentilla fruticosa Ground Covers m. Arctostaphylos uva -ursi Wet areas n. Carex spp Sedge o Juncus spp Rush Resources Port Angeles Downtown Ambulatory Health Center Landscape Plan Shore Pine Incense Cedar Rocky Mountain Juniper Deciduous trees d. Populus tremuloides Quaking Aspen e Acer spp Maple spp Tall Evergreen Shrubs f Rhododendron macrophyllum Rhododendron g: Gaultherion shallon Salal h. Arctostaphylos Columbiana Hairy Manzanita Tall Deciduous Shrubs i Ribes sanguineum Red flowering Currant j Rosa Rugosa Rugosa Rose k: Amelancher alnifolia Serviceberry Shrubby Cinquefoil Kinnikinnik Gardening with Native Plants of the Pacific Northwest; Arther R. Kruckenberg, University of Washington Press, 1982, ISBN 0- 295- 96853 -2, Natural Vegetation of Oregon and Washington, Jerry F Franklin et al, USDA Forest Service Technical Report PNW -8, 1973 EET al; Site Plan t 1 i 4 i r 1 ;r fir.. t t A 1 F, `,11 i°wl'1Ft�; ;l .,..6?,,...,.. n 4. 1T t ,11..1 0. R 1. f S al C Z. +.�h d el, ,t�� q 1 ,N •4a•W F! 44 Je 4e;45s in .MC`Y4 p .rhl 4 P ,j.' +L I.... 4,�,y y' C 9 y ��'r' 4. M x4`1 t• ..r.;i.:.�o 1 FA, z z m It) g e PORT ANGELES OOWNTOvoJ AMBULATORY HEALTH CENTER 210W Ia MON7 V4 PC4i r411. s17P. r. 1' r V. r 4'. ..:110. -;._,-,4-,-,,: v I II d S." i b J EET al; Site Plan t 1 i 4 i r 1 ;r fir.. t t A 1 F, `,11 i°wl'1Ft�; ;l .,..6?,,...,.. n 4. 1T t ,11..1 0. R 1. f S al C Z. +.�h d el, ,t�� q 1 ,N •4a•W F! 44 Je 4e;45s in .MC`Y4 p .rhl 4 P ,j.' +L I.... 4,�,y y' C 9 y ��'r' 4. M x4`1 t• ..r.;i.:.�o 1 FA, z z m It) g e PORT ANGELES OOWNTOvoJ AMBULATORY HEALTH CENTER 210W Ia MON7 V4 PC4i r411. s17P. r. 1 I_i5 a W -1/4 N r\ 1, f oa 'eaf M y >m >g 5A li 3 t M T `+1 'S r *4 t s• ,"I'' ter IV '.l VV 1�1. Y CL' w• 1 1 1 11 JJ F 1 t J. o•A so.s Alt i L. 4 I .14• 47.91" 1 J H i'1. t, I P t w r a of r... r... i a `i S M 1 w �'i1` Y 1 c 5„, h �s a� it,. 11 W.1 k VM 1 4 d t`� 1 t f V r 4. F 1 i y I IC -t 1 y' 4 r `Y t i p' o v .1 3, !!�^3�yy7 t P 1 u Y. t f r.. F r •r 1 14 r X11 4= s s t a Y9' S i 1 ,1 1 3 4„. 1 w r 1 f s. 0. a vt• 4 .l. r m .i S 4 ti bt t 4 S1 C j :P.s1 4.9 'Apid 19-f *A D A 14 r .910 b 43 .8,A -P s 1— a. turn otxwmaate 'nry strattxca 1 t ~1 y 4' 1 6 Area 1 Swale NW UN IMP 46 4= UN aaa la ha A. i AL al A.milh A a A A A A A A A A A A A A PLANTED SWALE w r A A A in. 11. A 0 N a BY OVONEFI g. N x -ct co y 1 N. CURB:\ a 1 a ELEV 13.25 ELEV 11 75 ELEV 10.75 DRAIN ROCK C 4) OUTLET PIPE _12"0 NYLOPLAST AREA DRAIN OVERFLOW STRUCTURE 1 %"0 ORIFICE, EL. 13.75 -5,- rs r7 .7 v ENGINEERED SOIL 1.50' 0 ORIFICE, EL. 10.75 NON-WOVEN GEO-FABRIC USED FOR SOIL SEPARATION D RAIN GARDEN SECTION Scale NTS PAVEMENT Area 3 "Rain Garden" Swale Cross Section View T 0.W VARIES FROM V. 18.10 17 26 to 4 6 C■i W b csi N ELEV 15.50 SEE DETAIL F/C3 j M 10- FOR WALL INFO. 3 70V ENGINEERED SOIL k-- c --r,- NON-WOVEN GEO-FABRIC V i'-'11-4_ 1 1 '4,('''-• ,47-i USED FOR SOIL SEPARATION DRAIN ROCK 6 0 PERFORATED PVC PIPE 45 MIL EPDM POND LINER EX. BUILDING WALL RAIN GARDEN NEXT TO BUILDING Scale NTS) --'1/4.-_4■___'■__/■.___/■.--/'..- _v/4.,._ CONCRETE PAD FOR BIKE RACK (9 4 D p4 A 4 N r 'I 9' -O" Area 2 4 PLANTER 4 4 PLANTER 16'x7'6 CL ,j 4 1 p N 9 r SWALE BUILD OUTLI ROOF OUTLINE Area 3 "Rain Garden" Swale Plan View CERTIFICATE O:FOCU PAN CY 4q City of *Port Angeles BUilding Division This certificate is issuecefiursuant to the requirements of Section 110 of the 206# International Building Code certiMng that at the time Of4s:u4paeihis:sti;:ucture was in compliance with the various ordinances of the City regulating building cOnstraciion,artisef0 the:fat Business name FarnilyMedicine-OfVot(Arigelet Business address 240:W Front St' 1 Sta A Property owner DowntowrikArribOlatOrYlEle'OttirCfr r Property owner s address 240 W FrOntSt. :Suite A: 3 Ort Angeles, WA 98362 Automatic fire sprinki&-system. Req`Uiret— Use occupancy dassifiCation Business Building permit numhei^ 08-622' Type of constr 137 uction. 40 Occupant load. 1°62'*-,—.21 03-08-10 -56.e'- .421 ezgr,. ormyAg; !Fogg,. Date Subject to parking agreement v -ort Angeles Post on the premises in a conspicuous place. Thig-tertificate‘gliiiinot be removed except by the Building Official. 4 \-0.pa b 3 alio A RETURN ADDRESS Zenovic Associates. Inc. 301 East 6 Street. Suite 1 Port Anaeles. WA 98362 Document Title(s) Agreement for Maintenance. Repair. and Operation of Storm Drainage Facilities for the Downtown Ambulatory Health Center Reference Number(s) of related documents Grantor(s) (Last, First and Middle Initial) Downtown Ambulatory Health Center LLC Grantee(s) (Last, First and Middle Initial) City of Port Anaeles 2010 1249269 Page 1 of 4 Agreement Zenovic Associates Clallam County Washington 03/08/2010 03 15 28 PM lIII '1411%414'1 141111.1 r' RI 11111 Legal Description (abbreviated form: i.e. lot, block, plat or section, township, range, quarter /quarter) Blocks 13 and 14. Townsite of Port Anaeles Assessor's Property Tax Parcel /Account Number 06- 30 -00- 001420 The Auditor/Recorder will rely on the information provided on this form. The staff will not read the document to verity the accuracy or completeness of the indexing information provided herein. When recorded, return to: Family Medicine of Port Angeles, 240 West Front Street, Port Angeles, WA 98362 Director, Public Works and Utilities Department, City of Port Angeles, P 0 Box 1150, Port Angeles, Washington, 98362. AGREEMENT FOR MAINTENANCE, REPAIR AND OPERATION OF STORM DRAINAGE FACILITIES FOR THE DOWNTOWN AMBULATORY HEALTH CENTER THIS AGREEMENT made and entered into this 8 day of Sf e.,r ,,Pr, 2010 by and between Downtown Ambulatory Health Center L.L.C. whose address is 240 West Front Street, Port Angeles, WA 98362, hereinafter referred to as Owner and the City of Port Angeles, a Washington municipal corporation whose address is P 0 Box 1150, Port Angeles, Washington, 98362, hereinafter referred to as the City WHEREAS, the Owner warrants and represents that it is the sole and exclusive owner of the subject premises as described in paragraph 1 below with full and exclusive authority to execute this Agreement and that all necessary steps precedent to its execution have been undertaken, making the obligation binding upon Owner. and WHEREAS, the Owner has constructed storm drainage facilities for the Downtown Ambulatory Health Center and WHEREAS, the Owner is required pursuant to Chapter 5 11 of the City of Port Angeles Urban Services Standards and Guidelines (Maintenance of Private Stormwater Systems, September 2009) to operate and maintain all storm drainage facilities at the Downtown Ambulatory Health Center site; and WHEREAS, the City and Owners are mutually desirous of providing assurances for the future continued maintenance, repair and operation of storm drainage facilities for the Downtown Ambulatory Health Center site. NOW THEREFORE, in consideration of the agreements herein provided and other good and valuable consideration, the parties agree as follows: 1 Owner warrants and represents that it has sole and exclusive authority and sole and exclusive right, title and interest in the subject property situated in the City of Port Angeles, Clallam County, Washington, legally described as Parcel A of the Record of Survey BLA 08 -01 as filed in Volume 67 of Surveys, at Page 88, Records of Clallam County Washington, being a portion of Block 14 and the vacated Cherry Street between Blocks 13 and 14 Townsite of Port Angeles, T 30 N, R 6 W W M. 2. The Owner for itself and its successors and assigns, codehants and agrees to maintain, repair and replace in good and serviceable condition any and all storm drainage infrastructure within and for Downtown Ambulatory Health Center Such maintenance activities shall be performed as described in the Stormwater Facility Operation and Maintenance Manual for the Downtown Ambulatory Health Center; and that in the event it is contacted by the City of Port Angeles Public Works and Utilities Department, it will perform any and all reasonable and necessary maintenance, repair or replacement as indicated by the Public Works and Utilities Department. Owner shall perform all such work in a timely fashion, completed to the satisfaction of the City 3 The City shall not and it does not serve as a guarantor of the performance of the Owner, nor does the City make any representations or warranties with regard to the design or capability of storm drainage facilities. The City may but is not required, in its sole discretion to elect to repair, replace or maintain storm drainage facilities if in the sole opinion of the City the Owner has failed to do so within the time frame set forth in the Maintenance Timeline established in the Stormwater Facility Operation and Maintenance Manual All such charges associated with such work, including administrative costs and professional fees shall be charged to the Owner and payable by the Owner forthwith. 4 Owner agrees to water, mulch, and otherwise maintain as necessary the two trees located within the Front Street right -of way adjacent to the Owner's property If the trees die, the Owner shall replace them with trees of the same or similar species as listed on the City's approved list and as approved by the City 5 This Agreement shall be binding upon the heirs, successors and assigns of the Owner 6 This Agreement may only be modified in writing by a document executed by the Owner and City IN WITNESS HEREOF Owner sets his/her /their hand(s) and seal(s) this 2 day of 2010. CITY OF PORE ANGELES City Authorized Repesentative Signature r� err Printed Name Its: C sv £Y1 a r -Qtr Title oftity Authorized Representative STATE OF WASHINGTON ss COUNTY OF CLALLAM On this day of 2010, before me personally appeared P r I' P(I) S 7,/1 o tin c n who executed the foregoing AGREEMENT FAR MAINTENANCE, RE AND OPERATION OF STORM DRAINAGE FACILITIES FOR THE DOWNTOWN AMBULATORY HEALTH CENTER b her /them signed. u P otaiy Public, 0.__P D County Washington. My Commission Expires: \\Utl u t initri, S NOTAA. EXP 024442012 S. 4 A `B L 1 G �O iii ii%I IN WITNESS HEREOF Owner sets his/her /their hand(s) and seal(s) this c E 4 3 day of 1 M O-ti 3 2010 OWNE Owner Signature Printed Name Its: Title of Grantor oc STATE OF WASHINGTON COUNTY OF CLALLAM ss On this day of imAcNv ($v\ 2010 before me personally appeared E-F KT) of) who executed the foregoing AGREEMENT FOR MAINTENANCE, REPAIR AND OPERATION OF STORM DRAINAGE FACILITIES FOR THE DOWNTOWN AMBULATORY HEALTH CENTER by him/her /them signed. Notary Public, C\ a \u,,\rv. County Washington. My Commission Expires: 10 -I W-3 CARLENE MARIE RINGIUS STATE OF WASHINGTON NOTARY PUBLIC MY COMMISSION EXPIRES 03 -10 -11 P Bas3467 'iriOtiRH 6112 -3947 nen= 309-6P2-1000 Far 309.6924637 KNOW. ALL MEN By THESE PRESENTS: Dowtown Ambulatory Health Center LLC, 240 W Front Street Port Angeles WA. 98362 as 4 That hereinafter called Principal, and '•RLI insurance .Company, a corporatkin of the State .O Minois with its home office in the City of Peoria, Illinois, LLS.A., as sorely, hereinafter called Surety, -are held and firmly City of Port Angeles P 0 Box 1150 Port Angeles WA. 98362 bound. onto Obblyee,,berelnafter called Magee, in the amount of 16,845.00 for the ,payment when f Priztcipalr -and 'Surety' bind It> rseit+es, their bilis, eximutors, admlrais# ratots,: su ccessorsand :assigns rally; fIrrnlyby these preseritis. WHEREAS, the Principal has entered-Into an agreements/Rh the [bye for: Completion of the landscaping per the 10/12/09 Landscape Plan and 12/02/09 Estimate. Pave a 10' X 10' asphalt patch in the East PADA Parking lot. Pave and place asphalt as necessary ridge at the NW comer of Cherry Street and the alley to eliminate ponding of water and provide positive runoff flow to the adjacent catch basin Each of the above mentioned performances shall be implemented per the attached estimates. All work shall be completed within 120 days of the date the bond is executed NOW TH€REFORE,lha condition .of this obligation a such, :gnat; if the Principal shalt =instruct said improvements acosrelin8 to the approved .plans„ then this Obligation -shall be *did, Whereas. to .remain .h fug farce and effect. rata right. of action shall accrue on this bond to or for the use of any persact or'corporation other that the obligee named herein or their heirs, executor*, administrators or re of the Obligee. Signed and sealed this 1st day of March 4103 IMPROVEMENT BOND f ,JpANCE, C osPG/4$ �Q SS SEAL Sixteen Thousand Eieht Hundred Forty Five and 00 /100 dollars RL I INS „h,/;,V v had S. Maxwdil, MD /4 L I N O kS Surety COMPANY 17-/ ilham Gellor X2010 RECEGVE MAR 3 2010 CITY OF PORT ANGELES Dept. of Community Development RSB4134902 Principal ATTORNEY-IN-FACT 016 RLI Surety 9025 N. Lindbergh Dr. Peoria, IL 61615 Phone: (800)645 -2402 I Fax: (309)683 -1610 Know All Men by These Presents: That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes, but may be detached by the approving officer if desired. That RLI Insurance Company an Illinois corporation, does hereby make, constitute and appoint: William M. Gellor, Michelle R. Ashby Dahanna Dau, meta Forbush, Holli Fisher of Port Angeles, Washington its true and lawful Agent(s) and Attorney(s) in Fact, with full power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety the following described bond. Any and all Surety Bonds, providing, however, that the penal sum of anyone such bond executed hereunder shall not exceed Five Hundred Thousand Dollars ($500,000.00). The acknowledgement and execution of such bond by the said Attorney(s) in Fact shall be as binding upon this Company as if such bond had been executed and acknowledged by the regularly elected officers of this Company All authority hereby conferred shall expire and terminate, without notice, unless used before midnight of October 23rd 2012 but until such time shall be irrevocable and in full force and effect. The RLI Insurance Company further certifies that the following is a true and exact copy of the Resolution adopted by the Board of Directors of RLI Insurance Company and now in force to -wit: All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary any Assistant Secretary Treasurer or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary any Assistant Secretary or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds, policies or undertakings in the name of the Company The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. The penal amount of the bond herein described may be increased if there is attached to this Power, written authority so authorizing in the form of an endorsement of letter signed by the President, Vice President, Assistant Vice President, Treasurer, Secretary or Assistant Secretary of the RLI Insurance Company specifically authorizing said increase. IN WITNESS WHEREOF the RLI Insurance Company has caused these presents to be executed by its Vice President with its corporate seal affixed this 23rd day of October 2007 State of Illinois County of Peoria On this 23rd day of October 2007 before me, a Notary Public, personally appeared Rov C. Die who being by me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of the RLI Insurance Company and acknowledged said instrument to be the voluntary act and deed of said corporation. Cherie L. Montgomery 4638002020208 ss J ik pN C E CO 3 To c� coaP0RA r 1- SEAL 'OFFICIAL SEAL CHERIE L MONTGOMERY COMMRBIO 01 /01108 Notary Public By Roy C. Die By Roy C. Die POWER OF ATTORNEY (Irrevocable) BOND NO RSB4134902 RLI Insurance Company RLI Insurance Company CERTIFICATE Vice President I, the undersigned officer of RLI Insurance Company a stock corporation of the State of Illinois, do hereby certify that the attached Power of Attorney is in full force and effect and is irrevocable; and furthermore, that the Resolution of the Company as set forth in the Power of Attorney is now in force. In testimony whereof, I have hereunto set my hand and the seal of the RLI Insurance Company this 12..4 day of F l..r..a. O Vice President *IMPORTAN This date m y t be filled in before it is attached to the bond and it must be the sa ne date as ttbe' ond. A0061105 02 24/2010 WED l.i .4 rAx ram1iy Meaiclne r Osterberg Landscaping, Inc 1521 South 0 Street Port Angeles, Washington 98363 Name Address Port Angeles Downtown Health Center Description Qty Cost Total Plants 3,635.00 3,635.00 Mulch per yard 15 24:00 360.00 Soil per yard 30 22.50 675 00 Misc Supplies- 200.00 200.00 Labor Charge 3,275.00 3,275.00 Subtotal Sates Tax (8.4 Total Estimate Date I •Estima(t 1213/208,0 =CI `D PORT ANGELES Dept. af`CtimniuriityDevelopment Project $8,145.00 $684 18 $8,829 18 MO VA° 216.11°9 1_20 'sage& co Atizisis Agraleat, -10245Ss latop32134 11°11°Ps913 0018 0 ti ocilols0 Bill Gellor From: Nathan West [Nwest @cityofpa.us] Sent: Friday February 26 2010 5:27 PM To. Bi ll Gellor Subject: RE. Bond Review Importance: High Bill I ran by both individuals again and the bond is acceptable The email that is attached is not the email we need The email we were referring to is your 2/24/2010 5 32PM email to me 3rd paragraph See below If it saves you time use this email since I have provided the paragraph below Thanks Nathan We have a written bid for the landscaping 10,320 68, but only have a verbal bid of $910 00 for the paving I added the two bids together and multiplied that by a factor of 1 50 (per the city s requirement) and came up with the bond figure of 16,844 68 which I rounded to 16,845 00 Also, I believe the two trees required by the bond have already been planted I will await your response, Bill "Bill Gellor" <billg @gellorinsurance com> 2/26/2010 4 46 PM Nathan Here is what the revised bond will look like I have also attached copies of the landscape bid and my email referencing the paving estimate I will attach the email and estimate to the bond when I execute the bond Please have the powers that be review and let me know if I can execute I won t be able to put this in force until I can get Dr Maxwell s signature I remain committed to wrapping this up as soon as humanly possible Thanks, Bill High Priority 1 Bill Gear From: Bill Gellor [billg @gellorinsurance.com] Sent: Thursday February 25 2010 9:28 AM To. 'Nathan West' Subject: RE. Bond Review Nathan, I am eager to wrap this up as well How do we address the verbal 910 00 bid for paving? Would the city accept a cashier s check to hold until that portion of the project is completed? We could then confine the bond to the written landscape bid and get this thing cleaned up by tomorrow Also, please return the rejected bond so I can get the DAHC a flat cancellation Lastly, what is the remedy if the DAHC cannot complete this work in 120 days? Are there liquidated damages, do they forfeit the bond? What if the DAHC building sustains some catastrophic loss such as a fire or earthquake and they are unable to fulfill their obligation? Thanks, Bill Original Message From Nathan West [mailto Nwest @cityofpa us] Sent Wednesday, February 24 2.010 6 40 PM To Bill Gellor Cc 'Carlene Ringius' Subject RE Bond Review Bill, I believe you are referring to the exact language we provided you which you inserted verbatim for the performance measures in the bond That is the only portion of the bond we saw prior to Monday The fact that we provided specific language to you is unheard of, however, the success of this project is very important to the City Considering our extra effort to get this language to you, I am disturbed by your discontent, especially considering we did your job for you in relation to outstanding performance obligations language and details I do not appreciate the demands for specific language This is not a City responsibility Though I am reluctant to provide specific details again I want to see this project completed and am providing the following suggested language for insertion In a new paragraph following the words "adjacent catch basin I would suggest inserting in bold Each of the above mentioned performance obligations shall be implemented per the attached estimates Following that sentence I would insert All work shall be completed within 120 days of the date the bond is executed Carlene has indicated that the street tree work has been completed If that can be verified then we can strike it from the bond Finally, the two professional estimates must be attached The bond amount must reflect 150% of the attached estimates I would strongly recommend that you send a PDF of your final draft with attachments so 1 W A S H I N G T O N U S A Community Economic Development Department February 16, 2010 Downtown Ambulatory Health Clinic Attn. Dr Robert Epstein 240 West Front Street Port Angeles, WA 98362 RE 240 West Front Street Parking Agreement Dear Dr Epstein. RTANGELES Enclosed you will find an executed copy of the parking agreement between the Downtown Ambulatory Health Clinic and the City of Port Angeles. Also included in the transmittal is your receipt for the first month's lease payment. You will receive a billing from the City each month for the duration of the lease per paragraph 3A of the agreement. Please. don't hesitate to contact this Department if you have any questions about this arrangement. Sue Roberds Planning Manager Cc Nathan West Phone 360 -417 -4750 Fax: 360 -417 -4711 Website www cityofpa.us Email smartgrowth©rntyofpa:us 321 East Fifth Street P 0 Box 1150 Port Angeles WA 98362 -02 7 THIS PARKING SPACE AGREEMENT "Agreement is entered into this .I 2 day of F. 2010, between the City of Port Angeles, a code city of the State of Washington "City and the Downtown Ambulatory Health Clinic "Permittee In consideration of the covenants and agreements set forth below, the parties hereby agree as follows 1 Parking Spaces. City agrees to lease to Permittee thirteen (13) parking spaces in Lot. 7, Block 14, Townsite of Port Angeles, as shaded and designated on the attached Exhibit A site plan, and incorporated herein by reference. The spaces shall be available for weekday business hours from 7 00 a.m. until 6 00 p.m. and shall not be leased during all other periods including state holidays The spaces are to be reserved for Permittee or for Permittee s clients. 2. Term. The agreement shall be for a term commencing on fi'l-� L I 2010 and terminating on f4, 2 8` 2014, provided, however, from and after F---4 Z 5 2011, if the Permittee provides evidence, satisfactory to the City, demonstrating that without this Agreement the Permittee will comply with all applicable requirements to provide parking spaces for its business, the Permittee may terminate this Agreement by giving notice. If the Permittee gives such notice and provides such evidence, this Agreement shall terminate 60 days after the date the notice and evidence are delivered to the City 3 Fee. PARKING SPACE AGREEMENT A. The monthly fee "fee shall be Two Hundred Sixty Four Dollars and 03/100 per month ($264 03) which amount includes leasehold excise tax (currently 12.84 through July 31, 2010 On August 1, 2010, the fee will increase to $271 95 per month. On August 1, 2011, the fee shall increase to $280 11 per month. On August 1, 2012, the fee shall increase to $288.51 per month. On August 1, 2013, the fee shall increase to $297 17 per month through July 31, 2014 The fee shall be payable in advance on the first day of each month of this agreement. If any fee payable by Permittee to the City under this agreement is not received by the fifth (5' day of each month, Permittee shall pay to the City in addition to the amount due, an amount equal to the greater of ($100 00) or five percent (5 of the delinquent amount. In addition to the monthly fee charge plus leasehold excise tax, the Permittee agrees to pay the quarterly PBIA.assessment portion due on 13 parking spaces B Upon execution of this agreement, Permittee shall deliver to the City the sum of Two Hundred Sixty Four Dollars and 03/100 ($264 03) as prepaid fee to be applied to the fee due for the first month of the agreement. 5 Permitted Use. The spaces shall be used for parking associated with Permittee s business and for no other purpose without the prior written consent of the City, which consent may be granted or denied based on the City's sole discretion. The City shall have the right to use such spaces for any other purpose that does not interfere with Permittee's permitted use. 6 Notice and Payment Addresses. A. City City of Port Angeles P O Box 1150 Port Angeles, WA 98362 Fax No (360) 417 -4529 B Permittee: Downtown Ambulatory Health Clinic 240 West Front Street Port Angeles, WA 98363 Fax No (360) 7 Operating Costs /Ingress and Egress. It shall be the sole responsibility and at the sole cost of the City to maintain the spaces being leased under this agreement and to provide for the unobstructed ingress and egress on and/or into the parking facilities and each of the spaces during the term of this agreement and any subsequent extension, revision, and /or renewal thereof. 8 Default. If Permittee materially breaches any of the covenants or agreements herein contained, and such failure continues for thirty (30) days after written notice from the City, unless appropnate action has been taken by Permittee in good faith to cure such failure, City may terminate this agreement and may lease or otherwise transfer the premises, and Permittee shall forfeit all improvements made to the premises by Permittee and shall be liable to the City for all unpaid fees up to the date of termination. If the fee is delinquent more than thirty (30) days, it shall constitute a material breach of this agreement. 9 Assignment and Subletting. Permittee s right to assign, sublet, or otherwise transfer any of the Permittee s interest in this agreement or any part of these spaces shall be exercised only with the prior wntten consent of the City, which consent may be granted or denied based on the City's sole discretion. 10 Utilities and Services The City shall, at City's sole cost and expense, provide and pay for electncity to the parking facility lighting. 2 11 Insurance. The City shall provide for commercial general liability insurance against claims for injuries to persons or damage to property which may arise from or in connection with the City's responsibilities under this Agreement, with minimum limits of $1,000,000 for each injury $1,000,000 for all injuries from a single accident, $50,000 property damage, and no. deductible The policy shall name Permittee as an additional insured. Attest: IN WITNESS WHEREOF, this agreement has been executed the date and year first above' written. CITY OF PORT ANGELES Kent Myers, Cy Manager Ja(ssa Hurd, City Clerk Appr as to form. William E. Bloor City Attorney State of Washington )-ss. County of Clallam DOWNTOWN A ULATORY HEALTH CLINIC By Na 4.e‘o!rAh,4,0 A ptd§ident By S Name Po Srt� Secretary On this day of 2010 personally appeared before me Kent Myers and Janessa Hurd, to me known to be the City Manager and City Clerk, respectively, of the City of Port Angeles, the municipal corporation that executed the within and foregoing instrument, and acknowledged said instrument to be the free and voluntary act and deed of said municipal corporation, for the uses and purposes therein mentioned, and on oath stated that they were authorized to execute said instrument and that the seal affixed, if any is the corporate seal of -said municipal corporation. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal the day and year first above written. Notary Public in and for the State of Washington residing at My commission expires. 3 State of Washington ss. County of Clallam On this 1.. day of Sa.-r, 2010 personally appeared before me al) andS.>r,h E �s��e to me known tb be the President and Secretary respectively of Downtown Ambulatory Health Clinic, the corporation that executed the within and foregoing instrument, and acknowledged said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein Mentioned, and on oath stated that they were authorized to execute said instrument and that the seal affixed, if any is the corporate seal of said corporation. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal the day and year first above written. CARLENE MARIE RINGIUS STATE OF WASHINGTON NOTARY PUBLIC MY COMMISSION EXPIRES C_a rY cw_i Q ,�A• Notary Public in and for the State a Washington residing at C g, 7f t� •u z My commission expires. 3 G:\Legal Baellp &CONTRACT 5\2010 Agnts &Contracts\DAHC Parking Agreement. 010810.wpd (Febr ary 1 2010) Jim Lierly Building Inspector 360 417 -4815 W A S H I N G T O N U S A COMMUNITY ECONOMIC DEVELOPMENT DEPARTMENT DATE February 5, 2010 TO Family Medicine of PA 240 W Front street FROM Jim Lierly Community Economic Development Department SUBJECT Temporary Certificate of Occupancy The Department of Community Economic Development Is granting a temporary certificate of occupancy for 30 days from the date of this letter The areas that are permitted to be occupied are as follows 1- The entire interior of the building is complete Remaining items are all exterior issues as outlined on the correction report from the Building Department Verify with Planning and Public Works on items they may have that are out standing Maintain continued construction in a manor that does not endanger the public by restricting area s that are still under construction Maintain exits and fire protection systems from damage or obstruction due to construction that is on going At any time this Temporary CO may be revoked for any reason deemed by the Building Official All adopted codes apply If you have any further questions please contact the Department of Community Development if you have any questions 417 -4815 (2/3/2010) Linda Pangrle Re Permit #09 -943 Fire Alarm System at Family Medicine of PA, 240 W Front St. Page 1 From Ken Dubuc To: Linda Pangrle Date: 2/3/2010 1 57 PM Subject: Re Permit #09 -943, Fire Alarm System at Family Medicine of PA, 240 W Front St. Linda, The fire alarm final was on 1.27.2010 That was my final for the building and the day I signed for the C of 0 Thanks, ken Linda Pangrle 12/23/09 3 55 PM Hi Ken, When did you final Permit #09-943, Fire Alarm System at Family Medicine of PA, 240 W Front St.? Please let me know so I can final the permit. Thanks, Linda MEMO COMMUNITY ECONOMIC DEVELOPMENT Nathan West Director 417 -4751 Sue Roberds Planning Manager 417 -4750 Scott Johns Associate Planner 417 -4752 Roberta Korcz Assistant Planner 417 -4804 Jim Lierly Building Inspector 417 -4816 Linda Pangrle Permit Technician 417 -4815 Patrick Barthohck Compliance Officer 417 -4712 Fax. 360 417 -4711 W A S H I N G T O N U S A COMMUNITY ECONOMIC DEVELOPMENT DATE February 2, 2010 TO Building Division FROM Scott K. Johns AICP RE Family Medicine landscaping As of today, no landscaping has been installed at the Family Medicine project located in downtown Port Angeles The original (and only) landscape plan submitted for the project has not been built as drawn. Various significant diversions from that plan have been built. The landscape plan labeled Drawing #A050, initialed by Peter O'Connor and dated February 10, 2009, indicates 14 trees to be planted, and sheets LA 1 and LA2 dated May 20, 2008, indicate 15 trees to be planted interior to the parking lot located to the west side of the building. Three trees located at the west edge of the parking area remain from the city right -of -way prior to the street vacation. These 3 trees were left in place as shown on the plans and are in addition to the 14/15 trees that were indicated as being added to the completed parking lot. No other landscape plan set has been submitted as a replacement for the original set. As stated on the building permit notes and comments page (initialed by applicant), dated April 8, 2009, "Prior to final approval, a detailed landscape plan must be submitted and approved" The city will consider a replacement landscape plan, however, the plans currently on record with the city will be the plans used for final landscape review Two street trees were removed from the north side of the building during sidewalk reconstruction. The original landscape plan indicated that those trees would not be removed and would be protected during construction. Both street trees must be replaced using trees from the city's approved tree list (attached) (These are in addition to the trees required for the parking area) A final Certificate of Occupancy should not be issued until the final approved landscape requirements have been met or the landscaping has been bonded for Additionally, the project proponent shall be required to post a bond to ensure the survivability of the landscape materials. The bond shall be for a minimum of 3 years and cover potential replacement cost of the street trees and parking lot trees. Application Number Application pin number CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Special Notes and Comments March 26 2009 10 34 09 AM sjohns Proposal is for a medical dare center in the CBD zone Set backs building, height and lot coverage ok Site plan indicates 40 parking spaces Since there is a transit stop less than 500 feet away Nathan West agreed that 38 spaces are adequate Prior to final approv_a1 a; detailed_landscape plan 'must_ :be ('submitted and_approved No land use issues Electrical load calculations and electrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense MAINTAIN CLEARANCES FROM SERVICE WIRES January 13 2009 2 35 01 PM handers Brian 417 4708 Underground service entrance to be located on east or west building wall towards south end Pole installation necessary if east wall is chosen Call for locates 72 hours before you DIG CALL BEFORE YOU DIG 1 800.424 5555 All connections to City storm drain facilities require an inspecti'bn by Public Works and Utilities Engineering prior cover Notice will be given 48 hours in advance of commencing work Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way Broom finish only An inspection by Public Works Engineering is required prior to pouring concrete May 29 2008 2 53 56 PM rbecker Are you installing a fire system lawn sprinkler system an x ray processor an auto slave a vacuum pump or any other need for a backflow assembly? The building will need to be inspected when completed If you have any questions cbntact Ron Becker at 417 4886 Fax 360 452 4972 or E mail at rbecker @cityofpa us January 14 2009 8 38 23 AM rbecker An inspection on the building is required to determine what will need to have backflow assemblies installed on Medical facilities requires premise protection unless there is nothing hazardous hooked to the city water system which requires backflow protection If you have any questions please contact Ron Becker at 360 417 4886 Email rbecker @cityofpa us or Fax 360 452 4972 Other Fees. Fee summary Charged Paid Credited Due 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 i_his 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 Nam T FonnsBuildi Division/Building Permit 08 00000622 587,436 Page 3 Date 4/08/,09 STATE SURCHARGE 4'50 Signature of Contractor c Authorized Agent ature of Ow ler (if owner is builder) Red Maple Sugar Maple LIST OF RECOMMENDED STREET TREES FOR PORT ANGELES Common Name LARGE TREES European Beech American or White Ash Thornless Honey Locust Sweet Gum Tulip Tree London Plane Burr Oak Pin Oak Willow Oak Red Oak Shumardii Oak MEDIUM SIZE TREES Hedge Maple Norway Maple Sycamore Maple Botanical Name Fag us sylvatica Fraxinus americana Gleditsia triancanthos finermis Liquidambar styraciflua Liriodendron tulipifera Platanus x acerifolia Quercus macrocarpa Quercus palustris Quercus phellos Quercus rubra Quercus shumardii Red Horse Chestnut Aesculus carnea Horse Chestnut Aesculus hippocastanum European Hornbeam Carpinus betulus American Hornbeam Carpinus caroliniana Western Catalpa Catalpa speciosa Green Ash Fraxinus pennsylvanica Ginkgo (male only) Ginko biloba Kentucky Coffee Tree Gymnocladus dioica Mountain Silverbell I Halesia monticola Medium trees are typically'.the best choice for most urban streets. Acer campestre I 30/30 Acer platanoides Acer pseudoplatanus Acer rubrum Acer saccharum Street Tree Selection Guide for the City of Port Angeles I: \skj \trees \Tree selection \Street tree list (best).doc Height/Spread* Comments Large trees should be located in planting strips over 6 feet in width 100/60 70/60 80/40 80/40 90/40 100/65 80/40 70/40 70/50 75/70 70/50 50/30 This tree thrives in local 60/50 conditions and is becoming invasive in native areas Several good species exist for a variety of use applications 50/40 60/35 40/30 60/40 50/25 35/30 60/35 40/30 40/25 50/35 40 -60 Many good varieties to choose from Use only in areas with large planting strips. Very good urban tree Strong branch structure May produce seeds that interfere with walking May produce seeds that interfere with walking Many good varieties to choose from Avoid female trees They produce fruit with an objectionable odor Page 1 Tupelo Sourwood Swamp Oak Scarlet Oak English Oak Oregon White or Garry Oak Little Leaf Linden Big Leaf Linden Silver Linden Japanese Zelkova SMALL SIZE TREES Trident Maple David Maple Amur Maple Paperbark Maple Japanese Hornbeam Eastern Redbud Yellow Wood Flowering Dogwood Chinese Kousa Dogwood Cornelian Cherry Dogwood Smoke Tree Washington Hawthorn Carriere Hawthorns Witch Hazel Golden Rain Golden Chain Tree Amur Maackia Magnolia Star Magnolia Nyssa sylvatica Oxydendrum arboreum Quercus bicolor Quercus coccinea Quercus robur Qurecus garryana Tilia cordata Tilia platyphyllos Tilia tomentosa Zelkova serrata 'Small:trees should only 'be planted in locations of limited space either narrow planting area oroverhead obstruction Acer buergeranum Acer davidii Acer ginalla Acer griseum Carpinus japonica Cercis canadensis Cladrastis lutea Cornus florida Cornus kousa 'Chinensis' Cornus mas Cotinus coggygria Crataegus phaenopyrum Crataegus lavallei Hamamelis spp Koelreuteria paniculata Laburnum x watereri 'Vossii' Maackia amurensis Magnolia sp Magnolia stellata Street Tree Selection Guide for the City of Port Angeles I. \ski \trees\Tree selection \Street tree list (best).doc 60/40 50/25 60/45 60/45 60/40 65/45 50/30 60/60 60/40 60/40 25/30 20/35 20/20 25/20 30/35 25/30 35/25 20/15 20/20 25/20 25/25 25/20 25/20 20/20 30/30 30/20 30/30 25/25 20/10 Native to Olympic Peninsula May attract aphis May attract aphis May attract aphis Small trees require specific approval for planting as street trees. Should only be used under wires. Should only be used under wires May produce fruit that becomes objectionable to walk on. Page 2 Crabapples Malus spp 25/20 Crabapples may produce messy fruit. Persian Parrotia Parrotia persica 30/20 This tree has been over planted in Flowering Plum Prunus cerasifera 30/15 Port Angeles and is not recommended Many varieties available Many Flowering Cherry Prunus spp 25/25 are not tolerant of Port Angeles growing conditions Canada Red Prunus virginiana 25/25 Chokecherry Ornamental pear Pyrus calleryana 35/12 Japanese Pagoda Tree Sophora japonica 20/20 All height and spread dimensions are for trees at approximately 30 to 50 years of age and are listed for growth expected in urban areas The same tree in a forested or more natural setting is likely to be larger Trees prohibited for street side planting in Port Angeles Too large for most planting areas. Aggressive and invasive root systems. Weak- wooded trees that tend to break apart at relatively young age Notorious for damage to curbs and sidewalks (Some of these trees may be used appropriately in landscapes without problems) Large evergreens Firs, cedars, hemlocks, spruce, pine Cottonwood or Poplars Populous sp Willows Salix sp Silver Maple Acer saccharinum Tree -of- Heaven Ailanthus altissima American Sycamore Plantanus occidentalis Palm trees All species Severely attacked by insects or diseases that weaken or defoliate branches, decrease tree vigor and shorten lifespan. Box Elder Acer nes?undo Black Locust robinia pseudoacacia Crabapples Malus sp American Sycamore Plantanus occidentalis Produce and drop large or messy fruit that may cause hazardous conditions for pedestrians and extra clean -up work for the homeowner /resident. Horsechestnut Aesculus hinp ocastanum Black Walnut Juelans sp Fruit bearing trees apples, cherries, plums, apricots, or pears Crabapples Malus sp Mountain Ash Sorbus sp Street Tree Selection Guide for the City of Port Angeles I: \skj \trees \Tree seleetion\Street tree list (best).doc Page 3 STORMWATER FACILITY OPERATION AND MAINTENANCE MANUAL FOR THE DOWNTOWN AMBULATORY HEALTH CENTER Port Angeles, WA Prepared by Zenovic Associates, Inc. 301 East 6 Street, Suite 1 Port Angeles, WA 98362 PH. (360) 417 0501 FX. (360) 417 0514 Job 08267 February 2010 Downtown Ambulatory Health Center, Stormwater Maintenance Manual, Page 1 of 8 PURPOSE The purpose of this manual is to provide a stormwater facility operations and maintenance protocols for the stormwater facilities at the Downtown Ambulatory Health Center in Port Angeles, WA. This manual provides background information for the development, identifies all private stormwater facilities to be maintained, names the person legally responsible for maintenance, grants City of Port Angeles personnel access for annual inspections, details requirements for maintauung records and provides a maintenance checklist and log. BACKGROUND The site is a 0 7 acre lot that had an existing building, concrete sidewalks and asphalt parking. The project consisted of remodeling the existing building, demolition of existing concrete and asphalt, construction of new sidewalks and asphalt parking. The project site is located at the corner of West Front St. and Cherry St., Port Angeles, WA, parcel number 06- 30- 00- 004120 STORMWATER FACILITIES List of facilities to be privately maintained. (4) 6" diameter stormwater cleanouts (1) trench drain (1) 12" diameter area drain (1) 12" diameter area drain outlet structure (2) rain gardens (2) pipe outlets (1) catch basin MAINTENANCE PERSONNEL Downtown Ambulatory Health Center, L.L.0 shall be the entity legally responsible for the continual operation, maintenance, and repair of the permitted stormwater facility for the life of the development, or until the City of Port Angeles has been notified in writing of a transfer of responsibility CITY INSPECTIONS The City of Port Angeles shall be allowed access to the site for an annual inspection of all permitted stormwater facilities. RETENTION OF RECORDS The person Iegally responsible for the site shall maintain all records of maintenance inspections, repairs, warning letters, and notices of violations. These records shall be made available for viewing to the City of Port Angeles within 7 days of request. Downtown Ambulatory Health Center, Stormwater Maintenance Manual, Page 2 of 8 MAINTANANCE Proper maintenance is vital for adequate functioning of the stormwater facilities. The stormwater facilities will have annual inspections. See Table on pages 4, 5 and 6 for an inspection checklist. Make photocopies of the checklist as necessary keeping the attached sheets as a clean original copy MAINTENANCE AND REPAIR LOG Record any required maintenance or repair on the log sheet on page 7 Make photocopies of the log sheet as necessary keeping the attached sheet as a clean original copy MAINTENANCE TIMELINE This covenant requires that when defects to the stormwater system are found during the annual inspection the needed repair shall be completed within the timeline defined below Within 6 months for catch basins, area drains, trench drains, cleanouts and pipe outlets Within 1 year for typical maintenance for flow control structure and rain garden. Within 2 years for maintenance that requires capital construction of less than $25,000 Downtown Ambulatory Health Center, Stormwater Maintenance Manual, Page 3 of 8 Drainage Feature Parking Lot Catch Basin Area Drain Control Structure ANNUAL MAINTENANCE INSPECTION CHECKLIST X Maintenance/Inspection To Be Performed Inspect pavement surface of accumulated sediment and debris. Pavement sweeper to sweep parking lot clear of accumulated sediment and debris. Remove lid and inspect sumps. Remove excess silt, debris and vegetation. -Look for any evidence of oil, gasoline, contaminates or pollutants. Coordinate removal/cleanup with local water quality response agency Inspect basin for any defects. Repair any defects that could allow water in or out of basin in any way other than as designed. Repair any cracks or holes. Significant damage may require basin to be replaced. Inspect frame and grate. -Frame should be sitting flush on the user nngs or top slab and firmly attached. -Check lid to make sure that it can be removed by one maintenance person by applying normal lifting pressure. Cleanout frame of sediment and debris. Inspect ladder -All rungs should be present and attached firmly to catch basin wall. Replace any rungs that are missing or appear unsafe. Check inlet and outlet pipes. -Pipes should be securely grouted to catch basin wall without cracks or holes. Regrout pipes to catch basin wall to eliminate all cracks and holes Remove lid and inspect sumps. Remove excess silt, debris and vegetation. -Look for any evidence of oil, gasoline, contaminates or pollutants. Coordinate removal/cleanup with local water quality response agency Inspect area drain for any defects. Repair any defects that could allow water in or out of basin in any way other than as designed. Repair any cracks or holes with grout. Significant damage may require area drain to be replaced. Inspect frame and grate. Frame should be sitting flush and firmly attached. -Check lid to make sure that it can be removed by one maintenance person by applying normal lifting pressure. Cleanout frame of sediment and debris. Check inlet and outlet pipes. Pipes should be securely connected to basin. If, by visual inspection, it can be seen that the pipes aren't connected properly than the pipes will need to be reconnected to the bell fittings and sealed with grout or joint sealant. Remove lid and inspect sumps. Remove excess silt, debris and vegetation. Look for any evidence of oil, gasoline, contaminates or pollutants. Coordinate removal/cleanup with local water quality response agency Inspect orifice holes. Downtown Ambulatory Health Center, Stormwater Maintenance Manual, Page 4 of 8 Remove any sediment, vegetation, or debris that is or could soon block flow through orifice holes. Inspect area drain for any defects. Repair any defects that could allow water in or out of basin in any way other than as designed. Repair any cracks or holes. Signuficant damage may require control structure to be replaced. Control Inspect frame and grate. Structure -Frame should be sitting flush and firmly attached. (continued) -Check lid to make sure that it can be removed by one maintenance person by applying normal lifting pressure. Cleanout frame of sediment and debris. Check inlet and outlet pipes. -Pipes should be securely connected to basm. If, by visual inspection, it can be seen that the pipes aren't connected properly than the pipes will need to be reconnected to the bell fittings and sealed with grout or joint sealant. Remove lid and inspect cleanout. Remove excess silt, debris and vegetation. Inspect cleanout for any defects. Cleanouts -Repair any cracks or holes. Inspect frame and lid. -Lid should be sitting flush with finished grade and firmly attached. -Check lid to make sure that it can be removed by one maintenance person by applying normal lifting pressure. Cleanout frame of sediment and debris. Pipe outlet blockage. Remove any debris that could block flow Erosion Inspect area around end of pipe to see if erosion of 2 inches deep or greater Pipe Outlet exists at pipe outlet. If so, install 5 square foot by 1 foot deep rock pad at outlet to dissipate the waters energy If energy dissipater is required, this document must be amended to include provisions for maintenance. Structural pipe damage. Examine exposed pipe for any structural damage that could impede flow Replace section of pipe that has been damaged. Remove lid and inspect drain. Remove excess silt, debris and vegetation. -Look for any evidence of oil, gasoline, contaminates or pollutants. Coordinate removal/cleanup with local water quality response agency Inspect trench drain for any defects. Repair any defects that could allow water in or out of drain in any way other Trench Drain than as designed. Repair any cracks or holes. Significant damage may require trench drain to be replaced. Inspect frame and grate. Cleanout grate of all sediment, vegetation and debris. -Frame should be sitting flush with pavement and firmly attached. -Check grate to make sure that it can be removed by one maintenance person by applying normal lifting pressure. Downtown Ambulatory Health Center, Stormwater Maintenance Manual, Page 5 of 8 Check outlet pipe. -Pipes should be securely connected to trench drain. Secure connection between drain and outlet pipe with grout or joint sealant if there are any damages to the connection. Remove any sediment, vegetation or debns that is or could soon block flow through the outlet pipe. Look for trash and debris. Remove any trash and debns from rain garden. Examine vegetation for poisonous vegetation and noxious weeds. Completely eradicate all noxious weeds and poisonous vegetation as defined by State or local regulations. Coordination with local health department and may be required. Infiltration Look for any evidence of oil, gasoline, contaminates or pollutants Facility Coordinate removal /cleanup with local water quality response agency Check for excess ponding in rain garden storage area after small storms. Rain Garden Carefully remove excess sediment without compacting rain garden soil. Removal of vegetation and tilling of soil will be required if rain garden continues to have excess ponding. Erosion of side slopes Inspect side slopes of rain garden to see if there is any erosion damage over 2 inches deep If erosion damage is present review with landscaper for installation of plantings and mulch. General Document observations of the presence of floating materials, suspended solids, oil and grease, discoloration, turbidity and odor in stormwater discharges. General Update Stormwater Maintenance Manual to reflect current conditions. Inspect the entire site to determine whether there is /are any unpermitted General non stormwater discharge to storm drains or receiving waters. Report non- permitted discharges to the City Stormwater Hotline at (360) 417 4830 -See page 8 for layout of stormwater facilities to be maintained. INSPECTION CERTIFICATION "I certify that this report is true, accurate, and complete, to the best of my knowledge and belief." Inspection completed on. Title Qualification of Inspector by (print signature) Downtown Ambulatory Health Center, Stormwater Maintenance Manual, Page 6 of 8 Date Item/Facility Description MAINTENANCE CERTIFICATION Inspection completed on. Title Qualification of Inspector MAINTENANCE LOG Performed Comments by "I certify that this mamtenance log is true, accurate, and complete, to the best of my knowledge and belief." by (print signature) Downtown Ambulatory Health Center, Stormwater Maintenance Manual, Page 7 of 8 CATCH BASIN TRENCH DRAIN PIPE OUTLET RAIN GARDEN 41 441 ��j A PIPE OUTLET ,I. I SCALE. 30' DATE. 3/1/10 JOB NO 08267 FILE. SW, MAINT ALLEY Scale 0 30' I CLIENT DOWNTOWN AMBULATORY HEALTH CENTER .303 WEST 6TH STREET PORT ANGELES, WA 98362 CLEANOUT AREA DRAIN OUTLET STRUCTURE AREA DRAIN RAIN GARDEN CLEANOUT 1" 30 60' ENOVIC INCORPORATED STORMWATER MAINTENANCE PLAN 90' TITLE. MEDICAL OFFICE BUILDING FOR FAMILY MEDICINE OF PORT ANGELES 240 WEST FRONT STREET PORT ANGELES, WA 98362 FRONT ST CLEANOU CLEANOUT SHEET 301 EAST 6TH STREET, STE. 1 PORT ANGELES, WA 98362 ASSOCIATES O E. (360) 417-0501 1 of 8 EMAIL ZENO,1COZENONC.NET MEMO TO File COMMUNITY FROM Pat Bartholick, Code Compliance Office ECONOMIC DEVELOPMENT RE Family Medicine Building 240 W Front Street Nathan West Director 417 -4751 Sue Roberds Planning Manager 417 -4750 Scott Johns Associate Planner 417 -4752 Roberta Korcz Assistant Planner 417 -4804 Jim Lierly Building Inspector 417 -4816 Linda Pangrle Permit Technician 417 -4815 Patrick Bartholick Compliance Officer Building Inspector 417 -4712 Derek Beery Archaeologist 417 -4704 Fax. 360 417 -4711 ORT' a NG EL ES W A S H I N G T O N U S A DATE January 26, 2010 On January 26, 2010 I accompanied Jim Lierly during a final inspection walk through of the building with the contractors representative Lonnie of Drury Construction When asked the use of one of the unfinished rooms we were told it was the OMC break room When I asked if OMC and Family Medicine had separate break rooms he said that yes they did He then said that all of the building from the corridor to the west and all of the upstairs was OMC He wasn't sure if the OMC side of the building would have doctors, but did say that Family Medicine has six doctors The OMC,west, side of the building included an area for physical therapy equipment, a few exam rooms, and other areas The upstairs appeared to have a couple of conference rooms, and some office space c -r .1 -...r �c 7 BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at 1.c) Fan Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction' ?gap k,�c or) c>icA. b L 1 PA A LoAa /S_ s (-C_ v A 11 CC (--C, S aA c i rt__ �'r e t t.✓d It Sl 0 1� 9(1.. .`r 1 r L)SL 1 I/I 2 1Fv t r rl ,A g l .y IF ��n Svs IJ�� at L /dv. tO Sc A Dod G iJ C t a These corrections must be made and are not to be 1z641 covered until reinspection is made. When corrections have been made, please cal) Date /ID for inspection Inspector for guiidIng Diviifon DO NOT REMOVE THIS TAG :1z1. ct.f tom- Job -Located at Correction Notice for inspecti 3n Date IV 0 BUILDING DIVISION 7 CITY OF PORT ANGELES AD cl!\ akk Inspection of your work revealed that the following is not in- accordance with the codes governing the work in this jurisdiction A O 'Z-. 1 ki C 7_44 41 4 L(/ ra 9 o A W) v►� s (0 i Q s ovt 2_ /10 -10- LCpvi it v7-tIi s� 1 P tout it 9 r tO ✓1 4611 G2-(1 These corrections must, be made and are not to be covered until reinspection is made When corrections have been made, please call L( c f IS/ Inspector for Building Division DO NOT REMOVE THIS TAG Job Located at 1 Date "41 4 .04 1%." BUILDING DIVISION r? CITY OF PORT ANGELES Correction N iot e Inspection of your work revealed that the following is not in accordance the codes governing the work in his jurisdiction L,1 614 1 t- c 2:X 2. I L A Z L,i(4[SeCidi Vor &Aiding Division DO NOT REMOVE THIS TAG p:Dta )..1 Pt-1 P IE k 2 19( T 61-A. TDI vi^ 5 e Lat Is i _5 toe;t5P/ I ea-Y-( e/ !nese cor ections must be made and are not to be covered until reinspection is made When corrections have been made, please call 1 for inspection CLL„L. u_01 'in h. /1/4-//< PREPARED 1/26/10 8 45 34 ADDRESS 240 W FRONT ST TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC OWNER DOWNTOWN AMBULATORY HEALTH CTR PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PERMIT ME 01 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY SUBDIV PHONE (360) 394 6000 PHONE (360 4 2 789 PAGE 2 DATE 1/26/10 BLI 01 9/14/09 JLL BLDG INSULATION 9/15/09 AP September 14 2009 10 02 36 AM 1pangrle LONNIE 360 440 4770 INSULATION September 15 2009 8 06 58 AM jlierly BCF 01 10/28/09 JLL BLDG CONCRETE FLOOR TIME 09 00 10/28/09 AP October 28 2009 8 22 15 AM 1pangrle LONNIE 360 440 4770 CONCRETE MORNING October 28 2009 4 22 02 PM jlierly BLTB 01 12/22/09 JLL BLDG T BAR 12/22/09 AP December 21 2009 2 29 02 PM 1pangrle LONNIE 360 440 4770 SUSPENDED CEILING December 22 2009 3 53 49 PM jlierly BL99 01 _2/24/09 JLL BLDG FINAL 12/24/09 DA December 23 2009 3 47 42 PM 1pangrle LONNIE 440 4770 BLDG FINAL December 24 2009 10 43 26 AM jlierly this inspection was for a temp co electrical and fire have approved occpancy only in lower floor offices on north side and center exam rooms (frist two kiosk only) jll BL99 02 12/31/09 JLL BLDG FINAL 12/3 /09 AE December 31 2009 8 21 27 AM 1pangrle LONNIE 440 4770 PARTIAL BUILDING FINAL TO FINAL MORE ROOMS TO OCCUPY December 31 2009 12 10 03 PM jlierly this is for a partial for the temp CO and expands to the center of D line for occupancy This is the center isle and ADA restrooms and employee lounge on he east side jll BL99 03 1/26/10 JLL BLDG FINAL n January 22 2010 8 53 03 AM 1pangrle LONNIE 360 440 4770 BLDG FINAL ME1 01 7/15/09 JLL MECHANICAL ROUGH IN 7/20/09 AP July 15 2009 9 11 26 AM permits adam 206 679 3136 mechanical rough in July 20 2009 3 5008 PM jlierly CONTINUED ONTOt PAGE i 1 RZ) 17..;-19 a-. A__/*/ Lc:v.-Liu /6- r? ea 74 sus ss� v �o�� p P PREPARED 1/26/10 8 45 34 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/26/10 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS LONNIE 360 440 4770 UNDERGROUND PLUMBING PLEASE INSPECT AS EARLY AS POSSIBLE THEY LL HAVE A LOT OF WORKERS ON SITE AND WANT TO BACKFILL ASAP May 15 2009 3 39 03 PM jlierly PL1 04 6/18/09 PB PLUMBING UNDER SLAB TIME 09 00 6/18/09 AP June 18 2009 8 26 17 AM 1pangrle LONNIE 360 440 4770 'RADIANT HEAT IN THE FLOOR MORNING June 18 2009 4 24 11 PM pbarthol PL2 02 8/18/09 JLL PLUMBING ROUGH IN 8/18/09 AP August 17 2009 4 57 28 PM 1pangrle LONNIE 360 440 4770 PLUMBING PRESSURE TEST HE PREFERS A MORNING INSPECTION August 18 2009 2 28 29 PM jlierly PL2 03 9/18/09 JLL PLUMBING ROUGH IN TIME 01 00 9/18/09 AP September 18 2009 8 19 47 AM 1pangrle LONNIE 360 440 4770 PLUMBING AFTERNOON September 18 2009 3 45 04 PM jlierly PL6 01 10/07/09 JLL PLUMBING WATER SUPPLY 10/07/09 AP October 14 2009 2 27 37 PM 1pangrle WATER SUPPLY LINE October 14 2009 2 28 09 PM 1pangrle PL2 04 10/21/09 JLL PLUMBING ROUGH IN 10/21/09 AP October 20 2009 10 50 46 AM 1pangrle LONNIE 457 0415 PLUMBING UNDER TEST October 21 2009 3 47 41 PM jlierly PL99 01 12/24/09 JLL PLUMBING FINAL 12/24/09 DA December 23 2009 3 49 03 PM 1pangrle LONNIE 440 4770 PLUMBING FINAL December 24 2009 10 43 26 AM jlierly this inspection was for a temp co electrical and fire have approved occpancy only in lower floor offices on north side and center exam rooms (frist two kiosk only) jll PL99 02 1/26/10 I PLUMBING FINAL .,l January 22 2010 8 54 15 AM 1pangrle LONNIE 360 440 4770 PLUMBING FINAL COMMENTS AND NOTES PREPARED 1/26/10 8 45 34 TNSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/26/10 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO _NC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 02 8/28/09 JLL MECHANICAL ROUGH IN 8/28/09 AP August 27 2009 8 23 21 AM 1pangrle REED 206 679 3136 OK TO COVER MECHANICAL August 28 2009 3 00 09 PM jlierly ME1 04 9/14/09 JLL MECHANICAL ROUGH IN 9/15/09 AP September 14 2009 10 19 13 AM 1pangrle ADAM 206 679 3136 'MECHANICAL COVER INSPECTION September 15 2009 8 06 58 AM jlierly ME99 01 12/24/09 JLL MECHANICAL FINAL 12/24/09 DA December 23 2009 3 48 28 PM 1pangrle LONNIE 440 4770 MECHANICAL FINAL December 24 2009 10 43 26 AM jlierly this _nspection was for a temp co electrical and fire have approved occpancy only in lower floor offices on north side and center exam rooms (frist two kiosk only) jll ME99 02 1/26/10 JLL MECHANICAL FINAL it January 22 2010 8 53 40 AM 1pangrle V LONNIE 360 440 4770 MECHANICAL FINAL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 4/14/09 JLL PLUMBING UNDER SLAB 4/14/09 DA April 14 2009 9 15 59 AM 1pangrle NO NAME WAS LEFT 360 440 4770 UNDERSLAB PLUMBING April 14 2009 4 53 01 PM jlierly provide sand around piping /10 ft head reqd verify and check for leaks recall PL1 02 4/15/09 JLL PLUMBING UNDER SLAB 4/15/09 AP April 15 2009 8 37 29 AM pbarthol Lonnie 360 440 4770 April 15 2009 1 36 50 PM jlierly partial north side PL2 01 5/06/09 JLL PLUMBING ROUGH IN 5/07/09 AP May 6 2009 8 25 52 AM 1pangrle LONNIE 360 440 4770 PLUMBING PRESSURE TEST May 7 2009 9 11 54 AM jlierly PL1 03 5/11/09 JLL PLUMBING UNDER SLAB TIME 09 00 5/15/09 AP May 8 2009 3 23 23 PM 1pangrle CONTINUED ONTO NEXT PAGE PREPARED 1/26/10 8 45 34 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR CLEARWAY SIGNS PHONE (253) 324 1706 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 09 00001252 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 12/18/09 JLL 12/23/09 AP BL2 01 12/23/09 JLL 12/23/09 AP BL99 01 1/26/10 v J `v BLDG FOUNDATION FOOTING TIME 09 00 December 17 2009 4 32 07 PM 1pangrle LONNIE 360 440 4770 FOOTING FOR THE FREESTANDING SIGN MORNING December 23 2009 9 13 33 AM jlierly BLDG FOUNDATION STEM WALL December 23 2009 8 30 00 AM 1pangrle LONNIE 440 4770 STEMWALL FOR THE SIGN December 23 2009 9 14 05 AM jlierly BLDG FINAL January 22 2010 8 56 25 AM lpangrle Ld➢i 'I0 440 477'1 BLDG FINAL TWO SIGNS COMMENTS AND NOTES PAGE 11 DATE 1/26/10 S ee.-1-h.e buy /e34 v3 i s 6eavy +hoc-) M yo c ou (c1, g ee Scns are, coves iefe4 treakj X40 ``'r\ r LP PREPARED 1/26/10 8 45 34 CITY OF PORT ANGELES ADDRESS 240 W FRONT ST TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC OWNER DOWNTOWN AMBULATORY HEALTH CTR PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 09 00000189 COMM FOUNDATION ONLY PERMIT BPC 00 BUILDING PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT BL1 01 3/30/09 PB 3/30/09 AP BL99 01 12/24/09 JLL 12/24/09 DA BL99 02 1/26/10 COMMERCIAL DESCRIPTION RESULTS /COMMENTS "NSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV BLDG FOUNDATION FOOTING TIME 01 00 March 30 2009 4 05 59 PM 1pangrle LONNIE 460 440 4770 GRADE BEAM FOOTING AFTERNOON March 30 2009 4 22 29 PM pbarthol BLDG FINAL December 23 2009 3 45 56 PM 1pangrle LINDA (TO FINAL THIS PERMIT) BLDG FINAL This permit is for partial foundation framing work on the north addition and for the foundation system for the proposed elevator located at the south end of this area December 24 2009 10 43 26 AM jlierly this inspection was for a temp co electrical and fire have approved occpancy only in lower floor off ces on north side and center exam rooms (frist two kiosk only) jll BLDG FINAL January 22 2010 8 55 03 AM 1pangrle LONNIE 360 440 4770 BLDG FINAL NOTE THIS PERMIT IS FOR PARTIAL FOUNDATTON FRAMING COMMENTS AND NOTES PHONE (360) 394 6000 PHONE (360) 452 7891 PAGE 5 DATE 1/26/10 S Co 01,ecji E paqA 3 P4-66 Print in ink ACTION New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use PBIA I'C'Zo Planning i I City Clerk 1 21- to 3 Public Works T:Formsl8uilding 0: ;s:ontCertiicate of Occupancy Application CERTIFICATE OF OCCUPANCY APPLICATION Permit# FEES 0 Certificate} rnspection e Parking Business Improvement Area (PBIA) fee charged for downtown locations CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles; WA 98362 (360) 417 -4815 fax (360) 417 -4711 Date 10 Print Nal For City use only: Department BUSINESS NAME FO 4D-c- Po* P BUSINESS ADDRESS :24 o W R Pr Business mailing address S Phone.# Opening date 1 2 2 _.3_6q Days hours of operation r S I Z Washington State Tax I D 75.3 D� 03 2 If known list the name of the: revious business at this location C °7 P Brief description of proposed business (Y'.4& 8 Business owners name t; r,,,, (o,,- 'A PL t�c Phone# �{-S "119 1 Business owner's home address Q4 p W', Fve Sk- 1 Po r1- PLEASE NOTE: A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer Pawnbroker Darrce Hotel- Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417 -4634 for additional information. r WILL THERE BE ANY OF THE FOLLOWING? Electrical changes New or relocated signs Construction chances, Mechanical changes (ventilation, heating, cooling, etc.) Plumbing changes Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in the City right -of -way New driveway openings Grading site drainage.(parkinq lots, downspouts, etc.) Landscape irrigation system (backflow devices) Is this a home occupation? Is this a second- hand'dealer or pawnbroker business? Is there off- street parking for this business? Is the street in front of this business paved? Is there a sidewalk in front of this business? Is there a curb gutter in front of this business? NO/ I YES/ Signature R-4 Initials date lniti a�palsprov,8le dbte IIA� Rejected Comments /:Conditions u Building I f4f1 Type of construction Occupant Load Fire I Z-, ld 1404 Automatic fire sprinkler system required no yes Zoning CBI) IF YES CONTACT Electrical Dept. at 4.17-4735 Building Div at 417-4815 Public Works. at 417 -4807 Water Dept. att4.17,4886 Planning Div at 417 -4750 City Clerk at 417 -4634 How many spaces? Call for Certificate of Occupancy inspections before Opening business. Building Department Inspection 41.7 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I. hereby apply for a. Certificate ;Of Occupancy I acknowledge that 1 have read this application and state that: the 'information. I have supplied is correct to the best of my knowledge. Please sign up. for utility'services at the cashier counter Print in ink BUSINESS NAME ri� c-c \'c* "mil BUSINESS ADDRESS .a.4 b W S�— S e-. Business mailing address Phone Opening date 1 --csq Days hours ofoperation rev- 5 'Atl S.r 9 Washington State Tax'l.D If known list the name the revious 7'S'3 D �t k 2 business at this location C o- P Brief description of proposed business .I Business owner's name �,,r;,,9,, rn,.d,, e 6 NA P'LU Phone•# `ES a. 1''R 91 Business owner's home address Q w•_ ever. wort- ,V l,J Ci?t3 L,--) PLEASE NOTE: A'Bu License is also required for the following•businesses: Taxi, Peddlers, Second -hand' dealer .Pawnbroker Dance Hotel .Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at-417-4634 for additional information. ACTION WILL THERE BE :ANY OF THE -FOLLOWING? I` NO I Ys '.I IF YES CONTACT Electrical changes I New or relocated signs I Construction changes, I Mechanical changes (ventilation, heating, cooling, etc.) Plumbing changes I Fire sprinkler system changes I Fire alarm system changes I ....New or relocated sewer or water service Excavation or filling of lots Work done in the City right -of -way New driveway openings Grading site drainage-.(parking lots, downspouts, etc.) I Landscape irrigation system (backflow devices) I Is this a home occupation? Is this a second- hand'dealer or pawnbroker business? Is'there off street parking for this business? I Is the street in front of this business paved? I Is there a sidewalk in front of this business? Is there a curb gutter in front of-this business? New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use Call for Certificate of inspections before ooenina.business. Building Department Inspection 417-4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections l hereby apply for a. Certificate :of Occupancy I acknowledge that I have read this application and state that-the information..) have supplied is correct to the best of my knowledge. Date I t 0 Print Name v For City use-only: Department Building Fire PBIA Planning City Clerk I Public Works Approved Initials date TForm wilding Di ;s ;on'Cer(i'ca:e of occupar cy .pp cation CERTIFICATE OF OCCUPANCY APPLICATION Permit# 10 CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. 'Fifth. St. Port Angeles, WA 98362 (360) fax (360) 417 -4711 Rejected Initials date Type of construction t €tt t C) FEES $j .Q0 Cart ifi cate/'Tns peg t ion •W z. 9; '$100.001 Parking Business Improvement Area (PBIA) fee charged for downtown locations Signature Ca.,A- Comments i.Conditions Please sign up.for utilitys`ervices at the cashier counter Occupant Load Automatic fire sprinkler system required no yes 1)4)) n r U I 0 Zoning C. R Electrical Dept. at-4.17 -4735 Building Div at 417 -4815 Public Works. at •417 -4807 Water Dept. at Planning Div at 417 -4750 City, Clerk at 4174634 How many spaces? Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Low voltage Conference room Owner PUBLIC HOSPITAL DISTRICT #2 939 CAROLINE ST PORT ANGELES Qty Unit Charge Per 1 00 95 9000 ECH Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983623909 Permit Additional desc Permit pin number 160010 Permit Fee 95 90 Issue Date 1/25/10 Expiration Date 7/24/10 ELECTRICAL ALTER COMMERCIAL 95 90 00 95 90 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000079 Date 1/25/10 940879 9±T 140 w Frz.c 401 06 30 00 1 0 3325 0000 ELECTRICAL ONLY PUBLIC BUILDINGS PARKS 0 Contractor SPL INTEGRATED SOLUTIONS 6029 238TH STREET SE SUITE 120 WOODINVILLE WA 98072 (425) 8615 Plan Check Fee Valuation EL LIMITED 1ST 1500 SQ FT Paid Credited 95 90 00 00 00 95 90 00 Due DATE RESULTS 00 00 00 00 0 Extension 95 90 Signature of owner or Electrical Contractor X Date INSPECTOR. d (1/22/2010) Linda Pangrle C of ()Application and PBIA Information Page 1 From To: Date. Subject: Attachments: Hi Carlene, Per our phone conversation, I attached a C of 0 application below I also attached a map of the PBIA and information explaining PBIA (written by the Port Angeles Downtown Association) We will waive the $50.00 each C of 0 fee, since building permits were obtained and inspections were already done by the Building Inspector and Fire Marshal. We can't waive the $100 00 each PBIA fee for Suite A and Suite B. Please complete two C of 0's (one for Suite A and one for Suite B), and submit them to me along with the $200 00 fee. If you pay be credit card, you can pay Monday Friday 8 AM 5 PM If you pay by cash or check, the hours are limited. Cash and checks are only accepted Monday Thursday 8.30 AM 4 00 PM and Friday 8:30 AM 12.30 PM Thanks for your help in this matter Linda Pangrle Permit Technician City of Port Angeles 321 E. 5th St. Port Angeles, WA 98362 360 417 -4815 360 417 -4711 FAX Ipangrle @cityofpa.us Linda Pangrle cringius @fmpa net 1/22/2010 11 51 AM C of 0 Application and PBIA Information Certificate of Occupancy Application pdf; PBIA Information Map pdf to 2- =411 per- eati LAI .00.340 (Farni I Mda Myydrtts+YDO comet cof Fa16'6 (Ukcthe of PO Zi; 71 4° SuA ,61(0. se f ;g2o.o.f 15:6575f (movvv 'Neoef I SUZ B Mea Cevirw 33 A.of 1 :SF 01/22/2010 FRI 11 02 FAX 425 861 5784 AVI -SPL W00DINVILLE CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street P.O Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax (360) 417 -4711 Date: _119-d-l/ 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition I Alteration /Remodel./ Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: F4 ✓141 Lti VI//Vf )t Jt L q 4 1 '.s n Lt Building Square Footage t Q� 2 4 S >=T' Description of abov IJ ✓L r b 7< r, T r, n� I to 1 1 I215rir ri. ems. SQi- c r- n. S {r wn i r Owner Information Name: OLt-r wt Dr L LE A L_ C v1 Mailig Address: q (L.&- J ter, r/v5a2 1. Cityi(T'A0C E-State: Jc ?A. Zip: d- Phone3Go= .1SL..C- Fixte0/ 6 License Exp Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201.400 Amp. Temp. Service /Feeder 401-600 Amp. Temp. Service/Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charge $119.90 $145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 $110.30 $148.70 $167.90 95.90 88.20 95.90 63.90 63.90 $119.90 $102.30 56.00 $110.30 35.20 73.50 $110.30 Dated I Contractor Information Name: Lzr,_\ E✓1- di��l� 1 got- Mailing Address:l? i /tam 'T tt"/ 3 City; w)rx)Di WVsL.4..E State: 1.) A Zip: O Phone.5 R6/S5k4salc: License /Exd5P a L. RECENED JAN 2 5 2009 ELECTRICAL INSPECTIONS `iN <�fQE Total IQty Multiplied by Unit Charge] 95.a $....24 Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator Cash Check i f Credit Card i.Q,5t O 03S I c- t G S 3a_ k 0110112010 0002/ 00z O (1/21/2010) Trent Peppard RE Ambulatory Care Center Page 1 From 'Carroll, Jim <jim carroll @thyssenkrupp corn> To 'Trent Peppard' Tpeppard @cityofpa.us> Date 1/21/2010 8 37 AM Subject: RE. Ambulatory Care Center No it did not. Original Message From Trent Peppard [mailto Tpeppard @cityofpa.us] Sent: Thursday January 21 2010 8 36 AM To Carroll Jim Subject: Re Ambulatory Care Center Hi Jim Did changing the wiring change the UL rating of the equipment? Trent 'Carroll Jim <jim carroll @thyssenkrupp corn> 1/20/2010 3 51 PM Trent, The discrepancies have been completed Do you have any other issues? have the elevator final inspection set up for Tuesday January 26 2010 Thanks, Jim Carroll Construction Superintendent ThyssenKrupp Elevator From Stevens, Mike Sent: Friday January 15 2010 3.22 PM To 'Trent Peppard' Cc: Carroll Jim Sayre, Steve Subject: Ambulatory support and first step Family Importance High Trent I just want to confirm that you have removed your red tags on these4 as we have completed your discrepancy report on the control wiring to tanks. Mike Stevens Construction Modernization Manager Kirkland Office Office PH (425) 702 -1200 ext. 2924 Cell# (206) 391 -6575 Email mike.stevens @thyssenkrupp com Attention we have moved Our new Address is 2021 130Ave Ne Suite A Bellevue Wa 98005 C� All cash at closing (with credit for earnest money paid) Purchaser agrees to purchase and Seller agrees to sell, on the following terms, Seller's interest in Lots 8, 9, and 10 in Block 14, of the Townsite of Port Angeles, together with the entire vacated right -of -way of Cherry Street abutting the said Lot 10, situate in Clallam County, Washington (hereinafter referred to as "Property") 1 PURCHASE PRICE. The total purchase price is Eight Hundred Sixty Three Thousand Two Hundred dollars ($863,200 00) payable as follows 2 EARNEST MONEY Purchaser agrees to deliver the earnest money of thirty eight thousand seven hundred fifty dollars ($38,750 00) in cash to the Closing Agent (Clallam Title) within three (3) days of mutual acceptance of this Agreement. The earnest money shall be applicable to the purchase price if the sale is completed. If Purchaser fails, without legal excuse, to complete the purchase of the property, the earnest money deposit made by the Purchaser shall be forfeited to the Seller as the sole and exclusive remedy available to the Seller for such failure. 3 CONVEYANCE. Title shall be conveyed by statutory warranty deed. The deed shall be in the name of Cherry Hill Associates, a Washington general partnership, or related entity for similar purposes. 4 CONDITION OF TITLE Title to the property is to be free of all encumbrances or defects except those that are disclosed in the Preliminary Commitment for Title Insurance and that do not render title unmarketable The following shall not be considered encumbrances or defects in the title (i) rights reserved in federal patents or stated deeds, (ii) building or use restrictions general to the area, and (iii) easements not inconsistent with the Purchaser's intended use Seller shall order a Preliminary Commitment for Title Insurance to be issued by Clallam Title Company within thirty (30) days of the mutual acceptance of this Agreement. Conveyance of vacated Cherry Street shall be subject to 1 5 REAL ESTATE PURCHASE AND SALE AGREEM 1 J (Commercial Property) A N 5 2010 D eP 'T of0o mmO Rt pNe o L ment S Y P THIS AGREEMENT is made and entered into the 23rd day of October, 2007 between the City of Port Angeles, a municipal corporation of the State of Washington, hereinafter referred to as "Seller and Cherry Hill Associates, a Washington general partnership organized under the laws of the State of Washington, or assigns, hereinafter referred to as "Purchaser 1 underground utility easements in existing utility corridors, a pedestrian sidewalk easement ten (10) feet in width, and -an airspace easement for potential future overhead pedestrian walkways or other conveyances. 5 CONDITION OF PROPERTY Seller makes the following representations and /or warranties regarding the condition of the Property. As Is. 6 CLOSING OF SALE. This sale shall be closed on or before the 15th day of February, 2008 The sale shall be closed by Clallam Title Company, (herein referred to as "Closing Agent Purchaser and Seller will immediately upon demand deposit with the Closing Agent all instruments and monies required to complete the purchase in accordance with this Agreement. "Closing" the date on which all documents are recorded and the sale proceeds are available to Seller 7 CLOSING COSTS AND PRORATION Purchaser shall pay the title insurance premium, escrow fee, 'recording fee and all other related closing costs. No real estate excise tax is due on this transaction. Any applicable taxes for the current year and utilities and assessments shall be prorated as of closing. 8 TITLE INSURANCE. Seller shall provide, at, Purchaser's expense, standard title insurance which will insure title subject to easements and restrictions of record. The preliminary commitment for title insurance, and the title policy to be issued, shall contain no exceptions other than those provided for in the preliminary commitment for title insurance acceptable to Purchaser as set forth above in Section 4 Purchaser shall conclusively be deemed to have accepted the condition of title unless the title company receives notice of Purchaser's objections within fifteen (15) days after the preliminary commitment for title insurance is received by or made available to Purchaser If title cannot be made so insurable prior to the closing date, this .Agreement shall thereupon be terminated as to the Purchaser and Seller unless any defects or encumbrances are waived by Purchaser Seller agrees to pay any cancellation charge. 9 POSSESSION Purchaser shall be entitled to possession upon the closing of this Purchase and Sale Agreement. 10 TIME Is OF THE ESSENCE Time is of the essence of this Agreement. 11 `DEFAULT AND ATTORNEY FEES. If either party defaults (that is, fails to perform the acts required of it) in its contractual performance, the nondefaulting party may seek specific performance pursuant to the terms of this Agreement, damages or rescission. In the event that either the Purchaser or Seller shall institute suit to enforce any rights hereunder, the successful party may be entitled to court costs and reasonable attorney fees. 12 CONTROLLING LAW AND VENUE This Agreement shall be construed under the laws of the State of Washington. If either party .comr fences an action to enforceJights under this contract, venue of such action shall he in the Superior Cot,rt of Clallam County, Washington 2 13 NOTICE OF PURCHASER'S INTENT TO PURCHASE PROPERTY PURSUANT TO INTERNAL REVENUE CODE SECTION 1031 NOTICE. It is the intention of Purchaser to purchase the above listed property pursuant to Internal Revenue Code. Section 1031, which sets forth the requirements for tax deferred real estate exchanges. Purchaser's rights under this Agreement shall be assigned to First American Exchange Company, qualified intermediary, for the purpose of completing such exchange. Seller of the above listed Property consents to such assignment and agrees to cooperate with Purchaser and First American Exchange Company in a manner necessary to enable Purchaser to complete said exchange Such cooperation shall be at no additional cost or liability to Seller 14 MISCELLANEOUS PROVISIONS. (a) Complete Agreement. This Agreement and any addenda and exhibits to it constitute the full understanding between Purchaser and Seller regarding the sale of the Property There are no verbal or written agreements which modify or affect this Agreement. (b) Counterpart Siwnatures. This Agreement may be signed in counterpart, each signed counterpart shall be deemed an original, and all counterparts together shall constitute one and the same agreement. (c) Facsimile Transmission. Facsimile transmission of any signed original document and retransmission of any signed facsimile transmission, shall be the same as delivery of an original At the request of either party, or the Closing Agent, the parties will confirm facsimile transmitted signatures by signing an original document. 15 CONTINGENCIES. The Purchasers shall have until November 1, 2007, to determine the overall feasibility of the proposed project including, without limitation, economic feasibility, development feasibility for offeror's intended use and reasonable availability of permits for intended use. If Purchaser on or before November 1, 2007, determines that the project is not feasible, then the Purchaser shall notify Seller in writing on or before November 1, 2007, and this Agreement shall be rescinded If Purchaser has not advised Seller in writing by November 1, 2007, that Purchaser has determined the project is not feasible, this contingency shall be deemed expired and the Purchaser shall not thereafter have the right to rescind the Agreement based upon the feasibility contingency 16 ASSIGNMENT Notwithstanding any other term or provision hereof, the Purchaser may not assign its interest herein without the written consent of Seller 17 INDEPENDENT REVIEW This Agreement was bargained for by the parties. Purchaser is represented by independent legal counsel. Purchaser agrees that rules of law requiring construction and interpretation against the drafter shall not apply in litigation regarding this Agreement. 18 ASSIGNED PARKING Seller agrees to make available to Purchaser the western row of parking spaces in Lot 7, Block 14, Townsite of Port Angeles as assigned parking, subject to payment of usual and accustomed fees therefor 19 STREETSCAPE. The parties agree to participate jointly and in good faith in the planning and development of sidewalk, landscaping and other streetscape improvements within the right of way of Front Street and vacated Cherry Street. The location and configuration of the reserved sidewalk easement shall be mutually agreed upon at a later date. If the parties cannot agree, the sidewalk easement shall be the westerly ten feet of the vacated Cherry Street. IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date and year first above stated. SELLER. PURCHASER. ckAe Its Date. jn n? G:U.EGAL\REAL ESTATE\Light Ops Bldg.Purchase Sale Agmt.Ver2.102307 wpd (Octobe 23, 2007) By Its F:doe4 Date /1) /Li) 0 7 X67 riY7, By Its c clallam County Assessor Treasurer Property Details 55908 CITY OF PORT ANGE Page 1 of 3 Clallam County Assessor Treasurer Property Search Results 55908 CITY OF PORT ANGELES for Year 2009 201 Property Account Property ID 55908 Legal Description. Geographic ID' 0630000014150000 Type Real Tax Area. 0010 Open Space: N Historic Property N Multi- Family Redevelopment: N Location Address 9999 W FRONT ST PORT ANGELES Neighborhood* Exempt All Exmpt Reference Neighborhood CD' 50110030 Owner Name' CITY OF PORT ANGELES Mailing Address. PO BOX 1150 PORT ANGELES WA 98362 -0217 Taxes and Assessments Due Property Tax Information as of 12/29/2009 Amount Due if Paid on. E., Year 2009 2009 2009 2009 2009 2009 2009 2009 2009 Values Statement ID 559082008 559082008 559082008 559082008 559082008 559082008 559082008 559082008 559082008 PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property* Taxing Jurisdiction ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 CITY_STORMWATER CITY.STORMWATER WEED_CONTROL WEED CONTROL 2009 559082008 TOTAL. Improvement Homesite Value. Improvement Non Homesite Value Land .Homesite Value. Land Non Homesite Value Curr Use (HS) $0 $0 $0 $103 008 $0 $0 Agent Code Mapsco Map ID' NOTE If you plan to submit payment on a future date make sure to obtain the correct total amount due Owner ID' Ownership Exemptions. LT B BLA 08 -01 SURV V67 P88 97 N N 46740 100 0000000000% EX First Second Half Half Base Base Due Due Penalty Interest Paid Due $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $55 06 $55 06 $0 00 $0 00 $110 12 $0 82 $0 81 $0 00 $0 00 $1 63 $55.88 $55.87 $0.00 $0.00 $111 75 http pn clal lam net 8084 /property ,ecess /Property aspx ?cid =0 ear= 2009 &prop_td Base Amount $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 you enter the date:and RECALCULATE 12/29'2()09 PREPARED 12/31/09 8 22 49 NSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/31/09 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLI 01 9/14/09 JLL BLDG INSULATION 9/15/09 AP September 14 2009 10 02 36 AM 1pangrle LONNIE 360 440 4770 INSULATION September 15 2009 8 06 58 AM jlierly BCE 01 10/28/09 JLL BLDG CONCRETE FLOOR TIME 09 00 10/28/09 AP October 28 2009 8 22 15 AM 1pangrle LONNIE 360 440 4770 CONCRETE MORNING October 28 2009 4 22 02 PM jlierly BLTB 01 12/22/09 JLL BLDG T BAR 12/22/09 AP December 21 2009 2 29 02 PM 1pangrle LONNIE 360 440 4770 SUSPENDED CEILING December 22 2009 3 53 49 PM jlierly BL99 0 12/24/09 JLL BLDG FINAL 12/24/09 DA December 23 2009 3 47 42 PM 1pangrle LONNIE 440 4770 BLDG FINAL December 24 2009 10 43 26 AM jlierly this inspection was for a temp co electrical and fire have approved occpancy only in lower floor offices on north side and center exam rooms (frist two kiosk only) jll BL99 02 12/31/09 BLDG FINAL December 31 2009 8 21 27 AM 1pangrle LONNIE 440 4770 PARTIAL BUILDING FINAL TO FINAL MORE ROOMS TO OCCUPY COMMENTS AND NOTES c•s.V n1)10 hoc u 0 01 rc,k W A S H I N G T O N U S A COMMUNITY ECONOMIC DEVELOPMENT DEPARTMENT DATE December 24 2009 TO Family Medicine of PA 240 W Front street FROM Jim Lierly Community Economic Development Department SUBJECT Temporary Certificate of Occupancy The Department of Community Economic Development Is granting a temporary certificate of occupancy for 30 days from the date of this letter The areas that are permitted to be occupied are as follows 1 -North offices on the first floor 2 -ADA restroom on north end of building near offices 3 -Exam rooms, center aisle first two kiosks Maintain continued construction in a manor that does not endanger the public by restricting area's that are still under construction Maintain exists and fire protection systems from damage or obstruction due to construction that is on going At any time this Temporary CO may be revoked for any reason deemed by the building official All adopted codes apply If you have any further questions please contact the Department of Community Development if you have any questions 417 -4815 Jim Lierly Building Inspector 360- 417 -4815 PREPARED 12/24/09 8 10 34 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/24/09 ADDRESS 240 W FRONT ST TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC OWNER DOWNTOWN AMBULATORY HEALTH CTR PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 09 00000189 COMM FOUNDATION ONLY PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/30/09 PB BLDG FOUNDATION FOOTING TIME 01 00 3/30/09 AP March 30 2009 4 05 59 PM 1pangrle LONNIE 460 440 4770 GRADE BEAM FOOTING AFTERNOON March 30 2009 4 22 29 PM pbarthol BL99 01 12/24/09 J�j, BLDG FINAL December 23 2009 3 45 56 PM 1pangrle LINDA (TO FINAL THIS PERMIT) BLDG FINAL This permit is for partial foundation framing work on the north addition and for the foundation system for the proposed elevator located at the south end of this area SUBDIV COMMENTS AND NOTES PHONE (360) 394 6000 PHONE (360) 452 7891 PREPARED 12/24/09 8 10 34 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/24/09 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION REQUESTED .INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 04 10/21/09 JLL PLUMBING ROUGH IN 10/21/09 AP October 20 2009 10 50 46 AM 1pangrle LONNIE 457 0415 PLUMBING UNDER TEST October 21 2009 3 47 41 PM jlierly PL99 01 12/24/09 A PLUMBING FINAL 7' December 23 2009 3 49 03 PM 1pangrle LONNIE 440 4770 PLUMBING FINAL COMMENTS AND NOTES PREPARED 12/24/09 8 10 34 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/24/09 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLI 01 9/14/09 JLL BLDG INSULATION 9/15/09 AP September 14 2009 10 02 36 AM 1pangrle LONNIE 360 440 4770 INSULATION September 15 2009 8 06 58 AM jlierly BCE 01 10/28/09 JLL BLDG CONCRETE FLOOR TIME 09 00 10/28/09 AP October 28 2009 8 22 15 AM 1pangrle LONNIE 360 440 4770 CONCRETE MORNING October 28 2009 4 22 02 PM jlierly BLTB 01 12/22/09 JLL BLDG T BAR 12/22/09 AP December 21 2009 2 29 02 PM 1pangrle LONNIE 360 440 4770 SUSPENDED CEILING December 22 2009 3 53 49 PM jlierly BL99 01 12/24/09 BLDG FINAL December 23 2009 3 47 42 PM 1pangrle LONNIE 440 4770 BLDG FINAL PERMIT ME 01 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 7/15/09 JLL MECHANICAL ROUGH IN 7/20/09 AP July 15 2009 9 11 26 AM permits adam 206 679 3136 mechanical rough in July 20 2009 3 50 08 PM jlierly ME1 02 8/28/09 JLL MECHANICAL ROUGH IN 8/28/09 AP August 27 2009 8 23 21 AM 1pangrle REED 206 679 3136 'OK TO COVER MECHANICAL August 28 2009 3 00 09 PM jlierly ME1 04 9/14/09 JLL MECHANICAL ROUGH IN 9/15/09 AP September 14 2009 10 19 13 AM 1pangrle ADAM 206 679 3136 MECHANICAL COVER INSPECTION September 15 2009 8 06 58 AM jlierly ME99 01 12/24/09 LL MECHANICAL FINAL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS December 23 2009 3 48 28 PM 1pangrle LONNIE 440 4770 MECHANICAL FINAL CONTINUED ONTO NEXT PAGE (12/23/2009) Linda Pangrle Permit #09 -943 Fire Alarm System at Family, Medicine of PA, 240 W Front St. From To Date: Subject: Hi Ken, When did you final Please let me know Thanks, Linda Linda Pangrle Ken Dubuc 12/23/2009 3 55 PM Permit #09 -943, Fire Alarm System at Family Medicine of PA, 240 W Front St. <AO' IAVAO ■e/cehOixe al �+2N Permit #09 -943, Fire Alarm System at Family Medicine of PA, 240 W Front St.? so I can final the permit. Page 1 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DATE PERMIT U INSPECTOR 12 C l s O4 f 7 OWNER/CONTRACTOR ADDRESS Z -C) tiO P A S APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: "T1� -i-1� C i.) )C L. $4'' t 2 4-7's V 5 A rr. 4, c c „g. 1( Coo t�2 RAT A"r' L.l tg...Y t� S NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE PREPARED 12/23/09 8 31 26 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/23/09 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR CLEARWAY SIGNS PHONE (253) 324 1706 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 09 00001252 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 12/18/09 J L BL2 01 12/23/09 JLL IA BLDG FOUNDATION FOOTING TIME 09 00 December 17 2009 4 32 07 PM 1pangrle LONNIE 360 440 4770 FOOTING FOR THE FREESTANDING SIGN MORNING BLDG FOUNDATION STEM WALL December 23 2009 8 30 00 AM 1pangrle LONNIE 440 4770 STEMWALL FOR THE SIGN COMMENTS AND NOTES PREPARED 12/22/09 8 04 18 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/22/09 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLI 01 9/14/09 JLL BLDG INSULATION 9/15/09 AP September 14 2009 10 02 36 AM 1pangrle LONNIE 360 440 4770 INSULATION September 15 2009 8 06 58 AM jlierly BCF 01 10/28/09 JLL BLDG CONCRETE FLOOR TIME 09 00 10/28/09 AP October 28 2009 8 22 15 AM 1pangrle LONNIE 360 440 4770 CONCRETE MORNING October 28 2009 4 22 02 PM jlierly BLTB 01 12/22/09 JLL BLDG T BAR APO December 21 2009 2 29 02 PM 1pangrle LONNIE 360 440 4770 SUSPENDED CEILING COMMENTS AND NOTES PREPARED 12/18/09 8 16 18 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/18/09 ADDRESS 240 W FRONT ST TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR CLEARWAY SIGNS OWNER DOWNTOWN AMBULATORY HEALTH CTR PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 09 00001252 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (253) 324 1706 PHONE (360) 452 7891 BL1 01 12/18/09 J L BLDG FOUNDATION FOOTING TIME 09 00 A_ December 17 2009 4 32 07 PM 1pangrle tt ��I'� LONNIE 360 440 4770 FOOTING FOR THE FREESTANDING SIGN MORNING COMMENTS AND NOTES Application Number 09 00001252 Date 12/15/09 Application pin number 207316 Property Address 240 W FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1405 0000 Tenant nbr name FAMILY MEDICINE OF PA Application type description SIGNS Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 7178 Application desc TWO SIGNS ONE WALL MOUNTED ONE FREESTANDING Owner Contractor DOWNTOWN AMBULATORY HEALTH CTR CLEARWAY SIGNS 303 W 8TH ST 3112 15TH AVE SE PORT ANGELES WA 98363 EDGEWOOD (360) 452 7891 (253) 324 1706 Permit SIGN Additional desc 2 SIGNS WALL F/S Permit pin number 157529 Permit Fee 132 00 Plan Check Fee 00 Issue Date 12/15/09 Valuation 7178 Expiration Date 6/13/10 Qty Unit Charge Per Extension 1 00 85 0000 PER S WALL SIGN OR MARQUEE 25 SF 85 00 1 00 47 0000 PER S ALL SIGNS OR TO 25 SF 47 00 Special Notes and Comments December 8 2009 11 44 06 AM sroberds The proposal is to place a 12 sq ft free standing sign and a 35 sq ft building mounted sign on property located in the CBD The CBD allows signage of up to 200 sq ft given the building facade area and allows that signage can be freestanding or building mounted No land use issues are anticipated Fee summary Permit Fee Total 132 00 132 00 00 00 Plan Check Total 00 00 00 00 Grand Total 132 00 132 00 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. /2 -15 ei LC4rn »Le tJcc 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 Charged Paid Credited WA 98372 Due Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 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 Skirting 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 I Z I's 3LL 11, —21 O1 "TU.— PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY! USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 i FINAL Date Accepted by FINAL Date Accepted by Date Accepted By Applicant or Agent C. Pho 2{ (Q Property Owner N w rwkc'‘+.:t �v141A) l•~,140_t_qt K40.1t C L(...t Phon (L 45Q..7 8S Property Owner's Address 3 W $ih St Foirt Avv°4 tA)'A Contractor /Engineer ecx r i 'so.0 t L>,1� Phone 'D y CTO (c Contractor /Engineer's Address '3(tr ��,��u>� S+.tq it 00 a t4 q Z. License Cc S 9P L 4 Expires 1 f ao Project Address a .t 44 w k- Business Name m; Mel ;c:ine_ Parcel Number Lot Zoning Submit an 8 x 11 site Alan 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 signs and the surface below See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements. Sian Tvoe Brief Description. (Type, location, sq. ft.) Se€_ vt___ Sign #1 t tuvkaj;, LA, Cj c i n (t� v`+4I L O�1t°Y S -01. vt 3 5 Sign #2 I v t ,ncti k, s t t_ L I A 4 1 v\. .0,� 'AO) x (u3) Li-- t= r Sign #3 Sign #4 Totals (Unit charoes Unit Charae Quantity multiplied by quantities) Type of Sian i2 $47 00 x it All signs less than or equal to 25 sq ft. ei r $85 00 x l Wall sign or marquees, over 25 sq ft. $115 00 x Freestanding sign or projecting sign, over 25 sq ft. Existing sign(s) area 0 sq. ft. Proposed sign(s) area 41 sq. ft Total sign(s) area 4 7 sq. ft. t t Building facade area (height ft. X width 1 L{S ft.) 1-4 sq. ft. (If a building has more than one business in it, only measure the area of the building fagade 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 1 �Ci 4 2 2C Print Name V\ c r ,44 stti Sign li ,fr T•FormsBuildina Division /Sign Permit Aoolication.doc SIGN PERMIT APPLI UA TI UN Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 GRAND TOTAL 173 For City Use Only Date Received 2-I1 Permit i Date Approved e- Valuation I 1 0 Maail n t 'Sennj'kf S e y r Make Checks Payable to City of Port Angeles Credit Cards (Except American Express) are accepted REGISTERED AS PROVIDED BY LAW AS CONST CONT SIGNS GIST. EXP. DATE CCSX CLEARS*927L7 2/2112011 EFFECTIVE DATE 6/27/2008 CLEARWAY SIG 3112 15TH AVE E PUYALLUP WA 98372 ir su ed by DEPARTM OR AND DUSTR ES 1(12/2/2009) Linda Pang Re New updated Sign Application Clearway Signs Page 1 From Jennifer Sevener <jandj7er @comcast.net> To Linda Pangrle <Lpangrle @cityofpa.us> Date 12/2/2009 1 57 PM Subject: Re New updated Sign Application Clearway Signs Hi Linda The total Including Permit cost. Install, and sales Tax $7178 24 Thanks! John Sevener Clearway Signs On Dec 2 2009 at 11.25 AM Linda Pangrle wrote Hi Jennifer Thanks for the info I have one more question What is the valuation of the job (labor materials to make and install the sign)? Please let me know Thanks Linda Jennifer Sevener <jandj7er @comcast.net> 12/2/2009 10 03 AM Hi Linda, Here is a new application with my contractor info I still need the parcel and lot Also I scanned my Contractor card for your files I can pay for this any time you are ready Thanks! John Sevener Clearway Signs 253 324 1706 (12/1/2009) Linda Pangrle Re Sign Application for Downtown Health Center Clearway Signs -1 From Linda Pangrle To Jennifer Sevener Date 12/1/2009 3 22 PM Subject: Re Sign Application for Downtown Health Center Clearway Signs -1 Hi, Will Drury be installing the signs or will your company be doing the installation? If your company will be installing the signs, please change the contractor /engineer information on the application to your company name, address, license etc. and e- mail it to me. Thanks, Linda Jennifer Sevener <clearwav7er(comcast.net> 12/1/2009 10 AM Hi Linda, I will send as many attachments as I can, but I might have to send you 2 or 3 E -Mails to get it all to you. The Permit application is mostly done, I have some answers coming back from Drury Construction on their business address, and License and expiration date. Also the Parcel and Lot I am trying to fast track this, so if there are any questions I can answer please give me a call at 253 324 1706 Thank You! John Sevener Clearway Signs Page 1 (12/1/2009) Linda Pangrle Sign Application for Downtown Health Center Clearway Signs -II Page 1 From Jennifer Sevener <clearway7er @comcast.net> To <Ipangrle @cityofpa.us> Date 12/1/2009 1056 AM Subject: Sign Application for Downtown Health Center Clearway Signs -II Attachments DTHCAPP 1 pdf s501 sign footing pdf• Part.003 DETAIL R2 pdf Part.005 Hi Linda Here is the next phase John Sevener Clearway Signs 253 324 1706 (12/1/2009) Linda Pangrle Sign Application for Downtown Health Center Clearway Signs -1 TmT N Page 11 From Jennifer Sevener <clearway7er @comcast.net> To <Ipangrle @cityofpa us> Date 12/1/2009 10 51 AM Subject: Sign Application for Downtown Health Center Clearway Signs -I Attachments SITE PLAN pdf Part.002 ST1 (final) pdf Part.004 ST2 (final) pdf Part.0 06 Hi Linda, I will send as many attachments as I can but I might have to send you 2 or 3 E -Mails to get it all to you The Permit application is mostly done I have some answers coming back from Drury Construction on their business address and License and expiration date Also the Parcel and Lot I am trying to fast track this so if there are any questions I can answer please give me a call at 253 324 1706 Thank You! John Sevener Clearway Signs Clallam County Assessor Treasurer Property Details 55909 DOWNTOWN AMBU Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 55909 DOWNTOWN AMBULATORY HEALTH CTR for Year 2009 2010 Property Account Property ID Geographic ID 0630000014200000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 91 Open Space N DFL N Historic Property N Remodel Property' N Multi Family Redevelopment: N Location Address. 240 W FRONT ST Mapsco PORT ANGELES WA 98362 Neighborhood: Cycle 5 Comm Neighborhood CD 20953140 Owner Name Mailing Address. Taxes and Assessments Due Property Tax Information as o Amount Due if Paid on. E. 55909 Legal Description LT A BLA 08 -01 SURV V67 P88 DOWNTOWN AMBULATORY HEALTH CTR Owner ID 22102 303 WEST 8TH STREET Ownership PORT ANGELES WA 98362 Map ID Exemptions. 100 0000000000% First Second Half Half Statement Base Base Base Amount Year ID Taxing Jurisdiction Due Due Penalty I Interest! Paid Due 2009 559092008 ST SCH STATE SCHOOL $865 76 $865 76 $0 00 $0 00 $1731 52 $0 00 2009 559092008 CC -GEN COUNTY $438 15 $438 15 $0 00 $0 00 $876 30 $0 00 2009 559092008 PORT PORT $62.06 $62 07 $0 00 $0 00 $124 13 $0 00 2009 559092008 PORT ANG PORT ANGELES $961 05 $961 05 $0 00 $0 00 $1922.10 $0 00 2009 559092008 SD #121 SCHOOL DISTRICT #121 $1070 67 $1070 65 $0 00 $0 00 $2141 32 $0 00 2009 559092008 NTH OLY LIB NORTH OLYMPIC LIBRARY $127 31 $127 31 $0 00 $0 00 $254 62 $0 00 2009 559092008 HOSP #2 HOSPITAL #2 $179 69 $179 69 $0 00 $0 00 $359 38 $0 00 2009 559092008 WEED CONTROL WEED CONTROL $0 81 $0 82 $0 00 $0 00 $1 63 $0 00 2009 559092008 TOTAL. $3705.50 $3705.50 $0.00 $0.00 $7411.00 $0.00 2008 559092007 ST SCH STATE SCHOOL $735 50 $735 50 $0 00 $0 00 $1471 00 $0 00 2008 559092007 CC -GEN COUNTY $355 89 $355 87 $0 00 $0 00 $711 76 $0 00 2008 559092007 PORT PORT $51 99 $51 98 $0 00 $0 00 $103 97 $0 00 2008 559092007 PORT ANG PORT ANGELES $766 40 $766 39 $0 00 $0 00 $1532.79 $0 00 2008 559092007 SD #121 SCHOOL DISTRICT #121 $857 88 $857 88 $0 00 $0 00 $1715 76 $0 00 2008 559092007 NTH OLY LIB NORTH OLYMPIC LIBRARY $103 41 $103 40 $0 00 $0 00 $206 81 $0 00 2008 559092007 HOSP #2 HOSPITAL #2 $35 34 $35 33 $0 00 $0 00 $70 67 $0 00 2008 559092007 TOTAL. $2906.41 $2906.35 $0.00 $0.00 $5812.76 $0.00 http. /vpn.clallam.net 8084 /propertyaccess /Property aspx ?cid =0 &year= 2009 &prop_id =5 12/15/2009 -0" WIDE SIGf' 1 p ct 1E0 trV -MER rr R.viNn Sw4tE d 11 B WINE I w^a to E r NEW wEEI TENS WALL SEE CM. SITE PLAN 3137•e'-0 t t -t- -v/ ElOBWW.4 N4.110 WHERE SYM S M •WHERE AQxuM E%.M ea' I. e:r 1 a; !LI WEST FRONT STREET j •AM ED BY C N.ER ed `I a ir ad ouN AREA BULCNG ENTUfE 11EL PROPOSED ADDITION (FINISH FLOOR 16.67') RENOVATF D EXISTING BUILDING (FINISH FLOOR 16.67') j ri CITY OF PORT ANGELE i; Construction PIat:U The Issuance of this permit bas ad upon these plans, specifi- cations and other data shall no prevent the is ��r;, f,�idol tram tnereatter requiring the correction or errors in Baia plc, specifications and .other data, or from preventing buildingA?Vj'ins being carried' on thereunder 'hen in violation of all codes and ordinances of this jurisdiction. Approval Date mGRE F 2. CITY PARKING LOT TRUE RT. EAST ELEVATION SCALE. 1/8 Downtown Health Center 14 HIGH CLEAR ANODIZED CAST ALUMINUM DIMENSIONAL LETTERS (GEMINI) STUD MOUNTED WITH 1/4 STAINLESS STEEL SPACERS FONT HELVETICA REGULAR SIGN TYPE 1 Exterior Building ID EXISTING LIGHTING MANUFACTURER TO FIELD VERIFY STUD LOCATIONS WILL NOT OCCUR IN REVEALS BETWEEN EXISTING 3 -1/2' H. CEDAR BOARDS WILL NOT EXCEED MAXIMUM 5/8' DEPTH LETTERS MOUNTING HARDWARE SHALL BE WARRANTIED FOR SALT WATER ENVIRONMENT t, p Tr- itl' "r ,u:. r'Ir I! 2' y e'sl ,rr 2 'v i. Downtu' in Health Center Port Angeles WA na 1O- i5 -2OO9 P,¢ SIDE ELEVATION (VERIFY WIDTH) EAST ELEVATION SCALE. 1/2' =1-0' MESSAGE ON EAST FACE ONLY FONT HELVETICA MEDIUM 4 3/4 6' HM 4 -3/4 1/2' X OVERALL MESSAGE WIDTH 2 1/2' 3 -3/4 HM, U/L 3 1/2' 3 -1/2' ARROW 1 1/2' 2 3/4 HM, U/L INTERNALLY ILLUMINATED SIGN TRANSLUCENT WHITE TEXT OPAQUE SIGN FACE TO MATCH DARK BRONZE #40 ANODIZED ALUMINUM CONCRETE BASE BY OTHERS (MANUFACTURER TO PROVIDE MOUNTING HARDWARE SPECIFICATIONS) ALL SIGN FACES FRAMES AND MOUNTING HARDWARE WARRANTIED FOR 100 MPH WINDLOAD TEMPERATURE VARIATIONS FROM 0 100 DEGREES SALTWATER ENVIRONMENT :I. V)3:-1 It Downtown Health Center Port Angeles WA SIGN TYPE 2 Exterior Entrance ID flC 10 -15 -2)09 10 -30 -2009 FAMILY MEDECINE PORT ANGELES AMBULATORY CARE CENTER 240 WEST FRONT STREET PORT ANGELES, WA 98363 3' -0" f9 N 0 N TOP OF DIRT IN FINISH CONSTRUCTED CONDITION A 2 0 N r DETAIL SIGN 3/4 DIA. THREADED ROD STAINLESS STEEL (316 RECOMMENDED) #4 6" STANDARD NT -100K OP BOTT\ 111111 4 #4 STRAIGHT--\ 12' 4 #4 STRAIGHT —'S 11 -24 -2009 3000 PSI 28 DAYS ti DESIGN IS BASED ON A SOIL BEARING PRESSURE OF 1000 PSF SCALE 3/4' =1 -0' NO REDUCTION HAVE BEEN USED OR TAKE J bart@nbse.com BOLT GA. BY CONTRACTOR OR OTHERS INSTALL BETWEEN BARS n b s e associates CIVIL STRUCTURAL ENGINEERS Wise affiliated companies: s .e AC. Anh associates OFFICE LOCATIONS 205 FAIRVIEW LANE 9100 PASO ROBLES, CA 93446 505-452.8152 365 ERICKSEN AVE NE #328 BAINBRIDGE ISLAND, WA 98110 206 319.0274 629 STATE STREET #228 SANTA BARBARA, CA 93101 805. 452.8152 mailing delivene 321 HIGH SCHOOL ROAD, NE STE. 0-3 PMB 216 BAINBRIDGE ISLAND WA 98110 0:206 319 0274 C`. 206 300 2346 F'208 693 3667 2 #4 STANDARD HOOK 0 FRONT VIEW AS INSTALLED 7 I'XT 0 In' ANGLE ALUMINUM MAIN FRAME WELDED 42 HO LAMPS WIREWAY WITH BALLAST .090 ALUMINUM ROUTERED.. FACE WITH ROUTERED 1/4' WHITE PLEX FOR COPY/GRAPHICS NOTE: FACE, TOP, AND SIDES WELDED TO MAIN FRAME X l' X 1/ErALUMINUm 500400 TUBE COLLAR I-BOLTS IN RASF roNCRETE BASF BY OTHERS ::74,:;; ,orm, I 10 I F PROFILE VIEW AS INSTALLED M 7_ FACE SIDE --->.090 ALUMINUM REMOVABLE BACK FOR SERVICE ATTACHED WITH #8 X COUNTERSUNK SQUARE DRIVE SCREWS TO MAIN FRAME BACK VIEW AS INSTALLED ROUTERED ALUMINUM FACE ulherme Sign td. It 4 requected the rrated to prest remtdu withe customer% ttenizot nd 'be give fo ge era! di wftho detly ..090 ALUMINUM BACK 4_ X uAR NTE 0 C 0 0 19 U EscR R E S w UN s K 96 MAIN FRAME 114" WHITE ?LEX COPY IUCONE ADHESIVE AROUND PERIMETER OF LETfERS/PANELS 5209 122nd St. East Tacoma WA 98446 WA Lie.* CUL1SESS984MU 4 Customer DOWNTOWN HEALTH CENTER Site Addres PORT ANGELES. WA. Sales Representative: MICHAEL TILTON Drawn By: DON CHARBONNEAU V X 2' X 1/8" ANGLE ALUMINUM MAINFRAME Date: 11(10109 R2 WELDED (scale 1 1' Description SIGN DETAIL ALL CONSTRUCTION TO BE U.L. APPROVED Approved deposit. [(11/19/2009)stnes Lierly 60061181 doc Letter of Transmittal November 19 2009 Project Info: Assigned. DOH Reviewer Facility Administrator Architect Engineer Sprinkler Contractor Page 1 of 10 a E 4 CRS# 60061181 Key People: Matthew Campbell matthew campbell @doh.wa.gov Olympic Medical Center Eric Lewis 939 Caroline St Port Angeles, WA 98363 (360) 417 7170 elewis @olympicmedical.org OConnor Architects Peter O'Conner 147 Finch P1 SW #3 Bainbridge Island, WA 98110 (206) 842 5490 poconnor @oconnorarchitects. corn N/A Copies To: Local Building Official. City of Port Angeles Architect Engineer OConnor Architects Sub Contractor N/A Sub Contractor N/A Other Steve Zenovic Steve English Washington State Patrol, Fire Protection Bureau CRS File Project location. Building Official. Fire Alarm Contractor Facility Contact: I /y Washington State Department of F Hea lth PO Box 47852 Olympia, Washington 98504 -7852 240 W Front St Port Angeles, WA 98362 Olympic Medical Center Scott Bower 939 Caroline St Port Angeles, WA 98363 (360) 417 7705 SBower @olympicmedical. org City of Port Angeles Jim Lierly PO Box 1150 Port Angeles, WA 98362 (360) 417 4816 jlierly @cityofpa.us N/A DOH Child Birth Center Licensing DOH Office of Accommodations Res. Care Survey DOH Office of Health Care Survey DSHS, Div Of Alcohol and Substance Abuse DSHS, Aging Adult Services Administration L &I, Bill Ecicroth, Electrical Section L &I, Factory Assembled Structures Construction Review Services 310 Israel Rd. SE Tumwater WA 98501 www.doh.wa.gov /crs tel. 360 236 -2944 fax. 360-236-2901 Plan Review Comments for Project #60061181 Page 111 (11%19%2009) James Liarly 60061181 doc Page 2 Other Copies To: Local Building Official. City of Port Angeles Architect Engineer OConnor Architects Sub Contractor N/A Sub Contractor N/A Other Steve Zenovic Steve English Washington State Patrol, Fire Protection Bureau CRS File Page 2 of 10 Zenovic and Associates Steve Zenovic 301 E6 Port Angeles, WA 98362 (360) 417 -0501 steve @zenovic.net Other Cierra Electrical Group Steve English 2505 Third Ave Ste 204 Seattle, WA 98121 (206) 442-0112 senglish @cierra.biz DOH Child Birth Center Licensing DOH Office of Accommodations Res. Care Survey DOH Office of Health Care Survey DSHS, Div Of Alcohol and Substance Abuse DSHS, Aging Adult Services Administration L &I, Bill Ecicroth, Electrical Section L &I, Factory Assembled Structures Plan Review Comments for Project 60061181 0(11/19/2009) James Lierly 60061181 doc Page 311 Olympic Medical Center Chapter 246 -320 WAC Hospitals New Ambulatory Health Center Memo .Authorized to Begin Construction The documents have been reviewed and construction can begin without delay, subject to construction permitting from the local building official. The stamped approved copy of the documents shall be kept available on site for survey and inspection staff. The local building official is responsible for building construction permitting and occupancy This project cannot be approved for licensure until the following comments labeled as "not approved" have been resolved. These comments must be resolved by providing a written response, or, by a site inspection to verify compliance. Please note the following. Any changes (incl. change orders or addenda) during construction shall be submitted to the department for review of compliance with applicable codes. Approval for licensure cannot be given until all construction documents and changes have been reviewed and approved. Proceeding with construction prior to resolving the attached comments will constitute facility acknowledgement that you are proceeding at your own risk. If we do not receive written responses to the attached comments, we will automatically schedule a site inspection. You must notify the department when construction is complete, either by the included notification of construction complete (pink card) or by completing the form on the CRS website. Additional instructions may be printed on the pink card. When we receive notification, we will notify DOH Office of Health Care Survey that you have completed the review process and are ready for licensing. Final licensing approval may be subject to a site inspection by DOH Office of Health Care Survey to verify compliance with Hospital licensing regulations. Page 3 of 10 Plan Review Comments for Project 60061181 (11/19/2009) James Lierly 60061181 doc Page 41 Facility Data Certificate Facility Name: Olympic Medical Center Site Address: 240 W Front St Critical Access Facility. Yes Port Angeles, WA 98362 Estimated Date of Occupancy. August 2009 RES Number of units Private occupancy Two person occupancy IDE Based on size of rooms used for sleeping Residents NTI AL Based on size of common rooms Residents CAR Maximum allowable licensable beds. E FA C Qualifies for Assisted Living Funding Program Yes ❑No Number of qualifying units. ILIT IES ONL Y Licensee UBI# 054003327 1\ C T E S A Occupancy Group B Construction Type 5 -B Applicable Code 2000 L NFPA 101 L Number of Beds. Current: Added. Removed. F N/A Total. Automatic Fire Sprinkler System: Yes No Type 13 Automatic Fire Alarm System: Yes No Compartmentation req d. ❑Yes ❑No Smoke Control System Provided. Yes ❑No 31 Special Delayed Egress Control. Yes ❑No Location. Certificate of Need Required. Yes ❑No CON Approval Granted. Yes ❑No CON Number P 9 No 1[(11/19/2009) James Lierly 60061181 doc Page 6_11 The data above is based on the information presented to CRS. Any change in the facility or facility program that causes the above information to be incorrect is subject to review by CRS. Approval for construction is not approval for licensure. A copy of the facility data certificate will be sent to the licensing agency Page 5 of 10 Plan Review Comments for Project 60061181 972009) James Lierly 60061181 doc Olympic Medical Center Chapter 246 -320 WAC Hospitals New Ambulatory Health Center Preliminary Comments Comment ID T3 T4 T5 T6 T7 Preliminary Conference 11/18/08 Attendees Leah Sanders Steve Pennington Norm Taylor Peter 0 Connor Scott Bower Stevan English Comments made during this preliminary conference, both oral and written, represent guidance provided by the Department of Health, Construction Review Services, for your facility to meet the licensing requirements of Chapter 3 1 2006 Guidelines. These preliminary comments should not be considered as an exemption or alternate from the requirements of any federal, state or local authority who may have jurisdiction. In the event of conflicts between other jurisdictions and these comments, please contact this office immediately Items Received. App Fee Department of Health Department of Health Evergreen Refngeration 0 Connor Architects Olympic Medical Center Cierra Electrical Group, Inc T1 This clinic is limited to non invasive procedures only The clinic will operate under the licensure of OMC Construction will meet FGI Guidelines. T2 Plan for size of exam rooms to meet requirement of net 80sf, each w/ a sink and single handle faucets. Plan for size of corridors to meet minimum requirement of 5ft. Recommend HVAC requirements of ASHRAE. Life Safety Plans will meet standards of Chapter 38 Provide Suite #'s for the licensed spaces. When submitting documents DOH will require 2 copies of all Construction Drawings, a single copy of a Functional Program, ICRA, Life Safety info, Specifications, Project Manual, and a completed Understanding of Risk form. Page 6JI Iz(11/19/2009) James Lierly 60061181 doc Page 71 First Floor Preliminary Plan Review: T8 Egress through Staff Room will need a 5ft corridor *Plan no egress paths through Kitchens T9 Maintain travel distance w /in 200ft of all exits. T10 ADA Changing room should meet ANSI requirements (Bench should be 24 in. deep and 42 in. long, etc.). T11 Restroom required for exclusive patient use only T12 Ensure appropriate levels of patient privacy (curtains, screens, etc.). T13 Drug storage should be provided within a cabinet of substantial construction with a concealed hinge and lock. T14 Define separate clean soiled linen storage for license space. *Soiled linens need holding area. T15 Clear signage for Family Practice OMC to mark licensed space T16 Resolve communicating stair design (ref NFPA 101/Life Safety Code) T17 Housekeeping room is required to be a part of the licensed space. T18 Mechanical room is required to be a part of the licensed space (no corridors to room included). T19 Public telephone required. T20 Interview space is going to be provided within the reception area. T21 Medical Records for the licensed spaces has to be separated from unlicensed sections of the Medical Records Storage. T22 Boiler Room will be a part of licensed space. T23 RAD Room. Send physicist report to Radiation Protection. CRS will require a copy of this approval letter T24 Provide Finishes in conjunction with Chapter 10 of the Life Safety Code. T25 Nurse Call not required but recommended. Second Floor Preliminary Plan Review: T26 Are Exam Rooms truly serving the purpose of a `Consult Room'? If so, no sink(s) required in rooms. T27 Function of all rooms on 2" floor are for educational purposes. Due to the type of services provided on this level the requirements for the clinical level /1 floor do not apply T28 Corridor passing through Conference Room to Egress Stairs needs to be clearly identified as an exit path? Code Study Required. Co Ap No The following plan review comments Plans received 6/5/09 m pro t me ved Ap nt pro ID ved Page 7 of 10 Plan Review Comments for Project 60061181 (11/19/2009) James Lierly 60061181 doc Page 81 1 2 El Two complete plans and specifications for the fire alarm system installation or modification shall be submitted for review and approval prior to system installation. The department reserves the right to defer plan review and inspections to the local authonty having jurisdiction (AHJ) Plans and specifications shall include, but not. be limited to, a floor plan, location of all alarm- initiating and alarm signaling devices, alarm- control and trouble signaling equipment; annunciation, power connection, battery calculations, conductor type and sizes, voltage drop calculations, name, address, and phone number of the agency receiving off premises transmission of alarm, and the manufacturer model numbers, and listing information for all equipment, devices, and matenals. Incomplete plans and specifications will be returned without review Plans and specifications may be submitted separately from construction documents during the construction of the project. For small renovation projects in which devices are only to be relocated or very few devices are to be added, provide two plans that shows the relocation of devices which may be submitted for review in lieu of the above requirements. This information can be included on the electrical or architectural plans. Verify with Department staff to determine if the scope of your project meets this criteria. Section 907 1 International Fire Code Not approved 11/2/09 based on fire alarm plan received 9/28/09 Provide a smoke detector in Elec /Demarc 177 to protect fire alarm equipment. Section 4 4.5, International Fire Code rb Two sets of sprinkler system working plans shall be submitted for review and approval before any equipment is installed or remodeled. The department reserves the right to defer plan review and inspections to the local authority having jurisdiction (AHJ). Deviation from approved plans will require permission. Plans and specifications. mcludmu hydraulic calculations. that are incomplete or are not stamped by a Washmaton State Licensed Fire Sprinkler Contractor. will be returned without review Plans and specifications may be submitted separately from construction documents during the construction of the project. For small renovation projects in which heads are only to be relocated, a plan that shows the relocation of devices can be submitted for review in lieu of the above requirements. Section 903 1 International Fire Code Not Approved 7/2/09 Unable to complete fire sprinkler review hydraulic calcs were not included in the review packet. Approved 11/8/09 Calculations received and reviewed. Calculations and plans were not stamped, but I verified the licensure of Sprinx Fire Protection in the State Fire Marshal data base. rb Page 8 of 10 Plan Review Comments for Project 60061181 [(11/19/2009) James Lierly 60061181 doc 3 4 FGI 1 6- 2.1.2.2 Identify and verify the following for provisions for condensate 5 Verify that mercury- containing equipment, including thermostats switching devices and other building system sources are not present in the design /construction FGI 1 3 -4.2 1 1 Approved 11/4/09 Based on engineers response to comment and product cut sheet received 9/28/09 drains Condensate drains for cooling coils shall be a type that may be cleaned as needed without disassembly (Unless specifically required by local authorities traps are not required for condensate drains An air gap shall be provided where condensate drains empty into building drains Heater elements shall be provided for condensate lines in freezers or other areas where freezing may be a problem Approved 11/4/09 Based on engineers response to comment received 9/28/09 FGI 1 6 -2 1.3.2 Hand washing stations used by medical and nursing staff and patients. These fixtures must be trimmed with valves that can be operated without hands. Single lever or wrist blade devices shall be permitted Blade handles used for this purpose shall be at least 4 inches. Provide sink meeting above referenced requirements at rooms 203 and 204 If the function of these rooms requires sinks they shall meet the standard defined above Approved 11/4/09 Based on response to comments and functional program received 9/28/09 Sinks removed from rooms 203 and 204 Consultation only will be provided at these locations. Page 9 of 10 Plan Review Comments for Project 60061181 Page 9j I; (11/19/2009) James Lierly 60061181 doc Page 101 8 6 FGI 1 6 -2.2.1 1 Verify the following requirements are met for the buildings insulating elements Page 10 of 10 Vapor barrier Insulation on cold surfaces shall include an exterior vapor barrier (Material that will not absorb or transmit moisture will not require a separate vapor barrier Flame- spread rating Insulation including finishes and adhesives on the exterior surfaces of ducts piping and equipment, shall have a flame- spread rating of 25 or less and a smoke developed rating of 50 or less as determined by an independent testing laboratory in accordance with NFPA 255 Renovation Existing accessible insulation within areas of facilities to be modernized shall be inspected repaired and /or replaced as appropriate Approved 11/4/09 Based on engineers response to comment and product cut sheet received 9/28/09 7 FGI 1 6 -2.2 1.2 Address the following requirements for duct lining elements, if present: Identify where used verify they are coated and sealed and shall meet ASTM C1071 Verify linings (including coatings adhesives and exterior surface insulation on pipes and ducts in spaces used as air supply plenums) have a flame spread rating of 25 or less and a smokedeveloped rating of 50 or less as determined by an independent testing laboratory in accordance with NFPA 255 Verify duct lining is not installed within 15 feet (4 57 meters) downstream of humidifiers Verify that if existing lined ductwork is reworked in a renovation project, the liner seams and punctures shall be resealed Approved 11/4/09 Based on engineers response to comment and product cut sheet received 9/28/09 Provide exit sign at Lobby 104 similar to that provided in Hall 169 visible from south end of building. NFPA 101 7 10 Approved 11/4/09 Based on response to comments and plans received 9/28/09 Plan Review Comments for Project 60061181 L(11/19/2009) James Lierly 60061181 doc 9 FGI 3 1 2 1 Provide general purpose examination and treatment rooms with the following: 11 12 A minimum clearance of 2 feet 8 inches (81.28 centimeters) at each side and at the foot of the examination table. A counter or shelf space for writing Based on functional program and provision of sinks, the consult rooms are being evaluated as exam locations. Show furnishings on plan. Omitted 11/2/09 Based on response to comments, revised functional program, and plans, received 9/28/09 Sinks removed from consult rooms. Examination will not be performed at these locations. 10 FGI 3 1 2.1 7 Support Areas for Outpatient Services Nurse station(s). A work counter communication system, space for supplies, and provisions for charting shall be provided. Identify administrative and chart storage facilities that will serve second floor patient services. Clean storage. A separate room or closet for storing clean and sterile supplies shall be provided. This storage shall be in addition to that of cabinets and shelves. Identify on plan clean storage serving second floor Soiled holding. Provisions shall be made for separate collection, storage, and disposal of soiled materials. Identify on plan soiled storage serving second floor Omitted 11/4/09 Based on response to comments and revised functional program. Outpatient examinations will not be provided on the second floor Identify toilet(s) for patient use which are separate from public use toilet(s) and located to permit access from patient care areas without passing through publicly accessible areas per FGI 2.1 8 1 Approved 11/4/09 Based on response to comments received 9/28/09 Identify general storage for supplies and equipment necessary to general building cleaning and upkeep that will be available to hospital based service areas. FGI 3 1 3.2.2 Approved 11/4/09 Based on response to comments received 9/28/09 Page 11 of 10 Plan Review Comments for Project 60061181 Page 11j1 11(11/19/2009) James Lierly 60061181.doc Page 1211 13 3 1 -4 Administrative and Public Areas 15 El Identify toilet(s) for public use conveniently accessible from the waiting area without passing through patient care or staff work areas or suites Identify conveniently accessible public telephone(s) Identify space(s) for private interviews related to social service credit, etc. Identify provisions for securing medical records Identify special storage for staff personal effects with locking drawers or cabinets (may be individual desks or cabinets) Such storage shall be convenient to individual workstations and shall be staff controlled Approved 11/4/09 Based on response to comments received 9/28/09; subject to field inspection. 14 Venfy provisions for hand drying at rooms 202, 203 204, and 206 per FGI 3 1 5.2.1 6(3) Approved 11/4/09 Based on response to comments and supplemental drawings received 9/28/09 Provide manufacturers specification for cubicle curtain at changing area these shall be noncombustible or flame- retardant and shall pass both the large- and small -scale tests required by NFPA 701 FGI 3 1 5 2.2 1(1) 16 Provide room finish schedule and manufacturers specification for material selections. The flame spread and smoke developed ratings of finishes shall comply with NFPA 101 10 FGI 3 1 5.2.2 1(1) Page 12 of 10 Plan Review Comments for Project 60061181 11_(11/19/2009) James Lierly 60061181 doc 17 FGI 3 1 -6.2 Elevators 18 Provide cut sheets /manufacturers data for elevator selection. Cars shall have a minimum inside floor dimension of not less than 5 feet (1 52 meters) Verify the selected elevator is equipped with a two -way automatic level maintaining device with an accuracy of ±1/2 inch ±12.7 millimeters) Venfy elevator call buttons and controls shall not be activated by heat or smoke. Venfy that if light beams are used for operating door reopening devices without touch are used in combination with door -edge safety devices and are interconnected with a system of smoke detectors such that the light control feature will be overndden or disengaged should it encounter smoke at any landing. Verify that elevator controls, alarm buttons, and telephones are accessible to wheelchair occupants and usable by the blind. Verify that elevator installation is in compliance with ANSUASME A17 1 Verify the owner will be furnished with written certification stating that the installation meets the above referenced requirements as well as all applicable safety regulations and codes. Approved 11/4/09 Based on response to comments and elevator information received 9/28/09; Elevator fails to meet the minimum size requirements of FGI 3.1 -6.2, however, is acceptable as patient examination and treatment is not provided on the second floor Verify electrical installations including alarm and communication systems will be tested to demonstrate that equipment installation and operation is appropriate and functional A written record of performance tests on special electrical systems and equipment shall show compliance with applicable codes and standards FGI 3 1- 7 3 1.2 Approved 11/04/09 Based on response to comments and Olympic Electric memorandum received 9/28/09 Compliance with the comments above provided by the Department of Health, Construction Review Services, are necessary for this facility to meet the requirements of the applicable licensing regulations found in the Washington State Administrative Code and associated references. These comments do not relieve the facility from the responsibility to meet the requirements of any other applicable federal, state or local regulations. In the event of conflicts between other jurisdictions and these written comments, the most stringent shall apply Page 13 of 10 Plan Review Comments for Project 60061181 Page 13 IL(11/16/2009) James Lierly Page 111 avvI 1 I, V N1 Q� e.. I Cam' From To Date Attachments CC Hello Jim Peter O'Connor (poconnor @oconnorarchitects corn) has asked that I send you the following message Please respond directly to him if you have any questions regarding this information As I told you on the telephone we are planning to install maple wood boards over 5/8' type 'x' drywall on the north wall of Vestibule 102 Per IBC Section 803 Wall and Ceiling Fi sheS lass C Flame Spread Index i 476 -200 I and Smoked Developed Index is10 -450. Section 803 5 refers to Table 803 5 for Flame Spread requirements Table 803 5 requires Class B materials in exit enclosures in a sprinklered B occupancy However, note b states that within a building exit enclosure less than 3 stories in height, the material may be Class C. Enclosed are two references as to the Flame Spread and Smoked Developed Indices, which show the Indices for maple are below the maximum levels for Class C Thank you for your help Peter Wendy O'Connor Office Manager O'Connor Architects PLLC 147 Finch Place SW Bainbridge Island WA 98110 T (206) 842 5490 F (206) 842 2239 www oconnorarchitects.com 'Wendy O'Connor' <woconnor @oconnorarchitects corn> <jlierly @cityofpa.us> 11/13/2009 3 16 PM 0367_001.pdf 'W F Hennessey M D <whennessey @fmpa.net> <robepstein @olypen com> fit 1 1 110 0 J� Fire Safety of Wood Products USDA, Forest Service Forest Products Laboratory One Gifford Pinchot Drive Madison WI 53705 -2398 Flame Spread Index for Wood Products Numerous flame- spread tests are used but the most common one cited by building codes is ASTM E 84 the 25 -foot tunnel test. This test method involves the use of a 20 -inch by 25 -foot specimen exposed horizontally to a furnace operating under forced draft conditions. The two results of this test are the flame spread index and smoke developed index In the past, select grade red oak flooring was used as a standard and was given a flame spread index of 100 Today red oak flooring still has an index around 100 but is no longer used in the calculation of the flame spread index. The smoke developed index is still based on red oak flooring having a value of 100 The indexes are also based on inorganic reinforced cement board having a value of zero For regulatory pup p.utpases,-itaterior4inish materials are classified according to their flame spread The classes are 0 -25 for Class A or 126 -75 for Class B or II and 76 -200 for Class C or III For regulatory purposes, the requirement tor smoke developed inaex is usually 450 or less This list of ASTM F 84 flame spread indexes and smoke developed indexes for untreated wood products was prepared from the literature The Forest Products Laboratory (FPL) does not have an ASTM E 84 test furnace Results from the 8 -foot tunnel (ASTM E 286) of the FPL are not comparable or equivalent to ASTM E 84 test results A list of commercial testing laboratories with the 25 -foot tunnel is available from the Fire Safety of Wood Products Research Work Unit (608- 264 -5669) The flame spread index may depend on density thickness chemical composition and surface characteristics. Finishes on the wood may affect the flame spread index depending on the thickness and composition of the finish. Changes in the procedures for calculating the flame spread index have also affected the numbers. Species identification on this list are the names given in the references Exact identification of the species may not have been possible Fire retardant treatments can be used to reduce the flame spread index of wood to 25 or less Lists of the fire retardant coatings and pressure treaters are also available from the Fire Safety of Wood Products Research Work Unit. Building code officials may require building materials to be stamped with the flame spread classification of an approved testing agency Users should consult the manufacturer as to the availability of their product with an approved stamp Lumber (1 -in. nominal thickness) Ej B.121 Azobe /Bongossi 0 5 -10 Birch yellow 105 -110 Box, brush (Lophostemon confortus) 17mm 45 373 Cedar Eastern red 1/2 in 110 Pacific coast yellow 78 90 Western red 73 98 Western red (Thuja plicata) 17mm 69 137 Western red 70 213 Western red nitrocellulose base lacquer finish 71 226 Western red, linseed oil base, stain finish 71 235 Western red. polyurethane varnish 70 218 Cottonwood 115 Cypress 145 -150 Cypress pine (Callitris glaucophylla) 17mm 51 184 Douglas fir 70 -100 Douglas fir (Pseudotsuga menziesii) 17mm 69 54 Eucalyptus. Blackbutt (E. pilularis) 17mm 48 68 Jarrah (E. magenata) 42 Jarrah (E. marginata) 17mm 26 20 Karri (E. diversicolor) 45 Victorian ash (E. delegatensis) 17mm 51 43 Fir Pacific silver (Amabilis) 69 Greenheart 40,46 230,304 Gum, red 140 -155 Hemlock. West coast 60 -75 Maple (flooring) 104 157 Oak. red or white 100 Pine: White 73 Eastern white 85 122 Idaho white 72 123 Idaho white, linseed oil base finish 70 125 Idaho white, nitrocellulose base, lacquer finish 72 108 Idaho white, polyurethane varnish finish 73 175 Lodgepole 93 210 Northern white 120 -215 Ponderosa 105 -230 Red 142 229 Southern yellow 130 -195 Western white 75 Radiata (Pinus radiata) 17mm 85 122 Radiata (Pinus radiata) 77 206 Poplar 170 -185 Redwood 70 75 -115 Redwood, 3 /8 -in. nominal 95 95 -110 Species Birch, Yellow Cedar Western Red Cedar Western Red Cottonwood Cypress Douglas Fir Eucalyptus diversicolor (Karri) Eucalyptus magenata (Jarrah) Greenheart Greenheart Gum, Red Hemlock, West Coast Lauan Maple, Hard Oak, Red or White Pine, Eastern White Pine, Idaho White Pine, Northern White Pine Ponderosa Pine, Southern Yellow Pine Western White Poplar Redwood Redwood Spruce, Northern Spruce, Western Teak Walnut Material Form Lumber (1') Lumber Lumber Lumber (1') Lumber (1') Lumber (1') Lumber Lumber Lumber Lumber Lumber (1') Lumber (1') Plywood (3/16 Lumber Lumber (1") Lumber Lumber Lumber (1') Lumber (1') Lumber (1') Lumber (1') Lumber (1') Lumber (1') Plywood (3/8 Lumber (1') Lumber (1') Lumber Lumber (1') (Pre 19761 105 -110 70 73 115 145 -150 70 -100 69 51 64 54 140 -155 60 -75 155 104 100 85 72 120 -215 154 130 -195 75 170 -185 70 95 65 100 76 130 -140 4Post 19761 Flame Spread Performance of Wood Products Wood and wood -based products are widely used in interior wall, ceiling, and floor surfaces in all types of buildings. Appearance, acoustical qualities, and interior de sign versatility have made wood surfaces highly de- sired by architects, designers, and building occupants. This publication briefly describes building code flame spread regulations on products used in interior finish and presents performance data on a range of wood products. Flame Spread Requirements Most code requirements for wood interior finish materials are expressed in terms of flame spread index numbers. These values are determined in a standard fire test which evaluates the surface burning character istics of a material. Different maximum flame spread indices are permitted depending upon building occu- pancy location of the material in the building, and the presence of sprinklers. Flame spread indices in this publication are provided for wood materials that qual- ify for various building design requirements. Test Method The standard fire test used to evaluate flame spread characteristics of wood building materials in the United States is ASTM E -84 Standard Test Method for Surface Burning Characteristics of Build ing Materials Copyright 2008 American Forest Paper Association, Inc. The test procedure exposes candidate materials in a horizontal, rectangular tunnel 17 3/4 wide by 12" in height and 25' long. The tunnel is equipped with two gas burners at one end that direct a flame onto the sur face of the test material under a controlled air flow Flame spreads along the surface of the material as the test progresses. Distance of the flame travel and the rate at which the flame front advances during a 10 2 FLAME SPREAD PERFORMANCE OF WOOD PRODUCTS minute exposure determine the calculated flame spread index. To provide standard conditions for each test, the tunnel is calibrated to an index of 0 for noncombusti- ble materials and 100 for 23/32 red oak flooring. In- dices for tested materials can range from 0 to over 1000 Classification in Codes are: Class I or A II or B I11 or C Flame Spread Range 0 -25 26 -75 76 -200 Wood Products Example Locations Enclosed vertical exits Exit access corridors Other rooms and areas Lumber plywood, and other wood -based materials exhibit a relatively narrow range of flame spread. Dif ferences result from factors such as density thickness, surface characteristics, and chemical constituents. If the material is homogeneous, flame spread may be considered nearly independent of material thickness at thicknesses greater than 1/4 Flame spread indices for a number of species of lumber plywood, particleboard, shakes, and shingles are listed in Table 1 In products such as softwood and hardwood plywood, the arrangement and type of com- ponents may also influence surface flame spread. Some such products are described by face species and core composition in Table 1 All ratings are based on the ASTM E -84 test method. Flame spread indices for a number of commer cially available wood products with factory applied American Wood Council overlay finishes are listed in Table 2. Factory finished wall panels are typically tested and labeled to identify the flame spread classification of the finished product. Finish composition, adhesive, and finish thickness may however affect flame spread. As can be seen from the listed indices, most tested wood products have a flame spread index less than 200, making them acceptable under current building codes for a wide range of interior finish uses. Flame spread indices for a range of proprietary wood -based interior finish materials are also available from their manufacturers. Commercially available fire retardant treatments for wood and panel products can reduce flame spread performance to an index of 25 or less. Check with the manufacturer for flame spread index. A smoke developed index was also measured for some of the wood products listed in Table 1 and Table 2. This index also has a value of 100 for red oak. None of the products tested exceeded 450 a limiting value commonly used in building code regulations. While effort has been made to ensure the accuracy of the information in this publication, the American Forest Paper Association, and the Companies and Associations identified do not assume responsibility for the accuracy of the indices reported, the applicability or extension of the reported flame spread values to specific products or their acceptance for use in particular applications Includes updates through June 2008 FLAME SPREAD PERFORMANCE OF WOOD PRODUCTS 3 Table 1 Reported Flame Spread Indices Material' ASTM E -84 Source' Material Flame S read LUMBER Birch, Yellow 105 -110 UL SOFTWOOD PLYWOOD (Exterior Glue) Cedar 3/8' I Cedar, Alaska Yellow Cedar, Pacific Coast Yellow Cedar, Port Orford Cedar, Western Red Cedar, Western Red Cherry 3/4 Cottonwood Cy press Elm 3/4 Fir, Douglas Fir, Douglas 3/4 flooring Fir, Amabilis (Pacific Silver) Fir, White Gum, Red Hem -Fir Species Group Hemlock, West Coast Larch, Western Maple (flooring) Oak, Red or White Oak, Red 3/4 Oak, White 3/4 Pecan 3/4 Pine, Eastern White Pine, Idaho White Pine, Idaho White Pine, Lodgepole Pine, Northern White Pine, Ponderosa' I Pine, Ponderosa Pine, Red Pine, Southern Yellow Pine, Sugar Pine, Western White Poplar, Yellow Redwood Redwood 3/8' Spruce, Engelmann '__Spruce, Northern I Spruce, Sitka I Spruce, Western I Walnut Walnut 3/4 5/16' 7/16' 1/2' 3/4 50 78 60 70 73 76 115 145 -150 76 70 -100 83 -98 69 65 140 -155 60 60 -75 45 104 100 84 77 84 85 72 82 98 120 -215 105 -230 115 142 130 -195 95 75 170 -185 70 102 55 65 74 100 130 -140 101 127 138 186 -150 174 -172 1 147 158 Copyright 1997 1998, 2001 2002, 2008 American Forest Paper Association, Inc. NOTE. Table I footnotes on next page. HPVA2 CWC HPVA2 HPVA CWC I-IPVA UL UL 1 -IPVA UL WEY CWC HPVA2 UL HPVA2 WEY, UL HPVA2 CWC UL 1-IPVA 1-IPVA HPVA CWC HPVA WEY WEY UL UL HPVA2 CWC UL HPVA2 UL UL UL UL HPVA2 UL CWC UL UL 1-IPVA ORIENTED STRAND BOARD, WAFERBOARD (Exterior Glue APA2 I APA2 APA2 I APA2 Douglas Fir 1/4 Douglas Fir 5/16' Douglas Fir 3/8' Douglas Fir 1/2' Douglas Fir 5/8' Hemlock 3/8' Southern Pine 1/4 Southern Pine 3/8' Southern Pine 5/8' Redwood 3/8' Redwood 5/8' HARDWOOD PLYWOOD' 134 HPVA Ash 3/4 Birch 1/4 Birch 1/4 Birch 3/4 Birch 3/4 Birch 3/4 Birch 3/4 Honduras Mahogany 3/4 Particleboard Core Lauan 11/64 Lauan 1/4 Oak 1/4 Douglas Fir Veneer Core Oak 3/4 MDF Core PARTICLEBOARD 3/16' (Aromatic Cedar Flakeboard) 3/8' 1/2' 1/2' 5/8' 11/16' 3/4 3/4 '(Exterior Glue) MEDIUM DENSITY FIBERBOARD MDF 3/8' 88 -98 APA2 7/16' 5/8' 11/16' 3/4' 3/4 3/4 1 Particleboard Core Douglas Fir Veneer Core Fuma Veneer Core Douglas Fir Veneer Core High Density Veneer Core Particleboard Core MDF Core Western Red Cedar Shakes 1/2' Western Red Cedar Shingles 1/2' American Forest Paper Association ASTM E -84 Source' Flame S read 70 -95 APA 150 115 -155 110 -150 130 -150 95 -130 75 -160 95 -110 100 -105 90 95 75 135 -173 127 114 114 124 134 105 167 150 153 123 156 200 135 156 153 168 145 140 125 120 140 140 140 130 90 SHAKES and SHINGLES 69 49 APA APA APA APA APA APA APA APA APA UL UL I -IPVA HPVA HPVA HPVA H PVA HPVA HPVA NIST HPVA HPVA HPVA HPVA UL HPVA N1ST NIST UL UL UL HPVA HPVA UL HPVA 1 -IPVA HPVA UL I -IPVA HPVA 4 FLAME SPREAD PERFORMANCE OF WOOD PRODUCTS Table 1 Footnotes. 1 Thickness of material tested is one -inch nominal except where indicated. 2 The ASTM E -84 test method has been revised a number of times during the years referenced by the source reports. However the F -84 test apparatus has changed little over this period. Slightly different flame spread indices, usually lower result when recent E-84 flame spread calculation techniques are applied to older wood product data. These changes in flame spread indices are not sufficient to change the flame spread class for the wood products described in this re- port. 3 Sources: APA APA -The Engineered Wood Association, Research Reports 128, Revised, August 1979 APA2 APA -The Engineered Wood Association Test Results. �CWC Fire Safety Design in Buildings, Canadian Wood Council, 1996. HPVA Hardwood Plywood and Veneer Association, Test Reports, 202, 203 335, 336, 337 592, and 596, Special flame spread performance tests, Aug. 1974 T9234 T9237 T93I7 T9344 T9354 May 1995 T9422, T9430 T9431 T9453, T9665, Feb /July 1997 HPVA2 Hardwood Plywood and Veneer Association, March /April 1995; October /December 2000; June 2008. NI National Institute of Standards and Technology (formerly National Bureau of Standards), Technical Notes 879 and 945 UL Underwriter's Laboratory UL 527 May 1971 Subject 723, Assignment 71 SC509 Mar 15 &16,1971 Assignment 84NK1898, File RI0917 Mar 9 1984 WEY Weyerhaueser Fire Laboratory I973 1987 January February 1988. 4 Average of 18 tests was 154 with three values over 200. 5 The Hem -Fir Species Group represents six species: Californian Red Fir, Grand Fir, Nobel Fir Pacific Silver Fir, Western Hemlock, and. White Fir The re- ported flame spread index represents a product containing a mixture of these species. When lumber is from a single species refer to the specific species flame spread index. 6 Exposure 1 or exterior. Average of 22 tests was 128. 7 Flame spread of plywood is affected by the species of the face veneer but can also be influenced by the species of the underlying core veneer Various panel constructions involving certain core species show a relatively high degree of variability and potential to yield flame spread values above 200. Panel construc- tions involving cores of aspen, sumauma, yellow poplar and white fir have exhibited this behavior with average flame spread indices ranging from 78 to 259 Other factors, in addition to species, including material and process variables related to specific manufacturers can also affect flame spread. Thus, for plywood panels with certain core species, test data from the actual manufacturer is particularly important in establishing the flame spread classification of the product. Copyright 1997 1998, 2001 2002, 2007 2008 American Forest Paper Association, inc. American Wood Council Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Voice and Data Owner Family Medicine 303 West 8th Street PORT ANGELES WA 983620217 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS ELECTRICAL NEW COMMERICAL EACH ADDITIONAL 1500 $5 00 156117 100 00 11/05/09 5/04/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00001149 351596 240 W FRONT ST 06 30 00 0 0 1405 0000 ELECTRICAL ONLY CENTRAL BUSINESS DISTRICT 0 Contractor Date 11/05/09 ANGELES COMMUNICATIONS INC 102 ROSS LN PORT ANGELES WA PORT ANGELES (360) 457 4375 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 1 00 75 0000 ECH EL ADDNT LIMITED 1500 SQ FT Charged Paid Credited 100 00 100 00 00 00 00 00 100 00 100 00 00 WA 98362 Due DATE RESULTS izg r 44 00 00 00 0 0 0 Extension 25 00 75 00 Signature of owner or Electrical Contractor X Date INSPECTOR City of Port Angeles Permit Application Building DivislonIElectrlcai Inspections 321 East Fifth Street P.0 Box 1150 Port Angeles Washington, 98362 Ph: (360) 4174735 Fax; (360) 417 -4711 Date 1 Si 2 Single Family Dwelling Multi Family or Commercial' Commercial Addition Alteration Remodel Repair" Plan Review May Be Required, Pleas Co mplete Electrical Plan Review Information Sheet t tgb A,, S: 1 7` Building Square Footage. Description of above \ft) r N Owner Information Name: Mai1i Address: 3n L► ti City Via,t acv ,State, 1� Zip CeiKR, tar_ Phone. Fax: Exp Unit Charge 93 75 $113. $160 00 $205.00 $291.25 2.00 57,50 2.00 72.50 86.25 $116.25 $131.25 75 00 69.00 75 00 50,00 50.00 93 75 80.00 86.25 27.50 57.50 86.25 43.75 —5 RECE VED NOV 0 2009 ELECTRICAL INSPECTIONS Contracto Information Name. Mailing Address; City State. 1 -IA Zip. Phone:4 L Fax; 45 License Exp. o Signature of owner electrical contractor or electrical administrator Cash 0 Check X Date: Ac Credit Card 0 Total (gtty Multiplied by Unit Chanel. Service /Feeder 200 Amp. Service/Feeder 201400 Amp. Service/Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp, Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W10 Service Feeder Each Additional Branch Circuit Temp, Servicel Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service/Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp. Portal to Portal Hourly t5 Sign /Outline Lighting 75 Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection S_ Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat Total 00 ADintot J At_ 1 OO saFT CO Owner as defined by RCW,19,28.261' (1) Owner will occupy the s tructure for two years after this electrical permit 1s finalized_ 2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical Installation or alteration In compliance with the electrical laws, NEC RCW. Chapter 19.28, WAC. Chapter 296.468 The City of Port Angeles Municipal Code, and Utility Specifications. PREPARED 10/28/09 8 28 54 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/28/09 ADDRESS 240 W FRONT ST TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC OWNER DOWNTOWN AMBULATORY HEALTH CTR PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLI 01 9/14/09 JLL BLDG INSULATION 9/15/09 AP September 14 2009 10 02 36 AM 1pangrle LONNIE 360 440 4770 INSULATION September 15 2009 8 06 58 AM jlierly BCF 01 10/28/09 BLDG CONCRETE FLOOR TIME 09 October r 15 28 2009 8 22 15 AM 1pangrle LONNIE 360 440 4770 CONCRETE MORNING SUBDIV COMMENTS AND NOTES PHONE (360) 394 6000 PHONE (360) 452 7891 DATE i oIzz /0 OWNER/CONTRACTOR cx. 41C- ADDRESS Z 0 tJ APPROVED 0 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT O, -b rc_r.e, -rizl 1 ST DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED C la VC'TDRS SH c.A.- 131E- ?RaT —.TM-c r ¢0I-∎ 'ck4.9 5 C» t. rthgc, 300. INSPECTOR NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 NOT APPROVED 0 t4.0LY Hi=w- _t GvtD OALSkr 8 V r► JL.n EX MYZ-1 IIC C LJfC 2? 5- 99? 2 Z, PREPARED 10/21/09 8 05 42 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 240 W FRONT ST TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC OWNER DOWNTOWN AMBULATORY HEALTH CTR PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 394 6000 PHONE (360) 452 7891 October 14 2009 2 28 09 PM 1pangrle PL2 04 10/21/09 JL PLUMBING ROUGH IN October 20 2009 10 50 46 AM 1pangrle LONNIE 457 0415 PLUMBING UNDER TEST COMMENTS AND NOTES PAGE 2 DATE 10/21/09 DATE PERMIT /0 OW n CONTRACTOR ELECTRICAL INSPECTION WIRING REPORT 417 -4735 O ?Lt rrV L C L #T rYQ c ADDRESS INSPECTOR APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED ?W EL LT c 1" f_j) ;in 1%n+ t ►1► ,.t gf2.f r31 °b KbE -C-- .14, 50 3 OLYMPIC PRINTERS, INC. (360) 452 -1381 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE PREPARED 10/07/09 8 42 04 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/07/09 ADDRESS 240 W FRONT ST TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC OWNER DOWNTOWN AMBULATORY HEALTH CTR PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 394 6000 PHONE (360) 452 7891 PL1 01 4/14/09 JLL PLUMBING UNDER SLAB 4/14/09 DA April 14 2009 9 15 59 AM 1pangrle NO NAME WAS LEFT 360 440 4770 UNDERSLAB PLUMBING April 14 2009 4 53 01 PM jlierly provide sand around piping /10 ft head reqd verify and check for leaks recall PL1 02 4/15/09 JLL PLUMBING UNDER SLAB 4/15/09 AP April 15 2009 8 37 29 AM pbarthol Lonnie 360 440 4770 April 15 2009 1 36 50 PM jlierly partial north side PL2 01 5/06/09 JLL PLUMBING ROUGH IN 5/07/09 AP May 6 2009 8 25 52 AM 1pangrle LONNIE 360 440 4770 PLUMBING PRESSURE TEST May 7 2009 9 11 54 AM jlierly PL_ 03 5/11/09 JLL PLUMBING UNDER SLAB TIME 09 00 5/15/09 AP May 8 2009 3 23 23 PM 1pangrle LONNIE 360 440 4770 UNDERGROUND PLUMBING PLEASE INSPECT AS EARLY AS POSSIBLE THEY LL HAVE A LOT OF WORKERS ON SITE AND WANT TO BACKFILL ASAP May 15 2009 3 39 03 PM jlierly PL1 04 6/18/09 PB PLUMBING UNDER SLAB TIME 09 00 6/18/09 AP June 18 2009 8 26 17 AM 1pangrle LONNIE 360 440 4770 RADIANT HEAT IN THE FLOOR MORNING June 18 2009 4 24 11 PM pbarthol PL2 02 8/18/09 JLL PLUMBING ROUGH IN 8/18/09 AP August 17 2009 4 57 28 PM 1pangrle LONNIE 360 440 4770 PLUMBING PRESSURE TEST HE PREFERS A MORNING INSPECTION August 18 2009 2 28 29 PM jlierly PL2 03 9/18/09 JLL PLUMBING ROUGH IN TIME 01 00 9/18/09 AP September 18 2009 8 19 47 AM 1pangrle LONNIE 360 440 4770 PLUMBING AFTERNOON September 18 2009 3 45 04 PM jlierly PL2 04 10/07/09 14. T1 October 7 2009 8 29 05 AM 1pangrle LONNIE 457 0415 PLUMBING TIE IN THE 2 LINE TO THE WATER MAIN VAULT COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 16244 Application desc ELECTRONIC FIRE ALARM SYSTEM 1 ZONE 09 00000943 081232 240 W FRONT ST 06 30 00 0 0 1405 0000 FAMILY MEDICINE OF PA FIRE ALARM SYSTEM Owner Contractor DOWNTOWN AMBULATORY HEALTH CTR 303 W 8TH ST PORT ANGELES WA 98362 (360) 417 7000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total FIRE ALARM SYSTEM FIRE ALARM SYSTEM 153445 150 00 Plan Check Fee 00 10/02/09 Valuation 0 3/31/10 Qty Unit Charge Per 1 00 100 0000 ECH FIRE INSPECTION TESTING 1 00 50 000.0 ECH FIRE ALARM PLAN REVIEW Special Notes and Comments A full acceptance test will be required for the fire alarm system A KNOX locking keybox will be required Contact the Fire Department at 360 417 4653 for KNOX keybox ordering information and mounting location Labeling is required for doors leading to spaces containing fire alarm control panels and fire sprinkler risers Owner is responsible for ongoing fire alarm system inspection and maintenance per the current addition of NFPA 72 September 21 2009 2 04 25 PM kdubuc Outside alarm notification device to be located on NW corner of building September 21 2009 2 05 10 PM kdubuc Provide smoke detector above FACP September 21 2009 2 05 37 PM kdubuc Manual pull station not required 150 00 150 00 00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regu,f g the work specified in the permit. Signature of Contra or Aut .ri "d Agent Date Signature of Owner Of Owner is builder) Date CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5'h Street, Port Angeles, WA 98362 Date 10/02/09 PERFORMANCE SYSTEMS 71 RUTH S PLACE SUITE 6 SEQUIM WA 98382 (360) 681 8971 Paid Credited Due Jb 0 3 Extension 100 00 50 00 00 Oki \ei) Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD Call 360 -417 -4655 for fire 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 Passed FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP -GAS Underground piping inspection /pressure test Above ground piping inspection/pressure test Tank (container) inspection Appliance inspection LP gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Comments Completed by Contractor- Test #1 Piping pressure test psi Time initiated Test #2 Piping pressure test psi Time initiated 2/15/00 Application Number 09 00000943 Application pin number 081232 Plan Check Total 00 00 Grand Total 150 00 150 00 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5'h Street, Port Angeles, WA 98362 00 00 Page 2 Date 10/02/09 00 00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit. Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date Call 360 417 -4655 for fire inspections. Please provide a minimum 24 -hour notice or conceal any work before inspected and accepted. Post permit in a conspicuous KEEP PERMIT CARD AND APPROVED PLANS AT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD Date Passed Inspection Type FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP -GAS Underground piping inspection /pressure test Above ground piping inspection/pressure test Tank (container) inspection Appliance inspection LP gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT i<oo It is unlawful location. JOB SITE Comments Completed by Contractor. Test #1 Piping pressure test Time initiated Test #2 Piping pressure test Time initiated to cover, insulate 0 2/15/00 psi psi W Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1 940 SQ FT ADDITION REMODEL EXISTING BLDG Owner DOWNTOWN AMBULATORY 303 W 8TH ST PORT ANGELES (360) 452 7891 Structure Information Other struct info Permit PUBLIC WORKS COMM WATER SERV Additional desc 2 ERVICE LINE 1 1/2 METER Permit pin number 144956 Permit Fee 2700 00 Issue Date 9/23/09 Valuation Expiration Date 3/22/10 Special Notes and Comments March 26 2009 4 29 01 PM 1pangrle Provide us a construction operation plan The building permit and plumbing permit are issued but not the mechanical permit No interior framing will be allowed until mechanical plans are received and approved and a mechanical permit is issued May 29 2008 4 34 25 PM kdubuc 1) Separate fire sprinkler plans are required for review 2) Separate fire alarm plans are required for review 3) A KNOX locking keybox will be required for hte building Contact the Fire Department at 417 4653 for a KNOX application form Also contact Fire Department for KNOX box mounting location 4) The door to the sprinkler riser room must be clearly 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 \Policies \1102 15 [10 /08) HEALTH CTR CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000622 Date 9/23/09 587436 240 W FRONT ST 06 30 00 0 0 1405 0000 FAMILY MEDICINE OF PA COMM ADDITION CENTRAL BUSINESS DISTRICT 3800000 Contractor DRURY CONSTRUCTION CO INC 19302 POWDER HILL PL N E STE 100 POULSBO (360) 394 6000 000 000 1 940 SF ADDITION REMODEL HARD SURFACE AREA NUMBER OF STORIES WA 98362 Plan Check Fee WA 98370 2 00 00 0 Qty Unit Charge Per Extension 1 00 2700 0000 EA PW W/M COM 1 1/2 2700 00 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITAR Y STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T\Policies \1102 15 [10/08] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD YES 1 NO I I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING Application Number Application pin number Special Notes and Comments labeled Sprinkler Riser CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000622 587436 5) The door to the room containing the fire alarm control panel (FACP) must be clearly labeled with the letters FACP 6) A minimum of eight 2A 10BC fire extinguishers will be required for the building One should be located adjacent to each ground floor exit one adjacent to the top of each interior stairwell one in the elevator machinery room and one in the third floor mechanical room 7) Address numbers will be required for the building Address numbers must be a minimum of 6 tall be placed in a readily visible location and be of contrasting color from their background This project will require a separate permit and fire alarm plans for review Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background Minimum 2A 10BC fire exinguishers are required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to exits and one at the top of the stairs to the second floor January 9 2009 8 55 41 AM kdubuc A KNOX locking keybox will be required Contact the Fire Department at 360 417 4653 for KNOX keybox ordering information and mounting location Labeling is required for doors leading to spaces containing fire alarm control panels and fire sprinkler risers This project will require separate permit and fire sprinkler plans for review March 26 2009 10 34 09 AM sjohns Proposal is for a medical care center in the CBD zone Set backs building height and lot coverage ok Site plan indicates 40 parking spaces Since there is a transit stop less than 500 feet away Nathan West agreed that 38 spaces are adequate Prior to final approval a detailed landscape plan must be submitted and approved No land use issues Electrical load calculations and electrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense MAINTAIN CLEARANCES FROM SERVICE WIRES January 13 2009 2 35 01 PM banders Brian 417 4708 Underground service entrance to be located on east or west building wall towards south end Pole installation necessary Page 2 Date 9/23/09 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' \Policies \1102 15 [10/08] 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 INSPECTION TYPE DATE ACCEPTED YES 1 NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \1102 15 [10/08] PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING Application Number Application pin number Other Fees T \Policies \I 102.15 [10 /08] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000622 587436 Special Notes and Comments if east wall is chosen Call for locates 72 hours before you DIG CALL BEFORE YOU DIG 1 800 424 5555 All connections to City storm drain facilities require an inspection by Public Works and Utilities Engineering prior cover Notice will be given 48 hours in advance of commencing work Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way Broom finish only An inspection by Public Works Engineering is required prior to pouring concrete May 29 2008 2 53 56 PM rbecker Are you installing a fire system lawn sprinkler system an x ray processor an auto clave a vacuum pump or any other need for a backflow assembly? The building will need to be inspected when completed If you have any questions contact Ron Becker at 417 4886 Fax 360 452 4972 or E mail at rbecker @cityofpa us January 14 2009 8 38 23 AM rbecker An inspection on the building is required to determine what will need to have backflow assemblies installed on Medical facilities requires premise protection unless there is nothing hazardous hooked to the city water system which requires backflow protection If you have any questions please contact Ron Becker at 360 417 4886 E mail rbecker @cityofpa us or Fax 360 452 4972 Page 3 Date 9/23/09 STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 2700 00 2700 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 2704 50 2704 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 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION S ANITAR Y STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T\Policies \110? 15 [10/08] RESIDENTIAL PERMIT INSPECTION RECORD YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4831 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I 1 1 1 PLANNING DEPT BUILDING 417 -4815 I I 1 I BUILDING I PREPARED 9/18/09 8 25 33 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/18/09 ADDRESS 240 W FRONT ST TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC OWNER DOWNTOWN AMBULATORY HEALTH CTR PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PL1 01 4/14/09 JLL PLUMBING UNDER SLAB 4/14/09 DA April 14 2009 9 15 59 AM 1pangrle NO NAME WAS LEFT 360 440 4770 UNDERSLAB PLUMBING April 14 2009 4 53 01 PM jlierly provide sand around piping /10 ft head reqd verify and check for leaks recall PL1 02 4/15/09 JLL PLUMBING UNDER SLAB 4/15/09 AP April 15 2009 8 37 29 AM pbarthol Lonnie 360 440 4770 April 15 2009 1 36 50 PM jlierly partial north side PL2 01 5/06/09 JLL PLUMBING ROUGH IN 5/07/09 AP May 6 2009 8 25 52 AM 1pangrle LONNIE 360 440 4770 PLUMBING PRESSURE TEST May 7 2009 9 11 54 AM jlierly PL1 03 5/11/09 JLL PLUMBING UNDER SLAB TIME 09 00 5/15/09 AP May 8 2009 3 23 23 PM 1pangrle LONNIE 360 440 4770 UNDERGROUND PLUMBING PLEASE INSPECT AS EARLY AS POSSIBLE THEY LL HAVE A LOT OF WORKERS ON SITE AND WANT TO BACKFILL ASAP May 15 2009 3 39 03 PM jlierly PL1 04 6/18/09 PB PLUMBING UNDER SLAB TIME 09 00 6/18/09 AP June 18 2009 8 26 17 AM 1pangrle LONNIE 360 440 4770 RADIANT HEAT IN THE FLOOR MORNING June 18 2009 4 24 11 PM pbarthol PL2 02 8/18/09 JLL PLUMBING ROUGH IN 8/18/09 AP August 17 2009 4 57 28 PM 1pangrle LONNIE 360 440 4770 PLUMBING PRESSURE TEST HE PREFERS A MORNING INSPECTION August 18 2009 2 28 29 PM jlierly PL2 03 9/188/09 PLUMBING ROUGH IN TIME 01 00 Nit September 18 2009 8 19 47 AM 1pangrle LONNIE 360 440 4770 PLUMBING AFTERNOON COMMENTS AND NOTES PHONE (360) 394 6000 PHONE (360) 452 7891 PREPARED 9/14/09 10 20 43 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/14/09 ADDRESS 240 W FRONT ST TENANT NBA FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC OWNER DOWNTOWN AMBULATORY HEALTH CTR PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT ME 01 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV \hc-- To& bod ME1 01 7/15/09 JLL MECHANICAL ROUGH IN 7/20/09 AP July 15 2009 9 11 26 AM permits adam 206 679 3136 mechanical rough in July 20 2009 3 50 08 PM jlierly ME1 02 8/28/09 JLL MECHANICAL ROUGH IN 8/28/09 AP August 27 2009 8 23 21 AM 1pangrle REED 206 679 3136 'OK TO COVER MECHANICAL August 28 2009 3 00 09 PM jlierly ME1 04 9/14/09 J MECHANICAL ROUGH IN September 14 2009 10 19 13 AM 1pangrle ADAM 206 679 3136 'MECHANICAL COVER INSPECTION ME1 03 9/14/09 JLL MECHANICAL ROUGH IN 9/11/09 AP September 11 2009 3 57 30 PM 1pangrle ADAM 206 679 3136 MECHANICAL COVER INSPECTION September 11 2009 4 50 54 PM jlierly COMMENTS AND NOTES PHONE (360) 394 6000 PHONE (360) 452 7891 PORT CITY OF PORT ANGEL BUILDING DIVISION er TRANSMITTAL t\v To Fire Department 0 Other Department Date I (1-09 Project Address D A) FOY+ JS Contact VV c ei\' Phone number(s) 3)0 1 (0S[ -4( Permit number 01-943 Project Description TIM max=,m 9$exY1 New Construction Addition Alteration Please review return to the Building Division, Permit Technician T Forms /Budding Division/Transmittal Parcel Number Eroiect Type Brief Des Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System it'Other Floor Areas Basement 1st Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Wf ebs ii-e W WVJ r iv► ye1 coon r pm l c.1 is in Po tl (9 cl�R pORTq B UILDING PERMIT APPLICATION Print in ink if CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 0 (360) 417 -4815 fax (360) 417 -4711 CO b Applicant \\J, -L-L h' -F PS it Phone Property Owner o ML. Folk rte t Li i Ian c 17) t Lt tv Phone 30o- y/7 --z Property Owner's Address 3453 c,4-5 1,71., 9 7 Contractor -c-- s, 3 4„ Phone ,o I 7/ Contractor's Address L ec,zro S 1,d, ,..-4.-- t 5 t cm -3s License P ii>S4k S- o/w\ cf Expires )2\c f E -mail PROJECT ADDRESS VD Le.)-a, y�27A.A S7 PA criotion. Residential Multi family )(Commercial Industrial t c— e A►ew ALa i SCR 1 one House garage other Heat pump wood burning stove gas fireplace Existing (sq. ft.) Proposed (sq. ft.) TOTAL VALUATION ((,D,X( Total footprint of structures sq. ft. T Lot size sq ft. Lot coverage cyo 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 cyo Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type 1 have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understapd that it is my responsibility to determine what permits s a are required, and to obtain permits prior to work' Q Date -1 -1 (-()q Print Name iA U ,Yi4 Signature T:Forms /Building Division /Bldg Permit.doc For City Use Only Date Received q I I Permit (1q c14 Date Approved Lot Zoning tear off re -roof lay over one layer pellet stove other per sq. ft. of bedrooms of full baths of half baths on projects. 0 PREPARED 9/01/09 8 22 13 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/01/09 ADDRESS 240 W FRONT ST TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC OWNER DOWNTOWN AMBULATORY HEALTH CTR PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 394 6000 PHONE (360) 452 7891 BL2 01 4/14/09 JLL BLDG FOUNDATION STEM WALL 4/14/09 AP April 14 2009 9 15 05 AM 1pangrle NO NAME WAS LEFT 360 440 4770 NORTH END STEMWALL April 14 2009 4 56 20 PM jlierly BLRI 01 4/23/09 JLL BLDG REBAR INSPECTION TIME 11 00 4/23/09 AP April 23 2009 8 24 50 AM 1pangrle LONNIE 460 440 4770 REBAR ANCHOR BOLTS 11 00 AM NOON INSPECTION April 23 2009 4 04 10 PM jlierly BLRI 02 5/05/09 JLL BLDG REBAR INSPECTION TIME 09 00 5/05/09 AP May 5 2009 8 22 41 AM 1pangrle LONNIE 360 440 4770 REBAR ANCHOR BOLTS WEST WALL MORNING May 5 2009 4 03 12 PM jlierly BLRI 03 6/19/09 JLL BLDG REBAR INSPECTION TIME 09 00 6/19/09 AP June 19 2009 8 57 20 AM 1pangrle LONNIE 360 440 4770 REBAR FOR SLAB MORNING INSPECTION June 19 2009 4 20 16 PM jlierly BL3 01 7/09/09 JLL BLDG FRAMING 7/09/09 AP July 8 2009 3 55 18 PM 1pangrle LONNIE 360 440 4770 PARTIAL FRAMING PARAPET WALL July 9 2009 4 53 36 PM jlierly partial on parrapet /j11 BLS 01 7/16/09 JLL BLDG ROOF SHEETING 7/16/09 AP July 16 2009 8 34 45 AM 1pangrle LONNIE 360 440 4770 'NAILING PARAPET ROOF SHEETING July 16 2009 4 27 23 PM jlierly BL3 02 8/10/09 JLL BLDG FRAMING 8/10/09 AP August 10 2009 8 53 16 AM 1pangrle I DON T KNOW WHO CALLED FOR THIS INSPECTION 260 440 4770 PLYWOOD NON SHEAR INSPECTION August 10 2009 4 49 16 PM jlierly BL3 03 9/01/09 BLDG FRAMING TIME 01 00 It August 31 2009 3 39 20 PM 1pangrle 'GP LONNIE 360 440 4770 FRAMING AFTERNOON COMMENTS AND NOTES PREPARED 8/28/09 8 56 33 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/28/09 ADDRESS 240 W FRONT ST TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC OWNER DOWNTOWN AMBULATORY HEALTH CTR PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT ME 01 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 7/15/09 JLL 7/20/09 AP ME1 02 8/28/09 SUBDIV MECHANICAL ROUGH IN July 15 2009 9 11 26 AM permits adam 206 679 3136 mechanical rough in July 20 2009 3 50 08 PM jlierly MECHANICAL ROUGH IN August 27 2009 8 23 21 AM 1pangrle REED 206 679 3136 OK TO COVER MECHANICAL COMMENTS AND NOTES PHONE (360) 394 6000 PHONE (360) 452 7891 PREPARED 8/18/09 8 27 28 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/18/09 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 4/14/09 JLL PLUMBING UNDER SLAB 4/14/09 DA April 14 2009 9 15 59 AM 1pangrle NO NAME WAS LEFT 360 440 4770 UNDERSLAB PLUMBING April 14 2009 4 53 01 PM jlierly provide sand around piping /10 ft head reqd verify and check for leaks recall PL1 02 4/15/09 JLL PLUMBING UNDER SLAB 4/15/09 AP April 15 2009 8 37 29 AM pbarthol Lonnie 360 440 4770 April 15 2009 1 36 50 PM jlierly partial north side PL2 01 5/06/09 JLL PLUMBING ROUGH IN 5/07/09 AP May 6 2009 8 25 52 AM 1pangrle LONNIE 360 440 4770 PLUMBING PRESSURE TEST May 7 2009 9 11 54 AM jlierly PL1 03 5/11/09 JLL PLUMBING UNDER SLAB TIME 09 00 5/15/09 AP May 8 2009 3 23 23 PM 1pangrle LONNIE 360 440 4770 UNDERGROUND PLUMBING PLEASE INSPECT AS EARLY AS POSSIBLE THEY LL HAVE A LOT OF WORKERS ON SITE AND WANT TO BACKFILL ASAP May 15 2009 3 39 03 PM jlierly PL1 04 6/18/09 PB PLUMBING UNDER SLAB TIME 09 00 6/18/09 AP June 18 2009 8 26 17 AM 1pangrle LONNIE 360 440 4770 RADIANT HEAT IN THE FLOOR MORNING June 18 2009 4 24 11 PM pbarthol PL2 02 8/18/09 JLL //11 PLUMBING ROUGH IN is I/ August 17 2009 4 57 28 PM 1pangrle t,JVD LONNIE 360 440 4770 PLUMBING PRESSURE TEST HE PREFERS A MORNING INSPECTION COMMENTS AND NOTES ASSOCIATES INCORPORATED CIVIL ENGINEERING LAND SURVEYING 301 East 6"' Street, Suite 1 Port Angeles, Washington 98362 (360) 417 -0501 FAX (360) 417 -0514 E -mail: zenovic@olympus.net Daily Inspection Report Contractor "D Ql n.'2.`i Page 1 of Job 09 0 5 Cj Week Day TtAt6 t Date: v I I /01 Job Site Description DounitcoLi AVVIalki ..A1'0 10 It E.A.► r1a (J rWWP DIARY ■JSP Li` 5)1.12 .Q w )4.t.LI S14 WALLS FR Qty (v n 1 A Tco AL t A. t (Q swa tilt; S10 .r Sl o APPQDV iLA QSZP iA(1-rolJ QLM.1Sa Sjj ft LOA LL z tv1012A 14(40 UR t`i.P,witn, m FA 1/.2. 1..mxi_ZI] egg, 7 W si4- y2 1,+ems_ 4!.hlwl�Int -r 013 f1T )fel a- SI ll.. r i Lv. 4d SIGNED PREPARED 8/10/09 8 57 56 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/10/09 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL2 01 4/14/09 —JLL BLDG FOUNDATION STEM WALL 4/14/09 AP April 14 2009 9 15 05 AM 1pangrle NO NAME WAS LEFT 360 440 4770 NORTH END STEMWALL April 14 2009 4 56 20 PM jlierly BLRI 01 4/23/09 JLL BLDG REBAR INSPECTION TIME 11 00 4/23/09 AP April 23 2009 8 24 50 AM 1pangrle LONNIE 460 440 4770 REBAR ANCHOR BOLTS 11 00 AM NOON INSPECTION April 23 2009 4 04 10 PM jlierly BLRI 02 5/05/09 JLL BLDG REBAR INSPECTION TIME 09 00 5/05/09 AP May 5 2009 8 22 41 AM 1pangrle LONNIE 360 440 4770 REBAR ANCHOR BOLTS WEST WALL MORNING May 5 2009 4 03 12 PM jlierly BLRI 03 6/19/09 JLL BLDG REBAR INSPECTION TIME 09 00 6/19/09 AP June 19 2009 8 57 20 AM 1pangrle LONNIE 360 440 4770 REBAR FOR SLAB MORNING INSPECTION June 19 2009 4 20 16 PM jlierly BL3 01 7/09/09 JLL BLDG FRAMING 7/09/09 AP July 8 2009 3 55 18 PM 1pangrle LONNIE 360 440 4770 PARTIAL FRAMING PARAPET WALL July 9 2009 4 53 36 PM j ierly partial on parrapet /jll BLS 01 7/16/09 JLL BLDG ROOF SHEETING 7/16/09 AP July 16 2009 8 34 45 AM 1pangrle LONNIE 360 440 4770 'NAILING PARAPET ROOF SHEETING July 16 2009 4 27 23 PM jlierly BL3 02 8/10/09 BLDG FRAMING August 10 2009 8 53 16 AM 1pangrle I DON T KNOW WHO CALLED FOR THIS INSPECTION 260 440 4770 PLYWOOD NON SHEAR INSPECTION COMMENTS AND NOTES A ITY 1 -30-;AtRINsA nbse associates civil structural engineers offices: 365 Ericksen Ave. NE 8328 Bainbridge Island, WA 98110 0 206 780 -6822 205 Fairview Lane 8100 Paso Robles, CA 93446 0 452 -8152 mail deliveries: 321 High School Rd. NE Ste D -3 PMB 216 Bainbridge Island, WA 98110 FILE Structural Observation Report Project: Port Angeles, Downtown Ambulatory Care Date August 7, 2009 Time: 2.15 pm Weather partly cloudly, warm Present: Lome- Superintendent, Bart Needham, Structural Engi Std 0 1 2009 1 The parapet on the north side of the building was discussed, Inc, having the 3x continuous blocking on the top of the sheathing is acceptably. CITY' 1i= r 1NGELES .f.: DIVISION 2. Using 6 3 /4 x 13 /2" GLB in lieu of PSL material is acceptable at the overhead bndge locations. The following items were noted discussed. 3 The framing for the exterior infill walls was revised to show wood blocking nailed in lieu of framing clips. Appropriate details have been attached. 4 Typical header and king stud information is shown on S006, but is superseded by more detailed information in the plans. 5 Corner strap at the northwest 2 floor headers have been mstalled and is acceptable. 6 Detail 6 S/502, the strap can go on the outside face of framing. 7 Leaving the face block out on the existing angles (which have been removed) on the north face of the west of the steel bent adjacent to the wood frame addition is acceptable. 8 In general, all framing is complete and has been observed by the Structural Engineer Framing appears to be tight, clean and in conformance with the construction drawings. The quality of workmanship appeared to be excellent. The wood framing was installed very tight with appurtenant straps hardware, and appeared to be installed as shown in the contract documents. Nailing for sheathing appeared to be in conformance with the construction documents. 51/4 X 117A8 PSL Z 1- Irk 4 2 <Iv 46" 51_4X 117/8 PSL 51/4X 117/8 PS 11 to LI -1 I 3 -1-e':114 0 Ell NIP I OWFA3. SIM 3 HUC6 .:1144 X 1'4 7/8 PSL I -.2--- 3,:y LI ,j 'p `---Z-' ,1 P-....., i DN imasaalawaw RS OR JO ST MAY: CAI it LEVEfED A HERE FAMILY MEDECINE PORT ANGELES AMBULATORY CARE CENTER 240 POR CO .1/4)(11 ij8P 'LUSH, l. T co;_! ST FRONT STREET NGELES, WA 98363 3/4 T&G FLOOR SHEATHING GLUED TO FRAMING OR USE DEPTH TJI MANUFACTURER BLKG AS REQUIRE JOIST MANUFAC ER NAILING 7 711 EXPIRES 2-6-2011 nbse associates IvII t 321 HIGHSCHOOL ROAD SUITE D-3 PMB 216 BAINBRIDGE ISL. WA 98110 206 780 6822 F 206 780 6683 tiaSt2e98 693 3667 C.206 300 2346 tu I engin bart@ nbse.com 2 -3/8" DIA. X 6' LAGS DAP OR LET PLATE INTO BEAM CONC AS REQUIRED 2 1/2" DIA. X 3' EMBED IN 2 PART EPDXY L 114' THICK PLATE TOP BOTTOM SAME AS BELOW HSS DOOR 240 WEST FRONT STREET PORT ANGELES, WA 98363 FRAMING SECTIO SCREW TOP PLATES TO Z' PURLIN TYP 2X6 16' (N) STORE FRONT WALL FAMILY MEDECINE PORT ANGELES AMBULATORY CARE CENTER 2X SILL 16d @16' BEAM, SEE PLAN STANDING SEAM ETAL ROOF SE' A RCH DRAWINGS aoley'rq ,113 BPJk4h: 'ISL. WA I0i'ti'i.c 780 6822 F 206 780 6683 1 1.5808 693 3667 C.206 -300 2346 Bart nbse.com (E) ANGLE TO REMAIN (N) 4X6 MIN BOLT TO (E) ANGLE (SPACER FOR WALL FRAMING) 1/2 1 -0 ,303 O w z r X 0 c ih Q (E) Z' PURLIN BEYOND 2 1/4 x 4 SDS SCREW FROM BELOW 6 x 6 24' 4- 1/4 x 6 SDS (E) 'Z' PURLIN SCREWS TYP L J J 2 x 6 EXTEND AS FAR AS NECESSARY TYP 12' -0' APPROX. x 6 2x6a16' OC ?ik 4x6 FAMILY MEDECINE PORT ANGELES AMBULATORY CARE CENTER 240 WEST FRONT STREET PORT ANGELES, WA 98363 1 3/4 x 5 1/2 LVL EA. SIDE A35 TYP (E) 'Z PURLIN F 206 780 6683 4 693 3667 C.206 300 2346 rt Lt 2 -5' DIA. I BOLTS a53Ocites clvll 8 t uctu al enginee 321 HIGHSCHOOL ROAD SUITE D -3 PMB 216 BAINBRIDGE ISL. WA 98110 206 780 6822 Bart nbse.com 3 X O Q SEE DETAILS FOR EAVE CONNECTIONS O SE DETAILS F02 EAVE CO NECTIONS 2XTR ER U OF LIPS, TYP YLX8 TOP P 1TE 0 0 2 -2X8 INDOW SYS 2 -2X8 SEE 1) ?AILS FOR URB CONI) TONS ALTERNATE CONNECTION 2X BLOC 2 -16d EA. SFUC N LIEU OF CLIP "(P TRIMMER IN L. OF CLIPS, RFI #18 Se E DETAILS F I'. EAVE C I INECTION 240 WEST FRONT STREET PORT ANGELES, WA 98363 LI )Ft:EIL BI !CND 3H(IWN D13FED FAMIL (MEDE.: !,:IE PORT 4NGELEN', r,r,ovLrl�l�n1 .*flc. CZ flier` FRAMING ELEVATION I? 0.1• WWI CRI[ it ISL, WI 0011 TYPICAL WINDOW OPENING SCALE: 3/4 1'-0" 1 0 P206. 10.1683 4 0.206.300.2346 F1a[t_.a.nb.5e_mm F 206784 6683 F208 -693 3667 C.206 300 2346 bart nbse.com 1.11 SH 1 x a w (E) RE 5/8' WEL tf TEMPERATU 1. TEMPE 2. PYROM 3. INFRAF FA 2 r) IMPDNf IANG ER, T. OR:SI 11 bat CAP OON LEVIS PLAN SW? ,11/18T, 60- BEAM T6 PiATE TO STEELN AMB /2" PLATE RAN i uw wr.ww, ,±.40.11‘. 1 41 CARE 240 WEST FRVNT STREET PORT AN. ELItS, WA 98363 EXPIRES 2-6-2011 4 1-2009 1 \S201 nbse associates civil structural 321 HIGHSCHOOL ROAD SUITE D-3 PMB 216 BAINBRIDGE ISL., WA 98110 206 7 8 0 6822 engineers 780 3 93 3667 00 2346 nbse.com S503 CI PORT ANGELES Angeles PREPARED 7/16/09 8 39 29 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/16/09 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL2 01 4/14/09 JLL BLDG FOUNDATION STEM WALL 4/14/09 AP April 14 2009 9 15 05 AM 1pangrle NO NAME WAS LEFT 360 440 4770 NORTH END STEMWALL April 14 2009 4 56 20 PM jlierly BLRI 01 4/23/09 JLL BLDG REBAR INSPECTION TIME 11 00 4/23/09 AP April 23 2009 8 24 50 AM 1pangrle LONNIE 460 440 4770 REBAR ANCHOR BOLTS 11 00 AM NOON INSPECTION April 23 2009 4 04 10 PM jlierly BLRI 02 5/05/09 JLL BLDG REBAR INSPECTION TIME 09 00 5/05/09 AP May 5 2009 8 22 41 AM 1pangrle LONNIE 360 440 4770 REBAR ANCHOR BOLTS WEST WALL MORNING May 5 2009 4 03 12 PM jlierly BLRI 03 6/19/09 JLL BLDG REBAR INSPECTION TIME 09 00 6/19/09 AP June 19 2009 8 57 20 AM 1pangrle LONNIE 360 440 4770 REBAR FOR SLAB MORNING INSPECTION June 19 2009 4 20 16 PM jlierly BL3 01 7/09/09 JLL BLDG FRAMING 7/09/09 AP July 8 2009 3 55 18 PM 1pangrle LONNIE 360 440 4770 PARTIAL FRAMING PARAPET WALL July 9 2009 4 53 36 PM jlierly partial on parrapet /jl1 BL8 01 7/16/09 ;LTys� BLDG ROOF SHEETING July 16 2009 8 34 45 AM 1pangrle LONNIE 360 440 4770 'NAILING PARAPET ROOF SHEETING COMMENTS AND NOTES (a7 A v e fw to 6°. bsoQ :63 :a -Diew )351 L)) 74, a ,C")f. crca 1(17 ej7 r n/1-1-0 PREPARED 7/15/09 9 12 45 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/15/09 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT ME 01 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 7/15/09 MECHANICAL ROUGH IN July 15 2009 9 11 26 AM permits adam 206 679 3136 mechanical rough in COMMENTS AND NOTES cyP- PREPARED 7/09/09 10 59 48 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/09/09 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL2 01 4/14/09 JLL BLDG FOUNDATION STEM WALL 4/14/09 AP April 14 2009 9 15 05 AM 1pangrle NO NAME WAS LEFT 360 440 4770 NORTH END STEMWALL April 14 2009 4 56 20 PM jlierly BLRI 01 4/23/09 JLL BLDG REBAR INSPECTION TIME 11 00 4/23/09 AP April 23 2009 8 24 50 AM 1pangrle LONNIE 460 440 4770 REBAR ANCHOR BOLTS 11 00 AM NOON INSPECTION April 23 2009 4 04 10 PM jlierly BLRI 02 5/05/09 JLL BLDG REBAR INSPECTION TIME 09 00 5/05/09 AP May 5 2009 8 22 41 AM 1pangrle LONNIE 360 440 4770 REBAR ANCHOR BOLTS WEST WALL MORNING May 5 2009 4 03 12 PM jlierly BLRI 03 6/19/09 JLL BLDG REBAR INSPECTION TIME 09 00 6/19/09 AP June 19 2009 8 57 20 AM 1pangrle LONNIE 360 440 4770 REBAR FOR SLAB MORNING INSPECTION June 19 2009 4 20 16 PM jlierly BL3 01 7/09/09 J BLDG FRAMING July 8 2009 3 55 18 PM 1pangrle TfV�" LONNIE 360 440 4770 PARTIAL FRAMING PARAPET WALL COMMENTS AND NOTES PREPARED 6/19/09 8 59 30 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/19/09 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL2 01 4/14/09 JLL BLDG FOUNDATION STEM WALL 4/14/09 AP April 14 2009 9 15 05 AM 1pangrle NO NAME WAS LEFT 360 -440 4770 NORTH END STEMWALL April 14 2009 4 56 20 PM jlierly BLRI 01 4/23/09 JLL BLDG REBAR INSPECTION TIME 11 00 4/23/09 AP April 23 2009 8 24 50 AM 1pangrle LONNIE 460 440 4770 'REBAR ANCHOR BOLTS 11 00 AM NOON INSPECTION April 23 2009 4 04 10 PM jlierly BLRI 02 5/05/09 JLL BLDG REBAR INSPECTION TIME 09 00 5/05/09 AP May 5 2009 8 22 41 AM 1pangrle LONNIE 360 440 4770 REBAR ANCHOR BOLTS WEST WALL MORNING May 5 2009 4 03 12 PM jlierly BLRI 03 6/19/09 L BLDG REBAR INSPECTION TIME 09 00 Le June 19 2009 8 57 20 AM 1pangrle LONNIE 360 440 4770 'REBAR FOR SLAB MORNING INSPECTION COMMENTS AND NOTES PREPARED 6/18/09 8 33 39 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS TENANT NBA CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ PL1 01 PL DO PLUMBING PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 4/14/09 JLL 4/14/09 DA PL1 02 4/15/09 JLL 4/15/09 AP PL2 01 5/06/09 JLL 5/07/09 AP PL1 03 5/11/09 JLL 5/15/09 AP 240 W FRONT ST FAMILY MEDICINE OF PA DRURY CONSTRUCTION CO INC DOWNTOWN AMBULATORY HEALTH CTR 06 30 00 0 0 1405 0000 08 00000622 COMM ADDITION PL1 04 6/,18/09 INSPECTOR JAMES LIERLY SUBDIV PHONE (360) 394 6000 PHONE (360) 452 7891 PLUMBING UNDER SLAB April 14 2009 9 15 NO NAME WAS LEFT UNDERSLAB PLUMBING April 14 2009 4 53 provide sand around for leaks recall PLUMBING UNDER SLAB April 15 2009 8 37 29 AM pbarthol Lonnie 360 440 4770 April 15 2009 1 36 50 PM jlierly partial north side PLUMBING ROUGH IN May 6 2009 8 25 52 AM 1pangrle LONNIE 360 440 4770 PLUMBING PRESSURE TEST May 7 2009 9 11 54 AM jlierly PLUMBING UNDER SLAB TIME 09 00 May 8 2009 3 23 23 PM 1pangrle LONNIE 360 440 4770 UNDERGROUND PLUMBING PLEASE INSPECT AS EARLY AS POSSIBLE THEY LL HAVE A LOT OF WORKERS ON SITE AND WANT TO BACKFILL ASAP May 15 2009 3 39 03 PM jlierly PLUMBING UNDER SLAB TIME 09 00 June 18 2009 8 26 17 AM 1pangrle LONNIE 360 440 4770 'RADIANT HEAT IN THE FLOOR MORNING COMMENTS AND NOTES 59 AM 1pangrle 360 440 4770 PAGE 1 DATE 6/18/09 01 PM jlierly piping /10 ft head reqd verify and check Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc AHC clinic 600 amp service Owner Ambulatary Health Center 303 w 8th st PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 152 00 5 00 3 00 1 00 Fee summary Unit Charge 2 0000 93 7500 113 7500 205 0000 Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 146555 1319 00 5/20/09 11/16/09 Per ECH ECH ECH ECH ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000477 829231 240 W FRONT ST 06 30 00 0 0 1405 0000 ELECTRICAL ONLY CENTRAL BUSINESS DISTRICT 0 Contractor OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457 5303 ELECTRICAL NEW COMMERICAL Plan Check Fee Valuation EL BRANCH CIRCUIT W /FEEDER EL 0 200 SRV FEEDER EL 201 400 SRV FEEDER EL -601 1000 SRV FEEDER Special Notes and Comments May 20 2009 12 38 58 PM BANDERS Brian 417 4708 OK Charged Paid Credited Due 1319 00 1319 00 00 00 00 00 00 00 1319 00 1319 00 00 00 1 12°1 loo Date 5/20/09 WA 98363 44E DATE RESULTS 00 0 Extension 304 00 468 75 341 25 205 00 VCDEN Signature of owner or Electrical Contractor X Date INSPECTOR. 1 0 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 22 t stats Owner Ambulatary Health Center 303 w 8th st PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000471 340813 240 W FRONT ST 06 30 00 0 0 1405 0000 ELECTRICAL ONLY CENTRAL BUSINESS DISTRICT 0 Contractor ELECTRICAL NEW COMMERICAL 21 EXTRA AT11 00 146464 274 75 5/20/09 11/16/09 Qty Unit Charge Per BASE FEE 1 00 43 7500 ECH EL LVT THERMOSTAT EVERGREEN REFRIGERATION LLC 727 S KENYON ST SEATTLE (206) 763 1744 Plan Check Fee Valuation Charged Paid Credited 274 75 274 75 00 00 00 00 274 75 274 75 00 Vig '64 ►Iz� l�o Date 5/20/09 WA 98108 00 `-fit Raz G2/-s s girPo rr� DATE RESULTS 0 Extension 231 00 43 75 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. °Tb Qbaf i C11. it, "11147 05/19/2009 08 43 FAX 360 452 Oty of Port Angeles Permit Application Building DteldonlEleetrical Inepsctlona 321 Beet Fifth Street P.O. Ben 1100 Pert Angeles Waehh gten, 09302 Ph: (3N) 417 -4725 Fey MO) 4114711 Date: 5l /S /07 1 2 Single Family Dweling Multl.Famly or Commercial' Commercial Addition Alteration Remodel Repair' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: may!' A/ Building Square Footage: 7'2 Description of above A/i. /7 Owner Information Name: F.yrn, M'..-. i/7 .-/T A /r Mailing Address 3i) zb S� City: 7' An.. r State b,/,,7 21p: 9 y ex 2 Phone: Fax: Ucense 0/ Exp. Unit Ovens 93,75 $113.75 $180.00 $205.00 $291,25 2.00 57.50 2.00 72.50 86.25 1116.25 8131.25 75.00 69.00 $75.00 50.00 8 50.00 93.75 00.00 86.25 27.50 5 57.50 86.25 43.75 Owner es delin d byR+CN! 19.2&a1 17) Qatar exam the stnxtu#e for Avo years after this elecbicalpe►mlt is I/ne/lred (x1 Owrer Is required to hire an e/iealesl consacaa IFSbn a saldpropeay[s 16rselee. rent or bless. After reeding the above statement, I hereby (edify dot I em the can, of the above nemsd property or licensed gladdest contractor. I am making the eleotrleal Installation or aferitlon in compliance al the electrical laws, N.EC-, RCW. Chapter 1929. WAC. Chapter 2018488, The City of Port Angels: Munlelpal Coda, and Utility Spec Meatless. Signature of owner. elaatrtoal oordnefor or deobiasi administrator Z v line: -�//��d1` 162 3498 Atettvrery MAY 2 0 2009 LIGHT DEPT Contractor Information Name: 7.-■ Melting 412 7.7 r/ /Gig r,C/r Cityy f�. t A1, State: r,/,/ Zip: 2 f r/1 Phone: 7 s Fax: 4' 7 7./: ,v License Multioled bvit Char%) ServloelFeeder 200 Amp. $A/ Z 5 Service/Feeder 201-400 Amp. Ste S Service/Feeder 401-600 Amp. Service/Feeder 601.1000 Amp. ServicelFeeder over 1000 Amp. Branch Chtult W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Clrcull S Temp. Service/ Feeder 200 Amp. Temp. SeMcelFeeder 201-400 Amp. Temp. Se vicelFeeder 401-600 Amp. S Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly SignlOuaine Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ United Energy Multi-Family Dwelling Manufactured Home Connection 5 Renewable Da trical Cnergy 5nVA System or Less First 1300 Square FL 1 Each Additional 500 Square Ft or Portion ef Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat Total 00. Cash CChsok 1K Card* PA CITY INSPECT 00 9(,902 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION .c=_11/ 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 08 00000622 Date 5/19/09 Application pin number 587436 Property Address 240 W FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1405 0000 Tenant nbr name FAMILY MEDICINE OF PA Application type description COMM ADDITION Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 3800000 Application desc 1 940 SQ FT ADDITION REMODEL EXISTING BLDG Owner Contractor DOWNTOWN AMBULATORY HEALTH CTR DRURY CONSTRUCTION CO INC 303 W 8TH ST 19302 PO ER HILL PL N E PORT ANGELES WA 98362 STE 100\ (360) 452 7891 POULSBO WA 98370 (360) 394 6000 Structure Information 000 000 1 940 SF ADDITION REMODEL Other struct info HARD SURFACE AREA NUMBER OF STORIES 2 00 Permit MECHANICAL PERMIT Additional desc Permit pin number 144717 Permit Fee 724 10 Plan Check Fee 00 Issue Date 5/19/09 Valuation 300000 Expiration Date 11/15/09 Qty Unit Charge Per Extension BASE FEE 50 00 2 00 14 8000 EA ME FURN /HP /FAU OR 5 TON 29 60 39 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 282 75 1 00 18 2000 EA ME FURN /HP /FAU 5 TON 18 20 18 00 14 8000 EA ME HEATER(SUSP /WALL /FLOOR MTD) 266 40 1 00 50 0000 HR ME ADDITIONAL PLAN REVIEW 50 00 1 00 27 1500 EA ME BOILER >3 15 HP 27 15 Special Notes and Comments March 26 2009 4 29 01 PM 1pangrle Provide us a construction operation plan The building permit and plumbing permit are issued but not the mechanical permit No interior framing will be allowed until mechanical plans are received and approved and a mechanical permit is issued May 29 2008 4 34 25 PM kdubuc 1) Separate fire sprinkler plans are required for review 2) Separate fire alarm plans are required for review 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 fora 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 1 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 ofconstructio A WA 6^ P A1-11) nJ Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T.FormsBuilding DivisionBuilding Permit BUILDING PERMIT INSPECTION RECORD 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 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 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 Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping T /Building Division /Building Permit 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 Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Comments FINAL Date Accepted by FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By f Application Number Application pin number CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 08 00000622 587436 Special Notes and Comments 3) A KNOX locking keybox will be required for hte building Contact the Fire Department at 417 4653 for a KNOX application form Also contact Fire Department for KNOX box mounting location 4) The door to the sprinkler riser room must be clearly labeled Sprinkler Riser 5) The door to the room containing the fire alarm control panel (FACP) must be clearly labeled with the letters FACP 6) A minimum of eight 2A 10BC fire extinguishers will be required for the building One should be located adjacent to each ground floor exit one adjacent to the top of each interior stairwell one in the elevator machinery room and one in the third floor mechanical room 7) Address numbers will be required for the building Address numbers must be a minimum of 6 tall be placed in a readily visible location and be of contrasting color from their background This project will require a separate permit and fire alarm plans for review Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background Minimum 2A 10BC fire exinguishers are required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to exits and one at the top of the stairs to the second floor January 9 2009 8 55 41 AM kdubuc A KNOX locking keybox will be required Contact the Fire Department at 360 417 4653 for KNOX keybox ordering information and mounting location Labeling is required for doors leading to spaces containing fire alarm control panels and fire sprinkler risers This project will require separate permit and fire sprinkler plans for review March 26 2009 10 34 09 AM sjohns Proposal is for a medical care center in the CBD zone Set backs building height and lot coverage ok Site plan indicates 40 parking spaces Since there is a transit stop less than 500 feet away Nathan West agreed that 38 spaces are adequate Prior to final approval a detailed landscape plan must be submitted and approved No land use issues Electrical load calculations and electrical permits are required Page 2 Date 5/19/09 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.FormsBuilding 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 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 Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type 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 FINAL Date Accepted by FINAL Date Accepted by Date Accepted By o 1602.m Application Number Application pin number Other Fees Fee summary T:FormsBuilding DivisionBuilding Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 08 00000622 587436 Special Notes and Comments Any modifications to the City s electrical facilities will be at the customer s expense MAINTAIN CLEARANCES FROM SERVICE WIRES January 13 2009 2 35 01 PM banders Brian 417 4708 Underground service entrance to be located on east or west building wall towards south end Pole installation necessary if east wall is chosen Call for locates 72 hours before you DIG CALL BEFORE YOU DIG 1 800 424 5555 All connections to City storm drain facilities require an inspection by Public Works and Utilities Engineering prior cover Notice will be given 48 hours in advance of commencing work Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way Broom finish only An inspection by Public Works Engineering is required prior to pouring concrete May 29 2008 2 53 56 PM rbecker Are you installing a fire system lawn sprinkler system an x ray processor an auto clave a vacuum pump or any other need for a backflow assembly? The building will need to be inspected when completed If you have any questions contact Ron Becker at 417 4886 Fax 360 452 4972 or E mail at rbecker @cityofpa us January 14 2009 8 38 23 AM rbecker An inspection on the building is required to determine what will need to have backflow assemblies installed on Medical facilities requires premise protection unless there is nothing hazardous hooked to the city water system which requires backflow protection If you have any questions please contact Ron Becker at 360 417 4886 E mail rbecker @cityofpa us or Fax 360 452 4972 STATE SURCHARGE 4 50 Charged Paid Credited Page 3 Date 5/19/09 Due Permit Fee Total 724 10 724 10 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 728 60 728 60 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) FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -ln 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 Skirting 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date Accepted by Date Accepted By 0 3 0 3 a City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: I g/ Gc i 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Owner Information Name: vfl grilbvfrtte H4vl 1 C-(„A 1 Mailing Address: 7 o 3 W 7#4i s+- City QM {a State: Zip: 9 730 Z Phone. Fax: License Exp. Unit Charae 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 Signature of owner electrical contractor or electrical administrator toL Date: RECEIVED MAY 2 0 2009 LIGHT DEPT Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Lyv W frrAf- S4 PM" Ar144 IK Liv 61 8 16 Z Building Square Footage. Description of above I' J111 (Z-2) ce i RP'S Total (Qtv Multiplied by Unit Charael Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp. Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub c TRroi„,ubtal pe„mo C6M Total 1 F-A-G- 1- 1 AVM 1r 20 Cash Cash Check Credit Card Contractor Information Name: F OW(41,rarrt'cb✓1 1 '--C. Mailing Address: 1Z1 5 tAtiy 54- City e.-44--E0-14._ State. 1 44 Zip: 4i' Phone: z(*- T(,1 IN N Fax: z/A `0(3 )rd 1 License Exp. ✓r g- G 2 `i T7 a Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. PREPARED 5/11/09 8 28 15 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/11/09 ADDRESS 240 W FRONT ST TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC OWNER DOWNTOWN AMBULATORY HEALTH CTR PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 394 6000 PHONE (360) 452 7891 PL1 01 4/14/09 JLL PLUMBING UNDER SLAB 4/14/09 DA April 14 2009 9 15 59 AM 1pangrle NO NAME WAS LEFT 360 440 4770 UNDERSLAB PLUMBING April 14 2009 4 53 01 PM jlierly provide sand around piping /10 ft head reqd verify and check for leaks recall PL1 02 4/15/09 JLL PLUMBING UNDER SLAB 4/15/09 AP April 15 2009 8 37 29 AM pbarthol Lonnie 360 440 4770 April 15 2009 1 36 50 PM jlierly partial north side PL2 01 5/06/09 JLL PLUMBING ROUGH IN 5/07/09 AP May 6 2009 8 25 52 AM Ipangrle LONNIE 360 440 4770 PLUMBING PRESSURE TEST May 7 2009 9 11 54 AM jlierly PL1 03 5/11/09 L/� PLUMBING UNDER SLAB TIME 09 00 4��1 May 8 2009 3 23 23 PM 1pangrle LONNIE 360 440 4770 UNDERGROUND PLUMBING PLEASE INSPECT AS EARLY AS POSSIBLE THEY LL HAVE A LOT OF WORKERS ON SITE AND WANT TO BACKFILL ASAP COMMENTS AND NOTES PREPARED 5/06/09 8 27 58 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/06/09 ADDRESS 240 W FRONT ST TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC OWNER DOWNTOWN AMBULATORY HEALTH CTR PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 4/14/09 JLL PLUMBING UNDER SLAB 4/14/09 DA April 14 2009 9 15 59 AM 1pangrle NO NAME WAS LEFT 360 440 4770 UNDERSLAB PLUMBING April 14 2009 4 53 01 PM jlierly provide sand around piping /10 ft head reqd verify and check for leaks recall PL1 02 4/15/09 JLL PLUMBING UNDER SLAB 4/15/09 AP April 15 2009 8 37 29 AM pbarthol Lonnie 360 440 4770 April 15 2009 1 36 50 PM jlierly partial north side PL2 01 5/06/09 J; PLUMBING ROUGH IN May 6 2009 8 25 52 AM 1pangrle LONNIE 360 440 4770 PLUMBING PRESSURE TEST SUBDIV COMMENTS AND NOTES PHONE (360) 394 6000 PHONE (360) 452 7891 CIVIL ENGINEERING LAND SURVEYING Port An Wa Washington ASSOCIATES FAX (380) 417 -0514 INCORPORATED E -mail: zenovic©olympus_net Daily Inspection Report Contractor A fANfz Page 1 of Job OR ()S'5 Week Day T1n tr SQI Date: [S /o s Job Site Description. _Lb4APAALA r©tL4 C to Le Cc2aa z r)F P.IU.URR?( a- 1=20}., t, DIARY _()L -5,12T 6 ED 12,_1;_RIC Ef* zoi-.► of (ok7e12.__ cl A eLs vpapp, 21,u0 A r1Lzl} cT F W\ L7AL.. S A R! 1AI∎V F t E ej1ArL tom) tom.. Rt%.e/A( Q r,c,art C A A- Rot ALu) p r,>= Limon_ Pz_t RF.8A? 413t.0ELS Ego iv( e xtst SLA &_0_0 1 t3M F12D EL-PI/VOL PLT 14 es.n Tn Rte_ cazcfj ?O 1 1 KAtZ,S ra 12 t O. L 1J iit o TL PAL_ ff) e_t7 Twl C)PPosT t'F nra r hL D F not., .eaYt 4(\ 8.3 n2_ t3t t_ r_S tcYM x w)St a- L1 -1r n Q,2 TAIL ,4 PP 9 -0L r CQ►.SST 2t tU L.) Pr PL A i� b- b Thu_ S Imo_ 14 Qt mAA J SIGNED INSPECTOR PREPARED 5/05/09 8 25 24 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/05/09 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL2 01 4/14/09 JLL BLDG FOUNDATION STEM WALL 4/14/09 AP April 14 2009 9 15 05 AM 1pangrle NO NAME WAS LEFT 360 440 4770 NORTH END STEMWALL April 14 2009 4 56 20 PM jlierly BLRI 01 4/23/09 JLL BLDG REBAR INSPECTION TIME 11 00 4/23/09 AP April 23 2009 8 24 50 AM 1pangrle LONNIE 460 440 4770 'REBAR ANCHOR BOLTS 11 00 AM NOON INSPECTION April 23 2009 4 04 10 PM jlierly BLRI 02 5/05/09 J BLDG REBAR INSPECTION TIME 09 00 May 5 2009 8 22 41 AM 1pangrle LONNIE 360 440 4770 REBAR ANCHOR BOLTS WEST WALL MORNING COMMENTS AND NOTES Applicant Pho Property Owner Dut-nivi.- rinnIoulc; y &tow Phone Property Owner's Address 4 16'5 W 31-t- W '0/ 1 ON}-d-e-1 Contractor 'Ni.rrowi r c14i t L LL Phone Contractor's Address 1/71 5 v►-, Wet-- License EV -C- Lo L Expires Cz t'co E -mail PROJECT ADDRESS DA C) 54- Q ‘94194,k s Parcel Number Proiect Time Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES M j►h�- Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 ,,t1 (360) 417 -4815 fax (360) 417 -4711 '1' Residential Multi family v/Commercial YYIAGhun►Cet I PI�� st, /The. &si tcRi(v.., Permit g Pb t,or c pe4-fI wore tssu4 ovN 0 Sure per/Y+ House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other For City Use Only ate Received 1 4- 2 —o9 Permit ci to Approved 'Z.c,Q- 'L(e Zc4_ 1o7 -1 Lot Zoning per sq ft. 1* Industrial TOTAL VALUATION 3 Total footprint of structures sq ft. 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 Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type I have read and completed this application and know it to be true and correct. I am authorized to apply for his permit and understand that it is my responsibility to determine what permits are required, and to obtain pe, snits prior t$ working on prgpects. Q Date 0 /0 e l Print Name Y- T /Building Division /Bldg Permit.doc of bedrooms of full baths of half baths PREPARED 4/23/09 8 30 07 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 240 W FRONT ST TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC OWNER DOWNTOWN AMBULATORY HEALTH CTR PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 394 6000 PHONE (360) 452 7891 BL2 01 4/14/09 JLL BLDG FOUNDATION STEM WALL 4/14/09 AP April 14 2009 9 15 05 AM 1pangrle NO NAME WAS LEFT 360 440 4770 NORTH END STEMWALL April 14 2009 4 56 20 PM jlierly BLRI 01 4/23/09 LL BLDG REBAR INSPECTION TIME 11 00 April 23 2009 8 24 50 AM 1pangrle LONNIE 460 440 4770 REBAR ANCHOR BOLTS 11 00 AM NOON INSPECTION COMMENTS AND NOTES PAGE 1 DATE 4/23/09 4f3.49-14-- 4--u Dd PSi 2)14 iM J �1 1) tz1 ASSOCIATES INCORPORATED Daily Inspection Report Contractor 0 R u 2 f 05r a2 LAC n Page of 1 Job Dcl cD55 o y. LI /I5 c,,e �c wEov4EsinAv Job Site Description. 1 oc,-) w∎ rye. DIARY E r( Tt 1 1 (EA A v2 v t a P- 81AI Lar N (7 21 AL) CAlvi (S0+_3' SC ia.r.:N1 (r gi= LIZ tA rU 2 1 sI'P 1a ,4-L' 5 n 4te r.,La.LL A. c1;_10 or- QtAtLn; n,(9 T I-4 I? R u) B.2a a 3tZR 2 t c F 0 r A w 1,D b ages RT C N STIAU .t_y\ A S t4r9r,na nE TAT t 3/SSL i �I {t we_ AoLts 5 '/8 X q /JD L i, Tiwo L1 rwi 0_ z,;" P9. DES. 3/ .4z, 1 AtiC.t.0Q (3e) L.1 6` o�s. S i t ue.R f R FZ FQcrv■ Fa-1(au CILA,u(- I•1.511 Tr if -1 n.C., 3 /4 At.)C 2 s_ 4) Fe a ST.au -e ,>.44r3tall)mrk As 51 C 4 I' Z.N D. r A L Sac`o.t- -C Q l L u F t r L s CLtr -.i2_ t O A Y� E_(al lre C1G.P1'14 ci- P(MPY, y P c,,1 r0 l.1i`P 1'orL LASE Ti -1 -F AP Pan F -11'mASr9i`1 Ecn 2 PM('.( G, C,`l. rrawJ CQ51 II o f �L�lla <+a�t =t srt;» G1ALL Shun L od-t EA NT ST'iQt; ni= 81.41_7_112 e k.)Ce._ 1 r.�ac 1 C 4 A 'Q f n C' r Q F r T L r- Q ICI 1) 1 2 ,wit r tJ ZO 71.1? Fr-) Qwt c it P Ari t;.r\ 5 •J ATrae.'Q' 5 34.-E F Fne wuca.e_ri• TisT t_t-c SIGNED A-im 61 r to T n...s-( i 1 CIVIL ENGINEERING LAND SURVEYING 301 East 6 Street, Suite 1 Port Angeles, Washington 98362 (360) 417 -0501 FAX (360) 417 -0514 E -mail: zenovic@olympus.net INSPECTOR ASSOCIATES INCORPORATED REPORT OF CONCRETE TEST SPECIMENS Job No. WoS 4 Client FA4 LV ma.n.r O Ao R.r Ago -0eUts Date Cast H hS/o`I Address a3 c.). f1 t+ ,r. Project nrx q� .A 4K r,r .T[�'i% 4, oral Aos Lb?( 1.7A 9P,362. Contractor n p Li\em r0t0t a 1,e,rv.)1U Subcontractor Concrete Supplier Ao r-,sui rroo.31 D Cast By l} z a ,e' rvtAN Total No. of Yards Cement Type Coarse Agg. Size 5 /q Fine Agg. 3r) Lbs. 3D Lbs. YArzr) Water 2 Gal/Yard DESIGN MEASURE MEASURE MEASURE MEASURE MEASURE MEASURE Required Compressive Strength 2 )000 PSI Additional Requirements Weather S tA+.1vvt Remarks Location/Purpose of Pour Specimen Specimen Tvae Lr V SLUMP 25 ELE11 ATM12— I. o+...1 Test Days 2SZ COMPONENTS No. of Trucks No. Sacks/Yard Weight CONCRETE SPECIFICATIONS TEMPERATURE uv° F Air 3. 5 MISCELLANEOUS �1tA c= r %ALA d- fxrg p.Tr9R E'}S) F. w:.\n C R taZ+.6t. At Register Date Total Area Unit Load Tested Load CIVIL ENGINEERING LAND SURVEYING 301 East 6 Street, Suite 1 Port Angeles, Washington 98382 (360) 417 -0501 FAX (360) 417 -0514 E-mail: zenovic@olympus.net Oz/Yard AIR CONT Li 5 At 29, Days Lbs. UNIT WT Air Temp `1 S °F ANGELES i CONCRETE PRODUCTS GENERAL TERMS AND CONDITIONS:. DELIVERY TIMES. 1 CUSTOMER ASSUMES RESPONSIBILITY FOR A SUITABLE ROADWAY TO POINT OF DELIVERY AND BY ORDERING AND ACCEPTING IrLEAVEPLANT THIS MATERIAL THE PURCHASER AGREES TO ASSUME ALL LIABILITY FOR DAMAGES TO PROPERTY OR PERSONS IN CONNECTION I. WITH ITS DELIVERY ON ANY PRIVATE PREMISE AND TO PROTECT ANGELES CONCRETE PRODUCTS FROM ALL SUCH CLAIMS. ARRIVE JOB 2. WE ALLOW 7 MIN. PER YARD TO DISCHARGE. ANY ADDITIONAL TIME WILL BE CHARGED AT $80.00 PER HOUR. 3. CUSTOMER IS RESPONSIBLE FOR WRECKER FEES REQUIRED ON THIS DELIVERY. 4. THERE WILL BE AN EXTRA CHARGE FOR DELIVERIES OF LESS THAN FOUR (4) CUBIC YARDS OF CONCRETE PER TRUCK LOAD. 5. TERMS, NET 10TH. 6. A 1.5% LATE FEE MAY BE CHARGED ON BALANCES OVER 30 DAYS. WARNING: Angeles Concrete Products concrete is •designed at a 4 slump. Additional water WILL result in lower strengths. DATE 1 TICKET SOLD TO: DEUF 'Y 4,.11\1 630i#,Ci-4g0colokri; J( I, 1 4L) S1 LEtftJ F ii..C4TE DRIVER i WATER ADDED AT 'CUSTOMERS REQUEST GALLONS BY- 1 ORDER I PLANT I L LI CASH 0 CREDIT CARD 0 CHARGE 0 CHECK RECEIVED UNDER SAID CONDITIONS OF SALE B,Y 4): Di:. I .444, 1 ,14 1.c. ILA] b 11i t 14 b j U4 iL .3 _2 Aaaress: 4410 S Airport Road Mailing: PO Box 304 m Port Angeles WA 98362 Phone (360) 457-0443 m Fax (360) 452-4744 CYLINDERS TAKEN EV YES D NO :ACT. SLUMP AVAIL. WAT. TRUCK I CUSTOMER PROJECT i riLLJL T' I" 1 1 SHIP TO F r O' IL. 1- 1: C rit 1 f T 8. ARRIVE PLANT Lr441. TrL O5E ib L. IGi 11. L if 444 WATR f.E.NEN" (.4 442 DES'iiiP ffiITE1 1:;i) C, a 4C11141. Cq Et .1• g t.) 1 icf 'Y T.F.; WARNING Wet cement can dry skin and cause alkali burns Wash affected areas with soap and water START DISCHARGE FINISH, DISCHARGE SUBTOTAL WAITING TIME CHARGE! TAX 1 5 L. litTi TIJPE.:, TUV6.1, 6 P.O: TO ADD PREPARED 4/15/09 12 46 06 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/15/09 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 4/14/09 JLL PLUMBING UNDER SLAB 4/14/09 DA April 14 2009 9 15 59 AM 1pangrle NO NAME WAS LEFT 360 440 4770 UNDERSLAB PLUMBING April 14 2009 4 53 01 PM jlierly provide sand around piping /10 ft head reqd verify and check for leaks recall PL1 02 4/15/09 PLUMBING UNDER 8L 1.� April 2009 37 l 15 2009 8 37 29 AM pbarthol Lonnie 360 440 4770 COMMENTS AND NOTES Date BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at 2 Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction t)i- sl cam. n I -S la--4 11+ ke LE-,Q. ks 1 X11 These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call for inspecti 0 Inctor for Building Division DO NOT REMOVE THIS TAG PREPARED 4/14/09 9 17 52 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/14/09 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 08 00000622 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL2 01 4/14/09 BLDG FOUNDATION STEM WALL April 14 2009 9 15 05 AM 1pangrle NO NAME WAS LEFT 360 440 4770 NORTH END STEMWALL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 4/14/09 DA- PLUMBING UNDER SLAB April 14 2009 9 15 59 AM 1pangrle NO NAME WAS LEFT 360 440 4770 UNDERSLAB PLUMBING COMMENTS AND NOTES Date April 14, 2009 NOTICE TO OWNER IMPORTANT READ BOTH SIDES OF THIS NOTICE CAREFUL, PROTECT YOURSELF FROM PAYING TWICE CITY OF PORT ANGELES To CITY OF PORT ANGELES, P 0 BOX 1150, PORT ANGELES, WA 98362-027 Dept. DOWNTOWN AMBULATORY HEALTH CENTER LLC, 303 W 8TH ST PORT ANGELES, WA 98362 From KELLER SUPPLY COMPANY RE AMBULATORY HEALTH CENTER, 303 W 8TH ST (240 W FRONT ST PORT ANGELES, WASHINGTON 22- 104848 AT THE REQUEST OF (Materials /services ordered by) NW GAS SUPPLY PLUMBING P 0 BOX 1241, POULSBO, WA 98370 THIS IS NOT A LIEN this is sent to you to tell you whn is providing professional services, materials or equipment for the improvement of your property and to advise you of the rights of these persons and your responsibilities Also take note that laborers on your project may claim a lien without sending you a notice OWNER /OCCUPIER OF EXISTING RESIDENTIAL PROPERTY Under Washington law, those who furnish labor, professional services, materials or equipment for the repair, remodel, or alteration of your owner occupied principal residence and who are not paid, have the right to enforce their claim for payment against your property This claim is known as a construction lien The law limits the amount that a lien claimant can claim against your property for Professional Services, Materials and Equipment Claims may only be made against that portion of the contract price you have not paid to your prime contractor as of the time this notice was given to you or three days after this notice was mailed to you Review the back of this notice for more information and ways to avoid lien claims COMMERCIAL AND /OR NEW RESIDENTIAL PROPERTY ECEHEI APR 16 2009 We have or will be providing professional services, materials or equipment for the improvement of your commercial or new residential project In the event you or your contractor fail to pay us, we may file a lien against your property A lien may be claimed for all professional services materials or equipment furnished after a date that is sixty days before this notice was mailed to you unless the improvement to your property is the construction of a new single family r.es=iderrc_e, t bail Leri days before this notice was mailed to you Sender KELLER SUPPLY COMPANY Address 3209 17TH AVE W SEATTLE, WA 98119 Phone (206) 285 -3300 Brief description of professional services, materials or equipment provided or to be provided PLUMBING /OR HEATING MATERIALS IMPORTANT INFORMATION ON REVERSE SIDE CC NW GAS SUPPLY PLUMBING DRURY CONSTRUCTION Order #09- 040193, dated April 3, 2009 KW IMPORTANT INFORMATION FOR YOUR PROTECTION This notice is sent to inform you that we have or will provide professional services, materials, or equipment for the improvement of your property We expect to be paid by the person who ordered our services, but if we are not paid, we have the nght to enforce our claim by filing a construction lien against your property LEARN more about the hen laws and the meaning of this notice by discussing them with your contractor, suppliers, Department of Labor and Industries, the firm sending you this notice, your lender or your attorney COMMON METHODS TO AVOID CONSTRUCTION LIENS There are several methods available to protect your property from construction hens. The following are two of the more commonly used methods. DUAL PAYCHECKS (Joint Checks) When paying your contractor for services or materials, you may make checks payable jointly to the contractor and the firm furnishing you this notice. LIEN RELEASES You may require your contractor to provide hen releases signed by all of the suppliers and subcontractors from whom you have received this notice. If they cannot obtain lien releases because you have not paid them, you may use the dual payee check method to protect yourself. YOU SHOULD TAKE APPROPRIATE STEPS TO PROTECT YOUR PROPERTY FROM LIENS YOUR PRIME CONTRACTOR AND YOUR CONSTRUCTION LENDER ARE REQUIRED BY LAW TO GIVE YOU WRITTEN INFORMATION ABOUT LIEN CLAIMS IF YOU HAVE NOT RECEIVED IT, ASK THEM FOR IT ASSOCIATES INCORPORATED Daily Inspection Report Contractor 0 ALAP-N Page 1 of Job 0 9 CYS 4 Week Day M 013 Ogy Date: LI I Qj Job Site Description. r) I 1,1 TO1..,� A.m p IALA_ e, a DIARY h S'r t. r !Jr 4(- +j POV Ni AF g .A.aYL o13 F A-S r S pX.rs -1% 1 r.. Stn] L2\Tnl co AP- t-C R PAO P LAC, ML I C. t_g, Y t2 S IAPEr ft kti X K 'L RA-CGTDYL T N-0+Rni,.re L-Y L„j..lz111 t: OLAT aS. t-t A.un .AT cpw.Pe FSSriR ALL t1l1!_iLs WH,ftii P.RrA -r EQ l t4- t�S 1S'c e• IF-Po r`- S 1V. SIGNED CIVIL ENGINEERING LAND SURVEYING 301 East 6 Street, Suite 1 Port Angeles, Washington 98362 (360) 417 -0501 FAX (360) 417 -0514 E mail: zenovic ©olympus.net TN 1n 1 R,co 0 H t 9EPp 71tiPS f,tr`t IAS 4 is OLJE, ,CF TKC .PosOt'S E VV2TZt. 4i- S REAi2 WAS F PCcXIP O r to Til$ x C 5L. L 1 A SP r 1' r r_ °-n i {F RAIA,.) L1.1(, C e SAP -T F.re AT• 01-3 0 R tt_ c,,) -.5 !;to 'A.I_Lg Q T TIT g_ Li?VAAo2 S 4A-F r AS .StiO(u 20 ALL 16 a SKT: foc.S 13 Dr_A- C/".r, p 1 6" o. g, Ll... 4 S f3 ML_ 140(1 V6, L T+.NST t1. Lb 0- L. Tu pay.) "LW; .s LA 16 u �R a1-i LW) a Am 3 es+i c It s�n� tarty Tempt rr+.r• to µAVM 1s2 ?Mr nbse associates civil structural offices: 365 Ericksen Ave. NE #328 Bainbridge Island, WA 98110 0' 206- 780 -6822 205 Fairview Lane #100 Paso Robles, CA 93446 0 805- 452 -8152 engineers Structural Observation Report Project. Port Angeles, Downtown Ambulatory Care Date Apnl 10 2009 Time 2 15 pm Weather partly cloudly breezy and cool Present Lonnie Superintendent, Bart Needham, Structur mail deliveries: 321 High school Rdf following items were noted discussed. Ste D -3 PMB 216 Bainbridge Island, WA 98110 1 Detail 3/S503 was discussed and will be revised accordingly This detail wil have a wood LVL laid flat. A revised detail is attached. 2 A/S503, discussion of condition of tnmmers at top of wall. The metal framing clips are required within 15 ft. of the building corners because of the high wind loads at these locations. At the balance of framing, wood blocking may used to achieve similar framing conditions. 3 Move rod bracing. Moving some of the rod bracing was discussed. I all cases the rod bracing can be relocated by neatly burning a new hole, similar to existing, moving the brace and nut. This will be done where needed. 4 6/S502 may be altered so that the straps run up the sides of the post in plane with the extenor wall. This will alleviate having to run the strap thru kerfed plywood. 5 A/S301 use a bigger block for the 6" flange. Use a larger block, 6x or 8x as required for 6' flange on the steel bent 6 Fire blocking at shall be installed 10 if it is needed. In all cases where a shear wall occurs, the wall is already blocked because of the nailing requirements, however where these do not occur the fire blocking shall be installed. 7 I directed Lonmer to burn off bars at new slab to existing. These were onginally shown as epoxied dowels to support the slab edge. There appeared to be some minor breaking of the existing slab and this may be the result of the some settling from the installation of the dnven steel piles. Cutting the dowels will avoid any future problems with maintenance repair of the hydronic system, ie. the hydromc system in the floor will be able to be maintained or repaired without interfering with the structural concrete The quality of workmanship appeared to be excellent. The structural steel was installed very tight and in line, and the welds appeared to be installed as shown in the contract documents Rebar for the foundations and curbs also appeared to be installed as shown in the contract documents. 1/4 V ALTERNATE CONNECTION 3X, OR._4X..MJN. NAILER 5/8" DIA.'THREADED END WELDED STUD 48' z N (N) W12 X 3/8' T K PLATE CUT OU AROUND STIFFEN: R. (N) L 4 4X3/8 X 6" LON EA. END N 5/8' DIA. OLTS 3' (E) ST FENER PLA TO REMAIN 5 TEE TERNATE LVL ONNECTION SHOWN DASHED FRAME WALL ABOVE BELOW LVL GIRTS RFI #18 (E) ROOF PURLINS TO REMAIN (N) 2X10 CONT SIMP H2 5 EA. ST TO PLATE F MING DET /LS SIMP L70 ANCHOR EA. STUD TO PLATE SEE ARCH DRAMS FOR FINISH (N) 2 X 10 16" 3/8' THICK PLATE nbse CUT OUT AROUND associates STIFFENER. SCALE 3/4 1' -0 if 2a;, E PIRES 2 -6 -2011 6 -30 -2009 F 206 T8'6 -6683 F 208 693 3667 C 206 300 2346 civil structural engineers 321 HIGHSCHOOL ROAD SUITE D -3 PMB 216 BAINBRIDGE ISL., WA 98110 206 780 6822 bait nbseecom Application Number 09 00000298 Date 4/09/09 Application pin number 811148 Property Address 240 W FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1405 0000 Tenant nbr name FAMILY MEDICINE OF P A Application type description FIRE SPRINKLER SYSTEM Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 82700 Application desc FIRE SPRINKLER SYSTEM Owner DOWNTOWN AMBULATORY HEALTH CTR SPRIISX FIRE PROTECTION INC 303 W 8TH ST PMB 42 5114PT FOSDICK DR NW #E PORT ANGELES WA 98362 GIG HARBOR WA 98335 (360) 452 7891 (253) 853 7780 Structure Information 000 000 FIRE SPRINKLER SYSTEM 4 BACKFLOW Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per Extension BASE FEE 670 25 33 00 7 0000 THOU BL -50 001 100K (7 00 PER K) 231 00 Permit Additional desc Permit pin number Permit Fee Plan Check Fee Issue Date Valuation Expiration Date Qty Unit Charge Per Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per FIRE SPRINKLER COMMERCIAL FIRE SPRINKLER SYSTEM 143875 901 25 Plan Check Fee 585 81 4/09/09 Valuation 82700 10/06/09 FIRE SPRINKLER COMMERCIAL INSPECTION TESTING 143883 100 00 4/09/09 10/06/09 BASE FEE CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5` Street, Port Angeles, WA 98362 Contractor PLUMBING PERMIT 4 DOUBLE CHECK BACKFLOW 143891 65 00 Plan Check Fee 00 4/09/09 Valuation 0 10/06/09 BASE FEE 1 00 15 0000 EA PL- BACKFLOW PROTECTION 2 Special Notes and Comments Labeling is required for doors leading to spaces containing This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit. T 4 (G.09 00 82700 Extension 100 00 Extension 50 00 15 00 ccol-z-7_bo Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD Call 360- 417 -4655 for fire 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 I Date Passed I Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP -GAS Completed by Contractor Underground piping inspection /pressure test Test #1 Above ground piping inspection/pressure test Piping pressure test psi Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test psi Time initiated LP -gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final 2/15/00 Application Number Application pin number Fee summary CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5` Street, Port Angeles, WA 98362 09 00000298 811148 Special Notes and Comments fire alarm control panels and fire sprinkler risers A full acceptance test will be required for the fire sprinkler system Call for cover inspection for all sprinkler installations April 8 2009 9 55 54 AM kdubuc There are several areas on the plans that indicate a slotted wood ceiling above These areas must have sprinkler protection if a void space is created Hot tap for fire line to conducted by City of Port Angeles Public Works Utilities Engineering approved contractor Contact Public Works Engineering 24 hrs in advance for inspection Call inspection request line at 360 417 4831 April 9 2009 2 11 39 PM RON BECKER Call Ron Becker at 417 4886 when the backflow assembly is installed and I will test inspect it Charged Paid Credited Page 2 Date 4/09/09 Due Permit Fee Total 1066 25 1066 25 00 00 Plan Check Total 585 81 585 81 00 00 Grand Total 1652 06 1652 06 00 00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit. z,,_1 4 Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date Call 360 -417 -4655 for fire 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. 1 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE p Inspection Type I Date Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed I Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final t0 Z7-107 1<t )n FERE ALARM Rough -in inspection I Alarm final LP -GAS Completed by Contractor- d Underground piping inspection /pressure test Test #1 Above ground piping inspection/pressure test I Piping pressure test psi Tank (container) inspection I Time initiated Test #2 Appliance inspection 1 Piping pressure test psi LP -gas final Time initiated UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD 2/15/00 og -62z FILE ago w ��-s+ 2. Notes. FAMILY MEDICINE BUILDING R 4 CLh PORT ANGELES, WA PermiA- FINAL STRUCTURAL PLANCHECK NOTES March 26, 2009 iS skeh 1 Structural Observation required on this project due to its complexity The structural engineer or his designee shall perform these inspections. Proposed timing of these inspections shall be submitted to the City of Port Angeles for their review and approval Sprinkler plans shall be reviewed and approved by the structural engineer This review and approval shall occur prior to beginning installation of sprinkler system The structural engineer shall submit approval documentation to the City of Port Angeles for t e review and approval ec r 3 Special inspections and structural observation required on this project per IBC Chapter 1700 and as noted on the Structural Plans. Inspection and observation e program shall be submitted to the building official for review and approval. Names and qualifications of special inspection firms shall be submitted Please note that work has already been performed that requires special inspections, i e the installation of the piles. Please submit inspection reports for this portion of work. 4 Bent Flanges and flame cut hole in existing steel frames which were noted in G welding inspection report of existing metal building shall be repaired as noted on Details 4 and 51S503 on Sheet S503 pr. `l ob 4 i n i t cJ bovve Application Number 08 00000622 Date 4/08/09 Application pin number 587436 Property Address 240 W FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1405 0000 Tenant nbr name FAMILY MEDICINE OF PA Application type description COMM ADDITION Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 3800000 Applic tion desc 1 4 SQ FT ADDITION REMODEL EXISTING BLDG 1� 9�Ft9 Owner DOWNTOWN AMBULATORY HEALTH CTR DRURY CONSTRUCTION CO INC 303 W 8TH ST 19302 POWDER HILL PL N E PORT ANGELES WA 98362 STE 100 (360) 452 7891 POULSBO WA 98370 (360) 394 6000 Structure Information 000 000 ADDITION Other struct info HARD SURFACE AREA Permit CONCRETE CURB GUTTER Additional desc Permit pin number 143446 Permit Fee 180 00 Plan Check Fee 00 Issue Date 4/08/09 Valuation 0 Expiration Date 10/05/09 T \Policies\ 1 102 15 10/08] Qty Unit Charge Per Extension BASE FEE 180 00 Permit DRIVEWAY INSTALLATION Additional desc Permit pin number 143438 Permit Fee 180 00 Plan Check Fee 00 Issue Date 4/08/09 Valuation 0 Expiration Date 10/05/09 Qty Unit Charge Per Extension BASE FEE 180 00 00 180 0000 ECH PW DRIVEWAY INSTALLATION 00 Permit PW ENGINEERING REVIEW STORM Additional desc Permit pin number 143396 Permit Fee 300 00 Plan Check Fee 00 Issue Date 4/08/09 Valuation 0 Expiration Date 10/05/09 Qty Unit Charge Per 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 constru Signature of Contractor or Authorized Agent BASE FEE CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor Extension 300 00 Date Signature of Owner (if owner is builder) Date 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies \1102 15 [10/08] RESIDENTIAL PERMIT INSPECTION RECORD YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED I YES 1 NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING I Application Number Application pin number Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T Policies \1102 15 [10 /08] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000622 587436 PUBLIC WORKS INSPECTION 143453 550 00 Plan Check Fee 00 4/08/09 Valuation 0 10/05/09 Qty Unit Charge Per 10 00 55 0000 HR PW INSPECTION RIGHT OF WAY 143420 200 00 Plan Check Fee 00 4/08/09 Valuation 3800000 10/05/09 Qty Unit Charge Per Extension 1 00 150 0000 ECH PW RW CONST EXCAVTION OTHER 150 00 1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00 SANITARY SEWER HOOK UP 143412 270 00 Plan Check Fee 00 4/08/09 Valuation 3800000 10/05/09 Qty Unit Charge Per Extension 1 00 135 0000 EA SAN SEW STM CON OTHER 135 00 1 00 135 0000 EA SAN SEW RECON 135 00 Special Notes and Comments March 26 2009 4 29 01 PM 1pangrle Provide us a construction operation plan The building permit and plumbing permit are issued but not the mechanical permit No interior framing will be allowed until mechanical plans are received and approved and a mechanical permit is issued May 29 2008 4 34 25 PM kdubuc 1) Separate fire sprinkler plans are required for review 2) Separate fire alarm plans are required for review 3) A KNOX locking keybox will be required for hte building Contact the Fire Department at 417 4653 for a KNOX application form Also contact Fire Department for KNOX box mounting location 4) The door to the sprinkler riser room must be clearly Page 2 Date 4/08/09 Extension 550 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 41 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T ■Policies \1102 15 [10/08] RESIDENTIAL 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 YES 1 NO I I I I I 1 COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED Y ES NO CONSTRUCTION R W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I I I I 1 I I Vail Application Number Application pin number Special Notes and Comments labeled Sprinkler Riser T \Policies \1102 15 [10/08] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000622 587436 5) The door to the room containing the fire alarm control panel (FRCP) must be clearly labeled with the letters FACP 6) A minimum of eight 2A 10BC fire extinguishers will be required for the building One should be located adjacent to each ground floor exit one adjacent to the top of each interior stairwell one in the elevator machinery room and one in the third floor mechanical room 7) Address numbers will be required for the building Address numbers must be a minimum of 6 tall be placed in a readily visible location and be of contrasting color from their background This project will require a separate permit and fire alarm plans for review Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background Minimum 2A 10BC fire exinguishers are required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to exits and one at the top of the stairs to the second floor January 9 2009 8 55 41 AM kdubuc A KNOX locking keybox will be required Contact the Fire Department at 360 417 4653 for KNOX keybox ordering information and mounting location Labeling is required for doors leading to spaces containing fire alarm control panels and fire sprinkler risers This project will require separate permit and fire sprinkler plans for review March 26 2009 10 34 09 AM sjohns Proposal is for a medical care center in the CBD zone Set backs building height and lot coverage ok Site plan indicates 40 parking spaces Since there is a transit stop less than 500 feet away Nathan West agreed that 38 spaces are adequate Prior to final approval a detailed landscape plan must be submitted and approved No land use issues Electrical load calculations and electrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense MAINTAIN CLEARANCES FROM SERVICE WIRES January 13 2009 2 35 01 PM banders Brian 417 4708 Underground service entrance to be located on east or west building wall towards south end Pole installation necessary Page 3 Date 4/08/09 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 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T \Policies \1102 15 [10/08] RESIDENTIAL PERMIT INSPECTION RECORD YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO I CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4831 PW ENGINEERING I FIRE 417 -4653 1 I 1 FIRE DEPT PLANNING DEPT 417 -4750 I 1 1 1 PLANNING DEPT BUILDING 417 -4815 1 1 1 BUILDING 1 I I I I I I I I I I l'auc Application Number Application pin number Other Fees T' \Policies \1102 15 [10 /08] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000622 587436 Special Notes and Comments if east wall is chosen Call for locates 72 hours before you DIG CALL BEFORE YOU DIG 1 800 424 5555 All connections to City storm drain facilities require an inspection by Public Works and Utilities Engineering prior cover Notice will be given 48 hours in advance of commencing work Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way Broom finish only An inspection by Public Works Engineering is required prior to pouring concrete May 29 2008 2 53 56 PM rbecker Are you installing a fire system lawn sprinkler system an x ray processor an auto clave a vacuum pump or any other need for a backflow assembly? The building will need to be inspected when completed If you have any questions contact Ron Becker at 417 4886 Fax 360 452 4972 or E mail at rbecker @cityofpa us January 14 2009 8 38 23 AM rbecker An inspection on the building is required to determine what will need to have backflow assemblies installed on Medical facilities requires premise protection unless there is nothing hazardous hooked to the city water system which requires backflow protection If you have any questions please contact Ron Becker at 360 417 4886 E mail rbecker @cityofpa us or Fax 360 452 4972 Page 4 Date 4/08/09 STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 1680 00 1680 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 1684 50 1684 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH 1 BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies \1102 15 [10/08] RESIDENTIAL 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 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING Application Number 08 00000622 Date Application pin number 587436 Property Address 240 W FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1405 0000 Tenant nbr name FAMILY MEDICINE OF PA Application type description COMM ADDITION Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 3800000 Application desc 1 4 SQ FT ADDITION REMODEL EXISTING BLDG 1 6 1 4D Owner DOWNTOWN AMBULATORY HEALTH CTR DRURY CONSTRUCTION CO INC 303 W 8TH ST 19302 POWDER HILL PL N E PORT ANGELES WA 98362 STE 100 (360) 452 7891 POULSBO (360) 394 6000 Structure Information 000 000 ADDITION Other struct info HARD SURFACE AREA Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 2800 00 3 6500 THOU BL 1M (3 65 PER K) Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date 68 00 1 00 1 00 1 00 1 00 1 00 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Qty Unit Charge Per 7 0000 EA 7 0000 EA 7 0000 EA 15 0000 EA 15 0000 EA 7 0000 EA PLUMBING PERMIT. d e Special Notes and Comments March 26 2009 4 29 01 PM 1pangrle Provide us a construction operation plan 1-(/(1 P-i5r4y5 T.FormsBuilding DivisionBuild Permit 127357 577 00 4/08/09 10/05/09 Contractor BUILDING PERMIT COMMERCIAL COM ADDITION REMODEL 127175 15855 25 4/08/09 Valuation 10/05/09 Plan Check Fee Plan Check Fee Valuation BASE FEE PL- PLUMBING TRAP PL -WATER LINE PL BACKFLOW PROTECTION <OR =2 PL BACKFLOW PROTECTION 2 PL SEWER LINE PL WATER HEATER 4/08/09 WA 98370 11648 91 3800000 Extension 5635 25 10220 00 bate Print Name Signature of Contractor or Authorized Agent 00 0 Extension 50 00 476 00 7 00 7 00 15 00 15 00 7 00 c SS Ro o il S i h is h d t i y, 02CF. o h Y l r °3�r\ °P), e-v° e Y 4 ism'' MO ek k 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 ofegstruction. Signature of Owner (if owner is builder) 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 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 Rouqh -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number 08 00000622 587436 Special Notes and Comments The building permit and plumbing permit are issued but not 1 the mechanical permit No interior framing will be allowed until mechanical plans are received and approved and a mechanical permit is issued. may 29 2008 4 34 25 PM kdubuc 1) Separate fire sprinkler plans are required for review 2) Separate fire alarm plans are required for review 3) A KNOX locking keybox will be required for hte building Contact the Fire Department at 417 4653 for a KNOX application form Also contact Fire Department for KNOX box mounting location 4) The door to the sprinkler riser room must be clearly labeled Sprinkler Riser 5) The door to the room containing the fire alarm control panel (FACP) must be clearly labeled with the letters FACP 6) A minimum of eight 2A 10BC fire extinguishers will be required for the building One should be located adjacent to each ground floor exit one adjacent to the top of each interior stairwell one in the elevator machinery room and one in the third floor mechanical room 7) Address numbers will be required for the building Address numbers must be a minimum of 6 tall be placed in a readily visible location and be of contrasting color from their background This project will require a separate permit and fire alarm plans for review Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background Minimum 2A 10BC fire exinguishers are required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to exits and one at the top of the stairs to the second floor January 9 2009 8 55 41 AM kdubuc A KNOX locking keybox will be required Contact the Fire Department at 360 417 4653 for KNOX keybox ordering information and mounting location Labeling is required for doors leading to spaces containing fire alarm control panels and fire sprinkler risers This project will require separate permit and fire sprinkler plans for review Page 2 Date 4/08/09 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 1 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.FormsBuilding Division/Building Permit 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 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 Skirting T /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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date Accepted by Date Accepted By 4 Application Number Application pin number Special Notes and Comments March 26 2009 10 34 09 AM sjohns Proposal is for a medical care center in the CBD zone Set backs building height and lot coverage ok Site plan indicates 40 parking spaces Since there is a transit stop less than 500 feet away Nathan West agreed that 38 spaces are adequate Prior to final approval a detailed landscape plan must be submitted and approved? No land use issues Electrical load calculations and electrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense MAINTAIN CLEARANCES FROM SERVICE WIRES January 13 2009 2 35 01 PM banders Brian 417 4708 Underground service entrance to be located on east or west building wall towards south end Pole installation necessary if east wall is chosen Cali for locates 72 hours before you DIG CALL BEFORE YOU DIG 1 800 424 5555 All connections to City storm drain facilities require an inspection by Public Works and Utilities Engineering prior cover Notice will be given 48 hours in advance of commencing work Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way Broom finish only An inspection by Public Works Engineering is required prior to pouring concrete May 29 2008 2 53 56 PM rbecker Are you installing a fire system lawn sprinkler system an x ray processor an auto clave a vacuum pump or any other need for a backflow assembly? The building will need to be inspected when completed If you have any questions contact Ron Becker at 417 4886 Fax 360 452 4972 or E mail at rbecker @cityofpa us January 14 2009 8 38 23 AM rbecker An inspection on the building is required to determine what will need to have backflow assemblies installed on Medical facilities requires premise protection unless there is nothing hazardous hooked to the city water system which requires backflow protection If you have any questions please contact Ron Becker at 360 417 4886 E mail rbecker @cityofpa us or Fax 360 452 4972 Other Fees Fee summary Charged Paid Credited Due 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 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 08 00000622 587436 Page 3 Date 4/08/09 STATE SURCHARGE 4 50 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 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 Skirting 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 Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 4 Page 4 08 00000622 Date 4/08/09 Application pin number 587436 Application Number Permit Fee Total 16432 25 16432 25 00 00 Plan Check Total 11648 91 11648 91 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 28085 66 28085 66 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) '.FormsBuilding Division/Building Pennit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 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 FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING. Under Floor Slab Rough -In lQ Zi 011U- N— Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling 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 LI_ICI. (Pa► fi t() 1 q O f Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) 1 T -Bar Pe pL(eiiinsl 1Z -22 09 INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting FRAMING PLANNING DEPT Separate Permit #s Parking Lighting Landscaping Inspection Type Electrical Construction R.W PW Engineering Fire Planning Building T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD Accepted By 71.E 3 (Par �LV 417 -4735 417 -4831 417 -4653 417 -4750 417 -4815 Comments 1 Qebar amino, bo fts I 060 -4- ,-o4 r w- Rebor 6 -19 -oc c I Contra-11, 10 -2.18=09 Raoli4n+ beet tube& mrnlfrlel unlier- ,grouoel a Jweb; y z�-�a U- j` �cto� ant heat- b -18 -o P B ptumbinj a ssui�e•}e.s+- S IS -O4 3 FINAL Date 3 y Accepted by --r I w a(l) FYv"i n9 9 -04 :3 Roti. s bee ti n 4 111, het n eti 1;4'1, -1 Fr&vn Na,‘ R 1b o1 o q I 1 Duct Ju.- 7-15 -09 I 1 echa I1 cal cover inspection Tie n foe• oLo t 3tL 9' -0q FINAL Date I L I i 0 Accepted by SEPA. ESA. SHORELINE. ?o i-14 5t4) final to occ up9 more- Rttnns 1 ./31 /ogTLL FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 0 CC v Q 1 I„ l Ill /I 3 -1 I L1 I fit.) I Ii/ t lem ?ofRO,1 -9 Ce4t df nccupanc 2 4J S;` PREPARED 4/08/09 10 27 06 y PAYMENTS DUE RECEIPT CITY OF PORT ANGELES �'1�.I re PROGRAM BP820L APPLICATION NUMBER 08- 00000622 240 W FRONT ST fFEE DESCRIPTION AMOUNT DUE PLAN CHECK FEES BUILDING PERMIT COMMERCIAL PLUMBING PERMIT PW ENGINEERING REVIEW STORM SANITARY SEWER HOOK UP RIGHT OF WAY DRIVEWAY INSTALLATION CONCRETE CURB GUTTER PUBLIC WORKS INSPECTION STATE SURCHARGE TOTAL DUE 1343 00 15855 25 577 00 300 00 270 00 200 00 180 00 180 00 550 00 4 50 19459 75 LA) Please present this receipt to the cashier with full payment Job Nome �tv1 601-44'76 1 iZ W Owner Inspection Dote Lok_ ;21X07 OFFICE OF THE ELECTRICAL INSPECTOR 321 EAST FIFTH ST., P.O. BOX 1150 PORT ANGELES, WASHINGTON 98362 c/TY LIGN'( PHONE (206) 457 0411, EXT 224 a 158 PROGRESSIVE INSPECTION REPORT DO NOT CONCEAL OR DESTROY Location z`t,0 (,J rap t,7` 5 1 Area, Building or Equipment Inspected Dr(c,N -3 !_L111 Ti►wA-hP Doi P LT PM1f-GS ri*tf DEO C x t M 6 Zi c Tai' btpLpy r u t +B ts.r4TRV fi3Wre-t' C VriLIT; A`17rf 1312 OAK Q tow► Tap 61:02. marl P T Pcof RL C 012 -L 1)frP c..gg ''vi_ CITY OF PORT ANGELES Permit c 5 q Electrical Contractor b LA ►mil 1. Action Taken Electrical Inspector VP 7 44 3 1. _24 0 _P 'ti:s.4 ""ta• n•.•' TORT ,ft;, ••••+s, JobName t't ',Owner' Lqcati�n .11 Inspection 'z': N 7 7 73- ',C rt '-Electricil 't •T.., 4 —•-i•31.',3-,:t• r Area ,1Building or-EquipmerifInspeCted it" •4•'''' r•-i i.'"')' Action Ta ken Date -c:..'" 1. ,v" It 3 lnspecie J 7 1 4 1 71. ,3 r 1,.,,,,,, I. Z. I r..t, •r• 'I' •'.'r: Xf -t•t" ..2' •").3" ...i ..t• t'3 i- .7, 8- rixolz„, 6-. .=e0FF716E-, ME- '''CA :Elziki. ,i., ..!:..-itsp.1,,,,,,:,:;_. 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'P. .1 1 e i g k 1 rrt t. t y 331 •At To Contact X'New Construction Addition Alteration CITY OF PORT ANGELES BUILDING DIVISION TRANSMITTAL Fire Department Other Department Date 4-- G Project Address a I d ‘A, Yon+ S- pri hx• k\e„ U ro C_, 1 Phone number(s) a 53 b'5 77 8 0 Permit number 0 19 g Project Description Sr Q`t ►�k Please review return to the Building Division, Permit Technician Forms;Bu o Division /Transmittal Applicant p G--1 t ►-1G Phone 1 1e Property Owner MIL>it et:DiG4 -1e POizrrisi--VmeLe" Phone Property Owner's Address es �1 Pte' 40II c-C p- t t OA cis u.2,9 Contractor e 2►r,- fit tR. ii-IG Phone i� Contractor's Address p1.1112JGs E,i rT 0f.oci r V\ ct�a License (��Otlt Expires riA- Jo PROJECT ADDRESS f'4 gyp-, 0630 coon Aim D tn Parcel Number Lot Zoning Project Tvoe Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Floor Areas Basement 1 Floor 2 "d Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) fax (360) 417 -4711 Residential Multi- family is/Commercial Industrial (Sub i Sots rte lc f �n� Ani fl c.,,iA PEA c.+e fit, o (Al For City Use Only Date Received 4- 6 —09 Permit Date Approved Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other 0 Other il-.10tzt.t,u, bA,t D.Adrse PLR.E t' .i '[btat x *t txir t4 J M&DtCb.(. felac IP,t a t t is �1 Existing (sq. ft) Pposed (sq. ft.) TOTAL VALUATION $a 7 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 Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type per sq. ft. of bedrooms of full baths 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 prof is Dat Print NameeiplZi ignature T:Forms /Building Division /Bldg Permit.doc 1 A Fire Sprinkler Corporation PMB 42 5114 Pt. Fosdick Dr NW #E Gig Harbor WA 98335 -1735 Cont Lic #SPRINFP011LS Phone 253.853.7780 Fax 253.853.5890 www.SprinxFire.com Letter of Transmittal Date: April 6, 2009 To: We are sending you the following items COPIES 4 4 1 Remarks. Thank you, SPRI N fire Protective City of Port Angeles 321 E Fifth Street Port Angeles, WA 98362 Plan Reviewer, Charslie Delgado DATE 4/6/09 4/6/09 4/6/09 THESE ARE TRANSMITTED as checked below. "NI-For Approval Al -For your use Attn Plan Reviewer Re Downtown Ambulatory Health Ctr Fire Spnnkler System 240 West Front Street Port Angeles, WA 98363 DESCRIPTION Fire Sprinkler Drawing s Hydraulic Calculation and Material Submittal Permit Application -As requested Please review and return two (2) sets of plans and calculations with approval and/or comments. If you have any questions please call. 1 To Cheryl Possinger, Accounting Tech x 4614 General /Miscellaneous Grants From Lug Landfill Accounts 1/ Leases Date 9 Medic I Transport Police Department Parks Department Parking /Bus Improvement Area Please send an invoice in the amount of PenCom Dispatch Services Public Works to Name '1 ra I. ,\c- c P Address This invoice is for r' n ii 0 0 Actual Labor Costs A 3. 27 Actual material Costs Actual Vehicle Costs Misc. Costs Billing Fee Sales Tax Total 1343. 87 Request for Billing Authorizin g Signature nature�2- C N2� Accounting Code Lr9 7 C>y5 LT O W O WW ST SW EQ Accounts Payable Transaction CITY OF PORT ANGELES SONGARD OK 'Y Exit Cancel Group inquiry 11110Q ing Accounts Payable Transaction Group Int orrrotione-e4. Group number Accounting period Posting date: T nwction Information Transaction date: Invoice number Account number Project number Amount: Liquidated amount: Discount amount: Net transaction amount: Voucher number Vendor number Description 1: Description 2: Transaction type code: 07/31t2008 7 861 3908 PI FPO PAYMENT 0812008 08/142008 1-4Ce0-524.41-50 Professional/Contract Svc 1 eee 00 (I_ 1 70000 GO Retainage amount: 1 666 00 7083 PO number F13953 26216 ZENOVIC &ASSOCIATES OUTSOURCE ENGINEERING •-,SUc I /2 c_ ___Sycp..3/c) 9 'VO t..)± o jes 1 crk.) 2 3 1, fs t p "c Lio rvi -71570 -3,0,3—, 9 L., C., C, 0 c) 90 a 4 c) c, 0 0 0/5/2009) James Lierly Family Med letter 020409 doc Page February 4, 2009 O Conner Architects Mr Peter 0 Conner 147 Finch Pl. SW #3 Bambndge Island, WA 98110 Dear Mr 0 Conner RE Downtown Ambulatory Health Center Building Permit #08 -622 240 West Front Street, Port Angeles, Washington This letter is to update you as to the review status of the above noted building permit. As you know, the initial plan review identified that the plans were not ready to be submitted. Specific short comings were discussed with you and the plans were returned to you for corrections. The second (corrected) submittal was received on January 6, 2009 The City's Building Inspector has spent nearly twenty (20) hours performing this second review resulting in three written pages of corrections (to date). Many basic corrections noted from the first review remain unaddressed in the second submittal. ADA requirements, grading corrections, required interior signage, and access issues are inadequately addressed. Given the extent of discussions between you and Inspector Lierly during the first submittal, the correction list is surprising. Inspector Lierly estimates he will need to spend an additional 10 15 hours of review on the plans to complete this second review Additionally, outside engineering review for this second submittal (14 hours thus far $100 /hour) has identified a similar need for corrections for engineering issues. The City's charge is to review for correctness, not design and engineer Two choices exist at this point: (1) continue to correct (the cost will likely exceed the remitted plan check fee at this point) and return, or (2) return the plans to the applicant. We will discuss these issues in further detail with you at our scheduled meeting next week. Sincerely Sue Roberds, Planning Manager Department of Community Economic Development Cc: Nathan West Dr Bill Hennessey Family Medical APrit 7,2008 Dear Peter, Peter O'Connor 0' Connor Architects 147 Finch Place SW #3 Bainbridge iSland, WA 98110 'Subject: Ambulatoiw Care Center Parking A S :H I NC TON, U A. Community Economic Development Department I appreciate the opporturn -to Meet with you ,and the prOponentS. of the Ambulatory-Care Center this past March 27 I apologize for not getting back to you earlietregarding this issue, but, hopefully my email projuded:endughinforination to keep project design moving; forward. As indicated in- your March 2,5° letter and based on the siteiplan stibinitted March your design provides adequate parking to comply with Section 14 40 the Port Angeles Municipal Code. The following summary table confirms those requireinentS. Oesciintion TjOefor .Physical Therapy, Offices perfrOor cOnferenCe; Room_ gate. 1 Total 118 1per400s 1 4 2,1.,1goil,09i0. 'F2 It2 Based on theSe, figures the tot4nuniberof required sp:O.C8r is 'the abovelnentioned site plan identifies 44 parking spaces, available dri‘site. thetefore,yon the required parking for yoiir proposed development. I would note that you reference Seaton '14 40 030(D)(2 in your letter which can,redUCe parking requirements by '100. Though not necessary based On the current design this reduction can be applied to the site upon provision of written confirmation from (lallarn transilthat'a bus be located within 500 feet f the ..lysojtct site This wourd' reduce ybur required parking provision to 38 parking- spaCes. Phone: 360-417-4750 Fax: 360-417-4711 Website: www cityofpa.us Email smartgrowth@cityofpa.us 321 East Fifth Street P0 Box 1150 Port Angeles, WA 98362-0217 Considering you, preliminary design complies Witiubty 'itis not necessary to undertake a Transportation Demand Management Assessment or a Cooperative Patking agreement I 'liope this.he1s clarify City requirements and pikitis rieedSfOr your ptispo§ y,owneed any additional ii hnation, please fooyfite :to contact.nie 4W yOui convenience (360) Sincerely, CC F Hennessey Erik Lewis Nathan A. 'west; ATcP Deputy Director Community and Economic Development 1 Peter O'Connor From Wendy O'Connor [woconnor @oconnorarchitects com] Sent: Wednesday April 02 2008 11 17 AM To Peter O'Connor Subject: FW Family Medicine Port Angeles Ambulatory Care Centre Original Message From James Lierly [mailto Jlierly @cityofpa us] Sent Wednesday, April 02 2008 10 11 AM To Wendy 0 Connor Cc M D W F Hennessey elewis @olympicmedical org Subject Re Family Medicine Port Angeles Ambulatory Care Centre Thank you Wendy for your email I spoke with the city manager and he has explained that a 4 -0 boundary line adjustment has taken place to accommodate the roof over hang I have just received the public way dedication of ten 10 -0 from our attorney s office I believe that a space of 10 -0 (ten feet) will be the data to apply to the code for wall ratings and openings allowed in the wall Hope this helps If you have any further questions please feel free to contact me Jim Lierly Building Inspector City of Port angeles 360- 417 -4816 jlierly @cityofpa us A d (7 A- t 6L_ ASSOCIATES INCORPORATED Co IJL12.g7t A..4 \ft {t? AZ 2 SIGNED wLe �l0 5 Daily Inspection Report Contractor DQ u.a Job it r7 'iUS 1 Week Day 11 Sri a�< Job Site Description. Oot.nla..11 Li 1.3 (✓hra-,AALAA\ t1 f DIARY no yn r, tut `t 1.1 5, P r• .r7.n )1,.) o r E Pc t,n k F..__ tAJ A 1.� T �n,. Na a w i.% i ..t Mg_3 (K. l: F S 1,3 t�� r 1 t r� A t_.i f ,+r to A- c t eL 'AO 1A{' L.on, A. 2_1.'vZ.r to 00 P.N. 6 L n,^ P T ir. ✓`LUr(?_rl 1.021 -1, A.T t M (5k1 t I 1 G 4; c,, T.. t I cf. T. CIVIL ENGINEERING LAND SURVEYING 301 East 6 Street, Suite 1 Port Angeles, Washington 98362 (360) 417-0501 FAX (360) 417 -0514 -mail: zenovic @olympus.net Page 1 of I Date. z, /cam 4, c tot rt. ,f R. kAu 'r 1A INSPECTOR QA rnnrl�� REPORT Job No. C7G. h 5`c1 Date Cast 31 705 Project RrnLLra o e. L LTI,1 Contractor n.� Concrete Supplier A. x_r Total No. of Yards Cement Type Coarse Agg. Size Fine Agg. Cement Water 3.S' DESIGN MEASURE MEASURE MEASURE MEASURE MEASURE MEASURE Specimen D ASSOCIATES INCORPORATED Specimen Type Lbs. Lbs. Gal/Yard SLUMP y y OF CONCRETE TEST SPECIMENS Client r=-'A wAri ti 01- PA Address 2,D 2., to Q1 =11: Subcontractor Cast By e N 1214 61.4.nr NI r.,L.) e COMPONENTS No. of Trucks Tt- I 6 No. Sacks/Yard Weight 18 CONCRETE SPECIFICATIONS TEMPERATURE 1 AIR CONT s So L2 ,0 v 5 2 Required Compres Strength dory PSI Additional Requirements MISCELLANEOUS Weather L,17 L,17 Air Temp 4- 1S Remarks (uh. (.R.1.l� t_r> AR ts,J Jr rAL� r „C u. A k. c2.t. l.nro•is l S t, A l_, I?, 0 01J- s s r Location /Purpose of Pour Rani; P F a S Test At Register Days 11 2A 7 Air Date Tested 4 5;% At 2.E Total Load CIVIL ENGINEERING LAND SURVEYING 301 East 6”' Street, Suite 1 Port Angeles, Washington 98362 (360) 417 -0501 FAX (360) 417 -0514 E mail: zenovic©olympus.net Oz/Yard I Days Lbs. /\4 Qz UNIT WT °F Area Unit Load ANGELES CONCRETE PRODUCTS SOLD TO Address WARNING 4410 S Airport Road Wet cement can dry skin and cause Mailing PD Box 304 la Port Angeles, VVA08302 alkali burns Wash affected areas „kt Phone (360) 457-0443 m Fax (360) 452-4744 wth soap and water 'GENERAL TERMS CONDITIONS `CUSTOMER ASSUMES RESPONSIBILITY FOR ^SUITABLE ROADWAV TO POINT OF DEUVERY AND BY ORDERING AND ACCEPTING LEAVE PLANT THIS MATE uL THE FURCHASER AGfREES TO ASSUME ALL LIABILITY FOR DAMAGES TO PROPERTY OR PERSONS IN CONNECTION WITH ITS DELIVERY ON ANY PRIVATE PREMISE AND TO PROTECT ANGELES CONCRETE PRODUCTS FROM ALL SUCH CLAIMS. ARRIVE JOB 2. WE ALLOW 7 MIN. PER YARD TO DISCHARGE. ANY ADDITIONAL TIME WILL BE CHARGED AT $80.00 PER HOUR. 3. CUSTOMER S RESPONSOE3LE FOR WRECKER FEES REQUIRED ON THIS DELIVERY 4 THERE WILL BE AN EXTRA CHARGE FOR DELIVERIES OF LESS THAN FOUR (4) CUBIC YARDS OF CONCRETE PER TRUCK LOAD. START DISCHARGE 5. TERMS, NET ,orx 6. A 1.5% LATE FEE MAY BE CNARGED ON BALANCES OVER 30 DAYS. FINISH DISCHARGE wwxwwd. Angeles Concrete Products concrete CYLINDERS TAKEN 0 YES 0 NO ACT SLUMP AVAIL. =AT. 1 designed at 4 slump. Addi ional water |^npwePLANT W/��=x lower strengths. m DATE 1 TICKET ORDER PLANT TRUCK CUSTOMER PPOCt DRIVER WATER ADDED AT CUSTOMER'S REQUEST GALLONS BY –1 IFT u CASH 11 CREDIT CARD /F CHARGE 0 CHECmw RECEIVED UNDER SAID CONDITIONS OF SN,F PROJECT �h� SHIP TO: F DELIVERY TIMES WAITING TIME CHARGE TAX I Lf i{ C LE /l .�T 11..J11 1L MF_ /*N+L.ILF }.i I 1 to T,WE L. 1 1 .ti` �1 t+ p 4 i: (+L bE ,LijN `^01 '1 i. r k.;-•T HLi H1- :if ��I. /fF �fp TU,_., +T 11 1 i 1 1 .t. 1 .1. 1 j `-.1ENi +H. |t .1 '1: 1 f'' 1+ 1 P `i 1 1 P 'OA [1: .1.", II- iT( „.1i^ .1 Hi.. v" it DE N o' o V*R.R .t8ERT ti ;4! 'E s 0 *Q 4L Ne�� r w� 4 9 ANgELES CONCRETE PRODUCTS 1 CUSTOMER ASSUMES RESPONSIBILITY FOR A SUITABLE ROADWAY TO POINT OF DELIVERY AND BY ORDERING AND ACCEPTING THIS MATERIAL THE PURCHASER AGREES TO ASSUME ALL LIABILITY FOR DAMAGES TO PROPERTY OR PERSONS IN CONNECTION WITH ITS DELIVERY ON ANY PRIVATE PREMISE AND TO PROTECT ANGELES CONCRETE PRODUCTS FROM ALL SUCH CLAIMS. 2. WE ALLOW 7 MIN PER YARD TO DISCHARGE. ANY ADDITIONAL TIME WILL BE CHARGED AT $80.00 PER HOUR. 3. CUSTOMER IS RESPONSIBLE FOR WRECKER FEES REQUIRED ON THIS DELIVERY. 4. THERE WILL BE AN EXTRA CHARGE FOR DELIVERIES OF LESS THAN FOUR (4) CUBIC YARDS OF CONCRETE PER TRUCK LOAD. 5. TERMS. NET 10TH. 6. A 1 5% LATE FEE MAY BE CHARGED ON BALANCES OVER 30 DAYS. WARNING: Angeles Concrete Products concrete is designed at 4 slump. Additional water WILL result in lower strengths. SOLD TO DATE TICKET! I ORDER I PLANT! I TRUCK /f I CUSTOMER! Address 4410 S Airport Road Mailing P O Box 304 in Port Angeles, WA 98362 Phone (360) 457 -0443 a Fax (360) 452 -4744 GENERAL TERMS AND CONDITIONS t, CYLINDERS TAKEN YES NO ACC SLUMP AVAIL WAT. BY PROJECT SHIP TO: F f it LEAVE PLANT ARRIVE JOB START DISCHARGE FINISH DISCHARGE 'ARRIVE PLANT DELIVEREDt Q UANTIT Y„ R UANTITY ODUCT DESCRIPTION WATER ADDED AT CUSTOMER'S REQUEST GALLONS BY Fl It_ I; 3. Ftt CASH CREDIT CARD r. CHARGE CHECK RECEIVED UNDER SAID CONDITIONS OF SALE DRIVER ri 1 f 4: 1- IF I Gtt W 444 ATIrf L.E 1u "f« Cu WARNING Wet cement can dry skin and cause alkali burns Wash affected areas with soap and water BTOTA DELIVERY TIMES WAITING TIME CHARGE TAX PO:! I A?r i- iyt ANQELES CONCRETE I PRODUCTS DATE i 0 'yNiATEErADDED-At .CUSTOMER'S REQUEST c. dtAl WARNING. Angeles Concrete Products concrete is designed at a 4 slump. Additional water WILL result in lower strengths. TICKET i- sow To LOP 3TFULTION DRIVER FON GALLONS k-fr 1-1P, 0E1— ti Address 4410 S Airport Road Mailing P0 Box 304 ea Port Angeles WA 98362 Phone (360) 457-0443 to Fax (360) 452-4744 .GENERAL ITERM8,AND.CONDMONS DELIVERY:TIMES 1 CUSTOMER ASSUMES RESPONSIBILITY FOR A SUITABLE ROADWAY TO POINT OF DELIVERY AND BY ORDERING AND ACCEPTING LEAVE PLANT THIS MATERIAL THE PURCHASER AGREES TO ASSUME ALL LIABILITY FOR DAMAGES TO PROPERTY OR PERSONS IN CONNECTION WITH ITS DELIVERY ON ANY PRIVATE PREMISE AND TO PROTECT ANGELES CONCRETE PRODUCTS FROM ALL SUCH CLAIMS. 2. WE ALLOW 7 MIN PER YARD TO DISCHARGE. ANY ADDITIONAL TIME WILL BE CHARGED AT $80.00 PER HOUR 3. CUSTOMER IS RESPONSIBLE FOR WRECKER FEES REQUIRED ON THIS DELIVERY 4, THERE WILL BE AN EXTRA CHARGE FOR DELIVERIES OF LESS THAN FOUR (4) CUBIC YARDS OF CONCRETE PER TRUCK LOAD. 5. TERMS, NET 10TH. 6. A 1.5% LATE FEE MAY BE CHARGED ON BALANCES OVER 30 DAYS. ORDER CYLINDERS TAKEN 0 YES (7 NO ACT SLUMP AVAIL. INF. ARRIVE PLANT C, 1 (.::4 RECEIVED UNDER SAID CONDITIONS OF SALE BY PLANT TRUCK CUSTOMER t DEpilv1;., I El CASH 111 CREDIT CARD El CHARGE El CHECK T 1E I.,LT 1\11.itt VW: 1 Q 'F..,,Dp I F.: Ei; p -PIO; 1 'f-11. ,,Mtl=3:1PT t) I. -3 i J. i 5 Hi 1, I c.; i 1 1 t; I a: H 1. LI 1i-.31... --OR -3 41 -i4. L 4a i 1 I b 4 the "1 t ...f. 1 tt dc. r 1 -,t- L 5 1 11 II N- I ''Ut../-=ITLE NUN FTC. HE LO5 TOTAL 3 it) lb rhEatA W, 0 P- Wi-irEfilCEIIENT 429T SLUT' 4 J kUrK Ab.r.h. kjEF, tt iii /1 .aL Tf WATER ARRIVE JOB WARNING Wet cement can dry skin and cause alkali burns Wash affected areas with soap and water START DISCHARGE .FINISH DISCHARGE PROJECT I OR Y .E SHIP TO: FF.)JN' cSI1E 1- T 1t1. f"f WAITING TIME CHARGE TAX T I M E E Lfi LI DTE II )7 LDL ID 1 Lii I= if DESI6N ti4YFe u ;UtAl. WVER I gl TO A09 I I gl u y. ^~`pEL-`~ ~~~�@K��ET� PRODUCTS 1 CUSTOMER ASSUMES RESPONSIBILITY FOR A SUITABLE ROADWAY TO POINT OF DELIVERY AND BY ORDERING AND ACCEPTING THIS MATERIAL THE PURCHASER AGREES TO ASSUME ALL LIABILITY FOR DAMAGES TO PROPERTY OR PERSONS IN CONNECTION WITH ITS DELIVERY ON ANY PRIVATE PREMISE AND TO PROTECT ANGELES CONCRETE PRODUCTS FROM ALL SUCH CLAIMS. 2. WE ALLOW 7 MIN. PER YARD TO DISCHARGE. ANY ADDITIONAL TIME WILL BE CHARGED AT $80.00 PER HOUR. 3. CUSTOMER IS RESPONSIBLE FOR WRECKER FEES REQUIRED ON THIS DELIVERY 4. THERE WILL BE AN EXTRA CHARGE FOR DELIVERIES OF LESS THAN FOUR (4) CUBIC YARDS OF CONCRETE PER TRUCK LOAD 5. TERMS, NET ,mx. 6. A 1.5% LATE FEE MAY ES CHARGED ON BALANCES OVER 3D DAYS. WARNING. Angeles Concrete Products concrete is designed at a 4 slump. Additional water WILL result in lower strengths. SOLD TO ifs OF •y 1-U( ON Address. 4410 Airport Road Mailing* PO Box 304 is Port Angeles, WA 98362 Phone. (360) 457-0443 to Fax (360) 452-4744 CYLINDERS TAKEN 0 YES 0 NO ACT SLUMP AVAIL. WAT. PLANT I 1 TRUCK I CUSTOMER PROJECT �MBU1 �T8FOY CHFE no/pro FPON? rH�FF) WARNING Wet cement can dry skin and cause alkali burns Wash affected areas with soap and water LEAVE PLANT ARRIVE JOB START DISCHARGE. FINISH DISCHARGE "ARRIVE, ANT P.O. �1LL DRIVER u CASH CREDIT CARD CHARGE ID CMECNw RECEIVE[yUNDER SAO CONDOJQmSQFSALE GALLON'S BY Uk. M�N*EiFk L L hJ _�l}D 'x /d C-31 •F ON l6.5 1b 1 3�o lb lL .F HE\IT +"4 l b b oATh c l LmoD T 345r~ ib NBI6N 14 0 444 WATER 2EN[MT 0 451 DRI \f.f LI t 1 i 1 5 lb 1uldbu i v�f �1 �1 v WAITING TIME CHARGE TAX o 't1 i /-1 I VHF �1� l=J.J�� i=5 �1^ 11 4!t4 1 1 g 0BGN WATER 65 0 U. 0 0 g| ANULES CONCRETE PRODUCTS GENERALLTERMS.AND:CONDITIONS I .,DELIVERY.TIMES. 1 CUSTOMER ASSUMES RESPONSIBILITY FOR A SUITABLE ROADWAY TO POINT OF DELIVERY AND BY ORDERING AND ACCEPTING LEAVE PLANT THIS MATERIAL THE PURCHASER AGREES TO ASSUME ALL LIABILITY FOR DAMAGES TO PROPERTY OR PERSONS IN CONNECTION WITH ITS DELIVERY ON ANY PRIVATE PREMISE AND TO PROTECT ANGELES CONCRETE PRODUCTS FROM ALL SUCH CLAIMS. ARRIVE JOB' WE ALLOW 7 MIN PER YARD TO DISCHARGE. ANY ADDITIONAL TIME WILL BE CHARGED AT $80.00 PER HOUR. 3 CUSTOMER IS RESPONSIBLE FOR WRECKER FEES REQUIRED ON THIS DELIVERY 4. THERE WILL BE AN EXTRA CHARGE FOR DELIVERIES OF LESS THAN FOUR (4) CUBIC YARDS OF CONCRETE PER TRUCK LOAD. START DISCHARGE 5. TERMS, NET 10TH 6. A 1.5° LATE FEE MAY BE CHARGED ON BALANCES OVER 30 DAYS. WARNING. Angeles Concrete Products concrete Is CYLINDERS TAKEN 0 YES• El NO .ACT. SLUMP AVAIL. MT. ARRIVE PLANT designed at a 4 slump. AdditionaLwater WILL result in lower strengths. BY DATE TICKET SOLD TO: :Jhs1 to -I- DRIVER WATERADDED AT CUSTOMER'S REQUEST GALLONS BY Address. WARNING 4410 S Airport Road Wet cement can dry skin and cause N, Mailing PO Box 304 le Port Angeles WA 98362 alkali burns Wash affected areas Phone (360) 457-0443 n Fax (360) 452-4744 with soap and water I ORDER 1 PLANT I TRUCK 1.* PROJECT SHIP TO: -1: Li CASH El CREDIT CARD 0 CHARGE El CHECK RECEIVED UNDER SAID CONDITIONS:OF SALE. CUSTOMER FINISH DISCHARGE Tj f„ cmucroEscFppir WAITING TIME CHARGE TAX P VT IS AMOUNT 7 .:.f: 1 .:-X I -.4. TY L.- r)( ,-i 1— !....i.".)c, 1:1 .LtEF I_ 11 1 11 .Ct•-ti: I 0:0 1 1 i.- f ".r, 1 ..f OF L. t ,J .t. :I .4 1, cg C 1r i t E-:- I Ff7 .1 AA= .i..)1-::, I. Lir. L. y 1 T 1 I. it .,'1 h r -71 -,Ni I c11 --)1.. i 4--t Wr.1,. 3 1 -,-3,,J''' .I. C.) 1. c :1 i i: it: 4. A ilE N 4- 4 IL 3J i 1 ...3 c' 1 Z 1, e..„ 1 e j 1 r:. .4' I ..1 I c. .t. 4. I 1 I- It .t. i. -i I'll I' I E 1. :3LP 1 1...HE PI- di-:to T'1 34 i OES Jti st (i .444 ii.'.1 Eli LEVEN .4 (ii4 W. ,t...fi tiit Eh ..„:5 t) I iir, lJf4L J:IT„ -',,e., 1 liDd U 0 g, ..-,Lpi 4 0 WiTE. TN 'FAIC t. 1 81:11251' t4:4'F.F. C lc,,F1 'I' I' ilArr I.: gl AN9FIES CD N C R ETE PRODUCTS GENERAL TERMS AND CONDITIONS I DELIVERY TIMES 1 CUSTOMER ASSUMES RESPONSIBILITY FOR A SUITABLE ROADWAY TO POINT OF DELIVERY AND BY ORDERING AND ACCEPTING THIS MATERIAL THE PURCHASER AGREES TO ASSUME ALL LIABILITY FOR DAMAGES TO PROPERTY OR PERSONS IN CONNECTION WITH ITS DELIVERY ON ANY PRIVATE PREMISE AND TO PROTECT ANGELES CONCRETE PRODUCTS FROM ALL SUCH CLAIMS. 2. WE ALLOW 7 MIN. PER YARD TO DISCHARGE. ANY ADDITIONAL TIME WILL BE CHARGED AT $80.00 PER HOUR 3. CUSTOMER IS RESPONSIBLE FOR WRECKER FEES REQUIRED ON THIS DELIVERY 4. THERE WILL BE AN EXTRA CHARGE FOR DELIVERIES OF LESS THAN FOUR (4) CUBIC YARDS OF CONCRETE PER TRUCK LOAD. 5. TERMS, NET 10TH. 6. A 1 LATE FEE MAY BE CHARGED ON BALANCES OVER 30 DAYS. WARNING: Angeles Concrete Products concrete is designed at a 4 slump. Additional water WILL result in lower strengths. DATE I TICKET SOLD TO ES LW I UN.z3TF ir C.50 WATER ADDED AT CUSTOMERS .REQUEST Trt I'i EFT RANT CEMEN W=YTE DRIVER BY ORDER I PLANT J. 1 GALLONS BY '17.F Address: 4410 S Airport Road Mailing. P0 Box 304 la Port Angeles, WA 98362 Phone (360) 457-0443 Fax (360) 452-4744 Ft gt-i).N1::::P C_ I b lb s( 4+ c.: L E7.1. NUIvi Lbi” IOtht 133 i zi E 0 tiOt. WPTEiiit,EttENT 00 thiTER 114 I 0 iPJHST WATEE CYLINDERS TAKEN .13 YES CI NO ACT. SLUMP AVAIL. WAT. TRUCK I 55 50 fiRE'Dl' [III Li CASH El CREDIT CARD [1] CHARGE El CHECK RECEIVED UNDER SAID CONDITIONS OF SALE CUSTOMER LEAVE PLANT ARRIVE JOB START DISCHARGE FINISH DISCHARGE ARRIVE PLANT PROJECT l' SHIRT° H. 111' i 4 CHF Ff WARNING Wet cement can dry skin and cause alkali burns Wash affected areas with soap and water P0. DELIVERED NTITY ,143ODYCtpi.S601Pti icr it iir IN WATER E0 LTjl.. WATER P g Trill' WATER 1 3 yd JL fa. /=1 AMi3UNT,f: WAITING TIME CHARGE TAX T T IF Of-Ti 1,, 31 2 Jo c?ip j; C.1 MOISTURE: 40 1 3-1E. ai I I '.4 3 4.1 ti ADD t 1 PREPARED 3/30/09 16 06 59 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/30/09 ADDRESS 240 W FRONT ST SUBDIV TENANT NBR FAMILY MEDICINE OF PA CONTRACTOR DRURY CONSTRUCTION CO INC PHONE (360) 394 6000 OWNER DOWNTOWN AMBULATORY HEALTH CTR PHONE (360) 452 7891 PARCEL 06 30 00 0 0 1405 0000 APPL NUMBER 09 00000189 COMM FOUNDATION ONLY PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/ 0/09 JLL BLDG FOUNDATION FOOTING TIME 01 00 March 30 2009 4 05 59 PM 1pangrle LONNIE 460 440 4770 GRADE BEAM FOOTING AFTERNOON COMMENTS AND NOTES QV C ASSOCIATES INCORPORATED March 26 2009 Mr Jim Lierly City of Port Angeles Department of Community Development 321 East Fifth Street Port Angeles, WA 98362 SUBJECT Family Medicine Building Front Street, Port Angeles Dear Mr Lierly I have examined the plans for the proposed remodel and addition to convert the existing building to medical offices. The plans have been reviewed for conformance with structural provisions of the 2006 International Building Code. Based on my review the plans are in general conformance with the structural provisions of the code and are acceptable to this office The following sheet listing requirements for structural observation, special inspection submittals and review of sprinkler plans by the structural engineer should be attached to the plans to clarify requirements. Please call me if you have any further questions on this matter Sincerely, Tracy Gudgel P E. Fe: JN 08091 CIVIL ENGINEERING LAND SURVEYING: 301 East 6th Street, Suite 1 Port Angeles,Washington 98362 (360) 417 -0501 Fax (360) 417 -0514 E -mail: zenovic @olympus.net DATE. March 6 2009 Job No 08267 Comments. Sue- f j& ASSOCIATES INCORPORATED TO City of Port Angeles Department of Community and Economic Development P O Box 1150 Port Angeles, WA 98362 RECEIVED ATTN Sue Roberds MAR 0 6 2009 FROM: Steve Zenovic ne) CITY OF PORT ANGELES BUILDING DIVISION We are transmitting the following item Thanks, Steve Attached COPIES PAGES 3 5 L( Hand- carried Under Separate Cover FAX PROJECT Downtown Ambulatory Health Center Family Medicine of Port Angeles DESCRIPTION Revised Site Construction Plans CIVIL ENGINEERING LAND SURVEYING 301 East 6 Street, Suite 1 Port Angeles, Washington 98362 (360) 417-0501 FAX (360) 417 -0514 E -mail: zenovic @olympus.net These plans have been reviewed and approved by Public Works and are to be inserted into the building plan sets in place of the existing civil plans Please let me know if you have any questions. "r9 (3/25/2009) Linda Pangrle Re Family Medical Practice of PA inspection reports From Linda Pangrle To re Date: 3/25/2009 8 15 AM Subject: Re Family Medical Practice of PA inspection reports CC Hi Riley That would be great. Please send the pdfs to our building inspector Jim Lierly at jlierly @cityofpa.us. Thanks, Linda Pangrle Permit Technician City of Port Angeles 321 E. 5th St. Port Angeles, WA 98362 360 417 -4815 360 417 -4711 FAX Ipangrle @cityofpa.us 're' <re@alkai.net> 3/24/2009 1 41 PM Ms. Linda Pangrle I met with Mr Roger Vess, Assistant Civil Engineer for the City of PA and he indicated that I could email you a copy of the piling inspection reports to file them with the building department. Is it acceptable in a pdf file? Sincerely Riley D Evans Chief Operating Officer ALKAI Consultants, LLC (360) 613-2407 Office (360) 613-2408 Fax (206) 491 -9705 Cell James Lierly 'The only thing necessary for the triuph of evil is for good men to do nothing' Edmond Burke- Page 1 Remarks. Signed cc: O'CONNOR ARCHITECTS ARCHITECTURE PLANNING DESIGN fax: 206.842.2239 Bainbridge Is. WA98110 To: Jim Lierly Date: March 24 2009 City of Port Angeles Re: Family Medicine Port Angeles 321 East Fifth Street, PO Box 1 150 Port Angeles, WA 98362 -0217 Attached are: Shop Drawings Prints x Plans Samples Specifications Copy of Letter Change Order Other Qty Date Description 3 3/23/09 Wet- Stamped Structural Drawings, S001 -5007 5101 S103, S201 S301-5303, S501 S505 2 3/23/09 Wet Stamped Structural Calculations These are transmitted as checked below. X For approval Approved as submitted Approved as noted For your use As requested Returned for corrections For review and comment Other Peter O'Connor tel: 206.842.5490 147 Finch Place SW #3 BY UPS OVERNIGHT TRANSMITTAL If enclosures are not as noted, kindly notify us at once. www.oconnorarchitects.com Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc PARTIAL FOUNDATION FRAMING Owner DOWNTOWN AMBULATORY HEALTH CTR DRURY CONSTRUCTION CO INC 303 W 8TH ST 19302 POWDER HILL PL N E PORT ANGELES WA 98362 STE 100 (360) 452 7891 POULSBO (360) 394 6000 Structure Information 000 000 PARTIAL FOUNDATION FRAMING Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total 2- 27 -O Loni'r(1 i e toe c 25 Date Print Name T:Forms /Building Division /Build Pcnnit l,l I Y U1 ?UK I ANUILI✓S DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 09 00000189 Date 2/25/09 395738 240 W FRONT ST 06 30 00 0 0 1405 0000 FAMILY MEDICINE OF PA COMM FOUNDATION ONLY CENTRAL BUSINESS DISTRICT 36824 Contractor BUILDING PERMIT COMMERCIAL PARTIAL FOUNDATION /FRAMING 142323 00 2/25/09 8/24/09 Plan Check Fee Valuation Special Notes and Comments February 25 2009 4 54 45 PM 1pangrle This permit is for partial foundation framing work on the north addition and for the foundation system for the proposed elevator located at the south end of this area SPECIAL INSPECTIONS SHALL BE REQUIRED AS PER THE 2006 IBC The'building permit fee for this partial permit shall be paid at the time of issuance of permit #08 622 for the entire project Charged Paid Credited 00 00 00 00 00 00 00 00 00 t/0-0 L WA 98370 Due 00 00 00 00 36824 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 corriplied 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 gent Signature of Owner (if ovine, is builder) 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 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 Skirting BUILDING PERmif• INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NO TICE FOR INSPECTION Building inspections 4174815 Electrical Inspections 417 4735 Public Works Utilities 417 -4831: B'aCkfloW :Preventibn Inspections 417 4886 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. 'FINAL Date Accepted by 'FINAL Date Accepted by W FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By 3 r Electrical 417 -4735 L Construction R.W PW Engineering 417 -4831 T Fire 417 -4653 j Planning 417-4750 fl Building 417 -4815 P h o 5 T Forms/Building D; 'iswn /Building Permit ASSOCIATES INCORPORATED February 25 2009 Mr Jim Lierly Building Inspector City of Port Angeles Department of Community Development 321 East Fifth Street Port Angeles, WA 98362 SUBJECT Family Medicine Building, Port Angeles, Washington Dear Mr Lierly I have reviewed the revised structural plans and calculation for the Family Medicine building located on West Front Street. The plans are dated February 22, 2008 with the calculations dated February 16 2008 Based on my review the proposed north addition is in compliance with current codes and is acceptable to this office It is my recommendation that foundation and framing work be allowed to proceed on the north addition and for the foundation system for the proposed elevator located at the south end of this area. All issues related to the existing metal framed building have not yet been reviewed or resolved and it is my recommendation that no structural modifications other than demolition of the existing cmu walls be allowed until these issues have been resolved I would like to bring to your attention Sheet S004 of the plans which gives the requirements for special inspections on this project, including continuous monitoring during construction of the pile foundation. It may be worth noting to the owner architect, and contractor the need for these inspections so that work does not proceed without these requirements being met. Please call me if you have any further questions on this matter Tracy Gudgel P E. Fc: JN 08091 4o b� p c6d∎ be Ire T� L y,�t relems i+ pdvt -Fu re 4 &n 0 ni P o I�1! t r' aelok X 1 re)( rYN 301 East 6th Street, Suite 1 Port Angeles,Washington 98362 (360) 417 -0501 Fax (360) 417 -0514 E -mail: zenovic @olympus.net TECEI1VE �252ma CITY OF PO'RTANGE,CES Dept. of Community Development Carl i n a s n rye c havr rt- a e�rvyl`i i- K 353 40 -I-- t 2,0 v)(- st B covI4rucv.,4 I 13 Ids r v`ess use 3 V��o� za ist f+- PL S 2cdp' &t,t c mp)e k- so+ of QIc*ns veel civI I e fans h14 (one, sek) e'r Vess +ooK 1 s cr vI I Set of P) &tnS one, s�j of Plains n�- i Tiffin 4Y pORT,, BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only Attn. Building Permit Technician 3 Date Received 21 E. Fifth St. Port Angeles WA 98362 \t Permit �75 (360) 417-4815 fax (360) 417 -4711 9V b� r)75— Date Approved �avni I Meo\O" q ele Applicant or Agent ot�tie i poet hone 3(0- .59¢- 4>txoo Property Owner wp U c,T, Y Phone 4s2- 789 Property Owner's Address w g (ar b s utIA 483'7. Contractor /Engineer if.LAk H c ,S— .0 I AJL Phone 3 f 0 394 -1. 000 V Contractor /Engineer's Address 1 9314_ P+mEit tt.t IA,&.. loo 560 uYA 'IC 37 C7 License Daw-te 9k 23 d Expires et- /s-% joo) E- mail f f PROJECT ADDRESS Parcel Number Project Time Brief Des Che f k all that apply ew Construction r ddition ttemodel Repair criotion. Ai t s-r OptcfAc, Abu L. j 144E srra 4_ ,r, a 4 igia a 6 r 5 situ. t in u io Re -roof b S ats emolition I �,A iP Heat System Heat pump wood burning stove/❑ gas fireplace pellet stove other Other Floor Areas Existina (sq. ft.) Basement 1St Floor 2 Floor 3rd Floor Garage Carport Covered Porc Deck Shed Other 440 of F Residential s- Commercial Propoled (sq. ft.) /5,/6K x „r► Total footprint of structures 1131 S sq ft. T Lot size Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Print Name 30 ft a.J Occupancy group Occupant load t Construction type Lot /Zoning Zoning C fail ulti- family Industrial ,z v k au.S 11 ,o per sq. ft. TOTAL VALUATION Jj bt e oo 3t <"1, sq. ft. Lot coverage ±1 -e. of bedrooms of full baths of half baths have read a d completed this applicaticn and know it to be true and correct I am authorized to apply for this permit and understand that it s my responsibility to determine what permits are required, and to obtain permits prior to working on projects. L n f= 10/0 q .ag tu'e LeIJ C�tjt/Q'L.c 1 ASSOCIATES INCORPORATED February 25 2009 Mr Jim Lierly Building Inspector City of Port Angeles Department of Community Development 321 East Fifth Street Port Angeles WA 98362 SUBJECT Family Medicine Building, Port Angeles, Washington Dear Mr Lierly All issues related to the existing metal framed building have not yet been reviewed or resolved and it is my recommendation that no structural modifications other than demolition of the existing cmu walls be allowed until these issues have been resolved Please call me if you have any further questions on this matter Tracy Gudgel, P E. Fc: J N 08091 301 East 6th Street, Suite 1 Port Angeles,Washington 98362 (360) 417-0501 Fax (360) 417 -0514 E -mail. zenovic @olympus.net C LE FEB 25 2009 CITY OF PORTANGEICS Dept, of Community Development I have reviewed the revised structural plans and calculation for the Family Medicine building located on West Front Street. The plans are dated February 22, 2008 with the calculations dated February 16 2008. Based on my review the proposed north addition is in compliance with current codes and is acceptable to this office It is my recommendation that foundation and framing work be allowed to proceed on the north addition and for the foundation system for the proposed elevator located at the south end of this area. I would like to bring to your attention Sheet S004 of the plans which gives the requirements for special inspections on this project, including continuous monitoring during construction of the pile foundation It may be worth noting to the owner architect, and contractor the need for these inspections so that work does not proceed without these requirements being met. ft Application Number 09 00000189 Date 2/25/09 Application pin number 395738 Property Address 240 W FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1405 0000 Tenant nbr name FAMILY MEDICINE OF PA Application type description COMM FOUNDATION ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 36824 Application desc PARTIAL FOUNDATION FRAMING Owner Contractor DOWNTOWN AMBULATORY HEALTH CTR DRURY CONSTRUCTION CO INC 303 W 8TH ST 19302 POWDER HILL PL N E PORT ANGELES WA 98362 STE 100 (360) 452 7891 POULSBO WA 98370 (360) 394 6000 Structure Information 000 000 PARTIAL FOUNDATION FRAMING Permit BUILDING PERMIT COMMERCIAL Additional desc PARTIAL FOUNDATION /FRAMING Permit pin number 142323 Permit Fee 00 Plan Check Fee 00 Issue Date 2/25/09 Valuation 36824 Expiration Date 8/24/09 Special Notes and Comments February 25 2009 4 54 45 PM 1pangrle This permit is for partial foundation framing work on the north addition and for the foundation system for the proposed elevator located at the south end of this area SPECIAL INSPECTIONS SHALL BE REQUIRED AS PER THE 2006 IBC The building permit fee for this partial permit shall be paid at the time of issuance of permit #08 622 for the entire project Fee summary CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void tf 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. 2 27-09 LDN j e 14)00195 1/0 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FornsBuilding DivisionBuilding Permit Charged Paid Credited Due Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 00 00 00 604 7 0 o a�ov 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 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 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 Skirting PLANNING DEPT Separate Permit #s Parking Lighting l Landscaping 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 Date 3- 30 -0"I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical Construction R W PW Engineering Fire Planning Building Accepted By N 417 -4735 417 -4831 417 -4653 417 -4750 417 -4815 FINAL Date FINAL Date SEPA. ESA. SHORELINE. I 1.. 1 '4 r� Comments Accepted by Accepted by Date Accepted By Qty 2 2 1 1 1 3 Date 2/22/09 2/16/09 2/20/09 4/7/08 4/2/08 1/6/09 2/10/09 cc: W.F Hennessey MD O'CONNOR ARCHITECTS lel: 206.842.5490 147 Finch Place SW #3 ARCHITECTURE PLANNING DESIGN Fax: 206.842.2239 Bainbridge Is. WA98110 TRANSMITTAL Attached are: Shop Drawings x Prints Plans Samples x Specifications Copy of Letter Change Order Other www.oconnorarchitects.com To: Jim Lierly City of Port Angeles Date: February 24 2009— BY HAND DELIVERY 321 East Fifth Street, PO Box 1 150 Re: Family Medicine Port Angeles Port Angeles, WA 98362 -0217 From- Peter O'Connor AIA Description Structural Drawings, S001 S002, S003 S004 S005 S006, S007 S101 S102, S103 S201 S301 S302, S303 S501 S502, S503 S504 S505 All wet stamped Structural Calculations Plan Check Corrections West stamped Letter from Peter O'Connor Response to Comments of 2/10/09 Letter from Nathan West Email from Jim Lierly Lighting Energy Calculations Revised Sheets A0 0 0 Al 0 0 Al 1 0 A2.1 0 A2 1.2. A2.2 0, A3 0.2, A4 0 0 A4 1 0 A5 0 0 A5 0 1 A6 0.2, A6 0 3 A8 0 0— All wet stamped These are transmitted as checked below. X For approval Approved as submitted Approved as noted X For your use As requested Returned for corrections For review and comment Other Remarks: Jim, Here are the structural drawings and calculations and revised architectural drawings and back -up necessary for you to issue a Building Permit just as soon as possible. Thanks for your timely attention to this. If enclosures are not as noted, kindly notify us at once. RECEIVED FEB 2 4 2009 CITY ANGELES DIVISION I� 15 Pfy� (2/2472009) Sue Roberds Family Medicine Bldg Permit Page 1� From Steve Sperr To: Roberds, Sue Date: 2/24/2009 12 28 PM Subject: Family Medicine Bldg Permit CC: Walrath, Eric; West, Nathan Sue, I discussed the status of PW &U Engineering review of the design for this site with Eric. He mentioned that he sent back to Steve Zenovic our latest comments on the design, which he (Steve Z.) is still addressing, but has not submitted back to us for review Evidently the owner(s) have some changes to the design that Steve is addressing as well, which we will also have to review Until we receive and approve the revised plans, we wont be able to 'sign off' on the permit, unless there is some caveat we can put in there regarding OK'ing structural work on the building, but not approving any site work. FYI, we are moving forward with advertising the stormwater work, but don't expect the construction of the stormwater line across Front to occur for several weeks. DATE Si OWNER/CONTRACTOR t51_4 i•-•1: ADDRESS z Lia APPROVED uj C- ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT 2 i C Fri )4. V DITCH ROUGH IN /COVER SERVICE FINAL INSPECTOR CORRECTIONS NEEDED GFU zVT Et_TI I4 i2;flati L RE D r o 2 Au_ EYLI C) g R wEc E- VTAck,'Pzez, s nl?4L 2l0 L.LS i 625) W 'CH.icp 12 4.2.S>IS TiAp r Pyre'VrAe g11 szs 7 'L,c 410i NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 NOT APPROVED Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amp temp service Owner Family Medicine Port Angeles 303 West 8th street PORT ANGELES WA 98362 Permit ELECTRICAL NEW Additional desc TEMP SERVICE Permit pin number 142083 Permit Fee 72 50 Issue Date 2/24/09 Expiration Date 8/23/09 Qty Unit Charge Per Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS 72 50 00 72 50 BASE FEE ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000177 357001 240 W FRONT ST 06 30 00 0 0 1405 0000 ELECTRICAL ONLY CENTRAL BUSINESS DISTRICT 0 COMMERICAL Paid Credited 72 50 00 00 00 72 50 00 DATE Contractor OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457 5303 Plan Check Fee Valuation r' Date 2/24/09 WA 98363 Due RESULTS J 217.410 00 00 00 00 0 Extension 72 50 Signature of owner or Electrical Contractor X Date INSPECTOR. 02/23/2009 08 50 FAX 360 452 3498 City of Port Angeles Permit Application Building Division/Electrical inspections 321 East Fifth Street P.O. Boa 1150 Port Angeles Washington, 98382 Ph: (360) 417-4735 Fax: (368) 417 -e711 Date: 1 2 Single Family Dwelling Multi- Family or Commen:Iar _/Commercial Addition //Aeration Remodel Repair' Owner Information Name: �.�r�7i �i.�i �l 4:24-1 Mailing Address )41 3 City' Pr f. State: 4 ..4f pp: yy T/ Z Phone: License #1 Exp. Link Charge 93,75 $113.75 $160,00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 $69.00 75.00 50,00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 $43.75 Signature of owner electrical contractor or electrical administrator ii/ 3K Olympic Electric Co i PA CITY INSPECT lJ001 /001 RECEIVED FEB 2 3 2009 LIGHT DEPT Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Y/7 fav sf Building Square Footage: Description of above ,,7,! Total (Qty Multiplied by Unit tae Service/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401 -600 Amp, Service/Feeder 601 -1000 Amp. S Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit 72 s� Temp. Service/ Feeder 200 Amp. Temp. Serv 201 -400 Amp. Temp. Service/Feeder 401.600 Amp. Temp, Service/Feeder 601 -1000 Amp. Patel to Portal Hourly Slgnroutline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi-Family Dwelling Manufactured Home•ConnectIon Renewable Electrical Energy 5KVA System or Less First 1300 Square FL Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat Total Contractor Information Name: _(",./4.A0,,,. Tb. Mailing Addnaa{y�� r.�s a. %w- City: -/A c. State: 4.477 Tip: ?J112 Phone: l ie s e r 'CEP- 418 License a Chasms rned*RCI lit2L261: (I) OrmentoZ orxupylbestivatalotaro psiltetuusataarkal lsurelltaLOa aer s.tepu#gdm a.ea ekWalcctxffahevv sJd propeny Is 1w sole rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property ore licensed electrical contractor. I am making the electrical installatlon•or alteration incompliance with the electrical laws, N.E.C. RCW. Chapter 1926, MC_ Chapter 296.468, The City of Port Angeles Municipal Code, and utility Specifications. 0 t IL( ?L2 James Lierly Fwd Family Medicine structural review From To: Date: Subject: Attachments: I sent the details to the architect in email form, attached is the email. There was no formal letter at that time. Jim Lierly Building Inspector City of Port angeles 360 417 -4816 jlierly @cityofpa.us James Lierly Nathan West; Sue Roberds 12/23/2008 1 31 PM Fwd Family Medicine structural review Family Medicine structural review Page 1 �J 02372009) James Lierly 240 w front street permit status Page From <bart @nbse corn> To <whennessey @fmpa.net> 'Peter O'Connor' <poconnor @oconnorarchitects corn> Date 2/20/2009 6 41 PM Subject: 240 w front street permit status CC <nwest @cityofpa us> <jlierly @cityofpa.us> Hi Bill and Peter I've talked with Tracy today .and believe I have adequately addressed his concerns and have sent as much information to him as we have The trick in life is to know where the puck is going to be (so to speak) I apologize in advance for under estimating the critical nature of the non- structural items the existing building to the project and the checking process Our office will be standing by awaiting any word requiring necessary action and seek to resolve it immediately as it is received Bart Needham SE Principal nbse associates inc civil structural engineers Office 206 780 -6822 Office 805 452 -8152 Fax 206 780 -6683 Fax 208 693 -3667 Mobile 206- 300 -2346 Office locations 629 State Street #228 Santa Barbara, CA 93101 205 Fairview Lane Suite 100 Paso Robles CA 93446 365 Ericksen Ave NE Suite 328 Bainbridge Island WA 98110 Mail and Deliveries 321 High School Rd NE Suite D -3 PMB 216 Bainbridge Island WA 98110 1 (2/2/2009) James Deny RE 240 W Front Street pending, plan check items Page ill From 'Tracy Gudgel' <tracy @zenovic.net> To <bart @nbse corn> Date 2/20/2009 12 14 PM Subject: RE 240 W Front Street pending plan check items CC 'Peter O'Connor' <poconnor @oconnorarchitects corn> 'Scott Lewis' <sl Bad, I am in the process of reviewing your submittal Im going to piecemeal some of this to allow you to work on answers while I continue my review In regards to items #6 #7 #8 and #9 please provide calculations showing how the horizontal force was determined for the anchorage at the top of the stemwall and the anchorage at the top of the wall Also provide calculations for the anchors both embedded for new concrete and for the wedge anchors in the existing concrete The calculations provided on sheet PC -19 do not comply with ACI 7 -05 but rather ACI 7 -02 Please provide proper calculations which show what the reactions are at the top and bottom of the infill stud walls, including areas which do not have a ceiling diaphragm which you appear to be using to help brace these infill walls Also please clarify location of wind girt shown on page PC -22 and its connections at the ends Im headed to a meeting and will not be back until around 2pm but will follow up with you when I return Tracy Original Message From bart @nbse corn [mailto•bart @nbse corn] Sent: Thursday February 19 2009 12 33 PM To tracy@zenovic.net Cc Peter O'Connor Scott Lewis nwest @cityofpa us, jlierly @cityofpa us Subject: 240 W Front Street pending plan check items Hi tracy we are standing by ready to submit signed documents here is a pdf copy of what we are going to submit. Hopefully you can take a look at this and see if it is okay .and if there is any way we can obtain a permit for the foundation shell work, as we discussed in our meeting If not let me know and perhaps we can work out through email what needs to be done to wrap it up I have included a letter regarding the existing metal building and also we have tried to make sure the holdowns match the wall design please note in order to match the architectural sheets we have updated a few of the shear wall locations I am not sure why we can not submit the documents we have but perhaps a more real time (2/23/2009) James Lierly RE. 240 W Front Street pending plan check items solution is better Bill hopefully this will help bridge our time gap I understand that time is of the essence and I aniticipate this will help .so I am asking you to please be patient. obviously I did not aniticipate having to spend such an inordinate amount if time with the change of use issue for this structure as this call is between your Architect, you and the building department. Peter Scott. please send current documents-of your sheets as they come available daily if possible and that will be a big help Bart Needham SE Principal nbse associates inc civil structural engineers Office 206 780 -6822 Office 805 452 -8152 Fax 206 780 -6683 Fax 208 693 -3667 Mobile 206 300 -2346 Office locations 629 State Street #228 Santa Barbara, CA 93101 205 Fairview Lane Suite 100 Paso Robles CA 93446 365 Ericksen Ave NE Suite 328 Bainbridge Island WA 98110 Mail and Deliveries 321 High School Rd NE Suite D -3 PMB 216 Bainbridge Island WA 98110 (2/2372009) James Lierly Family Medicin w Page From James Lierly To Nathan West; Sue Roberds Date: 2/20/2009 9 42 AM Subject: Family Medicine Mr O'Conner and I have completed our first Phone update on 2/20/09 and I feel he has a good understanding of what will be required based on the code review A brief review of the plans once received will determine if that is the case. Mr 0 Conner will coordinate with Bait on the items that Zenovic's has received yesterday and will submit revisions A.S.A.P It is our intent, that since the architectural and structural may be completed near the same time, that the option to issue a shell building permit may not be required and the permit may be issued in its entirety Tracy is reviewing the engineering revisions received yesterday at 12.30 PM. As soon as i hear from him and receive the revisions from the architect, I will be able to provide comments on the permit. Jim Lierly Building Inspector City of Port angeles 360- 417 -4816 jlierly @cityofpa.us (2/23/2009) James Lierly RE. 240 Front Street pending plan check items From 'Tracy Gudgel' <tracy @zenovic net> To <bart @nbse corn> Date 2/19/2009 4 PM Subject: RE. 240 W Front Street pending plan check items CC 'Peter O'Connor' <poconnor @oconnorarchitects corn> 'Scott Lewis <sI Bart, I received your email but the pdf files are corrupt. The city is forwarding me a copy Hopefully it will open up Inn expecting that this submittal includes revised drawings and calculations as necessary to finish my review I would also expect there to be a response letter from you with responses to my plan review comments I am not concerned about the metal building issues at this time That is something I thought we decided in the meeting that could be addressed at a later time but any structural issues that relate to the new addition should be addressed I do not understand your comment as to why you cant submit the documents you have? Tracy Original Message From bart @nbse corn [mailto bart @nbse corn] Sent: Thursday February 19 2009 12 33 PM To tracy @zenovic.net Cc Peter O'Connor Scott Lewis nwest @cityofpa.us, jlierly @cityofpa.us Subject: 240 W Front Street pending plan check items Hi tracy we are standing by ready to submit signed documents .here is a pdf copy of what we are going to submit. Hopefully you can take a look at this and see if it is okay and if there is any way we can obtain a permit for the foundation shell work, as we discussed in our meeting If not let me know and perhaps we can work out through email what needs to be done to wrap it up I have included a letter regarding the existing metal building and also we have tried to make sure the holdowns match the wall design please note in order to match the architectural sheets we have updated a few of the shear wall locations I am not sure why we can not submit the documents we have but perhaps a more real time solution is better Bill hopefully this will help bridge our time gap I understand that time is of the essence and I aniticipate this will help .so I am asking you to please be 1r(2/2312009) James Lierly RE 240 Front Street pending plan check items patient. obviously I did not aniticipate having to spend such an inordinate amount if time with the change of use issue for this structure as this call is between your Architect, you and the building department. Peter Scott. please send current documents of your sheets as they come available daily if possible and that will be a big help Bart Needham SE Principal nbse associates inc civil structural engineers Office 206 780 -6822 Office 805 452 -8152 Fax 206 780 -6683 Fax 208 693 -3667 Mobile 206 300 -2346 Office locations 629 State Street #228 Santa Barbara, CA 93101 205 Fairview Lane Suite 100 Paso Robles CA 93446 365 Ericksen Ave NE Suite 328 Bainbridge Island WA 98110 Mail and Deliveries 321 High School Rd NE Suite D -3 PMB 216 Bainbridge Island WA 98110 Page 2 (2/23/2009) James Lierly Welding evalution exisitng building 240 front street Page 1 From <bart @nbse corn> To <tracy @zenovic corn> Date 2/19/2009 2 PM Subject: Welding evalution exisitng building 240 front street Attachments. Existing _Bldg_Welding_Inspection_02 17 -09[1 ].pdf CC <whennessey @fmpa.com> Hi Tracy here is the report of the welding for the existing structure let me know if this is not sufficient (or anyone) for this project's needs Bart Needham SE Principal nbse associates inc civil structural engineers Office 206 780 -6822 Office 805 452 -8152 Fax 206 780 -6683 Fax 208 693 -3667 Mobile 206 300 -2346 Office locations 629 State Street #228 Santa Barbara, CA 93101 205 Fairview Lane Suite 100 Paso Robles CA 93446 365 Ericksen Ave NE Suite 328 Bainbridge Island WA 98110 Mail and Deliveries 321 High School Rd NE Suite D -3 PMB 216 Bainbridge Island WA 98110 1 WIS WELDING INSPECTION SERVICES Inspection, NOE, Testing P O. BOX 1044 SUQUAMISH, WASHINGTON 98392 (360) 697 -1771 FAX (360) 697 7316 TO PRESENT AT SITE Drury Construction Drury Construction Company, Inc. Building Official-City of Port Angeles Drury Construction Job No 0821 DATE 2/17/09 NO. 8253 PROJECT Amulatory Health Center LOCATION 240 W Front Port Angeles, WA CONTRACTOR Drury OWNER WEATHER Clear TEMP 39 F 0830hrs PERMIT NO. (to be provided) SPECIAL VISUAL WELDING AND BOLTING INSPECTION, EXISTING BUILDING Requested by Drury Construction for third party, independent, special welding and bolting inspection of older existing pre- engineered building. Arrived at the site 0830 hours. Contractor provided lift for inspection. Inspection within Grid Lines 1- 4xB -H. Inspected seven main frames, splice connections, fillet and groove welds, bolted splice connections, column anchor bolt connections, haunch connections. Findings. I Generally, the fabricated and welded steel frame members appear to conform to AWS D1 1 Structural Steel Code and AISC. Welds inspected for size, contour and defects open to surface. 2. The column bases are a bolted connection with twin 4x6x3/8 angles bolted to column webs with eight diameter bolts and four 1" diameter anchor bolts. 3 Anchor bolt and frame splice bolted connections all appear to be tight with connection faces tight together 4 Noted GL C lower frame flange bent at one location, marked, GL D lower flange bent at one location, marked and approximately 2" hole flame cut in member web (GL Dxl). Flanges should be straightened per AWS D1 I and AISC. RFI, engineering decision whether flame cut hole should be repaired or is OK as is Also, several of the frame flange braces (at ceiling level) appear to be missing, loose or not attached at one end. Engineering RFI should be obtained to verify required frame member flange bracing. 5 Limitations. This inspection is limited because there are no specifications for the existing building. Inspector cannot verify the filler metal and processes used for welding fabrication. Also, the type and grade of connection bolts cannot be verified. Bolts do not have contemporary markings. le AWS QC 1 KENNETH A. HAVENS 93060 C Havens, Senior Inspector, AWSICWI, ASNT III SIGNE Ii(2/23/2009) James Lierly 240 W Front Street pending plan check items Page 1 From <bart @nbse corn> To <tracy @zenovic.net> Date 2/19/2009 12 34 PM Subject: 240 W Front Street pending plan check items Attachments. FMPA CLINIC STRUCT PDF 2 17 2009.pdf 240 w front street PC corrections 2 1 7 2009 pdf CC 'Peter O'Connor' <poconnor @oconnorarchitects corn> 'Scott Lewis' <slewis Hi tracy we are standing by ready to submit signed documents .here is a pdf copy of what we are going to submit. Hopefully you can take a look at this and see if it is okay .and if there is any way we can obtain a permit for the foundation shell work, as we discussed in our meeting If not let me know and perhaps we can work out through email what needs to be done to wrap it up I have included a letter regarding the existing metal building .and also we have tried to make sure the holdowns match the wall design please note, in order to match the architectural sheets we have updated a few of the shear wall locations I am not sure why we can not submit the documents we have but perhaps a more real time solution is better Bill hopefully this will help bridge our time gap I understand that time is of the essence and I aniticipate this will help .so I am asking you to please be patient. obviously I did not aniticipate having to spend such an inordinate amount if time with the change of use issue for this structure as this call is between your Architect, you and the building department. Peter Scott. please send current documents of your sheets as they come available, daily if possible, and that will be a big help Bart Needham SE Principal nbse associates inc civil structural engineers Office 206 780 -6822 Office 805 452 -8152 Fax 206 780 -6683 Fax 208 693 -3667 Mobile 206 300 -2346 Office locations [(2123/2069) James Liriy 240 WFrOintTStreerpendinglpladcheck 'terns_ 629 State Street #228 Santa Barbara, CA 93101 205 Fairview Lane Suite 100 Paso Robles CA 93446 365 Ericksen Ave NE Suite 328 Bainbridge Island WA 98110 Mail and Deliveries 321 High School Rd NE Suite D-3 PMB 216 Bainbridge Island WA 98110 111(2/2312009)JarnesLierlyFMPA:CLINIC'8TRu0PDF 2 17 2009 pdf 1 A III 0280911,14 F PROJECT LOADING (2008 IBC, ASCE 7-05) GENERAL NOTES, SPECIFICATIONS,AND PROJECT INFORMATION EWE:0E14Y ,V,IHRI RE.. RE. ARREv. MED,E.E.V.L.121VE ALL (PpritECEIplt EEL. ERE+ Evv, SEISMIC LOADING. PLYWOOD SHEARWALL !NNW *WEN SEISMICE RE SHEAR V ,ISEEEREUREE SZERACEE COEFFILIF,1 1217;e4%==Z CR MAN, ORO EFLA.RE IE 1711 DESIGN TRAPEECILEPARE. vlx7 VRI SPE ACCELIMA •Sta01/.11V tr. 4? PROJECT LOADING ER, ESE:, 1 77IS OV OVE:ECIN ;651°4: i I GENERAL INFORMATION SOLU C.101. PANE 131rEi SNEER EMI rElIC 1GRAPHIC SYMBOLS =222 9 !LEGEND (1371:: ca c Z I !GENERAL CONDITIONS 00111.0■11. MISIL4l411.1.110,_011■111.11111.3. 1 4 4 hart B Elba com IrMILTY 64 ORM, ARVILIEMILL.1115...“12. Tr:=7,===■=7= ZO IAZ S001 (2I2/20O9) Jnes_dy FMPA CLINIC STRUCT'PDF 2 lf 2009 pdf =NMI& HISMEALT-71IIAGE/E/fr +..,773.E I MANUFACTURED W000 1-11 4 "-7,6:14117:714,i'l GENERAL NOTES, SPECIFICATIONS, AND PROJECT INFORMATION CAST-IN-PLA :E CONCRETE ELLIBEII.WILL ,777 j .1.417,4FEF:4•,it.z.? r.vr te.1 uq.7+P ,!.:Z.Z.Z..• 1' REINFORCING STEEL FrELO 17.4011■77 FF 77=...7.177 4 r VT74, CORROSION PROTECTION Page 2 37777...77 'UT :Elf. Anamt upa. al Fe No:tace 7 0. SOILS AND FOUNDATIONS ADVISORY NOTES 74 7• I. 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I a I or I ririOnf OLDOWN ANCHOR INFORMATION EMBEDMENT C10 30 AM Cart nine cam S007 L(/23/2069) JarnesLierly FMPA CLINIC STkUOT PtiF 217 2009 pdf =7—= I LONG TOPPING gr=191Gla INEMEHTS I 4 4 FOUNDANPLA PLAN 0 PLAN LEGEND AND NOTES ELIBIJOIES SI AR NOT LEGENa N1101- DESAP MO, IARII LICSLA. TOM n ilk vy.tnnn amPAR ,nuFntli F 2.. I J/.7 I 1111 n Se.CD171 I I LI.* I I S4E Ea. -0 o g B 0 z 0 SUBMIT FIRE SPRINKLER SHOP tw,T Ez DRAWINGS FOR APPROVAL S 01 Page 8;1 1:W2 James Lierly FMPA CLINIC STRUCT PDF 2 17 2009 pdf 2ND FLOOR FRAMING PLAN PLAN LEGEND, SYMBOLS AND NOTES FLOOR FRAPANG NOTES ES Nn. 1,X01 SIWIP OM 1.KAINFVF6 s 01ESIGYAT LOC. M ..5g AA., 0 MISTS ANA ti.144 =MEC Of 0OHZ gal BELO nr VA, Peed .9.A9 SOft5 AnO.P.S. 1 ZUZg 4 4; kZZ.. ZPZ Z.H 161 ,u,Par '11=w E ea)Ir oaf c iFLAY1 PLYWOOD SMEAR WALL SCHEDULE 1>< Page 9j 1210.200B 0.0 11 Masa com w '1 0 O z ea S 1 02 1j2/23/2009) James Lierly FMPA CLINIC STRUCT PDF 2 17 2009 pdf 4 ROOF FRAMING PLAN NOT LEGEND LEGEND &SYMBOLS I><1 ROOF FRAMING NOTES Page_10A C2s,•• 3341 bartenbsccom S103 I L(2/23/2009) James Lierly FMPA CLINIC STRUT PDF 2 pdf FIADIOL FRAMING SECTION JONI FRAMING SECTIC:N,..® mar-- 4, FRAMING ELEVATION ELEVATION GRIDLINE GRID •L'N I I; `T) n 46" ra 1 1 :77 S201 0 FRAMING ELEVATION E EV T NEAR NE IN 1210..11 e Wart nbaccom Page 111 (2/2312000) Jamesbe0 rryHDA EDF 2' 17 2009 pdf T Page 121 u. OCD y ,AN CAL uNrr eo„O■ it■ ;FLSse RAD al A, CC. FES FRAMING SECTION S301 (2/23/2009) James Lierly FMPA CLINIC STRUCT PDF 17 2004df FRAMING SECTION OCD -0. HANICAL FRAMING SECTION nb5e Ilk be. CO oboe com 0 S302 K023/2009) jarnesLierly FKAPA CLINIC STRUCT PDF211 2009 Of FRAMING SECTION FEA: 0 CD MECHANICAL REA CA) 7ELF-T'. FRAMING SECTION Ctmt mt hart fp Masa cam S303 l! (2/23/2009) James Lier ly ,FMPA CLINIC STRUCT PDF 2 17 2009 par 0 DETAIL ELEVATOR PIT SECTION NOT USED L„D. T" GRADE BEAM DETAIL DETAIL NOT USED NOT USED NOT USED GRADE BEAM DETAIL GRADE BEAM DETAIL Jlr 23221 k ball a alms cam o o g S501 (2/23/2009) James Lierly FMPA CLINIC STRUCT PDF2 172009 pdf Pa e 16 DET FRAMING DETAIL FR DET ffi FLOOR FRANIING DETAIL 117 err<r 1:1 1 11Z 1111 U11 TYPICALJOIST :RAMING TYPICALJOIST FRAMING TYPICAL HOLDOWN DETAIL 3.. tI 5 TYPICAL JOIST PARALLE LTO WALL I A OW Zrat% 1. r 2=C g i7: 7 S502 FLOOR FRAMING DETAIL TYPICALJOISTPERP TO WALL (2/23/20M 'Jariles Lierly FMPA CLINIC STRUCT PDF 2 17 2009 pdf Page 17 rr's PI VC nvf.ra „Tx .111 13 IF FRAMING ELEVATION STEEL FRAMING DETAILS 4A STEEL FRAMING DETAILS 1;11 11,1911•11C•1 too ,ti 1111 tlart nta•e.com ,{/////////,<A//n L". STEEL FRAMING DETAILS IL HH 0 1 S503 "(2/28/200 Lierly FMPA CLINIC STRUCT PDF 2 17 2009.pdf age LJLJI DETAIL PiiF xtrrss TYPICAL PILE ELEVATI 35 'soo ban F. 17, 0 S504 2/23/2009) James Lierly FMPA CLINIC STRUCT PDF 2 17 2009 pdf DETAIL DETAIL DETAIL ..1■3 DETAIL DETAIL DETAIL DETAIL PEE.. FINN. RAH IEISIFEt sac ROOF ROD BR LAYOUT DETAIL 1 1 7 i"FT Z V DETAIL g S505 Page 191 (2%23%2009) James Lierly 240 w front street_PC correctiens2 17 200945df Page 1 OFFICE LOCATIONS MAIL DELIVERIES california STRUCTURAL CALCULATIONS plan check corrections PORT ANGELES FAMILY MEDICAL CLINIC 240 W FRONT STREET PORT ANGELES, WA 98363 2006 IBC /ASCE7 -05 by 365 ERICKSEN AVE NE #328 BAINBRIDGE ISLAND WA 98110 206 780 -6822 629 STATE STREET #228 SANTA BARBARA, CA 93101 805 -452 -8152 nbse 321 HIGH SCHOOL ROAD NE STE. D -3 PMB 216 BAINBRIDGE ISLAND WA 98110 0 206 780 6822 C 206 300 2346 F 206 780 6683 F 208 693 3667 bart @nbse.com associates civil structural engineers 2 -16 -2009 I EXF1 RES2 -6 2011 idaho washington Oregon (2/23/2009) James Lierly 240 w front street PC corrections 2 172009 pdf Feb 19 09 12 54p Nbse ASSOCIATES 1NCORPOR TED R &A, FEB 1 0 2009 18052381601 Notes that are preceded by an asterisk are general comments that require no change to plans. 1 As noted in previous plan review the minimum roof snow load is 25 psf per City of Port Angeles Requirements. No reduction of this minimum is allowed. Please revis engineering and plans as necessary this applies to both the analysis of the existing building and the addition. CITY Or FORT ?ANGELES BUILDING DIVISION FAMILY MEDICINE BUILDING pUUm PORT ANGELES, WA oA1R SECOND STRUCTURAL PLANCHECK January 23, 2009 O'A"s OP 42 Notes: 2 The designer is to address each item of the plancheck notes in his or her letter of in)e/d T response. The designer is also to place a 'cloud' around all changes so that compliance may be verified. 2. The change in occupancy of this building requires building to conform to structural provisions of 2006 I.B.C. per Section 3403. Provided justification for use of AISC 9 J Edition rather than current addition AISC 360 -05 Also provide justification for use o ACI 318 -02 rather than ACI 318 -05 in the design. 3. Revise plans and calculations as necessary for wind load of 100 mph, Exposure D There are conflicts within the calculations with some portions of calculations using 90 mph, Exposure "D' while other portions appear to us 105 ph, Exposure D" l r /05 4.0/06;64mt 4. Floor beam #1 appears to have a point load from above which is not addressed in calculations. Please review and revise plans and calculations as necessary P 1 lit IL:1114G1NtC,tUNIn LAND.SURVEYING. 301 East 6th Street, Suitc 1 Port Angeles,Washington 98362 (360) 617-0501 Fax (360)417 -0514 E -mail: xenovic@olympus.ner r 5. It appears one of the roof beams, RB -2, has a span of at least 26' rather than the 25' span shown in the calculations. Please revise plans and calculations as necessary 6 Please specify edge distance requirements on for sill anchors on Detail 6/S501 and specify anchors to be used. 7 Please clarify material used for infill walls between existing steel frames. Some details appear to use steel studs while others use wood studs, See Detail 6/S501 and Detail 1/S503. There also appears to be discrepancies between sections on architectural plans and structural plans for these infill walls. 8 Please clarify connection of new infilied exterior walls to existing steel frames and new HSS framing at eave as well as connection at sill. Provide calculations to justify 1 1 Page i (2%23%2009) James Lierly 240 w front street PC corrections 2 17 2009.pdf ti �s -.rte C'ni�YtT1y o�co v16?.1 o 11 Please clarify what pages of the calculations show the wind and seismic loads indicated on the sketch on page 40 of calculations. Also clarify the load at the interior shear wall location for wind in the north /south direction on sheet 41 2. Please clarify how lateral loads are transferred back into Grid Line B for the second story floor area extending out south of Grid Line B. It should be noted that section B /S302 doesn't show blocking between the joists. 13. Please clarify how lateral loads are transferred between shear walls along Grid Line X l B at the roof and the second floor It appears that the beams are acting as a drag struts. How are they connected to the ends of the shear walls to provide transfer of lateral loads? 14 Please clarify how second floor lateral loads are resisted at elevator end of second floor walkway Grid Line C. 7'15. Please clarify shear wall design printouts. There appear to be shear walls that have S heights that do not match the heights of the walls on the plans or other shear walls along the same line. Examples are shear walls #4 #5 and #6 although this occurs in other locations on the plans. It may be that I do not understand your methodology but please clarify 16. Holdowns appear to missing from the plans for shear wall #4 #5 and #6, #15. 17 Shear walls #16 and #17 appear to have loads in excess of the shears wall called out on plans. 18. Shear wall #16 holdowns do not have required capacity for load in calculations. Please note that Simpson 2009 -2010 book used as reference. 19 Shear wall #17 calculations show special holdowns which do not appear to be shown on plans (the HDU -8 holdowns shown do not appear to have adequate capacity). Please note that foundation and holdown anchor bolt calculations shall be provided for required load. 20. Shear wall #22 appears to have loads in excess of shear wall called out on the plans The calculations show special holdowns which do not appear to be shown on plans (the HDU -5 holdowns shown do not appear to have adequate capacity). Please note that foundation and holdown anchor bolt,calculations shall be provided for required load. Al q° LG� pc. •2- DO al Ikt I ,3j1 1L(2/23/2009) JamesLierly 240 w front street PC corrections 2 17 2009.pdf Feb 19 09 12 55p Nbse 18052381601 Page 3 Family Medicine 21 Please clarify how lateral loads are transferred into the top of the interio shear walls. 1 22. Engineer shall specify holdown anchor bolts on plans for clarification. o d' 23. Clarify how holdown loads at shear wall #12 are transferred to the foundation. It appears that this wall sits over a beam so what holds the ends of the beam down and transfers the load into the foundation. 24 Shear wall calculations indicate requirement for D F #1 studs at holdown locations while structural notes call for studs to be stud grade, please clarify 0 25. Please clarify sill connection in shear wall schedule for walls #2 and #3 where schedule calls for 16d when a 3x for 4x sill is required per the remarks. 26. How are interior partitions being laterally supported for required lateral loads of IBC, 160713? Olf P e o s“ 'Y 27 Structural engineer shall review and approve sprinkler system drawings for compliance with structural provisions. Engineer shall verify that sprinkler system collateral load used in design of building conforms to the actual loads of the sprinkler system. Engineer shall review and approve sprinkler system prior to framing inspection. t er 28. Please provide calculations to justify use of existing purlins with additional load of sprinkler piping as discussed in item #27 above. 29. Foundation plans appears to show dowels from existing concrete slab to new slab and /or grade beam at Grid Line Ba but nothing appears to be called out, please clarify 30. Please identify joist and beam hangers used in the floor framing in the area of the stairway There appears to be beam and joist hangers which are not specified. 31 Clarify floor framing between the stairway /elevator to the main second floor area. Is the one LVL beam hanging off the other one or are they being supported by the existing slab along the stairway wall? 32. Please clarify framing and bracing details for parapet framing mechanical area shown on Sheet S301and S302. There appears to be discrepancies between the sections. Are the studs running down along the joists to provide lateral stability? It is not clear from the plan what is occurring in this area. 33. There appears to be louvers being instal and connected to the existing rigid frames on the building exterior as sho pion the arc ectural plans. Please provide structural calculations and details fo these items be noted that these do not appear to even be detailed on t e architect I plans. ID 3 /Jilt Page (2/2312009) James Lierly 240 g w front street PC corrections 2 17 2009 pdf Feb 19 09 12 55p LOAD TABLES ROOFING FRAMING PLYWOOD MECHANICAL INSULATION CEILING MISCELLANEOUS D+L FLOORING FRAMING PARTmON PLYWOOD MECHANICAL INSULATION CEILING MISCELLANEOUS ROOF LOADS Q+,L LOADING ITEM DEAD LOAD LIVE LOAD(SNOW) FLOOR LOADS al-LANDING IIEM DEAD LOAD LIVE LOAD D +L Nbse WEIGHT 6.0 3.0 3.0 0.5 0.5 /I INSULATION 2.0 CEILING 1.0 MISCELLANEOUS INTERIOR PARTITION EXTERIOR PARTITION QLOAO FOR SEISMIC WEIGHT ITEM 3,0 FLOORING 3.0 FRAMING 20.0 PARTITION 3.0 PLYWOOD 1.0 MECHANICAL 0.5 INSULATION 2.0 CEILING 0.5 MISCELLANEOUS INTERIOR PARTITION EXTERIOR PARTITION 33.0 50.0 4.- 100 ASSY FING FRAMING PLYWOOD MECHANICAL 18052381801 PROJECT FMPA DEAD LOA SEISMIC SEISMIC DEAD LOAD DEAD LOAD 004105 114. j$ I J 3.0 0.5 0.5 2.0 1.0 4.0 8.0 28.0 WEIGHT 3.0 3.0 10.0 3.0 1.0 0.5 2.0 0.5 6.0 10.0 P 4 39.0 4-- Page "151j F (2/23/2009) James Lierly 240 w front street PC corrections 2 17 2009 pdf_ww Feb 19 09 12 55p nbse associates civil structural engineers MAes 365 Ericksen Ave. NE #328 Bainbridge Island, WA 98110 She. -2 Sir E. ,r:, 0 r Lr '10 Fnt 4 mall deliveries: 321 High School Rd. NE PMB216 Ste D3 Bainbridge Island, WA 98110 0.206-780 -6822 F 206 780 -6683 C: 206- 300 -2346 bart @nbse.com califomia Nbse Mr W F Hennessey M.D 240 Front Street Port Angeles, WA 98363 Dear Mr Hennessey This letter will address the structural issues regarding the existing building at the new clinic location on Front Street. Currently pending, the City of Port Angeles maintains that the new occupancy of the structure constitutes a change in use, as determined during the plancheck process for this project, as outlined in the 2006 IBC It is prudent to address these issues and keep the project moving forward. I recommend the following, as this wall loosely agreed to in our meeting on Thursday February 12th, at the offices of the City of Port Angeles: 1 We have voluntarily upgraded the existing building by removing the existing masonry infill block walls adding chevron type bracing for north -south lateral loads strengthening the roof by adding rod bracing 2. Continue permitted work with the foundation shell, until the entire issue with the City of Port Angeles comes to a satisfactory conclusion. 3 Provide an analysis of the building based on the AISC 9th Edition in lieu of the requirments of AISC 360. This should satisfy the majority of the requirments for the building. 4 Provide and examination of the existing welds of the existing building to determine if any repairs are warranted I aniticipate this will help bring this to a satisfying conclusion. If there are any questions or comments please call 206- 780 -6822. 18052381601 p 5 Bart Needham, SE February 16, 2009 Project: FMPA 240 W Front St. Port Angeles, WA 98363 existing building analysis washington oregon idaho Page 6;1 L(2/23/2009) James Lierly 240 w front street PC corrections 2 17 2009.pdf Feb 19 09 12 56p LOAD TABLES ROOFING FRAMING metal deck MECHANICAL INSULATION CEILING MISCELLANEOUS ROOF LOAD* pi LOADING !TAM DEAD LOAD LIVE LOAD(SNOW) 0+L MATERIAL WEIGHTS (wfiere used) 8" CONCRETE BLOCK 2X4 16 2X6 16" Nbse HEIGHT 4.0 4.0 2.0 1.0 2.0 0.0 1.0 PROJECT FMPA (existing NOM 26AD LOAD FOR SEISMIC ITEM ROOFING FRAMING metal deck MECHANICAL INSULATION CEILING MISCELLANEOUS INTERIOR PARTITION/WALL EXTERIOR PARTITION/WALL fi; r1/410 tAi 30 x 20 c� (//4)47.0; 2 96 PSF 5 PSF OF FLOOR AREA B PSF OF FLOOR AREA 18052381601 66'36, P 6 WIGHT 4.0 4.0 2.0 1.0 2.0 0.0 1.0 3.0 ee,•./ IS0 SEISMIC DEAD LOAD 23.0 f— L© G �J'L Pe- 6 Page 7JI 11 (2/23/2009) James Lierly 240 w front street PC corrections 2 17 2009 pdf Page jj Feb 19 09 12 56p Nbse Needham CLIENT JOB NO.. DATE Wind Analysis for Low -rise Building, Based on ASCE 7 -05 IBC 2006 I CBC 2007 INPUT DATA Exposure category (8. C D) d Importance factor, pg 77 (0.87 1.0 or 1 15) I 1.00 Basic wind speed (IBC Tab 1609.3.1 V V 100 mph Topographic factor (Sec.6.5.7.2, pg 26 K 1 Building height to cave h 26 ft Building height to ridge Building length Building width Effective area of components h 26 ft L 105 ft B 18 ft A 10 ft Net Pressure (psf), Basic Load Cases Roof njtle 0 0.00 Roof angle 0 0.00 I Surface Net Pressure with I Net Pressure with 1 G Cor +GCoI) I GCoi) I GCor I(+GC (GC,,) 1 0.40 5.40 14.24 0.40 5.40 14.24 2 -0.69 -21.35 -12.52 -0.69 -21.35 -12.52 3 -0.37 13.50 -4.66 -0.37 -13.50 -4.66 4 -0.29 11.54 -2.70 -0.29 11.54 -2.70 1E 0.61 10.55 19.39 0.61 10.55 19.39 2E 1.07 30.68 -21.85 1.07 -30.68 -21.85 3E -0.53 17 43 -8.59 -0.53 -17 43 -8.59 4E -0.43 -14.97 -6.14 -0.43 14.97 -6.14 5 -0.45 -15.46 -6.63 -0.45 -15.46 -6.63 6 -0.45 15.46 -6.63 -0.45 -15.46 -6.63 Transv se Direction Longitudinal Direction Basic Load Cases 1 805238 160 1 P 7 Bart PROJECT PAGE DESIGN SUMMARY Max horizontal force normal to building length, L, face 47.58 kips Max horizontal force normal to building length, B, face 9.27 kips Max total horizontal torsional load 552.19 ft -kips Max total uoward force 37.11 kiss DESIGN BY REVIEW BY. ANALYSIS Velocity pressure qh 0.00256 Kh Ke4 Kd V 24.65 psf e where: q velocity pressure at mean roof height, h. (Eq. 6-15, page 27) K velocity pressure exposure coefficient evaluated at height, h, (Tab. 6-3, Case 1,pg 79) 1.13 Kd wind di. -.H:ity factor. (Tab. 6-4, for building, page 80) 0.86 h mean roof height 26.00 ft Desien ores sures for MWFRS p qh t1G Cr) (G C )j where: p pressure in appropriate zone. (Eq. 6-18, page 28). G C 1 product of gust effect factor and external pressure coefficient, see table below. (Fig. 6-10, page 53 8 54) G C I product of gust effect factor and internal pressure coefficient.(Fig. 6-5, Enclosed Building, page 47) 0.18 or -0,18 a width of edge strips, Fig 6-10, note 9, page 54, MARE MIN(0.1 B, 0.4h), 0.046,31 3.00 ft Net Pressures (psf), Torsional Load Cases Roof angle 0 0.00 I Surface I I Net Pressure with I I( +Gel,)I GC-pi) I IT 0.40 1.35 3.56 2T -0.69 -5.34 3.13 3T -0.37 -3.37 1 17 4T -0.29 -2.88 -0.67 I Roof angle 0 0.00 I Surface I Net Pressure watt I GC1 I (+GC,I)I (art) I 1T 0.40 1.35 3.56 2T -0.69 -5.34 -3.13 3T -0.37 -3.37 -1.17 4T -0.29 -2.88 -0.67 Lowir Transverse Direction Longitudinal Direction Torsional Load Cases ft. (2/23/2009) James t ierly 240 w front street PC corrections 2 17 2009.pdf Page _9 j1 Feb 19 09 12 56p Nbse surface Design pressures for comnonents and cladding p =4h[(GC) (G G Cp)J where: p pressure on component. (Eq. 6-22, pg 28) Pmr 10 psf (Sec. 6.1 4.2, pg 21) G C, external pressure coefficient. see table below. (Fig. 6-11 page 55-58) Comp. a Cladding Pressure (pr) Walls 18052381601 P 8 Basic Load Cases In Transverse Direction Basic Load Cases in Longitudinal Direction Area 1 Pressure Ik) With I Nee I Pressure (k) with I +GC -GC I Surface I (re) I( +GC,') I( -GC I (+1 I Pi)I( P) 1 2574 13.90 36.64 1 312 1.68 4.44 2 891 -19.03 11 15 2 630 -13.45 -7.89 3 891 -12.03 -4.16 3 630 -8.50 -2.94 4 2574 -29.69 -6.95 4 312 3.60 -0.84 16 156 1.65 3.02 16 156 1.65 3.02 2E 54 -1.66 -118 2E 315 -9.66 -6.88 3E 54 -0.94 -0.46 3E 315 -5.49 -2.71 4E 156 -2.34 0.96 4E 156 -2.34 -0.96 47.58 47.58 9.27 E V I 33 65 I 16 95 I I Vert. -37.11 I -20.41 I 10 psf min. Horiz. 27.30 I 27.30 I 10 ref ml I Horiz. I 4.88 I 4.68 Sec.6.1.4.1 Vert. I 18.90 18.90 Sec. 6.1.4.1 Vert. 18.90 18.90 Torsional Load Cases in Transverse Direction Torsional Load Cases in Longitudinal Direction Area I Pressure (k1 with I Torsion Ift-k) Area I Pressure (k) with I Torsos (ft -k) 1 Surface Of) (+GCroi) i «CPI) I(+GCai)1 (-GCP,) surf. on I +GCPJ GC, JI (*GCPJI JI 1 1209 6.53 17.21 162 426 1 78 0.42 1.11 1 2 2 419 -8.94 5.24 0 0 2 315 -6.73 3.94 0 0 3 419 5.65 1.95 0 0 3 315 -4.25 -1 47 0 0 4 1209 13.95 3.26 345 81 4 78 -0.90 -0.21 1 0 16 156 1.65 3.02 82 150 1E 156 1.65 3.02 10 18 2E 54 1.66 -118 0 0 2E 315 -9.66 -6.88 0 0 3E 54 -0.94 -0.46 0 0 3E 315 -5.49 -2.71 0 0 4E 156 -2.34 -0.96 116 47 4E 156 -2.34 -0.96 14 6 IT 1365 1.84 4.86 -48 -128 17 234 0.32 0.83 1 -4 2T 473 -2.52 -1.48 0 0 2T 630 -3.36 1.97 0 0 3T 473 1.59 -055 0 0 .37 630 -2.13 -0.73 0 0 4T 1365 3.94 -0.92 -103 -24 47 234 -0.67 -0.16 -3 1 Total Horiz. Torsional Load, MT i 552 552 Total Horiz. Torsional Load. NIT 21.4 I 21.4 I 2 1 I 3_ _3 -IT ~JT aISHT Roof Roof Pffectiv I Zone 1 I Zane 2 Zone 3 I Zone 4 I Zone S Anna ire) I GC. I GC. I GC. I GC. GC. I -GC. I 6C, I -GC, I GC. I -GC. Como. I 10 I 0.30 I -1.00 I 0.30 I -1.80 0.30 1 -2.80 I 0.90 I -0.99 I 0.90 I 126 I (Walls reduced 10 Fig. 6 note 5.) Zone 1 I Zona 2 Zone 3 I Zone 4 I Zone 5 I Positive I rinittiy, I Positive I NNgreve Passive I Ns2 re. Positive I N.psive I Positive Nepotist, I 11.78 I -28.96 I 11.78 I -48.60 11.78 I -73.14 I 26.51 I -28.72 I 26.51 I 35.35 It (2/23/2009) James Lierly 240 w front street PC corrections 2 17 2009 pdf Page 10 Building length Building width Effective area of components DESIGN SUMMARY Max horizontal force normal to building length, L, face Max horizontal force normal to building length, B, face Max total horizontal torsional load Max total upward force ANALYSIS Velocity pressure qh 0.00256 Kr, K Rd V 23.28 pot whore: qh velocity pressure at mean roof height, h. (Eq. 6.15, page 27) Kh velocity pressure exposure coefficient evaluated at height, h, (Tab. 6 Case 1,pg 79) 1.07 Ka wind directionality factor. (Tab. 6-4, for building, page 80) 0.86 h me roof height 19.00 ft Demon oressures for MWFRS p gh [(G C (G C where: p pressure in appropriate zone. (Eq. 6.18, page 28). G C r. product of gust effect factor and external pressure coefficient, see table below. (Fig. 6-10, page 53 54) G Co product of gust effect factor and internal pressure coefflcient.(Fig. 6-5, Enclosed Building, page 47) 0.18 or -0.18 a width of edge strips, Fig 6-10, note 9, page 54, MAX( MIN(0.1B. 0.4h), 0.04B,3] 7.60 ft Net Pressures (pst), Basic Load Cases Net Pressures (psf), Torsional Load Cases I Roof angle 0 5.71 I Roof angle 0 0.00 I I Roof angle 9 5.71 I Surface I Net Pressure wth I I Net Pressure w th Surface I Net Pressure with O Co I +GC I Ri) I Oar I( ('GCpt) I I OCpr I (+GCpr) 1 0.41 527 13.65 0.40 5.12 13.50 17 0.41 1.32 3.41 2 -0.69 -2026 11.87 -0.69 -20.26 -11.87 2T -0.69 -5.06 -2.97 3 -0.38 -12.93 -4.55 -0.37 -12.81 -4.42 3T -0.38 -3.23 -1.14 4 -0.30 -1110 -2.72 -0.29 -10.94 -2.56 4T -0.30 -2.77 -0.68 1 E 0.62 10.22 18.60 0.61 10.01 18.39 I Roof angle 0 0.00 I 28 1.07 -29.10 -20.72 -1.07 -29.10 -20.72 Surface I Net Pressure with I 3E -0.54 -16.71 3.33 -0.53 -16.53 -8.15 GCr I(+GCR, )I 4E -0.44 -14.43 -6.05 -0.43 -14.20 -5.82 5 -0.45 -14.67 -6.29 -0.45 -14.67 -6.29 6 -0.45 14.67 -6.29 -0.45 -14.67 -6.29 3E 3 E NCE CORN° RErrno.cr CdhEe RCrrsEMCE NKN NO oPCC. 04 a1N orREno. NNW SON "Q [RECTCNI T ansverse Dirndl Longitudinal Direction Transverse Direction Longitudinal Direction Torsional Lood Cases Basic Load Cases L 105 ft B 120 ft A 10 ft t 24.43 kips 38.71 kips 563.47 ft -kips 220.57 klos 17 0.40 1.28 3.38 2T -0.69 -5.06 -2.97 3T -0.37 -3.20 -1.11 4T -0.29 -2.74 -0.64 11 (2/23/2009) James Lierly 240 w front street PC corrections 2 17 2009 pdf Page 1111 Feb 19 09 12 57p Nbse Design pressures for comoonents and cladding p qh[ (G Cp) (G CO] where: p pressure on component. (Eq. 6-22, pg 28) pmk, a 10 psi (Sec. 6.1.4.2, pg 21) G C external pressure coelfcient see table below. (Fig. 6-11, page 55-58) Walls 18052381601 p 10 Basic Load Cases in Transverse Direction Basic Load Cases in Longitudinal Direction A re I Pressure (k( w(M I Are Pressure (k) with I Surface I (ft) I( +GCpi) I I Surface I (ft') I( +GC)),) I (CC.,I I 1 1437 7.57 19.61 1 2025 10.37 27.35 2 5415 109.69 -64.30 2 5529 112.01 -65.66 3 5415 -70.00 -24.61 3 5529 -70.81 -24.46 4 1437 -15.94 3.90 4 2025 -22.16 -5.19 16 243 2.49 4.52 16 255 2.55 4.69 2E 917 -26.68 18.99 2E 802 -23.34 16.62 3E 917 -15.31 -7.63 3E 802 13.26 -6.54 4E 243 -3.51 -1.47 4E 255 -3.62 1.48 3871 I Vert. I -220.57 I- 114.96 I E Vert. I -218.32 I -1 271 I° Psi rn I Horiz. I 23.10 I 23.10 I 1 10 psf min I Hord. I 22.80 I 22.80 Sec. 6 Ve rt. 126.00 726.00 Sec. 614.1 Vert. 126.00 126.00 Torsional Load Cases in Transverse Direction Torsional Load Cases in Longitudinal Direction Sudac w Area I Pressured I Torsion (ft-k) Area I Pressure (k)weTorsion h I To (f(ft-Id I (ft') I +GC I (C'Coi) I +Gemi)I I Surface (5) I( +GCoi) +GC,,)I (-GC,) I 1 597 3.14 8.14 71 183 1 885 4.53 11.95 98 258 2 2249 -45.56 -26.71 102 -60 2 4727 95.76 56.14 250 147 3 2249 -29.08 10.22 65 23 3 4727 -60.54 -20.91 -158 55 4 597 -6.62 1.62 149 36 4 685 -9.69 -2.27 209 49 1E 243 2.49 4.52 112 203 1E 255 2.55 4.69 133 245 2E 917 -26.68 18.99 -119 -85 2E 802 -23.34 -16.62 61 43 3E 917 15.31 7.63 68 34 3E 802 -13.26 -6.54 35 17 4E 243 -3.51 -1 47 158 66 4E 255 -3.62 -1.48 189 78 17 840 1.11 2.87 -29 -75 17 1140 1.46 3.85 -41 109 2T 3166 16.03 -9.40 42 25 2T 5529 -28.00 -16.41 -146 -86 3T 3166 10.23 -3.60 -27 -9 37 5529 17.70 -6.12 92 32 4T 840 -2.33 0.57 -61 -15 4T 1140 -3.12 -0.73 -89 -21 Total Horiz. Torsional Load, Mr I 326 I 326 I Total Hord. Torsional Load, MT I 563.5 I 563.5 I 2 2 N 3~>I) 1:2Jt1 Root Roof Effaces I Zone I Z one Zone3 i Zone4 I Zone Area (ft) oc. I -oc. I cc, I -cc, cc, I -ac. I cc. I -ac I cc, 1 -oc, I Camp. I 10 I 0.30 I 1.00 I 0.30 I -1.80 0.30 I -2.B0 I. 0.90 I -0.99 I 0.90 I -1.26 (Walls reduced 10 Fig. 6-11A note 5.) Comp. 8 Cladding I Zone 1 I Zone 2 Zone 3 I Zone 4 I Zone 5 Press I POW.. I rwg.e,,. i .ow I Woody. P.M.. I Nea.tiv. I Padtive I N.oew. I ra.ni,. I N.g ea. (Pal I 11.18 I -27.47 I 11.18 I -46.10 11.18 I -69.38 I 25.15 I -27.24 25.15 I 33.53 (2/23/2009) James Lierly 240 w front street PC corrections 21 2009 p_,f w Feb 19 09 12 57p Nbse nbse associates STRUCTURAL ENGINEERS avwa way PM13 194 Bellevue WA 98004 (425) 418 8502 829 State Street 0230 Santa Barbara CA 93101 (805) 452-9152 321 High Schad Ad. NE 8216 Ba nbndge Island, WA 95110 (206) 290 -5333 JOB TITLE. SUBJECT. JOB NO. C 180523816 {j loif°' 1 -a ek ti 1 1 SHEET NO. DESIGNER: DATE. p 11 I! I 1 0 r ieec 0A #41 11e g 'G' 4 1.a, x 04. ',Page 12 IL(212312009) James Lierly 240 w front street PC corrections 2 17 2009 pdf Page 1311 Feb 19 09 12 58p Nbse 18052381601 p 12 Rev. 560100 User KW-0605601, Ve 561 26-Oc1-2002 General Timber Beam Page 1 (c)1983 -2002 ENECALC Engineering Software ',1ec551fmpa pa eOa.Calculetions Description FLOOR BEAM FB -1 I General Information Title Dsgnr Description Scope Job Date: 3:15PM, 17 FEB 09 Section Name Prllm:5.25x11.875 Center Span 9.50 ft .Lu 0.00 ft Beam Width 5.250 in Left Cantilever ft .Lu 0.00 ft Beam Depth 11.875 in Right Cantilever ft .Lu 0.00 ft Member Type GluLam Truss Joist MacMillan, Parallam 2.0E Fb Base Allow 2,900.0 psi Load Dur. Factor 1.000 Fv Allow 290.0 psi Beam End Fixity Pin -Pin FcAllow 650.0 psi E 2,000.0 ksi Full Length Uniform Loads Center DL 300.00 #/ft LL 600.00 #!ft Left Cantilever DL ft/ft LL #/ft Right Cantilever DL #/ft LL #/ft I Point Loads r Dead Load 1,800.0iDa Ibs Ibs Ibs lbs lbs s lbs Live Load 2,600.0 lbs lbs lbs lbs lbs lbs lbs .distance 4.000 ft 0.000ft 0.000ft 0.000ft 0.000ft 0.0008 0.000ft S ummary f 1 1 Beam Design OK Span= 9.508, Beam Width 5.250in x Depth 11.875in, Ends are Pin -Pin Max Stress Ratio 0.747 1 Maximum Moment 22.3 k -ft Maximum Shear 1.5 10.0 k Allowable 29.8 k -ft Allowable 18.1 k Max. Positive Moment 22.26 k -R at 4.028 ft Shear R 7.77 k Max. Negative Moment 0.00 k -ft at 9.500 ft Right Le 7.08 k Max Left Support 0.00 k -ft Camber- Left 0.000in Max Right Support 0.00 k -ft Center 0.111 in lb Right 0.p00in Max. M allow 29.82 Reactions. 2,164,89 psi fv 160.86 psi Left DL 2.47 k Max 7,77k Fb 2,900.00 psi Fv 290.00 psi Right DL 2.18 k Max 7.08 k 1 Deflections Center Span. Dead Load Total Load Left Cantilever- Dead Load Total Load Deflection -0.074 in -0.227 in Deflection 0.000 in 0.000 in Location 4.636 ft 4.636 R .length /Deft 0.0 0.0 .Length/Defl 1,537 4 502.01 Right Cantilever. Camber using 1.5 D.L. Deft) Deflection 0.000 in 0.000 in Center 0.111 in .Length/Deft 0.0 0.0 Left 0.000 in Right 0.000 in L(2/23/2009) James Lierly 24O, front street PC corrections 2 17 2009 pdf Page 14,1 Feb 19 09 12 59p Nbse 1Full Length Uniform Loads Center DL 180.00 #61 LL 270.00 #/ft Left Cantilever DL #/ft LL #/ft Right Cantilever DL #/ft LL #/ft Rev: 501150 Use KW-0605631, Ver 5.6.1, 25-0d-2002 General Timber Beam (c)1983-2002 ENERCALC Engineer ng Sofbroa Description roof beam RB-2 I General Information Section Name 5.125x16.5 Beam Width 5.125 in Beam Depth 16.500 in Member Type GluLam Load Dur Factor Beam End Fixity nmw Span= 25.756, Beam Width 5.125in x Max Stress Ratio Maximum Moment Allowable Max. Positive Moment 37.30 k-ft Max. Negative Moment 0.00 k-ft Max Left Support 0.00 k-ft Max Right Support 0.00 k-ft Max. M allow 50.76 fb 1,924.63 psi Fb 2319.53 psi Deflections Center Span. Deflection .Location .Length/Defl Camber using 1.5 Center Left Right 1 150 Pin-Pin Dead Load -0.516 in 12.875 ft 599.3 D.L Deft) 0.773 in 0.000 in 0.000 in Stress Calcs Bending Analysis Ck 20.711 Le 0.000 ft Cv 0.949 Rb 0.000 Max Moment Center 37.30 k-ft Left Support 0.00 k-ft Right Support 0.00 k-ft Shear Analysis Left Support Design Shear 7.79 k Area Required 35.638 in2 Fv: Allowable 218.50 psi Bearing Supports Max. Left Reaction 5.79 k Max. Right Reaction 5.79 k Scope Center Span Left Cantilever Right Cantilever Douglas Fir, 24F V8 Fb Base Allow Fv Allow Fc Allow E Depth 16.5in, Ends are Pin-Pin 0.735 1 37.3 k-ft 50.8 k-ft at 12.875 ft at 25.750 ft lv 92.08 psi Fv 218.50 psi Reactions. Left DL Right DL Title Dsgnr Description Sax 232.547 in3 CI 0.000 Su Redd 170.86 in3 0.00 in3 0.00 in3 Right Support 7 79 k 35.638 in2 218.50 psi Bearing Length Req'd Bearing Length Req'd 18052381601 25.756 .Lu ft .Lu ft .Lu 2,400.0 psi 190.0 psi 560.0 psi 1,800.0 kid Maximum Shear Allowable Shear: 2.32 k 2.32 k 1.5 Left Right Camber Left Center Right Max Max Area 84.563 in2 Allowable fb 2,619.53 psi 2,619.53 psi 2,619.53 psi 2.019 in 2.019 in Job Date: 2:33PM, 17 FEB 09 Page 1 1" cAec55‘impe paLecw.Celculatio 0.00 ft 0.00 ft 0.00 ft Beam Design OK 7.8 k 18.5 k 5.79 k 5 79 k 0.000 in 0.773 in 0.000 in 5.79k 5.79 k p 13 Total Load Left Cantilever. Dead Load Total Load 1.289 in Deflection 0.000 in 0.000 in 12.875 ft .Length/Defl 0.0 0.0 239.72 Right Cantilever. Deflection 0.000 in 0.000 in .Length/Defl 0.0 0.0 3 1(2/23/2009) James Lierly 240 w front street PC corrections 2 17 2009,pdf Feb 19 09 12 59p Nbse Re 560100 User KI/V-06 vet 6 6,1, 26.0cI-2002 General Timber Beam (CO963-2002 ENERCALC Engineer ng Schwa Description roof beam RB-2 (a) General Information Section Name 5.125x18.0 Beam Width 5.125 in Beam Depth 18.000 in Member Type GluLam Load Dur Factor Beam End Fixity Summary Span= 26.0011, Beam Width Max Stress Ratio Maximum Moment Allowable Max. Positive Moment Max. Negative Moment Max @I Left Support Max Right Support Max. M allow lb 2,161 73 psi Fb 2,594.33 psi Deflections Bending Analysis Ck 20.711 Cv 0.940 Center Left Support Right Support Shear Analysis Design Shear Area Required Fv: Allowable Bearing Supports Max. Left Reaction Max. Right Reaction Le Rb 1.150 Pin-Pin Full Length Uniform Loads Center DL 320.00 #/ft Lt Left Cantilever DL #/ft LL Right Cantilever DL 4/ft U. Center Span. Dead Load Deflection -0.734 in .Location 13.000 ft .Length/Defl 425.2 Camber using 1.5 D.L. Dell Center 1 101 in Left 0.00D in Right 0.000 in Stress Calcs 5.125in x Depth 18.in, Ends are Pin-Pin 0.833 1 49.9 k-ft 59.8 k-ft 49.85 k-ft at 13.000 ft 0.00 k-ft at 0.000 ft 0.00 k-ft 0.00 k-ft 59.83 Reactions. fv 110.75 psi Left DL Fe 218.50 psi Right DL 0.000 ft 0.000 Max Moment 49.85 k-ft 0.00 k-ft 0.00 k-ft Left Support 10.22 k 46.757 in2 218.50 psi 7.67 k 7.67 k Title Dsgnr: Description Scope 1 80 523 8 1 6 0 1 Center Span 26.00 ft .Lu 0.00 ft Left Cantilever ft .Lu 0.00 ft Right Cantilever ft .Lu 0.00 ft Douglas Fir, 24F V8 Fb Base Allow Fe Allow Fc Allow E 2,400.0 psi 190.0 psi 560.0 psi ft (2, 1,800.0 270.00 #1 Itift Maximum Shear Allowable Shear Bearing Length Req'd Bearing Length Req'd Camber 4.16 k 4.16 k 1.353 in Deflection 13.000 ft .Length/Defl 230.59 ji Right Cantilever. 7240 Deflection .L 1.5 2.672 in 2.672 in Left Right Left Center Right Max Max 276.750 in3 Area 92.250 in2 0.000 Sax Reo'd Allowable fh 230.60 in3 2,594.33 psi 0.00 in3 2,594.33 psi 0.00 in3 2,594.33 psi Right Support 10.22 k 46.757 in2 218.50 psi Job Date: 2:55PM, 17 FEB 09 Page 1 cftec5511mpe pa.ecve T 040 SAAPY Beam Design OK r14-C) 10.2 k 20.2 k 7.67 k 7.67 k 0.000 in 1.101 in 0.000 in 7.67k 7.67 k p 14 Total Load Left Cantilever Dead Load Total Load 0.000 in 0.000 in 0.0 0.0 0.000 in 0.000 in 0.0 0.0 ci o oi Lit E CIS )ND 2X8©16; 2X4@16' ANCHOR BOLT ©32' (ALT THREADED ROD) ITEMS NOT SHOWN OR NOTED SAME AS DETAIL DETAIL 2' (E)QONC WALL TO DRILL 5/8 DIA. THREADED ROD |N3' DEEP HOLE 32' COL FOR BENT BEYOND (E) CONC. PILE BEYOND SCALE: ow'=1 -0' 5/8'DIA.X3'11 ANCHOR BOL (ALT THREAD SILL PLAT ‘3 a_ pLA -5 FOR ROD BRACING BEYOND LINE OF FINISH 2 ROWS #8 TEK SCREW 16' (OR SHOT PINS 145' DIA.) (E) ROOF PURLINS TO REMAIN STEEL FRAMING DETAILS SIMP DTC ANCHOR EA. STUD TO PLATE SEE ARCH. DRAWINGS FOR FINISH SCALE. 3/4 1 -0' (E) PURLINS INSULATION TO REMAIN nb associ civil a 321 HII SUITE BAINBI 206 P 2 0 6 P 208 C:2 0 6 ban (2/23/20P) James Lie fiont street PC corrections &rections 2009,0f k7::- -q71 4144v4"' •41::• r 7.'' .'e,." f'DfOr aqiiir iftla 410.e• „.0,1•4'.1?_Mtar. r_. ',i..O.F..4:;"1 \,..1. 0. ..ify.:......"..-... ,..t ,L,; r v ,..4 7 ,titi.211.....",-, ..,,i..4..:.715,...,_ .7.4..,,,,..-...4.3.P."-,;,:. I ?:7:.,-,,ai:p- t.t.t t:f-7 IKt 2 11,1.21VP '":4.k1.VV :"-T 1 -g C 4 r.: ....07, 7.7. ,:s d.,, -1 1 ii:t.:.".:-`1" Trill104441#0 --trdtt 4 7 in 1 'II.' 7 i .j.:44. t.4 r -_,.:Vti,- 7 ii :Z tY fi: H 11-4 ,-A, A •44 •we4. ,.-,r '1 rrr• ......e, Le ,Z• F7c■ 4. 7 I V Mt" i•!E,:14 II trffri.1 1413 M:ff.;y: i} .LirPrr, 7 7 .7, ..r. F 0 m m O. MO OZm 03 0 Z _4 m 2 0 0 r Ca 1■3 Z 0 I r Z Fil --I 0 2 0 ---1-1-- -a- 71 03 Ili -1 Do pc, cA m to ll ri I 1 II 0 N. ••1.17.5 1,- 2.6.1,2 $1, k •tlt ‘13. Page 18j 161 a).1 cr) CL I PLATE FOR:RODL- BRACING BEYOND 2 ROWS #8 TEK SCREW 16' (OR SHOT PINS 145' DIA.) Co t` 6 411/41v 060 S I (E) ROOF PURLINS TO REMAIN (2 \l ee SIMP DTC ANCHOR EA. STUD TO PLATE SEE ARCH. DRAWINGS i \l\l o FOR FINISH (N) 2 X 8 16' IF% Ss I EXPI 0 inbSej associates (2/23/2009) James Lierti 240 w front street PC corrections 2 17 2009.pdf Page 20 Feb 19 09 01 09p Nbse PROJECT CLIENT JOB NO. Single Fastener in Tension and Shear Near an Edge INPUT DATA DESIGN SUMMARY CONCRETE STRENGTH t< 2.5 ksi SPECIFIED STRENGTH OF FASTENER 30 ksi (The strength of most fastenings is likely to be controlled by the embedment strength rath than th steel strength, so it usually economical to we ASTM .4307 Grade A fasts cr.� FACTORED DESIGN TENSION LOAD N„ 0.01 k FACTORED DESIGN SHEAR LOAD V„ 0.4 k EFFECTIVE EMBEDMENT DEPTH 3 M 1 FASTENER DIAMETER d 0.625 in FASTENER HEAD TYPE 3 Hex (1= Square, 2 =Heavy Square, 3 =Hex, 4 =Heavy Hex, 5=Hardened Washers DIST BETWEEN THE FASTENER AND E c 11 2 in ANALYSIS EFFECTIVE AREA OF FASTENER BEARING AREA OF HEAD CHECK FASTENER TENSILE STRENGTH Are A 4.882 k N„ DATE ON =On Acc (0. 8 f m where 4 0.9 CHECK CONCRETE BREAKOUT STRENGTH 0 A., 0 AN 0 7+ 0Nra AN, tVz (9h f 1.5h f 2.815 k N„ where 4s 0.75 er term Is 1.0 for location where concrete cracking Is likely to occur. CHECK PULLOUT STRENGTH ON 4 (A6 8 f) 6.810 k N. where 4 0.75 W4 term is 1.0 for location where concrete cracking is likely to occur. CHECK SIDE FACE BLOWOUT STRENGTH (Since 1. 0.4hef this type of failure mode is applicable.) d, 6 160c A67) 8.086 k N„ where 0.75 DETERMINE DESIGN TENSILE STRENGTH ON min(tN >6N 9 OM) CHECK FASTENER SHEAR STRENGTH �V Sn0.6A f u 3.661 k V„ where 0.9 CHECK CONCRETE BREAKOUT STRENGTH FOR SHEAR LOAD 02 AV Av 01 Y' Iv6'7V6 Y' 7 1 1 1 6V 7 1 d Nrd gc 5 Ava Au 2.815 K where 4t 0.75 W7 term is 1.0 for location where concrete cracking is likely to occur. AVA,r„ and We terms are 1.0 for single shear fastener not influenced by more than one free edge. l term is load bearing length of the anchor for shear, not to exceed 8d. 18052381601 p 4 0.890 k PAGE DESIGN BY REVIEW BY [THE FASTENER DESIGN IS ADEQUATE.] 0.226 in' 0.454 In (or determined from manufactures's catalogs.) 1 V„ c 1.5h 4$c AN ([(2/23/2009) James Lierly 240 w tront street PC corrections 2 17 2009.pdf Page 2111 Feb 19 09 01 10p Nbse 18052381601 P 5 CHECK PRYOUT STRENGTH FOR SHEAR LOAD 0.3c 0V7 =Q k© A.u rV2V'3Na= f 07+ Sh J -AN 5.629 k V„ where 0.75 ry term is 1.0 for location where concrete cracking is likely to occur. 2.0 for Ir 2.5 DETERMINE DESIGN TENSILE STRENGTH 56V min (Ov 9 8V n N„ V 0.45 1.2 ON qV Effective Fastener Gross Are of Diameter Area of Threaded (In) Fastener Fastener (in`) 0.250 114 0.049 I 0.032 0.375 3/8 0.110 I 0.078 0.500 1/2 0.186 I 0.142 0.625 5/8 0.307 I 0.226 0.750 3/4 0.442 1 0.334 0.875 7/8 0.601 I 0.462 1.000 1 0.785 I 0.606 1.125 1 118 0.994 I 0.763 1.250 1 1/4 1.227 I 0.969 1.375 13/8 1.485 I 1 160 1.500 1 112 1.767 I 1.410 1.750 1 314 2.405 I 1.900 2.000 2 3.142 I 2.500 0.890 K CHECK TENSION AND SHEAR INTERACTION Since N 0.2 0 N„ and V 0.2 0 V„ the full tension design strength is permitted. The interacts equation must be used Summary of Dimensional Properties of Fasteners Bea ng Area of Heads, Nuts, and Washers (An) (rn Heavy Ha Heavy Hardened Squa Hex Washers 0.142 0.201 I 0.117 I 0.167 j 0.258 0.280 0.362 I 0.164 I 0.299 1 0.408 0.464 0.569 I 0.291 I 0.467 I 0.690 0.693 0.822 I 0.454 I 0.671 I 1.046 0.824 1.121 I 0.654 I 0.911 I 1.252 1.121 1.465 0.891 I 1.188 1.804 1.465 1.855 1.163 I 1.501 2,356 1.854 2.291 1.472 I 1.851 2.982 2.288 2.773 1.817 I 2.237 3.682 2.769 3.300 2.199 I 2.659 4.455 3.295 3.873 2.617 I 3.118 5.301 I 4.144 6.541 I 5.316 7.903 Square Alt (Confd) w a CURB WIDTH C E 32' MATCH (E) CONC L BELOW e 'L COL. IT NC BEYOND 2 X 8 16' A35 EA. STUD TO PLATE 16d 16' 2X4 @16' 5/8' DIA. X 3' MIN EMBED ANCHOR BOLT 32' (ALT THREADED ROD) I DETAIL (E) CONC WALL TO REMAIN (N) CONC CURB DRILL 5/8' DIA. X 5' THREADED ROD IN 3' DEEP HOLE 32' (E) STEEL COL. FOR BENT BEYOND SILL PLATES 2X PRESSURE TREATED SCALE. 3/4' =1 -0' (E) CONC PILE BEYOND L RE' MAI SHE1 A A A A A SHE] N 0 5X, OR 4X.MIN. NAILER 5/8" DIA.'THREADED END WELDED STUD (fij 48' (N) W12 X 30 114V (E) STEEL FRAME TO REMAIN (N) L 4X4X318 X 6" LONG, EA. END (E) ROOF PURLINS TO REMAIN (N) 2X8 CONT SIMP 112.5 EA. STUD TO PLATE N SIMP L70 ANCHOR EA. STUD TO PLATE SEE ARCH. DRAWINGS FOR FINISH 2 ROWS #8 TEK SCREW 16" (OR SHOT PINS 145" DIA.) �(N)2X8@16" STEEL FRAMING DETAILS SCALE: 3/4 1' -0" 3 LINE OF FINIS SHOWN DASI- I1(2 %2372009),James,Lierly 24 frontstreot I C corrections 2 172009 pdf Feb 19 09 01 10p flbse I Rev 560100 User: KW- 0605631, Mr 5.61, 25 -051 -2002 Steel Beam Design (c)1963 -2002 ENERCALC Engineer ng Software Description WIND GIRT General Information Calculations are designed to AISC 9th Edition ASD and 1997 UBC Requirements i, Steel Section W12X30 ��Aa�PrU Fy 50.00ksi Pinned Pinned Load Duration Factor 1.00 Bm Wt. Added to Loads Elastic Modulus 29,000.0 ksi LL ST Act Together Center Span Left Cant. Right Cant Lu Unbraced Length I Distributed Loads DL LL ST Start Location End Location #1 #2 0.200 20.000 F Summary Using: W12X30 section, Span End Fixity Pinned- Pinned. Lu Moment fb Bending Stress fb Fb Shear fv Shear Stress iv/ Fy Force Stress Summary 20.00 ft 0 00 ft 0.00 ft 20.00 ft #3 Reaction Left 2.30 0.30 Reaction Rt 2.30 0.30 Fa calc'd per Eq. E2 -2, K *Ur> Cc I Beam, Major Axis, UrT (510,000 Cb Fy) Fb per Eq. F1 -7 I Beam, Major Axis, Fb per Eq. F1 -8, Fb 12.000 Cb At (I di I Section Properties W12X30 Depth t M-- _y 12.340 in Weight Width 6.520in I -xx Web Thick 0.260 in I -yy Flange Thickness 0.440 in S-)x Area 8.79 in2 S-yy #4 20.00ft, Fy 50.0ksi 20.O0ft, LDF 1.000 Actual Allowable 11 493 k -ft 37.365 k -ft 3.575 ksi 11.624 ksi 0.308 1 2.299 k 64.168 k 0.716 ksi 20.000 ksl 0.036 1 Title Dsgnr• Description Scope 2.30 2.30 18052381601 29.86 #/ft 238.00 in4 20.30 In4 38.574 in3 6.227 in3 #5 #6 #7 k/ft k/ft k/ft ft ft P 8 Job Date: 11:29AM, 17 FEB 09 Page 1 1ec55 Imps pa ecw.Calculeti ns j Beam OK Short Term Load Case Governs Stress Max. Deflection Length/DL Defl Length/(DL +LL Deft) These columns are Dead Live Load placed as noted DL LL LL +ST LL LL +ST Maximum Only tEl Center 8 Center tEl Cants tEl Cants Max. M 11 49 k -ft 1 49 11 49 k -ft Max. M k -ft Max.M @Left k -ft Max. M Right k -ft Shear Left 2.30 k 0.30 2.30 k Shear Right 2.30 k 0.30 2.30 k Center Deft. -0.120 in -0.016 0.000 -0.120 0.000 0.000 in Left Cant Deft 0.000in 0.000 0.000 0.000 0.000 0.000 in Right Cant Defl 0.000 in 0.000 0.000 0.000 0.000 0.000 in .Query Deft 0.000 ft 0.000 0.000 0.000 0.000 0.000 in -0.120 in 15,411.7 1 2,001.9 1 k r xx 5.203 in r -yy 1.520 in Rt 1.730 In Pen Ig abed z 0 z z x X x m Z a ox 0 mw 13 C ET 0 0 0 0 0 I _1T MIN I 3Cr MAX. cn 0 2, 8 w o t- o? m m 0 H m c L 0 K M x CO Z Z 0 m ul 0 T z I 0 co 1 c C 71 74 4 .J• TB .1 LI -7-.....-- ,-,mr.zrroarlottoirLiwIota o(1.!-W.H.".-4."..,:rn,...' ..........11..qx.artiiiThrrnIthrrrorrromniln-rrntriirrt !Mr% eV eV .7.1i, a e• rnllri4:a PZ-Dtb.kEAII -4. 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ANGLE (E) ANGLE (2 x 2 x 1/4) TO REMAIN (APPROX. 10FT OC) APPROX. 8 10 ALONG BENT LENGTH) SIMP DTC ANCHOR EA. STUD TO PLATE (N) 2X8 16' STEEL FRAMING DETAILS SCALE. 3/4 1 -0' 2 F' C: ba C L L C C C L s C L C L a L RE MAI (2/2372009 James Lierly 240 w front street PC Corrections 2 17 2009.pdf Feb 19 09 01 lip 7 7•••••• Nbse nbse associates STRUCTURAL ENGINEER 227 Batley Way NE PAM 194 Bellevue, WA 98904 (425) 418-8502 829 State Street 2230 Santa Barbara, CA 93101 (805) 452-8152 321 1-9959411001 Rd. NE nus s Bainbridge Bland, WA 98110 (206) 780-5333 "1 r 18052381601 P 12 JOB TITLE: SHEET NO. SUBJECT: DESIGNER: JOB NO. DATE: ...L4_.L. 1 1 H I L 1 1 1 1 -t-- TA IT, Ti[r lir; F.) I i 1 i:.->i r -7-..111il'i I I T t"' i 1 r 7 i 7 I J -171 1 1 1 9-- 7 L -7 7EFIT i i r 7 1- _1 I _I Li 4 :T71 1jj TI I I._, HI I r: 111 1 '--2 I i FE i I I t 4 I N4. 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T A. r i i---- „4,--H FAP" i o. 9 ..e 910 r7 r1 1 _r l' r ,j 1 T7 717 r: ,1 f dfi ...,,r, 1 Ii 1 i 1 1- 11T H 1 •T 1 i ,,-;-.47 1 ..1. e- 6 _1Ni.:Y w r i i_ _"n".1 .1. 4:-. rt .".t -71 4 k, o t SlI ii cttii. li i If,4% .61181 F ,,i r 1 L 1 1 1 ___,____45-...1-7,0p,--xiy-..8-- I 1 4-- I j r 1 I 1- t 7 1 THT r 1 1 e 7 4 r 4-- 1 r T iZrorgr ix I r- I k I 'V -757-ir-r771 gl-"44( 1 1 111 4 1_ I I --'1" 6 I F 1 Page 2811 rpq —DOcc Mod F 611-Cf\ 3 vTp 1 S Q cpi krev 5-m-r-f---7-0-- c n 4 0 Q: /f o _9icr--&24,,-f' )Thi'W h L r; rzu 0 Q I V 1 1 rah, Ybd 5=�' s y )v c tC 2 Q r1 �1 -fly w 1 _9 rN, i WO CI' WI 03v,(36-46t .nom art >I toQito (pi e 97 P5 1 S5- 1 7' --30---rt-Ic 17 1 T er't iS C -1k--0-t-t=_-L Thanks Jim Peter O'Connor AIA O'Connor Architects 147 Finch Place SW Suite 3 Bainbridge Island WA 98110 T 206 -842 5490 F 206 -842 2239 poconnor @oconnorarchitects corn www oconnorarchitects corn Original Message From James Lierly [mailto.Jlierly @cityofpa.us] Sent: Tuesday February 17 2009 2.30 PM To Peter O'Connor Subject: Re comments Jim Lierly Building Inspector City of Port angeles 360- 417 -4816 jlierly @cityofpa us Thanks Peter Peter O'Connor AIA O'Connor Architects 147 Finch Place SW Suite 3 Bainbridge Island WA 98110 T 206 -842 5490 F 206 -842 2239 poconnor @oconnorarchitects corn www oconnorarchitects corn C(2/23/2009) James Lierly RE comments Page 111 From 'Peter O'Connor' poconnor @oconnorarchitects.com> To James Lierly' <Jlierly @cityofpa.us> Date 2/18/2009 11 56 AM Subject: RE comments 'Peter O'Connor' poconnor @oconnorarchitects corn> 2/13/2009 2'03 PM Hi Jim Thanks for the meeting yesterday I think we are both on the same page now Would you send us your comments electronically so we can interlace our responses 1 (2/23i2009) James Lierly Family med doc Page 1 2/10/09 COMMUNITY ECONOMIC DEVELOPMENT DEPARTMENT RE. Plan review for Family Medicine Peter 0 Connor 0 Connor Architects The City of Port Angeles Building Department has determined that the Items below will require your attention and shall be addressed on the plans. ADA 1 The items listed below and attached are building only Please contact Public works, Planning and Fire department for items of concern. 2 Stairs, handrails and guard rails shall meet the 2006 IBC mainly the guard rail spacing 4 sphere and the handrail extensions 3- Provide parking lot count for occupancy and provide the same for ADA spaces per code (including ADA van spaces) 4- Provide surface slope detail per code for exposed ADA parking and accessible route 5- Provide Signage details for parking, show the detail for Washington State approved signage. 6- Provide all signage details including tactile, per chapter 11 of the 2006 IBC and ANSI 117 7 Drinking fountain is shown on plans. Please provide ADA details for this item. 11 (2/23/2009) James Lierly Family med doc Page 211 8- Provide ADA knee guards per code for under sink protection, note on plans 9- Any egress with in (6 six inches of grade shall be required to be ADA compliant, as per Washington state amendment to the code. 10- All accessible routes shall maintain a mm of 48' clear unless otherwise noted in the code or its amendments. Fire protection and finish materials 1 Exterior walls shall meet table 602 for fire rated assembly for fire separation. Show detail on plans per agreement with city for fire separation distance and applicable code The public way and its dimensions shall be included on the plans. 2 Floor wall, ceiling and roof finish per code. This shall include Department of health items. 3 The Sprinkler system exempts the requirements for a rated corndor in table 1017 1 of the 2006 IBC However please see items related to vertical shaft enclosure in the egress section. 4- Any Draft stopping shall be provided on plans per 2006 IBC 5- Provide approved details for all fire stop products for any rated walls, enclosures and vertical shafts. Note that sec 1020 1 1 does not allow for elevators to open in vertical exit enclosures. 6- Provide any protective opening details and the percentage allowed per 2006 IBC 7 Comments have been provided for this review from the Fire Department. See attached. 8- Interior finish per chapter 8 of the 2006 IBC table 803 5 Note flame spread and smoke develop 9- Chapter 7 for insulation 10- Door 202b shown on door schedule. I was unable to locate the door on the plans. Provide rated door details to align with 2006 IBC. Egress 1 Reflective ceiling plans do not indicate emergency lighting for stairway near elevator lL (2/2312009) James Lierly Family med doc o mm Page 3 2 All exit signs and emergency lighting shall meet 2006 IBC 3- Area of refuge shall not interfere with egress travel 4- The vertical shaft for elevator and interior stairway shall be required to be lhr rating per sec 1020 of the 2006 IBC An area of refuge shall be included in this area per code. Also see chapter 10 for communications, signage and instructions. 5- All doors in vertical shafts and exit enclosures shall be rated according to 2006 IBC 6- Doors shall not have manually operated flush bolts or surface bolts are not permitted Glazing 1- The plans show some of the glazing code notes. However no window schedule was provided including skylights. Mechanical Energy Plumbing 1 Mr 0 Conner has mentioned that the mechanical plans are being revised, please submit two stamped copies for review 2 Please clarify spray -on or bats for ceiling insulation and there thermal property Items are conflicting. 3 Please note that until plans are complete, The city of Port Angeles cannot prepare comments for an accurate review of the proposed project. Elevator 1- Provide details on plans to align with chapter 30 of the 2006 IBC and any state requirements Other 1 Please note that the City of Port Angeles has received you specification book on 2/10/09 unfortunately I have not had time to review the submittal. This will be incorporated in the review All correction items shall be on plans and identified by clouding. 2 Please note that there are items on the plans that conflict other portions of the plans. 3- Provide landscaping and parking plans. IL(212312009) James Lierly Family meddoc Page 4 4- Communications for elevator and areas of refuge per 2006 IBC. Jim Lierly Building Inspector 360 417 -4816 j lierly @cityofpa.us [(2/23/2009) James Lierly Re comments Page 1 From James Lierly To: Peter O'Connor Date: 2/17/2009 2 30 PM Subject: Re comments Attachments. Family med.doc Jim Lierly Building Inspector City of Port angeles 360 417 -4816 jlierly @cityofpa.us Thanks, Peter Peter O'Connor AIA O'Connor Architects 147 Finch Place SW Suite 3 Bainbridge Island, WA 98110 T 206 842 -5490 F• 206 842 -2239 ooconnorOoconnorarchitects.com www.oconnorarchitects.com 'Peter O'Connor' poconnor (Toconnorarchitects.com> 2/13/2009 2:03 PM Hi Jim, Thanks for the meeting yesterday I think we are both on the same page now Would you send us your comments electronically so we can interlace our responses. 11(2/23/2009) James Lierly Work groups for family med Page 1 From James Lierly To: Nathan West; Sue Roberds Date: 2/12/2009 4 48 PM Subject: Work groups for family med Nathan, the work groups that Mr 0 Conner and i participated in seemed to have a positive outcome. The items in question, either were resolved or Mr 0 Conner will be providing the items that are required on the plans. He was reluctant to estimate for completion. Our telephone and email meetings are scheduled on Friday of each week. I explained to Mr 0 Conner that since the ball was in his court that I will let him contact our department with updates on progress. Jim Lierly Building Inspector City of Port angeles 360 417 -4816 jlierly @cityofpa.us 11272372009) James tlaily Family Mad letter 020409 doc Page 1 February 4 2009 O Conner Architects Mr Peter 0 Conner 147 Finch Pl. SW #3 Bainbridge Island, WA 98110 RE Downtown Ambulatory Health Center Building Permit #08 -622 240 West Front Street, Port Angeles, Washington Dear Mr 0 Conner This letter is to update you as to the review status of the above noted building permit. As you know the initial plan review identified that the plans were not ready to be submitted. Specific short comings were discussed with you and the plans were returned to you for corrections. The second (corrected) submittal was received on January 6 2009 The City's Building Inspector has spent nearly twenty (20) hours performing this second review resulting in three written pages of corrections (to date) Many basic corrections noted from the first review remain unaddressed in the second submittal. ADA requirements, grading corrections, required interior signage, and access issues are inadequately addressed. Given the extent of discussions between you and Inspector Lierly during the first submittal, the correction list is surprising. Inspector Lierly estimates he will need to spend an additional 10 15 hours of review on the plans to complete this second review Additionally outside engineenng review for this second submittal (14 hours thus far $100/hour) has identified a similar need for corrections for engineering issues. The City's charge is to review for correctness, not design and engineer Two choices exist at this point: (1) continue to correct (the cost will likely exceed the remitted plan check fee at this point) and return, or (2) return the plans to the applicant. We will discuss these issues in further detail with you at our scheduled meeting next week. Sincerely, Sue Roberds, Planning Manager Department of Community Economic Development Cc: Nathan West Dr Bill Hennessey Family Medical L(2/23/2009) James Lierly Fwd permit review Page 111 From Nathan West To James Lierly; Sue Roberds Date: 2/4/2009 12 23 PM Subject: Fwd permit review I just spoke with Nathan and we agreed to arrange a meeting next week. We are proposing Thursday 0900 to 1100 at PA city hall. Agenda a. Review city comments to date b. Establish permitting timeline c. Develop a mutually agreeable communication format and schedule Thanks, Bill FYI, Jim and Sue please make certain this is on your calendar and Sue please book a meeting room. Thanks Nathan 'W.F.Hennessey, M D <whennessevCa)fmoa.net> 2/4/2009 12.17 PM Hi Peter and Roger I will leave it up to you to decide if Bart (structural) or any other design team members should attend. Nathan or Sue might have some recommendations on who will make the meeting most productive. In the mean time any comments from the city will be reviewed prior to next week's meeting. As per my previous e-mail I will be out of town but reviewing e-mail daily Please 'reply all with your responses. B2/23/200g) James Lierly' Medicine structural review From To: Date: Subject: Attachments: James Lierly poconnor @oconnorarchitects.com 7/25/2008 9 33 AM Family Medicine structural review FAMMED Thank you Peter for your patients. The third party structural review came back today and is attached to the email. Also note that this review revealed incomplete plans. As per our conversation last month, you mentioned that the plans were not complete and are still under design. The City of Port Angeles requires complete plans at the application stage. The city of Port Angeles building department has provided your office with a preliminary review Any further review shall result in additional fee's to continue the permit process for time and expense. Jim Lierly Building Inspector City of Port angeles 360 417 -4816 jlierly @cityofpa.us Page BY HAND DELIVERY February 20, 2009 Dear Jim ADA O'CONNOR ARCHITECTS tel: 206.842.5490 147 Finch Place SW #3 www.oconnorarchitects.com ARCHITECTURE PLANNING DESIGN fax: 206.842.2239 Bainbridge Is. WA 98110 Mr Jim Lierly Building Inspector City of Port Angeles 321 East Fifth Street P 0 Box 1 150 Port Angeles, WA 98362 -0217 We will contact those agencies FEB 2 4 2009 CITY OF PORT ANGELES BUILDING DIVISION RE Downtown Ambulatory Health Clinic for Family Medicine Port Angeles The following are responses to your comments of February 10, 2009 and are listed in the same numerical order as your comments 1 The items listed below and attached are building only Please contact. Public Works, Planning and Fire Department for items of concern 2 Stairs, handrails and guard rails shall meet the 2006 IBC mainly the guard rail spacing 4 sphere and the handrail extensions, see Chapter 10 See details on the Drawings, Revised Sheet A5 0 0 for handrail extensions and guard rail spacing 3 Provide parking lot count for occupancy and provide the same for ADA spaces per code (including ADA van spaces) Parking lot count is based on the enclosed letter from Nathan West dated April 7, 2008, enclosed ADA spaces are provided based on 2006 IBC, Table 1 106 1, with two spaces, one of which is van accessible See 2006 IBC Section 1106.5 See Site Plan, Revised Sheet Al 0 0 enclosed 4 Provide surface slope detail per code for exposed ADA parking and accessible route See Site Plan, Revised Sheet Al 0 0 and Enlarged Plan 7 /A1 1 0, Revised Sheet Al 1 0 enclosed Mr Jim Lierly February 20, 2009 Page Two 5 Provide signage details for parking, show the detail for Washington State approved signage See Detail 2 /A1 1 0, Revised Sheet Al 1 0 6 Provide all signage details, including tactile, per Chapter 11 of the 2006 IBC and ANSI 117 See Revised Sheet A8 0 0 and Detail 4/A5 0 1, enclosed 7 Drinking fountain is shown on plans. Please provide ADA details for this item See Detail 9/A6 0 2, Revised Sheet A6 0 2, enclosed 8 Provide ADA knee guards per code for under sink protections, note on plans. See Restroom Elevations, Revised Sheets A6 0 2 and A6 0 3, enclosed 9 Any egress within six inches (6') of grade shall be required to be ADA compliant, as per Washington State amendment to the code Per our discussion on February 12 2009, it seems as though this no longer appears in the Washington State amendments 10 All accessible routes shall maintain a min of 48" clear unless otherwise noted in the code or its amendments. Per 2006 IBC, Washington State Amendments, Section 1101.2 2, exterior routes of travel shall be 44" minimum clear width Exterior routes are shown on Revised Sheet Al 0 0 Per ICC Al 17 1 2003, Table 403.5, segment lengths more than 24" may be 36" wide All interior accessible routes on our Drawings are minimum 42" wide. See Floor Plans, Revised Sheets A2 1 0 and A2 2 0 enclosed Fire Protection and Finish Materials 1 Exterior walls shall meet 2006 IBC Table 602 for fire -rated assembly for fire separation Show detail on plans per agreement with City for fire separation distance and applicable code The public way and its dimensions shall be included on the plans. Based on Chapters 3 and 5 of the 2006 IBC, the building falls within the requirements for a B Occupancy and Type VB Construction Table 601 allows the building elements to be unrated for Type VB Construction Table 602 lists ratings for exterior walls based on fire separation distance In our building, all of the exterior walls have a public way adjacent to Mr Jim Lierly February 20 2009 Page Three them that is greater or equal to 10 feet, and, therefore, a B Occupancy with Type VB Construction may have unrated exterior walls In particular, on the East side, by agreement with the City, the property line is 4' -0" from the building exterior wall and the public way is 10' -0" beyond that See email from Jim Lierly dated April 2 2008, and Revised Site Plan, Sheet Al 0 0, enclosed 2 Floor wall, ceiling and roof finish per code This shall include Department of Health items. See Revised Sheets A6 0 2 and A6 0 3 for interior walls and floors at Restrooms Ceiling shall be painted W type "X" drywall or acoustic tile Roof shall be existing metal As for the Health Department, the Clinic is for non invasive procedures, and so there is no particular requirement for wall, floor or ceiling surfaces 3 The sprinkler system exempts the requirements for a rated corridor in Table 1017 1 of the 2006 IBC However please see items related to vertical shaft enclosure in the egress section Vertical shaft enclosures, see 2006 IBC, Section 1020 1, Vertical Exit Enclosures, Exceptions 8 and 9 Per these exceptions, Stair 1 may be an unenclosed stairway, and Stair 2 shall meet the requirements for a Vertical Exit Enclosure 4 Any draft stopping shall be provided on plans per 2006 IBC Per 2006 IBC Section 717 3 3, Exception 1 Draft Stopping in floors is not required in buildings equipped with an automatic fire sprinkler system Per 2006 IBC Section 717 4 3, Exception Draft stopping is not required in attics and other concealed spaces in buildings equipped with an automatic fire sprinkler system 5 Provide approved details for all fire stop products for any rated walls, enclosures and vertical shafts Note that Sec 1020 1 1 does not allow for elevators to open in vertical exit enclosures See Details 6 and 7/A3 0 2, Revised Sheet A3 0 2, enclosed for fire stop details See #3 above for vertical shaft enclosures. 6 Provide any protective opening details and the percentage allowed per 2006 IBC Table 704 8 lists maximum area of external wall openings based on fire separation distance Section 704 8 1 allows the separation distance for unprotected openings to be increased to the distance for protected openings with an automatic fire sprinkler system The west and north walls of our building are facing onto a street and parking which exceed 30 feet, and, therefore have no limit The south side of the building faces onto a 20 foot alley which allows 75% openings, and we have 12 Per agreement with the City the Mr Jim Lierly February 20, 2009 Page Four public way on the East side is 14' -0" (see #1 above) and therefore unprotected openings can be up to 45 We have 13 See Site Plan, Revised Sheet Al 0 0 7 Comments have been provided for this review from the Fire Department See attached Comments from the Fire Department Fire Alarm Plans will be submitted to the Fire Department Address numbers will be a minimum of 6" high, be of contrasting color from the background and be plainly visible from the street Location of Knox box and fire extinguishers will be coordinated with the Fire Marshall Doors 103a, 107a and 111 a leading to the fire sprinkler riser closet and Door 177a leading to the Fire Alarm Control Panel will be labeled See Revised Sheet A8 0 0 Fire Sprinkler Shop Drawings will be submitted to the Fire Department for approval 8 Interior finish per Chapter 8 of the 2006 IBC Table 803.5 Note flame spread and smoke develop See General Notes, Revised Sheet AO 0 0, enclosed, for notes. Per Table 803.5, all interior wall and ceiling finishes shall be minimum Class C at corridors and enclosed spaces and rooms and class B at exit enclosures and passageways. Materials shall comply with 2006 IBC, Section 803 1 for smoke developed index of 0 450 9 Chapter 7 for insulation Insulation materials shall comply with 2006 IBC Section 719 2 with a flame spread rating of not more than 25 and a smoke developed index of 450 Per paragraph 719 2 1 these ratings do not apply to facings See General Notes, Revised Sheet A.0 0 0 10 Door 202b shown on door schedule I was unable to locate the door on the plans Provide rated door details to align with 2006 IBC Door 202b, has been deleted See Door Schedule, Revised Sheet A8 0 0 Earess 1 Reflective ceiling plans do not indicate emergency lighting for stairway near elevator An emergency light will be provided 2 All exit signs and emergency lighting shall meet 2006 IBC All exit signs and emergency lighting will meet 2006 IBC Mr Jim Lierly February 20 2009 Page Five 3 Area of refuge shall not interfere with egress travel At Area of Refuge, Door St -2b has been deleted and Corridor 247 and Stair 2 are a continuous one -hour enclosure See Revised Sheet A2 2 0 and Enlarged Plans 3 and 4/5 0 0 4 The vertical shaft for elevator and interior stairway shall be required to be 1 -hour rating per Section 1020 of the 2006 IBC An area of refuge shall be included in this area per code Also see Chapter 10 for communications, signage and instructions Glazing See Fire Protection and Finish Materials, #3 above for Vertical Shaft Enclosures Area of Refuge is included in the rated enclosure of Stair 2 See #3 above The Area of Refuge shall comply with 2006 IBC Section 1007 6, including Size, Communication, Instructions and Identification See Enlarged Plans 3 and 4/A5 0 0 and Section 7/A5 0 0, Revised Sheet A5 0 0 5 All doors in vertical shafts and exit enclosures shall be rated according to 2006 IBC Per Table 715 4, shaft and exist enclosures shall have one -hour rated doors. See Door Schedule, Revised Sheet A8 0 0, Doors 206b, 209a, 210a and St-2a 6 Doors shall not have manually operated flush bolts or surface bolts are not permitted Doors 206b and St-2a shall have Panic Hardware See Door Schedule, Revised Sheet A8 0 0 1 The plans show some of the glazing code notes However no window schedule was provided including skylights Window sizes and glazing notes are shown on Elevations, Revised Sheets A4 0 0 and A4 1 0, enclosed Skylight sizes are shown on Roof Plan, Sheet A2 3 0 and glazing notes are shown on Revised Sheets A4 0 0 and A4 1 0 Per Section 2405 3, screening is only required for monolithic glazing systems at skylights. We have a double glazing system per glazing notes Mechanical /Enerav /Plumbinq 1 Mr O'Connor has mentioned that the mechanical plans are being revised Please submit two stamped copies for review In accordance with our conversation of today, the revised mechanical plans will be a deferred submittal Mr Jim Lierly February 20, 2009 Page Six Other 2 Please clarify spray -on or bats for ceiling insulation and there thermal property Items are conflicting Ceiling insulation will be batts. See Wall Sections, Revised Sheet A3 0 2 3 Please note that until plans are complete the City of Port Angeles cannot prepare comments for an accurate review of the proposed project Elevator 1 Provide details on plans to align with Chapter 30 of the 2006 IBC and any state requirements See Note on 5/5 0 1, Drawing A5 0 1 elevator section 1 Please note that the City of Port Angeles has received your specification book on 2/10/09 Unfortunately, I have not had time to review the submittal This will be incorporated in the review All correction items shall be on plans and identified by clouding All corrections on shown on the Plans with clouds 2 Please note that there are items on the plans that conflict with other portions of the plans 3 Provide landscaping and parking plans Parking Plan is on enclosed Revised Sheet Al 0 0 See ADA #3 above Please note that revised direction of travel allows passengers to exit vehicles from the right at parking at West side of building and ADA spaces Landscaping is a deferred submittal 4 Communications for elevator and areas of refuge per 2006 IBC See Earess #4 above Elevators will comply with ASME All 1 Safety Code for Elevators and ADA Chapter 7 See Door Elevation 4/5 0 1 Structural Comment 34 The reference has been corrected See Revised Sheet A2 1 0 Mr Jim Lierly February 20 2009 Page Seven In accordance with your request enclosed are the Lighting Energy Calculations which have also been forwarded directly to the electrical Plans Examiner As you know, we need to do everything possible to have the building permit issued without delay If you require any additional information, please telephone me immediately so that we can discuss any outstanding items. We certainly appreciate your attention to this submittal and look forward to moving the protect forward POC•woc Enclosures Letter from Nathan West dated April 7, 2008 Email from Jim Lierly dated April 2, 2008 Lighting Energy Calculations Revised Sheet AO 0 0 Revised Sheet Al 0 0 Revised Sheet Al 1 0 Revised Sheet A2 1 0 Revised Sheet A2 1 2 Revised Sheet A2 2 0 Revised Sheet A3 0 2 Revised Sheet A4 0 0 Revised Sheet A4 1 0 Revised Sheet A5 0 0 Revised Sheet A5 0 1 Revised Sheet A6 0 2 Revised Sheet A6 0 3 Revised Sheet A8 0 0 cc W F Hennessey, MD (w /o enclosures) Sincerely, Peter O'Connor, AIA 2/13/2009 Sue Rotierds Work rou.... �g ps for family med Page 111 From James Lierly To: Nathan West; Sue Roberds Date: 2/12/2009 4 48 PM Subject: Work groups for family med Nathan, the work groups that Mr 0 Conner and i participated in seemed to have a positive outcome. The items in question, either were resolved or Mr 0 Conner will be providing the items that are required on the plans. He was reluctant to estimate for completion. Our telephone and email meetings are scheduled on Friday of each week. I explained to Mr 0 Conner that since the ball was in his court that I will let him contact our department with updates on progress. Jim Lierly Building Inspector City of Port angeles 360 417 -4816 jlierly @cityofpa.us 0 CITY OF 2/10/09 Peter O'Connor 0 Connor Architects ADA W A S H I N G T O N U S A COMMUNITY ECONOMIC DEVELOPMENT DEPARTMENT RE Plan review for Family Medicine FILE The City of Port Angeles Building Department has determined that the Items below will require your attention and shall be addressed on the plans. 1- The items listed below and attached are building only Please contact Public works, Planning and Fire department for items of concern. 2- Stairs, handrails and guard rails shall meet the 2006 IBC mainly the guard rail spacing 4" sphere and the handrail extensions see chpt 3- Provide parking lot count for occupancy and provide the same for ADA spaces per code (including ADA van spaces) 4- Provide surface slope detail per code for exposed ADA parking and accessible route 5- Provide Signage details for parking, show the detail for Washington State approved signage 6- Provide all signage details including tactile, per chapter 11 of the 2006 IBC and ANSI 117 7- Drinking fountain is shown on plans. Please provide ADA details for this item. 8- Provide ADA knee guards per code for under sink protection, note on plans. 9- Any egress with in (6 six inches of grade shall be required to be ADA compliant, as per Washington state amendment to the code. 10- All accessible routes shall maintain a mm of 48' clear unless otherwise noted in the code or its amendments Fire protection and finish materials 1- Exterior walls shall meet table 602 for fire rated assembly for fire separation. Show detail on plans per agreement with city for fire separation distance and applicable code. The public way and its dimensions shall be included on the plans. 2- Floor wall, ceiling and roof finish per code This shall include Department of health items. 3- The Sprinkler system exempts the requirements for a rated corridor in table 1017 1 of the 2006 IBC However, please see items related to vertical shaft enclosure in the egress section. 4- Any Draft stopping shall be provided on plans per 2006 IBC 5- Provide approved details for all fire stop products for any rated walls, enclosures and vertical shafts Note that sec 1020 1 1 does not allow for elevators to open in vertical exit enclosures. 6- Provide any protective opening details and the percentage allowed per 2006 IBC 7- Comments have been provided for this review from the Fire Department. See attached. 8- Interior finish per chapter 8 of the 2006 IBC table 803 5 Note flame spread and smoke develop 9- Chapter 7 for insulation 10- Door 202b shown on door schedule. I was unable to locate the door on the plans. Provide rated door details to align with 2006 IBC Egress 1- Reflective ceiling plans do not indicate emergency lighting for stairway near elevator 2- All exit signs and emergency lighting shall meet 2006 IBC 3- Area of refuge shall not interfere with egress travel 4- The vertical shaft for elevator and interior stairway shall be required to be lhr rating per sec 1020 of the 2006 IBC An area of refuge shall be included in this area per code. Also see chapter 10 for communications, signage and instructions. 5- All doors in vertical shafts and exit enclosures shall be rated according to 2006 IBC 6- Doors shall not have manually operated flush bolts or surface bolts are not permitted Glazing 1- The plans show some of the glazing code notes However no window schedule was provided including skylights. Mechanical Energy Plumbing 1- Mr 0 Conner has mentioned that the mechanical plans are being revised, please submit two stamped copies for review 2- Please clarify spray -on or bats for ceiling insulation and there thermal property Items are conflicting. 3- Please note that until plans are complete, The city of Port Angeles cannot prepare comments for an accurate review of the proposed project. Elevator 1- Provide details on plans to align with chapter 30 of the 2006 IBC and any state requirements Other 1- Please note that the City of Port Angeles has received you specification book on 2/10/09 unfortunately, I have not had time to review the submittal. This will be incorporated in the review All correction items shall be on plans and identified by clouding. 2- Please note that there are items on the plans that conflict other portions of the plans. 3 Provide landscaping and parking plans 4- Communications for elevator and areas of refuge per 2006 IBC Jim Lierly Building Inspector 360 -417 -4816 jlierly @cityofpa.us ENOVAC I ASSOCIATES INCORPORATED RED FEB 1 0 2009 CITY OF FORT ANGELES BUILDING DIVISION FAMILY MEDICINE BUILDING PORT ANGELES, WA SECOND STRUCTURAL PLANCHECK January 23, 2009 Notes The designer is to address each item of the plancheck notes in his or her letter of response The designer is also to place a cloud' around all changes so that compliance may be verified Notes that are preceded by an asterisk are general comments that require no change to plans. 1 As noted in previous plan review the minimum roof snow load is 25 psf per City of Port Angeles Requirements. No reduction of this minimum is allowed Please revise engineering and plans as necessary; this applies to both the analysis of the existing building and the addition 2. The change in occupancy of this building requires building to conform to structural provisions of 2006 I B C per Section 3403 Provided justification for use of AISC 9 Edition rather than current addition AISC 360 -05 Also provide justification for use of ACI 318 -02 rather than ACI 318 -05 in the design. 3 Revise plans and calculations as necessary for wind load of 100 mph, Exposure D There are conflicts within the calculations with some portions of the calculations using 90 mph Exposure "D' while other portions appear to use 105 mph, Exposure 'D' 4 Floor beam #1 appears to have a point load from above which is not addressed in calculations Please review and revise plans and calculations as necessary 5 It appears one of the roof beams, RB -2, has a span of at least 26' rather than the 25' span shown in the calculations. Please revise plans and calculations as necessary 6 Please specify edge distance requirements on for sill anchors on Detail 6/S501 and specify anchors to be used 7 Please clarify material used for infill walls between existing steel frames Some details appear to use steel studs while others use wood studs, See Detail 6/S501 and Detail 1/S503 There also appears to be discrepancies between sections on architectural plans and structural plans for these infill walls. 8. Please clarify connection of new infilled exterior walls to existing steel frames and new HSS framing at eave as well as connection at sill Provide calculations to justify CIVIL ENGINEERING LAND SURVEYING 301 East 6th Street, Suite 1 Port Angeles,Washtngton 98362 (360) 417 -0501 Fax (360) 417 -0514 E -mail: zenovic @olympus.net Page 2 Family Medicine 9 Justify how out of plan forces are resisted at new infilled walls at existing metal building where the wall studs are not continuous from foundation to roof level The architectural plans show platform framing to ceiling level Provide calculations to justify lateral loads into partition walls since they appear to be providing the lateral resistance for these infill walls. 10 New infill wall at south end of building appears to be putting torsional load onto existing steel beam Provide calculations to justify and revise plans as necessary 11 Please clarify what pages of the calculations show the wind and seismic loads indicated on the sketch on page 40 of calculations. Also clarify the Toad at the interior shear wall location for wind in the north /south direction on sheet 41 12. Please clarify how lateral loads are transferred back into Grid Line B for the second story floor area extending out south of Grid Line B It should be noted that section B /S302 doesn't show blocking between the joists 13 Please clarify how lateral Toads are transferred between shear walls along Grid Line B at the roof and the second floor It appears that the beams are acting as a drag struts How are they connected to the ends of the shear walls to provide transfer of lateral loads? 14 Please clarify how second floor lateral loads are resisted at elevator end of second floor walkway Grid Line C 15 Please clarify shear wall design printouts. There appear to be shear walls that have heights that do not match the heights of the walls on the plans or other shear walls along the same line Examples are shear walls #4 #5 and #6 although this occurs in other locations on the plans. It may be that I do not understand your methodology but please clarify 16 Holdowns appear to missing from the plans for shear wall #4, #5, and #6 #15 17 Shear walls #16 and #17 appear to have loads in excess of the shears wall called out on plans 18 Shear wall #16 holdowns do not have required capacity for load in calculations. Please note that Simpson 2009 -2010 book used as reference. 19 Shear wall #17 calculations show special holdowns which do not appear to be shown on plans (the HDU -8 holdowns shown do not appear to have adequate capacity). Please note that foundation and holdown anchor bolt calculations shall be provided for required load 20 Shear wall #22 appears to have loads in excess of shear wall called out on the plans. The calculations show special holdowns which do not appear to be shown on plans (the HDU -5 holdowns shown do not appear to have adequate capacity). Please note that foundation and holdown anchor bolt calculations shall be provided for required load Page 3 Family Medicine 21 Please clarify how lateral Toads are transferred into the top of the interior shear walls. 22. Engineer shall specify holdown anchor bolts on plans for clarification 23 Clarify how holdown loads at shear wall #12 are transferred to the foundation. It appears that this wall sits over a beam so what holds the ends of the beam down and transfers the load into the foundation. 24 Shear wall calculations indicate requirement for D F #1 studs at holdown locations while structural notes call for studs to be stud grade, please clarify 25 Please clarify sill connection in shear wall schedule for walls #2 and #3 where schedule calls for 16d when a 3x for 4x sill is required per the remarks. 26 How are interior partitions being laterally supported for required lateral Toads of IBC 1607 13? 27 Structural engineer shall review and approve sprinkler system drawings for compliance with structural provisions Engineer shall verify that sprinkler system collateral load used in design of building conforms to the actual loads of the sprinkler system Engineer shall review and approve sprinkler system prior to framing inspection 28 Please provide calculations to justify use of existing purlins with additional load of sprinkler piping as discussed in item #27 above 29 Foundation plans appears to show dowels from existing concrete slab to new slab and /or grade beam at Grid Line Ba but nothing appears to be called out, please clarify 30 Please identify joist and beam hangers used in the floor framing in the area of the stairway There appears to be beam and joist hangers which are not specified 31 Clarify floor framing between the stairway /elevator to the main second floor area. Is the one LVL beam hanging off the other one or are they being supported by the existing slab along the stairway wall? 32. Please clarify framing and bracing details for parapet framing mechanical area shown on Sheet S301 and S302. There appears to be discrepancies between the sections. Are the studs running down along the joists to provide lateral stability? It is not clear from the plan what is occurring in this area. 33 There appears to be louvers being installed and connected to the existing rigid frames on the building exterior as shown on the architectural plans. Please provide structural calculations and details for these items. It should be noted that these do not appear to even be detailed on the architectural plans. Page 4 Family Medicine 34 Architectural plans are not complete and reference details and sheets which do not exist. Architectural plans also reference the wrong details between sheets (i.e. 8/A500 on sheet A2 1 0 references the wrong detail on sheet A5 0 0 Discrepancies between plan views and elevations 35 Plans and calculations do not appear to be complete Additional plan review comments may be necessary due to the incomplete nature of the plans and calculations *36 Special inspections and structural observation required on this project per IBC Chapter 1700 and as noted on the Structural Plans. Inspection and observation program shall be submitted to the building official for review and approval prior to issuance of the building permit. Application Tracking Action Log Maintenance CITY OF PORT ANGELES SUNGARDTUBUCSECTOR HI t■ %OK Exit Cancel Application Tracking Action Log Maintenance Application number 08 00000622 Address: 240 W FRONT ST Application type: COMM ADDITION Revision/PathiSteplSeq/Agency: A 01 00 FIRE DEPARTMENT Action date: 10809 Action by KEN DUBUC Action code: 1 J APPROVED Time spent (hours): 0.50 ffa";04*I'Oiiripor*Jt Sequence Comments I Print 1 00 This project will require a seperate permit and fire alarm plans for review. 2 00;iciciress numbers shall be plainly visible from the street 1111111111Address numbers shall be a minimum of six inches high and of contrasting color from the background 3 001;11.1miiin 2A-1013C fire exinguishers are required Highlighted 'Sequence indicates line is not available for List selection. 2.00 Add standar Page up or down beyond first or last record. be r r4v Application Tracking Action Log Maintenance CITY OF PORT ANGELES SUAKMUMYPUBUCSECTOR Hr Application Tracking Action Log Maintenance Application number 08 00000622 Address: 240 W FRONT ST Application type: COMM ADDITION RevisionlPath!StepISeq!Agency: A 01 00 FIRE DEPARTMENT Action date: 10809 Action by: J KEN DUBUC Action code: APPROVED Time spent (hours): 0.50 rtatear17 Sequence Conffents Print 4..00 3.00 3.00 3.0D Extinguishers must be mounted, with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to exits, and one at the top of the stairs to the second floor January 9 2009 8 55 41 AM kdubuc 4 00A KNOX locking keybox will be required Contact the Fire 51 I Highlighted Sequence indicateslineisnotavallableforListselecton. VOK Exit Cancel Add standar gP 4 Ei Er 1 Application Tracking Action Log. Maintenance CITY OF PORT ANGELES SUNOARD•PUBUC SECTOR H1 6 t V OK 'C Exit Cancel Add standar Application Tracking Action Log Maintenance Application number 08 00000622 Address: 240 W FRONT ST Application type: COMM ADDITION Revision /Path /Step!SeglAgency: A 01 00 FIRE DEPARTMENT Action date: 10809 Action by: j r J KEN DUBUC Action code: j. J APPROVED Time spent (hours): 0. fcorre rt j mwµ Sequence Cotmnents Print Department at 360 417 -4653 for KNOX keybox ordering information and mounting location 5 00'Labeling is required for doors leading to spaces containing 111111101fire alarm control panels and fire sprinkler risers 6 00■This project will require seperate permit and fire sprinkler plans fdr review 4,.60 Highlighted 'Sequence indicates line is not available for List selection. 4 myy CITY OF 2/10/09 Peter O'Connor 0 Connor Architects W A S H I N G T O N U S A RE Plan review for Family Medicine COMMUNITY ECONOMIC DEVELOPMENT DEPARTMENT The City of Port Angeles Building Department has determined that the Items below will require your attention and shall be addressed on the plans. ADA 1- The items listed below and attached are building only Please contact Public works, Planning and Fire department for items of concern. 013. f ti 2 Stairs, handrails and guard rails shall meet the 2006 IBC La. 5 3- Provide parking lot count for occupancy and provide the same for ADA sPe.6s per co e (including ADA van spaces) 1 t 4- Provide surface slope detail per code for exposed ADA parking and accessible route. 5- Provide Signage details for parking, show the detail for Washington State approved signage 6- Provide all signage details mcludiug tactile, per chapter 11 of the 2006 IBC and ANSI 117 V 4 C(D.' -1 7- Drinking fountain is shown on plans. Please provide ADA details for this item. 8- Provide ADA knee guards per code for under sink protection, note on plans. 01`6 vJ/ IMZ m L muk4434, 1 0- All accessible routes shall maintain a min of 48 clear unless otherwise noted in the code or its amendments. Fire protection and finish materials 1- Extenor walls shall meet table 602 for fire rated. assembly for fire separation. Show detail on plans per agreement with city for fire separation distance and applicable code The public wa and its dimensions shall be included on the plans 44 0 2- Floor, wall, ceiling and roof fin Ash per code. This shall mcl e De aartment of eaai items. "0-4 ,A3svn 'L, 3 The Sprinkler system exempts the requirements for a rated corridor in table 1017 1 of the 2006 IBC However please see items related to vertical shaft enclosure i he ress sect S n. -171-1 6 0 01Li S. 13614 a U t 62) 4- Any Draft stopping shall be provided on plans per 2006 IBC 5- Provide approved details for all fire stop products for any rated walls, enclosures and vertical shafts. 7 t 6- Provide any protective opening details and the percene allowed per 2006 IBC Cpb 7- Comments have been provided for this review from the Fire Department. See attached. 8- Interior finish per chapter 8 of the 2006 IBC table 803 5 Note flame spread and smoke develop 9- Chapter 7 for insulation door details to align with 2006 IBC Egress -F14.-te/s0A44145 f••?-148113- 10- Door 202b shown on door schedule I was unable to locate the door on the plans. Provide rated 1 L c 4 ri-Wc- 1- Reflective ceiling plans do not indicate emergency lighting for stairway near elevator /o /t 2- All exit signs and emergency lighting shall meet 2006 IBC oV I 3- Area of refuge shall not interfere with egress travel Q o 3 FteroA._(6-LiC. Ch" 4- The vertical shaft for elevator and intenor stairway shall be required to be lhr rating per sec 1020 of the 2006 IBC An area of refuge shall be included in this area per cod- Alsgsee chapter 10 for communications, signage and instructions. 11 aef" 1 2 ACC? 6.,,i 5 All doors in vertical shafts and exit enclosures shall be rated according to 2006 IBC 6- Doors shall not have manually operated flush bolts or surface bolts are not permitted Glazing 1- The plans show some of the glazing code notes. However no window schedule was provided including skylights. Mechanical Energy Plumbing 1- Mr 0 Conner has mentioned that the mechanical plans are being revised, please submit two stamped copies for re 2- Please clarify spray -on bats ►r ceiling insulation and there thermal property Items are conflicting. 3 Please note that until plans are complete, The city of Port Angeles cannot prepare comments for an accurate review of the proposed project. Elevator Jim Lierly Building Inspector 360 417 -4816 j lierly @cityofpa.us 1- Provide details on plans to align with chapter 30 of the 2006 IBC and any state requirements Other 1- Please note that the City of Port Angeles has received you specification book on 2/10/09 unfortunately, I have not had time to review the submittal. This will be incorporated in the review All correction items shall be on plans and identified by clouding. 2- Please note that there are items on the plans that conflict other portions of the plans. 3- Provide landscaping and parking plans. 4- Communications for elevator and areas of refuge per 2006 IBC tOM 7 e O tet4 cti 1 w 4 4 12- e 44- skixll LAV C p eT 11414 rib‘C.31)--e- ✓L oz. T'L w�a-y a 1 O Cp_._ Paz t fl-- r aokt•-tioiG,u4A_,) e s rk c p rtod Imo'- L r an_ exirc6-- -oo_CP .('413' e4*--til- iv Mfi-1 A ubn4 a,/e._ (x) =s L, c_L_ u si-18-41-c 12)ft-i 6_ 2-00C.p 100 -A P-G c 4-4z) 714iiste -Z. -1 1 2 4 -1/0 -c 01 C �61Q 1 0 CLI t 11241 1 ax) 1 L.t)/ cine_6419, oss? 70(e s 0 Qty Date 1 7/21/08 1 7/21/08 1 6/20/08 Remarks: cc: O'CONNOR ARCHITECTS ARCHITECTURE PLANNING DESIGN To Jim Lierly City of Port Angeles 321 East Fifth Street, PO Box 1150 Port Angeles, WA 98362 -0217 Attached are: Shop Drawings Prints X Specifications Copy of Letter Peter O'Connor These are transmitted as checked below. For approval X For your use For review and comment tel: 206.842.5490 147 Finch Place SW #3 www.oconnororchitects.com Fax: 206.842.2239 Bainbridge Is. WA 98110 TRANSMITTAL Approved as submitted As requested Other Signed r QnE1e Date: February 9 2009 P1 OP A T ILDINO DfVI "GEL ES Re: Family Medicine Port Angeies� sION Plans Change Order Description Architectural Specifications, Section 01 50-05 through Section 14 -24-00 Interior Finish Schedule, pp 1 8 Room Finish Schedule, pp. 1 4 If enclosures are not as noted, kindly notify us at once. ri Ei e ®I FEB 1 2009 CI Samples Other Approved as noted Returned for corrections 1 Staff Member Name '"'t,, 0-1 (r-12---‘-- Date to' Name of Individual Contacted. Subject: Issues discussed. 14 14.44.1_ e Record of Communication 13 'd C- 044L .(04.... 0 4eat4A,44E._ wtoecin/LA-6, rvi ort. D yfriGeJei 0o- E (f•tr, F itioleat7 4-- a wi y n e �t 14 mb eranl �N Record of Communication 'l CIToDom ^t Dept. Name of Individual Contacted. I 'Fta,,us -Net 6 Subject: PI 13.0 2 v--ID Issues discussed. "Faxp a- A f`r a.t --1--4494r- 4 S WIC --vLA Q.chno v►n ,rP'� C.,U1�1 �2., h W G ks 16. LW 4-1 ited- P Itw c 4Sa ge cc c_ Lacg CYL was 12,e ?ail- P e- 1,1 imao-l 44144- 4-40 tal glElAd p(4qt e;.1 2--E0 AK-1.O ,day., ►■IoC.t? �wE Just Sv�w��Q te l 1,,, Il 4 e e pivp Ex A-; i_te 4-4* LJG Veni l Pf si- _.17.1 4)64 Date d� Staff Member Name Name of Individual Contacted Subject: Issues discussed. Record of Communication i CE 444 irs Date t'2ucsk,v4— &42,t 161) 4V3.0 ue11-c-- 4-1-(-Q.)( r-- te(A---,/Z (2/5/2009) Sue Re Family Med letter From Nathan West To: Sue Roberds Date: 2/5/2009 7 23 AM Subject: Re Family Med letter Sue, Thanks Nathan Sue Roberds 2/4/2009 1 14 PM Nathan: Make whatever changes you have. I know I need to final the address. Sue Please send under your signature. Address to the applicant on the permit application and cc Bill H. Also I need you to call Peter O'Conner 206 842 -5490. He is inquiring about the meeting next week. He may need to be reminded that Bill Hennessey requested the meeting so we are trying to help them at their request. Page 1 F_E, Az.ba Cte=p6- 7r7 2Utht be 4 c4 7p.-Qp./Not. tL11 Paalelidd_ -73s k ;_ct A,Lt •F g_Ess_(Pe °P. uo.1.-) S(4 LI 4,14 _AZ& Are-ce 1 41-c i)-* to cLi- ,b11 L-Q 64,d3f3 Qdt.. Li tt•I kati#4_ 114c, 144 31a -c-LE 14/4 I 2 1 1-LK c 1--t; IL P1/47:01Ar_ LAI) 4 yvi4L,_ coc-ib. o__ __ILA _air5 coo Lc _A--\. .1 2,64-a: 1 fc: QC_ t 00 _1,s! _Art ka-Ai Pc4A._ 1 ik` lubnAA-Li (x?//1 t u siLiak iN,A6opt OF _7e (Zt,t_co _Iceso iLin-/ --)-)-$:a-p.. 4 _ThsHl4g7-,_ d. 4- 1 1 ooh a $.-LS No 0 t _g_ lici,..tuc- ecpil_ P acv-L-- Csm ---27:6- A e..Em.-b4,pp-tc- R-•=2 ().)_tyciti tal)e acid tOe_ t Kt& 004----C "EMel2G KLS 1 0-A-- E 4o ""r Lc) A-a 3-QD Atz,641-, I PtArv c ie. 4.7 c-14 tidLac c= i e 7 1 2-01 /1771 01 Ti4r2A2 o n C-0474-2.10(2v Cet2"-04-2Le .17 D4%ies_ice7 aDo LJ "delekL. Detthe-- 70(0 s 520-1--J I., ?OR A To Fire Department Date I (n 0 9 New Construction Addition Alteration 7" corms /Bu; id} a Division /Transmitt?I CITY OF PORT ANGELES BUILDING DIVISION Other Department TRANSMITTA Project Address ..2 4 6 J F S+ Contact Roo Drum Cogs c� Phone number(s) 3 O '4 6 Opp Permit number 62z Project Description R S Please review return to the Building Division, Permit Technician 5 tZcda -r 6-ALL- 7 4 )q C (NLIA.i&s-( Lea.` 3 (or.) _3 4-(0 vuo )-I rnp) the. Se-- of plus re c&i veell 4 avt l Qfans 0nik (one set-) Roger Vess+ oK hts civil sef- Plct�S• ohs 5 of Plans o Ti�rit� Y° P °R''�� BUILDING PERMIT APPLICATION Print in ink (;10,10...00.- CITY OF PORT ANGELES For City Use Only Attn. Building Permit Technician `(j■ a e Date Receive d 321 E. Fifth St. Port Angeles, WA 98362 1 `4 (360) 417 -4815 fax (360) 417 -4711 erml t C) ors Applicant or Agent 12.0 �s Fame MeddIciv` hone Property Owner 0-,q i� ,d o.v M�ec..7ta 2 Phone 46"2 x}.;91 Property Owner's Address 307 w g-t4 s7 rt,r ,S ..g tAAA 420- Contractor /Engineer "I a v y q C-424S c3 eLl4CA t at Co 1 art, Phone 3 94 0(90 Contractor /Engineer's Address (93t,z, Powoa Atu., Ac T--d too e o, tAib 037 7 License r,rzw-fe 4%. 23 1- Expires ¢/3 2400 E -mail PROJECT ADDRESS Parcel Number Proiect Type Brief Des Che k all that apply few Construction oddition 2emodel Repair crivtion. PEW 4 ITtw2 Groa srrwtcsR..w 1 IT- w TLcn✓i v+4wS Ge A (3 ■t 4 SIN Akely.C6c, Fdu (-cry 6O of) nty �o €51 St y- en +uC STYLI -ACsrr.Lett ttilaLAI OGG v -f" 6T€- K s CLL Th 66 r%oAtrt racrel, Re-roof Salrosta.‘ s demolition Qb Heat System 5 Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Basement 1St Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures 131 lG Max. height of proposed structures 30 ft. Will a lawn sprinkler system be installed? 1.1 Will a fire sprinkler system be installed? Print Name 440 kte,e, F o 1/,� A S V L ate Approved jj! 5 1 Lot Zoning g, Residential s- Commercial Multi- family Industrial P�osed(sq.ft.) ^j 107 '4 "r 18 h SF 71 r persq.ft. /5, /6f',- (9501 TOTAL VALUATION g3.b ©D i sq. ft. Lot size 31 sq. ft. Lot coverage -e Occupancy group Occupant load Construction type ,tom ,,€rte pnao t DE, of bedrooms of full baths of half baths 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 I/ (0/0 q gnature o ..)(,i./ weft"' -;fe,t4 oG Z w 0 rz 42 P v 6 s o .hiaiii-ti fl h i 240 WEST FRONT STREET PORT ANGELES, WA 98362 PORT ANGELES DOWNTOWN AMBULATORY HEALTH CENTER FRONT STREET f ADDITION is E ALLEY [7 [1 RENOVATE[ EXISTING BUILDING [7 [7 PROPERTY LINE, TYP O® PORT ANGELES DOWNTOWN AMBULATORY HEALTH CENTER SCALE 1" 50' -0" SURE DUMPSTER PROJECT TRUE NORTH NORTH 33 DEG. 4 O O'CONNOR ARCHITECTS ARCHITECTURE PLANNING DESIGN To. (Lb w (/V/A6lE(1/ V2M, Co e_.110 Attached are: Shop Drawings q� Prints Copy of Letter Qty I Remarks: Date Iry J a O8 la 1/ 08 1/z /2 oe IZ /9 o8 D These are transmitted as checked below. For approval /For your use For review and comment Signed: /LAA ,Oovv 1 -I066, /Plans Change Order tel: 206.842.5490 147 Finch Place SW #3 fax: 206.842.2239 Bainbridge Is. WA 98110 TRANSMITTAL cc: Date: /Z. ?i 9 o$// co o1 Re: F/lAPA DOw1 ki AIM, l rte.-( tit-M.414 Grit.L L Samples /Other Specifications Description 1 1761 m /r C"o AlAtst AA -Ciy, Si tt t trtIOL,MC-C 94' Cro t $T /744..77.fw1- LA1.G ✓LAT/a^it rPL ny.lPN4 44F 4 nN /C,oL h l�+ by GVVeU e fLe4M4/Ay 5x// 5,71- PL#Anv Approved as submitted Approved as noted As requested Returned for corrections Other If enclosures are not as noted, kindly notify us at once. www.oconnorarchitects.com Project Summary PRJ -SUM 2006 Washington Stale Nonresidential Energy Code Compliance Forms Project Info Project Address Applicant Name: Applicant Address: 2006 Washington State Nonresidential Energy Code Compliance Form Family Medicine Port Angeles Ambulatory Care Centre Port Angeles WA Jeff Losnegard /Cierra Lighting Group 2101 6th Ave 111100 Sea WA 98121 ApplicantPhone: 206/442/0112 x 104 Revised July 2007 (Date 1/6/2009 For Building Department Use 2006 Washington State Nonresidential Energy Code Compliance Form Interior Lighting Summary LTG -INT Revised July 2007 Date 1/6/2009 For Building Department Use 2006 Washington State Nonresidential Energy Code Compliance Forms Project Info Project Address Family Medicine Port Angeles Ambulatory Care Centre Port Angeles WA Applicant Name: Jeff Losnegard /Cierra Lighting Group Applicant Address: 2101 6th Ave #1100 Sea WA 98121 Applicant Phone: Project Description 206/442/0112 x 104 New Building Addition Alteration Plans Included Refer to WSEC Section 1513 for controls and commissioning requirements. Compliance Option 0 Prescriptive 0 Lighting Power Allowance Q Systems Analysis (See Qualification Checklist (over). Indicate Prescriptive LPA spaces clearly on plans.) Alteration Exceptions No changes are being made to the lighting (check appropriate box sec. 1132.3) Less than 60% of the fixtures new installed wattage not increased, space use not changed. Maximum Allowed Lighting Wattage Location (floor /room no.) I Occupancy Description 'Clinic 'Lab From Table 15 -1 (over) document all exceptions on form LTG -LPA Proposed Lighting Wattage Location (floorlroom no.) Fixture Description Al Incandescent Rec Exam Light (Exempt) F1 CFL Rec Downlight F1 CFL Recessed Downlight (Exempt) F10 CFL Rec Downlight Dimmable (Exempt) F2 CFL Rec Downlight F3 CFL Rec Lensed Wall Wash Dimmable F4 Fluor T58O Rec Linear Wall Wash F4 Fluor T5HO Rec Linear Wall Wash (Exempt F5 Fluor T8 Cable Suspended F5 Fluor 18 Cable Suspended (Exempt) F6 Fluor T8 Cable Suspended F7 Fluor T5H0 Cable Supsended F7A Fluor T5 Cable Supsended F8 Fluor 18 Reo 1x4 F8 Fluor 18 Rec lx4(Exempt) F9 Fluor T40 Rec 2x2 (Exempt) F10 1 Lamp Fluor T8 Strip Fil 2 Lamp Fluor T8 Strip Fil 2 Lamp Fluor 18 Strip (Exempt) F12 Fluor T5H0 Linear Wall Wash F12 Fluor T5HO Linear Wall Wash (Exempt) F13 CFL Sconce F14 CFL Pendant (Exempt) F14A CFL Pendant (Exempt) f 15 fluor I-649 geeesfeet .:cK¢ua' I Allowed Watts per ft 1 001 11858 01 1 801 323 01 1 1 Total Allowed Watts Number of Watts/ Watts Fixtures Fixture Proposed 16 38 5 1 41 20 7 2 27 42 16 12 16 7 4 3 2 2 7 6 17 3 16 31 6 Area in ft Allowed x Area 29 0 11858 0 581 4 12439 4 1102 0 29 0 1189 0 29 0 580 0 62 0 434 0 60 0 1620 0 60 0 960 0 62 0 744 0 34 0 544 0 60 0 420 0 32 0 64 0 62 0 124 0 62 0 372 0 26 0 78 0 ez.o' 372 0 2006 Washington State Nonresidential Energy Code Compliance Form F16 F17T8 Under cabinet Task Light 11 19 01 19 0 F17 CFL Vanity 111 35 01 385 0 F18 CFL Pendant 191 36 01 684 01 F19 Fluor T5R0 Recessed Linear 41 62 01 248 0 F23 Fluorescent T8 (Exempt) 21 1 X1 LED Exit Sign 61 3 01 18 0 X2 LED Exit Sign 31 3 01 9 0 Total Proposed Watts may not exceed Total Allowed Watts for Interior Total Proposed Watts. 9966 0 Notes: 1 For proposed Fixture Description, indicate fixture type, lamp type (e.g. T -8), number of lamps in the fixture, and ballast type (if included). For track lighting, list the length of the track (in feet) in addition to the fixture, lamp and ballast information. 2. For proposed Watts /Fixture, use manufacturer's listed maximum input wattage of the fixture (not simply the lamp wattage) and other criteria as specified in Section 1530. For hard -wired ballasts only the default table in the NREC Technical Reference Manual may also be used. For track lighting, list the greater of actual luminaire wattage or length of track multiplied by 50 or as applicable, the wattage of current limiting devices or. of the transformer 3. List all fixtures. For exempt lighting, note section and exception number and leave Watts /Fixture blank. 2006 Washington State Nonresidential Energy Code Compliance Forms Prescriptive Spaces Qualification Checklist Lighting Note: If occupancy type is 'Other" and fixture Fixtures: answer is checked, the number of fixtures in (Section the space is not limited by Code. Clearly 1521) indicate these spaces on plans. If not qualified, do LPA Calculations. TABLE 15 -1 Unit Lighting Pow Use' Automotive facility Convention center Courthouse Cafeterias, fast food establishments' restaurants/bars Dormitory Exercise center Gymnasia', assembly spaces" Health care clinic Hospital, nursing homes, and other Group 1 -1 and 1 -2 Occupancies Hotel/motel Hotel banquet/conference /exhibition hall Laboratory spaces (all spaces not classified 'laboratory" shall meet office and other appropriate categories) Laundries Libraries' Manufacturing facility Museum 2006 Washington State Nonresidential Energy Code Compliance Form Interior Lighting Summary (back) LTG -INT Occupancy 0 Warehouses, storage areas or aircraft storage hangers °Other Check.if 95% or more of fixtures comply with 1,2 or 3 and rest are ballasted. 1 Fluorescent fixtures which are non lensed with a) 1 or 2 two lamps, b) reflector or louvers, c) 5 -60 watt T 1 T 2, T-4 T -5, T -8 lamps, and d) hard -wired elec- tronic dimming ballasts. Screw -in compact fluorescent fixtures do not qualify 2. Metal Halide with a) reflector b) ceramic MH lamps 150w c) electronic ballasts 3. LED lights_ er Allowance (LPA) I LPA` (Wisf)IUse' 0.9 Office buildings, office /administrative areas in facilities of other use types (including but not limited to schools, hospitals, institutions, museums, banks, churches) 1.2 Penitentiary and other Group 1 -3 Occupancies 1.2 Police and fire stations° 1.3 Post office 1.0 Retail retail banking, mall concourses, wholesale stores (pallet rack shelving) 1.0 School buildings (Group E Occupancy only), school classrooms, day care centers 1 0 Theater, motion picture 1.0 Theater, performing arts 1.2 Transportation 1.0 Warehouses storage areas 2.0 Workshops 1.8 Parking garages 1.2 1.3 1.3 11 Plans Submitted for Common Areas Only' Main floor building lobbies' (except mall concourses) Common areas, corridors, toilet facilities and washrooms, elevator lobbies LPA` Mist? 1.0 Revised July 2007 1.0 1.0 11 15 1.2 1.2 1.6 1.0 0.5 14 0.2 1.2 08 Footnotes for Table 15 1 1) In cases in which a general use and a specific use are fisted, the specific use shall apply In cases in which a use is not mentioned specifically the Unit Power Allowance shall be determined by the building official. This determination shall be based upon the most comparable use specified in the table. See Section 1512 for exempt areas. 2) The watts per square foot may be increased, by two percent per foot of ceiling height above twenty feet, unless specifically directed otherwise by subsequent footnotes. 3) Watts per square foot of room may be increased by two percent per foot of ceiling height above twelve feet. 4) For all other spaces such as seating and common areas, use the Unit Light Power Allowance for assembly 5) Watts per square foot of room may be increased by two percent per foot of ceiling height above nine feet. 6) Reserved. 7) For conference rooms and offices less than 150ft with full height partitions, a Unit Lighting Power Allowance of 1 10 w /ft may be used. 8) Reserved. 9) For indoor sport tournament courts with adjacent spectator seating over 5,000, the Unit Lighting Power Allowance for the court area is 2.60 W/ft 10) Display window illumination installed within 2 feet of the window provided that the display window is separated from the retail space by walls or at least three quarter- height partitions (transparent or opaque). and lighting for free standing display where the lighting moves with the display are exempt. An additional 1.5 wlft of merchandise display luminaires are exempt provided that they comply with all three of the following: a) located on ceiling- mounted track or directly on or recessed into the ceiling itself (not on the wall). b) adjustable in both the horizontal and vertical axes (vertical axis only is acceptable for fluorescent and other fixtures with two points of track attachment). c) fitted with LED tungsten halogen, fluorescent, or high intensity discharge lamps. This additional lighting power is allowed only if the lighting is actually installed. 11) Provided that a floor plan, indicating rack location and height, is submitted, the square footage for a warehouse may be defined, for computing the interior Unit Lighting Power Allowance, as the floor area not covered by racks plus the vertical face area (access side only) of the racks. The height allowance defined in footnote 2 applies only to the floor area not covered by racks. Exterior Lighting Summary LTG -EXT 2006 Washington Slate Nonresidential Energy Code Compliance Forms Project Info ProjAddres Family Medicine Port Angeles Ambulatory Care Centre Port Angeles WA Name. Jeff Losnegard /Cierra Lighting Group Appl. Name 2101 6th Ave #1100 Sea WA 98121 Appl. Phone 206/442/0112 x 104 Project Description Compliance Option Building Grounds (luminaires 100 Watts) Alteration Exceptions (check appropriate box sec. 1132.3) Tradable Locations Main Entry Other Entries Uncovered Parking and drives Grounds Walkways >10' wide Location Entries Garden Main Entry Landscape Landscape Signage Signage Parking Lot Parking Lot Non- Tradable Locations Location 2006 Washington State Nonresidential Energy Code Compliance Form F24 CFL F20 CFL F22 CFL F22 CFL New Tradable Maximum Allowed Lighting Wattage Tradable Proposed Lighting Wattage *Lighting Power Allowance Non Tradable Maximum Allowed Lighting Wattage Non Tradable Proposed Lighting Wattage Addition Alteration Rev sed July 2007 (Date 1/6/2009 I For Building Department Use Plans Included Refer to WSEC Section 1513 for controls and commissioning requirements. 0 Systems Analysis Efficacy 60 lumens/W Controlled by motion Sensor Exemption (list) No changes are being made to the lighting Less than 60% of the fixtures new, installed wattage not increased, space use not changed. Downlight Bollard Bollard Bollard Description !Side !Side entries ,Parking Lot 'Landscape/ Garden Signage Fixture Description F21A Fluorescent Linear Fixture F218 Fluorescent Linear Fixture M1 Metal Halide M2 Metal Halide Total Proposed Watts may not exceed Total Allowed Watts for Exterior Description Fixture Description 30 W /LF of door widtj 6 01 20 W /LF of door widt1 12 01 0.15 W /ft2 12013 01 0.2 W /ft2 2747 01 Total Allowed Watts' Use mfgr listed maximum .input wattage. For fixtures with hard -wired ballasts only the default table in the NREC Technical Reference Manual may also be used. Allowed Watts Area (ft perimeter per ft or per If (If) or of items Number of Fixtures Allowed Watts per ft or per If Number of Fixtures 3 29 0 7 29 0 4 29 0 4 29 0 3 60 0 3 60 0 1 295 0 1 570 0 Total Proposed Watts Watts/ Fixture Area (ft perimeter (If) or of items Watts/ Fixture Allowed Watts xft 180 01 240 01 1802 01 549 4 2771 4 Watts Proposed 87 203 116 116 180 180 295 570 1747 Allowed Watts x ft (or x If) Watts Proposed 0 0 0 0 0 0 0 0 0 II 2006 Washington State Nonresidential Energy Code Compliance Form Proposed Watts may not exceed Altowed Watts for Category 1 I 2006 Washington State Nonresidential Energy Code Compliance Form Exterior Lighting Summary (back) LTG -EXT 2006 Washington Slate Nonresidential Energy Code Compliance Forms Tradable Surfaces (Lighting power densities for uncovered parking areas, building grounds, building entrances and exits, canopies and overhangs and outdoor sales areas may be traded.) Non Tradable Surfaces (Lighting power density calculations for the following applications can be used only for the specific application and cannot be traded between surfaces or with other exterior lighting. The following allowances are in addition to any allowance otherwise permitted in the `Tradable Surfaces' section of this table.) TABLE 15 -2 LIGHTING POWER DENSITIES FOR BUILDING EXTERIORS Uncovered Parking Areas Parking lots and drives Building Grounds Walkways less than 10 feet wide Walkways 10 feet wide or greater Plaza areas Special feature areas Stairways Building Entrances and Exits Main entries Other doors Canopies and Overhangs Canopies (free standing and attached and overhangs) Outdoor Sales Open areas (including vehicle sales lots) Street frontage for vehicle sales lots in addition to open area allowance Building Facades Automated teller machines and night depositories Entrances and gatehouse inspection stations at guarded facilities Loading areas for law enforcement, fire, ambulance and other emergency service vehicles Material handling and associated storage Drive -up windows at fast food restaurants 0.15 W /ft 1.0 W /linear foot 0.2W/ft 1 1.0 Witt' 130 W /linear foot of door width 120 W /linear foot of door width 1.25 W /ft' 10.5 W /ft' 20 W /linear foot 0.2 W /ft for each illuminated wall or surface or 5.0W /linear foot for each illuminated wall or surface length 270 W per location plus 90 W per additional ATM per location 1.25 W/ft of uncovered area (covered areas are included in the `Canopies and Overhangs' section of `Tradable Surfaces 0.5 W /ft of uncovered area (covered areas are included in the `Canopies and Overhangs' section of `Tradable Surfaces 0.5 W /ft 400W per drive through Parking near 24 -hour retail entrances 1 800 W per main entry Revised, July 2007 Lighting, Motor, and Transformer Permit Plans Checklist LTG -CHK 2006 Washington State Nonresidential Energy Code Compliance Forms Project Address The following information is necessary to check a permit application for compliance with the lighting, motor and transformer requirements in the 2006 Washington State Nonresidential Energy Code. Applicability Code (yes, no, n.a.) Section Component Information Required LIGHTING CONTROLS (Section 1513) 1513 1 Local control/access Schedule with type, indicate locations yes yes yes yes yes n a yes yes yes yes yes 2006 Washington State-Nonresidential Ener Code Com'Iiance Form Family Medicine Port Angeles 1513.2 Area controls Maximum limit per switch 1513 3 Daylight zone control Schedule with type and features, indicate locations vertical glazing 1513.5 !Exterior shut -off 1(a)' timer w/backup 1(b) photocell. 1513.6 !Inter auto shut -off 1513.6.1 I(a) occup. sensors 1513.6.2 (b) auto. switches 1513.7 'Commissioning Indicate vertical gfazing on plans overhead glazing Indicate overhead glazing on plans 1513.4 Display /exhib /special Indicate separate controls 'Schedule with type and features, indicate location I lndicate location 'Indicate location "Indicate location 'Schedule with type and locations I specs Schedule with type and features (back -up, override capability); Indicate size of zone on plans 'Indicate requirements for lighting controls commissioning EXIT SIGNS (Section 1514) I 1514 'Max. watts Ilndicate watts for each exit sign LIGHTING POWER ALLOWANCE (Section 1530 -1532) yes 1531 Interior Lighting Completed and attached. Schedule with fixture types, Summary Form 1 lamps, ballasts, watts per fixture yes 1532 Exterior Lighting 'Completed and attached. Schedule with fixture types, Summary Form lamps, ballasts, watts per fixture MOTORS (Section.1511) n a I 1511 'Elec motor efficiency IMECH -MOT or Equipment Schedule with hp, rpm, efficiency TRANSFORMERS (Section 1540) yes I 1540 'Transformers Ilndicate size and efficiency If 'no is circled for any question provide explanation Date Location Building Department on Plans Notes E3 Series E3 Series 53 Series E3 Series 53 Series E3 Series 1 E50 1 E24 Specs 'Specs iix r-scne q^'IP A I Specs Specs 'Specs I 1/6/2009 Revised July 2007 2006 Washin. ton State Nonresidential Energy Code Compliance Form Lighting, Motor, and Transformer Permit Plans Checklist LTG -CHK 2006 Washington State Nonresidential Energy Code Compliance Forms Revised July 2007 Lighting General Requirements 1513 Lighting Controls Lighting including exempt lighting in Section 1512, shall comply with this section. Where occupancy sensors are cited they shall have the features listed In Section 1513 6 1 Where automatic time switches are cited, they shall have the features listed in Section 1513.6.2. 1513.1 Local Control and Accessibility* Each space enclosed by walls or ceiling- height partitions, shall be provided with lighting controls located within that space The lighting controls, whether one or more, shall be capable of turning off all lights within' the space. The controls shall be readily accessible, at the point of entry/exit, to personnel occupying or using the space. EXCEPTIONS The following lighting controls may be centralized in remote locations: 1 Lighting controls for spaces which must be used as a whole. 2. Automatic controls 3. Controls requiring trained operators. 4 Controls for safety hazards and security 1513.2 Area Controls The maximum lighting power that may be controlled from a single switch or automatic control shall not exceed that which is provided by a 20 ampere circuit loaded to not more than 80% A master control may be installed provided the individual switches retain their capability to function independently Circuit breakers may not be used as the sole means of switching. EXCEPTIONS' 1 Industrial or manufacturing process areas, as may be required for production. 2. Areas less than 5% of the building footprint for footprints over 100 000 ft 1513.3 Daylight Zone Control. All daytighted zones as defined in Chapter 2 both under overhead glazing and adjacent to vertical glazing, shall be provided with individual controls, or daylight- or occupant- sensing automatic controls, which control the lights independent of general area lighting. Contiguous daylight zones adjacent to vertical glazing are allowed to be controlled by a single controlling device provided that they do not include zones facing more than two adjacent cardinal orientations (i.e. north, east, south, west). Daylight zones under overhead glazing more than 15 feet from the perimeter shall be controlled separately from daylight zones adjacent to vertical glazing EXCEPTION Daylight spaces enclosed by walls or ceiling height partitions and containing 2 or fewer light fixtures are not required to have a separate switch for general area lighting. 1513.4 Display Exhibition and Specialty Lighting Controls All display exhibition or specialty lighting shall be controlled independently of general area lighting. 1513.5 Automatic Shut -off Controls, Exterior Lighting for all exterior applications shall have automatic controls capable of turning off exterior lighting when sufficient daylight is available or when the lighting is not required during nighttime hours Lighting not designated for dusk -to -dawn operation shall be controlled by either a. A combination of a photosensor and a time switch; or b An astronomical time switch. Lighting designated for dusk -to -dawn operation shall be controlled by an astronomical time switch or photosensor All time switches shall be capable of retaining programming and the time setting during loss of power for a period of at least 10 hours EXCEPTION: Lighting for covered vehicle entrances or exits from buildings or parking structures where required for safety security or eye adaptation. 1513.6 Automatic Shut -Off Controls, Interior Buildings greater than 5 000 Wand all school classrooms shall be equipped with separate automatic controls to shut off the lighting during unoccupied hours. Within these buildings, all office areas less than 300 ft enclosed by walls or ceiling height partitions, and all meeting and conference rooms, and all school classrooms, shall be equipped with occupancy sensors that comply with Section 1513 6.1 For other spaces, automatic controls may be an occupancy sensor time switch or other device capable of automatically shutting off lighting. EXCEPTIONS 1 Areas that must be continuously illuminated rP n 74 hruir r:nnvanipnre Morns l nr illuminated in a manner requiring manual operation of the lighting. 2. Emergency lighting systems. 3 Switching for industrial or manufacturing process facilities as may be required for production. 4 Hospitals and laboratory spaces. 5 Areas in which medical or dental tasks are performed are exempt from the occupancy sensor requirement. 1513.6 1 Occupancy Sensors. Occupancy sensors shall be capable of automatically turning off all the lights in an area, no more than 30 minutes after the area has been vacated. Light fixtures controlled by occupancy sensors shall have a wall- mounted, manual switch capable of turning off lights when the space is occupied. EXCEPTION Occupancy sensors in stairwells are allowed to have two step lighting (high -light and low tight) provided the control fails in the high -light position. 1513.6.2 Automatic Time Switches Automatic time switches shall have a minimum 7 day clock and be capable of being set for 7 different day types per week and incorporate an automatic holiday 'shut -off' feature which turns off all toads for at least 24 hours and then resumes normally scheduled operations Automatic time switches shall also have program back -up capabilities, which prevent the loss of program and time settings for at least 10 hours, if power is interrupted. Automatic time switches shall incorporate an over -ride switching device which a. is readily accessible b. is located so that a person using-the device can see the lights or the areas controlled by the switch, or so that the area being illuminated Is annunciated; c. is manually operated; d. allows the lighting to remain on for no more than 2 hours when an over -ride is initiated; and e. controls an area not exceeding 5 000•ft or 5% of the building footprint for footprints over 100 000 ft whichever is greater 1513.7 Commissioning Requirements For lighting controls which include daylight or occupant sensing automatic controls, automatic shut -off controls, occupancy sensors, or automatic time switches the lighting controls shall be tested to ensure that control devices, components, equipment and systems are calibrated, adjusted and operate In accordance with approved plans and specifications. Sequences of operation shall be functionally tested to ensure they operate in accordance with approved plans and specifications. A complete report of test procedures and results shall be prepared and filed with the owner Drawing notes shall require commissioning in accordance with this paragraph. 1514 Exit Signs Exit signs shall have an input power demand of 5 Watts or less per sign. Motors General Requirements 1511 Electric Motors. All permanently wired polyphase motors of 1 hp or more, which are not part of an HVAC system, shall comply with Section 1437 EXCEPTIONS 1 Motors that are an integral part of specialized process equipment. 2. Where the motor is integral to a listed piece of equipment for which no complying motor has been approved Transformers General Requirements SECTION 1540 TRANSFORMERS The minimum efficiency of a low voltage dry-type distribution transformer shall be the Class 1 Efficiency Levels for distribution transformers specified in Table 4 -2 of the 'Guide for Determining Energy Efficiency for Distribution Transformers published by the National Electrical Manufacturers Association (NEMA TP -1 2002). Adjusted Lighting Power Allowances (Interior) Location Allowed (floor /room no.) Occupancy Description Watts per ft Lighting Power Allowance Adjustments LTG -LPA 2006 Washington Stale Nonresidential Energy Code Compliance Forms Project Address (Family Medicine Port Angeles 2006 Washington State Nonresidential Energy Code Compliance Form Use this form if you are claiming any ceiling height adjustments for your Lighting Power Allowances for interior lighting. The Occupancy Description should agree with the Use listed on Code Table 15 -1 Identify the appropriate Ceiling Height Limit (9 feet, 12 feet or 20 feet) on which the adjustment is based. The Adjusted LPA is calculated from this number and from the Allowed Watts per ft Carry the Adjusted LPA to the corresponding Allowed Watts per ft location on LTG -SUM. From Table 15 -1 based on exceptions listed in footnotes Date Ceiling Height Ceiling Height limit for this room for this exception* 9 feet Revised July 2007 1/6/2009 Adjusted LPA Watts per ft Envelope Summary Climate Zone 1 ENV -SUM 2006 Washington State Nonresidential Energy Code Compliance Forms Project Info Project Description Compliance Option Space Heat Type Project Address Applicant Name: Glazing Area Calculation Note: Below grade walls may be included in the Gross Exterior Wall Area if they are insulated to the level required for opaque Concrete/Masonry Option Semi Heated Path Roofs Over Attic All Other Roofs Opaque Walls' Below Grade Walls Floors Over Unconditioned Space Slabs -on -Grade Radiant Floors Opaque Doors Vertical Glazing Overhead Gla VerticaVOverhead Glazing 2006 Washin ton State Nonresidential Ener. Code Com.liance Form Port Angeles Downtown Ambulatory Health Center 240 West Front Street Port Angeles, WA 98362 O'Connor Architects Applicant Address: 147 Finch Place SW #3, Bainbridge Is Applicant Phone: 206 842 5490 I 0 New Building ['Addition Alteration O Prescriptive Component Performance (See Decision Flowchart (over) for qualifications) I Electric resistance All other Total Glazing Area (rough opening) (vertical overhd) divided by Wall Area 2703 0 O yes no O yes no Envelope Requirements (enter values as applicable) Minimum Insulation R- values I n /a IR -21(U= 046) IR -19 I n /a I n /a I n /a NR -10(F= 78) Maximum U- factors O 600 O 550 O 700 Maximum SHGC (or SC) 0 450 1 Assemblies with metal framing must comply with overall U- factors Notes See the attached Washington State Energy Code component performance calculation sheet. Default template could not be used due to radiant floor requirements WA 98110 Electronic version: these values Gross Exterior Revised July 2007 'Date 12/19/2008 For Building Department Use 0 Change of Use 0 Seattle EnvStd 0 Systems Analysis 12293 0 X 100 (see over for definitions) are automatically taken from ENV -UA -1 times 100 equals Glazing 22 0% Check here if using this option and if project meets all requirements for the Concrete /Masonry Option. See Decision Flowchart (over) for qualifications. Enter requirements for each qualifying assembly below. Check here if using semi heated path and if project meets all requirements for semi heated spaces as defined in section 1310. Requires other fuel heating and qualifying thermostat. Only wall insulation requirement is reduced (2006 change). Only available in prescriptive path. Opaque Concrete/Masonry Wall Requirements Wall Maximum U- factor is 0.15 (R5.7 continuous ins) CMU block walls with insulated cores comply If project qualifies for Concrete/Masonry Option, list walls with HC 9.0 Btu/ft• °F below (other walls must meet Opaque Wall requirements). Use descriptions and values from Table 10 -9 in the Code. Wall Description U- factor (including insulation R -value position) PORT ANGELES DOWNTOWN AMBULATORY HEALTH CENTER 2006 WSEC COMPONENT PERFORMANCE CALCULATION 12/19/2008 BASED ON 12/10/2008 PERMIT SET RU RING Glazina of Gross Walt Area 20.27% SPACE HEAT TYPE: 1 OTHER li Code Target I Proposed Building ll 'Arch Detail 1 Area Uo U x A 1 Area Assembly Description Uo U x A 1 U Value Source VERTICAL GLAZING Vertical Glazing Assembly 1. Vertical Glazing IGLA/GLB 1 1,635.0 0.55 899.3 I 1,635.0 Vertical Glazing 0.550 899.3 NFRC Tested Assembly VERTICAL GLAZING TOTAL 1 1 1,635.0 899.3 1 1,635.0 899.3 OVERHEAD GLAZING Overhead Glazing Assembly 1. Skylights IA2.3.0 I 1,068.0 0.7 747.6 I 1,068.0 Skylights 0.700 747.6 NFRC Tested Assembly VERTICAL GLAZING TOTAL I 1 1,068.0 747.6 1 1,068.0 747.6 WALLS ABOVE GRADE Wall Assembly 1. Wall Type W1 W1 /A2.1.0 7,578.0 0.062 469.8 7,578.0 2x8 Wood Stud Wall R -21 Batt 0.057 431.9 2006 WSEC Table 10 -5 Wall Assembly 2: Wall Type W2 W2/A2.1.0 3,055 0.062 189.4 3,055.0 2x6 Wood Stud Wall R -21 Batt 0.057 174.1 2006 WSEC Table 10-5 WALL ABOVE -GRADE TOTAL I 1 10,633.0 659.2 1 10,633.0 606.1 ROOFS Roof Assembly 1. New Addition Roof R2/A2.3.0 2,016.0 0.046 92.7 2,016.0 4" Continuous Polyisocyanurate Roof Deck 0.036 72.6 2006 WSEC Table 10 -7 Roof Assembly 2: Existing Building Roof R1 /A2.3.0 11,783 EXEMPT* 11,783.0 R -30 batt in Existing Roof Assembly EXEMPT* Exception 4 WSEC 1132.1 ROOF TOTAL 1 1 13,799.0 92.7 1 13,799.0 72.6 OPAQUE DOORS Door Assembly 1. Opaque Doors 11/A4.0.0 I 25.0 0.6 15.0 I 25.0 Insulated Metal Door 0.600 15.0 2006 WSEC Table 10 -6 OPAQUE DOOR TOTAL 1 1 25.0 15.0 1 25.0 15.0 renmerer un renmeter SLAB ON GRADE RADIANT HEATED SLAB Feet F F x LF Lin Feet F F x LF Slab on Grade Assembly 1. Existing Slab A3.0.0 152 0.55 83.6 152.0 Uninsualted Slab on Grade Heated 0.840 127.7 2006 WSEC T10 -2 Slab on Grade Assembly 2: New Addition Slab A3.0.0 340 0.55* 187.0 340.0 Fully Insulated R -10 Heated 0.550 187.0 2006 WSEC T10 -2 SLAB ON GRADE TOTAL OVERALL BUILDING UA TOTALS *Per 2006 Washington State Energy Code Section 1132.1 Exception 4: "Existing roof /ceiling, wall or floor cavities exposed during construction provided that these cavities are insulated to full depth with insulation having Rushing Company Robby Oylear 206-788-4571 robbyo @rushingco.co m 492.0 270.6 1 492.0 314.7 26,584.0 1,936.8 I 26,584.0 1907.6 (Complies Page 1 of 1 12/19/2008 Mechanical Summary MECH -SUM 2003 Washington State Nonresidential Energy Code Compliance Forms Project Info Project Description Briefly describe mechanical system type and features. El Includes Plans Simple System O Complex System O Systems Analysis Compliance Option (See Decision Flowchart (over) for qualifications. Use separate MECH -SUM for simple complex systems.) Equipment Schedules The following information is required to be incorporated with the mechanical equipment schedules on the plans. For projects without plans, fill in the required information below Cooling Equipment Schedule Equip. ID RTU -1 RTU -2 RTU -1 RTU -2 BLR 1 I TRANE I TRANE Brand Name' TRANE TRANE ALLIED ENG Brand Name' 2003 Washington State Nonresidential Energy Code Compliance Form Project Address Applicant Name: Applicant Address: Applicant Phone: Two 20 ton rooftop package units, 100% economized Two roof top exhaust fans. Fourteen ceiling exhaust fans Drawings must contain notes requireing compliance with commissioning requirements Section 1416 Model No. WFH240E400 WFH240E400 Heating Equipment Schedule Equip. ID Model No. WFH240E400 WFH240E400 SP- A45MSE Family Medical Port Angeles 240 Front St Port Angeles, WA Evergreen Refrigeration, Inc 727 South Kenyon Street, Seattle WA 98108 206 763 -1744 Fan Equipment Schedule Equip. ID Brand Name' HP /BHP Flow Control Location of Service EF 1 /121Panasonic 0 13ICV (CEILING 13/14 1F (Panasonic 0 3 01CV ICEILING EF 15 IGreenheck 0 3 OICV (LABORATORY EF 16 IGreenheck 0 4 01CV (RADIOLOGY 1 1 1 1 1 'If available. 2 As tested according to Table 14 -1A through 14 -1G. 3 If required. 4 COP HSPF Combustion Efficiency or AFUE, as applicable. s Flow control types: variable air volume(VAV), constant volume (CV), or variable speed (VS). Model No. I FV 11VQ3 I FV 30VQ3 I GB -081 I GB -101 Capacity Btu/h 240000 240000 Capacity Btu/h 163000 163000 153000 NA OSA CFM Total CFM or Econo? 7000 Econ 7000 Total CFM 7000 7000 CFM SP' 1101 0 201 2001 0 201 3601 0 251 9601 0 251 1 1 Econ OSA cfm or Econo? Econ Econ NA SEER or EER 9 50 9 50 I Date For Building Dept. Use IPLV 38169 12/12/2008 Location Roof Roof Input Btuh Output Btuh Efficiency 9 50 163000 2 090 9 50 163000 2 090 153000 153000 100 000 Mechanical Summary (back) MECH -SUM System Description See Section 1421 for full description of Simple System qualifications. Decision Flowchart Use this flowchart to determine if project qualifies for Simple System Option. If not, either the Complex System or Systems Analysis Options must be used. C START Heating Only No no Complex Systems Yes Ys► 2003 Washington State Nonresidential Energy Code Compliance Form If Heating/Cooling or Cooling Only If Heating Only Heating/Cooling or Cooling Only Reference Section 1421 No Econo I ncluded? No El O Split system? <5000 cfm? <54,000 Btuh or 1900 cfm? Ingle Package Unit? Constant vol? Q Air cooled? Yes Yes Yes Reference Yes--* Section 1423 Simple System 1 r Allowed C Reference Section 1420 Economizer included? <70% outside air? No Yes >84,000 Btuh No No 0 No--lo Yes- Packaged sys? <54,000 Btuh or 1900 cfm? v Use Complex Reference Systems l Section 1430 Refer to MECH -COMP Mechanical Complex Systems for assistance in determining which Complex Systems requirements are applicable to this project. To: Linda Pangrle, Bldg. Permit Technician 3231 East 5 Street Port Angeles, WA 98362 Attached are: Shop Drawings Prints X Plans Samples Copy of Letter Change Order ❑Other 4 12/10/08 A3 0 1 Qty 1 Date O'CONNOR ARCHITECTS ARCHITECTURE PLANNING DESIGN fax: 206.842.2239 Bainbridge Is. WA98110 'These are transmitted as checked below. Remarks. referenced in the index. Thank you. Signed: I Q -i D Q "e TRANSMITTAL No. Description Wall Sections X For approval Approved as submitted Approved as noted X For your use As requested Returned for corrections c X For review and comment Other li t Dear Linda, Please insert A3 0 1 into the permit set previously submitted to the City of Port Angeles. Also, please delete sheets A5 01, A6 00 and A6 01 from the index. Those sheets were not submitted and should not be tel: 206.842.5490 147 Finch Place SW #3 Date: January 9 2009 Re: Family Medical Port Angeles Permit #08 -622 If enclosures are not as noted, kindly notify us at once. www.oconnorarch itects.com RECEIVED JAN 1 2 2009 MT OF FORT itINGE.t6 BUILDING Specifications R FAMILY MEDICINE OF PORT ANGELES 0 "y Building Permit Application received 05 -23 -08 Permit #08 -622 5 -23 -08 through 05 -27 -08 The City of PA Building Permit Technician and Peter O'Connor (Architect) discussed and amended the building permit application to be as correct and complete as possible This project was routed to seven departments for plan review on 5 -28 -08 Department: Building Fire Planning PW Electrical PW Engineering PW Water PW Wastewater Approval Date. 05 -29 -08 Ken Dubuc 05 -29 -08 Ron Becker 06 -13 -08 Jeff Young See the attached communication from Jim Lierly to Peter 0 Connor See the attached plan review sheet from Ken Dubuc. As of 12 -19 -08 Jim Lierly stated he has spent at least 40 hours doing plan review on this project. He said that doesn't include several extra hours that he spent at the pre application meeting and the various meetings since this project was submitted Per Jim Lierly 2006 International Building Code 105 3.2 Time Limitation of Application (See attached) An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing They filed on 05 -23 -08 so their application has expired They need to resubmit and pay the new plan review fee PREPARED 12/19/08, 9 18 43 PAYMENTS DUE RECEIPT 4 CITY OF PORT ANGELES s APPLICATION NUMBER ,s+ FEE DESCRIPTION BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT BUILDING PERMIT STATE SURCHARGE the. Please 08- 00000622 240 W FRONT ST AMOUNT DUE COMMERCIAL COMMERCIAL TOTAL DUE present this receipt bu I d ►1 Perm t-I- Fee 3 S00,000 00 Valuazi-iofi 15855 25 577 0 0 1 263 20 Q�' 10305 91k-Plan I€ I -f ee is 65 o f +he 6v■lclin 4 50 Perim* Fee 27005 86 1 E66e-el on -Ole to�a1 Values +iorl of- f e ProjeC+ 43,300 00 to the cashier with full payment is calculti44 b �'hls riut PROGRAM BP820L 5, (035 26 fi ir5 rnl 11 ion ip\v 4 3 6 5 `Far ea.ck I ao or e on of *e. ValUa± or 5,63 `fir fn Il1bI. I O ZZo oo 2, Soo X 55 2 r bu,it>fin j P exmi-f {-et 6 (Gs 10305.91 Qkr re_View 4 ADMINISTRATION required for the testing or servicing of electrical equip- ment or apparatus. Gas: 1 Portable heating appliance. 2. Replacement of any minor part that does not alter approval of equipment or make such equipment unsafe. Mechanical. 1 Portable heating appliance. 2. Portable ventilation equipment. 3 Portable cooling unit. 4 Steam, hot or chilled water piping within any heating or cooling equipment regulated by this code. 5 Replacement of any part that does not alter its approval or make it unsafe. 6. Portable evaporative cooler 7 Self- contained refrigeration system containing 10 pounds (5 kg) or less of refrigerant and actuated by motors of 1 horsepower (746 W) or less. Plumbing: 1 The stoppmg of leaks in drains, water soil, waste or vent pipe, provided, however, that if any concealed trap, drain pipe, water, soil, waste or vent pipe becomes defective and it becomes necessary to remove and replace the same with new material, such work shall be considered as new work and a permit shall be obtained and inspection made as provided in this code. 2. The clearing of stoppages or the repairing of leaks in pipes, valves or fixtures and the removal and reinstal- lation of water closets, provided such repairs do not involve or require the replacement or rearrangement of valves, pipes or fixtures. 105.2.1 Emergency repairs. Where equipment replace ments and repairs must be performed in an emergency situa- tion, the permit application shall be submitted within the next working business day to the building official. 105.2.2 Repairs. Application or notice to the building offi- cial is not required for ordinary repairs to structures, replacement of lamps or the connection of approved porta- ble electrical equipment to approved permanently installed receptacles. Such repairs shall not include the cutting away of any wall, partition or portion thereof, the removal or cut ting of any structural beam or load -beanng support, or the removal or change of any required means of egress, or rear rangement of parts of a structure affecting the egress requirements, nor shall ordinary repairs include addition to, alteration of replacement or relocation of any standpipe, water supply sewer, drainage. drain leader gas, soil, waste, vent or simi lar piping, electric wiring or mechanical or other work affecting public health or general safety 105.2.3 Public service agencies. A permit shall not be r1gtared for the installation altu.ation or -air of genera- ttor ansmis•ion distribution o meterirL t _)titer rc'•ited equipment that is under the ownership and control of public service agencies by established right. 105.3 Application for permit. To obtain a permit, the appli- cant shall first file an application therefor in writing on a form furnished by the department of building safety for that purpose. Such application shall. 1 Identify and describe the work to be covered by the per mit for which application is made. 2. Describe the land on which the proposed work is to be done by legal description, street address or similar description that will readily identify and definitely locate the proposed building or work. 3 Indicate the use and occupancy for which the proposed work is intended. 4 Be accompanied by construction documents and other information as required in Section 106 5 State the valuation of the proposed work. 6. Be signed by the applicant, or the applicant's authorized agent. 7 Give such other data and information as required by the building official. 105.3.1 Action on application. The building official shall examine or cause to be examined applications for permits and amendments thereto within a reasonable time after fil- ing. If the application or the construction documents do not conform to the requirements of pertinent laws, the building official shall reject such application in writing, stating the reasons therefor. If the building official is satisfied that the proposed work conforms to the requirements of this code and laws and ordinances applicable thereto, the building official shall issue a permit therefor as soon as practicable. 105.3.2 Time limitations of application. An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing, unless such application has been pursued in good faith or a permit has been issued, except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding .90, days each. The extension shall be requested in writing and justifiable cause demonstrated. 105.4 Validity of permit. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid. The issu- ance of a permit based on construction documents and other data shall not prevent the building official from requiring the correction of errors in the construction documents and other data. The building official is also authorized to prevent occu- pancy or use of a structure where in violation of this code or of any other ordinances of this jurisdiction. 105.5 Expiration. Every permit issued shall become invalid unless the work on the sio- authorized by such permit is com- menced within 180 days after its issuance, or if he work .utho- rized on the site h, >uch permit is suspended c aibandonLd or a period of 180 chi 's al Lc, tho t.dic the work is commenced. 1 tie 2006 INTERNATIONAL BUILDING CODE® I (10/3/2008) Nathan West DAHC Structural Review d From To Date Subject: CC Dear Nathan, Thanks, Bill Hennessey 'W F Hennessey M D <whennessey @fmpa.net> 'West, Nathan' <Nwest @cityofpa.us> 10/3/2008 4 55 PM DAHC Structural Review 'Lewis, Eric' <elewis @olympicmedical.org> Please place our structural review on hold pending further discussions. o HCEM OCT 0 3 2008 CITY OF PORT ANGELES Dept. of Community Development Page 1_11 O'CONNOR vt rch it ccts it I, ti r: August 15 2008 Stantec Mr Jim Lierly, Building Inspector City of Port Angeles 321 East Fifth Street P 0 Box 1150 Port Angeles, WA 98362 -0217 RE Plan Review, Family Medicine of Port Angeles Ambulatory Care Center (240 W Front Street) Dear Jim The following responses are written in answer to the comments you sent me on June 25, 2008, and are in the same numbered order 1 Verify exterior wall rating and opening protection as per Chapters 6 and 7 of the International Building Code (IBC) 2006 model. Based on Chapters 3 and 5 of the 2006 IBC the building falls within the requirements for a B Occupancy and Type VB Construction. Table 601 allows the building elements to be unrated for Type VB Construction. Table.6 ratings exterior walls_based on fire separation distance= lnoour buildmg o£the _exterior- _walls:.have_a,public:way: adjacent to that is-greater. l -0 -feet; and ;therefore; a B- Occupancy with. Type VII Cbnstruction may have unrated exterior walls. Table 704 8 lists maximum area of external wall openings based on fire separation distance Section 704 8 1 allows the separation distance for unprotected openings to be increased to the distance for protected openings with an automatic fire sprinkler system The west and north walls of our building are facing onto a street and parking which exceed 30 feet, and, therefore, have no limit. The south side of the building faces onto a 20 foot alley which allows 75% openings, and we have 12% Per my letter-of March 28 2008, the east wall faces onto a public way which includes parking dedicated to the Project by the City of Port Angeles, and is greater than 30 feet. Therefore, the opening area is unlimited. 2 Verify all fire stop products used to prohibit fire, from one occupancy to another including penetrations such as electrical conduit, IT cables, etc See the attached Specification Section 07 84 00, Fire Stopping and Smoke Seals. Mr Jim Lierly Building Inspector August 15, 2008 Page Two 3 Wall ceiling Classification shall meet or exceed Table 803 5 IBC 2006 Wall ceiling classifications will meet or exceed the values required for a B Occupancy in a sprinklered building according to IBC 2006 Table 803.5, where materials have a thickness exceeding 036 inch Specifically, exit enclosures will meet a Class B rating and corridors, rooms and enclosed spaces will meet a Class C rating 4 This review does not include structural review The third party review comments will be available upon completion of first review 5 1210.1 Floors. In other than dwelling units, toilet and bathing room floors shall have a smooth, hard, nonabsorbent surface that extends upward onto the walls at lease 6 inches (152 mm) Ceramic tile will be installed on the floors and extend -up to walls to a height of 7' -0" See Sheet 602 attached. 1210.2 Walls. Walls within 2 feet (610 mm) of urinals and water closets shall have a smooth, hard, nonabsorbent surface, to a height of 4 feet (1 219 mm) above the floor and except for structural elements, the materials used in such walls shall be of a type that is not adversely affected by moisture See above response 1210.3 Showers Shower compartments and walls above bathtubs with installed shower heads shall be finished with a smooth, nonabsorbent surface to a height not less than 70 inches (1 778 mm) above the drain inlet. The shower is a pre -made fiberglass unit, which is more than 70 inches high See Sheet 602 attached. 6 All ADA egress shall comply with the Washington State Amendment to the 2006 IBC Chapter 11 All ADA egress within 6 inches of grade shall comply with accessible route for egress. But not less than 50% of all egress shall comply with Chapter 11 of the 2006 IBC All ADA accessible routes, including ramps, shall be 44 inches wide per state amendment. ADA egress shall comply with the Washington State Amendment to the 2006 IBC Chapter 11, including clear widths of accessible routes, door opening force, coat hooks and shelves, flush controls and control switches. Mr Jim Lierly Building Inspector August 15 2008 Page Three 7 An ADA drinking fountain shall be required. On the plans you have shown a drinking fountain in the gym area. An ADA compliant drinking fountain shall be required to be a long the accessible route An ADA drinking fountain has been added to the south end of Corridor 134 See Sheet A110 attached. 8 Provide ADA compliant details for toilets, sinks and all other accessories required to be complaint with ANSI 117 and Chapter 11 of the 2006 IBC This shall include Washington State Amendments. See attached Drawing A602. 9 Stairs, handrails and guards require more details and shall comply with Chapter 10 of the IBC It appears that the handrails do not show the 12.inch extensions beyond the bottom and top steps, and the landings do not appear to have enough room to accommodate the extensions. See Sec 1012 of the 2006 IBC See Sheets A500 and A501 attached. 10 Provide details for safety glazing per Chapter 24 of the 2006 IBC For all hazardous glazing areas, i.e walking surfaces, stairs and skylights See Notes, Sheets A400, A410, A420 and A500 attached. Plumbing and Mechanical 11 Smoke detector shall be required in mechanical systems 2000 CFM or more per the 2006 International Mechanical Code (IMC) including any State Amendments. Smoke detectors are included for HP -3 the only unit with more than 2000 CFM. 12 Verify Washington State Energy Code requirements for economizer and location. The proposed natural ventilation system with radiant floor heating and cooling is more energy efficient than a traditional system with economizer 13 Fresh air intake, does the HVAC unit provide this? Does it have a mechanical valve or manual? The HVAC units provide ventilation air for many spaces Some perimeter spaces receive ventilation air through operable windows as allowed by code Mr Jim Lierly, Building Inspector August 15 2008 Page Four 14 Intake and exhaust shall remain 10' -0" separation min. per 2006 IMC and VIAQ The more strict code shall apply in case of conflict. Ten foot separation between intake and exhaust will be maintained. 15 All interior exhaust shall transmit to the exterior of the building All mechanical exhaust will terminate on the exterior of the building. Transfer air ducts terminate at various places within the building. 16 All floor drains with infrequent use shall be supplied with a trap primer All toilet rooms with two w/c or one w/c and one urinal shall require a floor drairb per code Site All floor drains with infrequent use will be primed per the plumbing fixture schedule All toilet rooms will have floor drains. 17 No chemical waste allowed in DWV Fill out attached form and return to Jeff Young at the waste water treatment facility No medical gas piping is included in the project. No chemical waste form was provided. This form will be filled out when it is available 18 Any med gas piping shall require third party cross connection and purity testing The City of Port Angeles will only verify static pressure test of 150 psi. 19 Any backflow device requires a separate permit and inspection by Public Works Domestic water and fire protection backflow preventers will require separate permits as noted. 20 Site construction shall be fenced and erosion control shall be in place before construction begins. For details see Public Works Department. Sincerel Peter O'Connor, AIA O'Connor Architects 147 Finch Place Bainbridge Island WA 98110 T 206 -842 5490 F 206 -842 2239 f (7/28/2008) Sue ,Roberds ,Family Medicine structural review ti From James Lierly To: poconnor @oconnorarchitects.com Date: 7/25/2008 9 AM Subject: Family Medicine structural review Attachments: FAMMED Jim Lierly Building Inspector City of Port angeles 360 417 -4816 jlierly @cityofpa.us Thank you Peter for your patients. The third party structural review came back today and is attached to the email. Also note that this review revealed incomplete plans. As per our conversation last month, you mentioned that the plans were not complete and are still under design. The City of Port Angeles requires complete plans at the application stage. The city of Port Angeles building department has provided your office with a preliminary review Any further review shall result in additional fee's to continue the permit process for time and expense. Pagel-,1 Project Name. Family Medicine Ambulatory Care Center Address 240 West Front Street 08 622 PORT ANGELES FIRE DEPARTMENT PLAN REVIEW Plan 08 -23 Com Residential Date: 5.29.2008 We have checked this plan and find that it conforms to the requirements of our codes and ordinances, with the following comments 1) Separate fire spnnkler plans are required for review 2) Separate fire alarm plans are required for review 3) A KNOX locking keybox will be required for hte building. Contact the Fire Department at 417 -4653 for a KNOX application form. Also contact Fire Department for KNOX box mounting location. 4) The door to the spnnkler riser room must be clearly labeled "Spnnkler Riser 5) The door to the room containing the fire alarm control panel (FACP) must be clearly labeled with the letters "FACP 6) A minimum of eight 2A 10BC fire extinguishers will be required for the building. One should be located adjacent to each ground floor exit, one adjacent to the top of each intenor stairwell, one in the elevator machinery room and one in the third floor mechanical room. 7) Address numbers will be required for the building. Address numbers must be a minimum of 6" tall, be placed in a readily visible location and be of contrasting color from their background. NOTE Pnor to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by 11ZQ CA-a° Building Department Copy Contractors Owner Copy Date. 5.3 08 O'Conner Architects Peter O'Conner 147 Finch Place SW #3 Bainbridge Island, WA 98110 THE CLTY OF W A S H I N G T O N US Re Plan Review, Family Medicine of Port Angeles (240 W Front Street) Listed below are some of the items that need to be addressed on the plans. Architectural 1 Verify extenor wall rating and opemng protection as per chapter 6 and 7 of the International Building code 2006 model. 2. Verify all fire stop product used to prohibit fire, from one occupancy to another, including penetrations such as electrical conduit, IT cables, etc 3 Wall ceiling Classification shall meet or exceed table 803.5 IBC 2006 4 This review does not include structural review The third party review comments will be available upon completion of first review 5 1210.1 Floors. In other than dwelling units, toilet and bathing room floors shall have a smooth, hard, nonabsorbent surface that extends upward onto the walls at least 6 inches (152 mm) 1210.2 Walls. Walls within 2 feet (610 mm) of urinals and water closets shall have a smooth, hard, nonabsorbent surface, to a height of 4 feet (1219 mm) above the floor, and except for structural elements, the matenals used in such walls shall be of a type that is not adversely affected by moisture. 1210.3 Showers. Shower compartments and walls above bathtubs with installed shower heads shall be finished with a smooth, nonabsorbent surface to a height not less than 70 inches (1778 mm) above the dram inlet. 6 All ADA egress shall comply with the Washington State Amendment to the 2006 IBC chapter 11 All ADA egress within 6" of grade shall comply with accessible route for egress. But not less than 50% of all egress shall comply with chapter 11 of the 2006 IBC All ADA accessible routes including ramps shall be 44 wide per state amend. 7 An ADA drinking fountain shall be required, on the plans you have shown a drinking fountain in the gym area. An ADA complaint dnnkmg fountain shall be required to be along the accessible route. 8 Provide ADA compliant details for toilets, sinks and all other accessones required to be complaint with ANSI 117 and chapter 11 of the 2006 IBC this shall include Washington State Amendments you may wish to down load them at httn. /www.sbcc.wa. aov /dots /codes /IBC06.ndf 9 Stairs, handrails and guards require more details and shall comply with chapter 10 of the IBC. It appears that the hand rails do not show the 12" extensions beyond the bottom and top steps and the landings do not appear to have enough room to accommodate the extensions see sec 1012 of the 2006 IBC. 10 Provide details for safety glazing per chapter 24 of the 2006 IBC For all hazardous glazing areas. i.e. walking surface, stairs and skylights Plumbing and Mechanical 11m. Smoke detector shall be required in mechanical systems 2000CFM or more per the 2006 International Mechanical Code, Including any State Amendments 12m. Verify Washington State Energy code requirements for economizer location. 13m. Fresh air intake, does the HVAC unit provide this? Does it have a mechanical valve or manual? 14m. Intake and exhaust shall remain 10' -0" separation min. per 2006 IMC and VIAQ the more stnct code shall apply in case of conflict. 15m. All mtenor exhaust shall transmit to the extenor of the building. 16p All floor drains with infrequent use shall be supplied with a trap pnmer All toilet rooms with two w/c or one w/c and one unnal shall require a floor dram per code. 17p No chemical waste allowed in. DWV fill out attached form and return to Jeff young at the waste water treatment facility 18p. Any med gas piping shall require third party cross connection and purity testing. The City of Port Angeles will only verify static pressure test of 150 psi. 19p Any backflow device requires a separate permit and inspection by Public Works. Site 20 Site construction shall be fenced and erosion control shall be in place before construction begins. For details see Public Works Department. If you have any further questions please contact me Jim Lierly Building Inspector/ Plan Review City of Port Angeles Port Angeles, WA 98362 360 417 -4816 360 808 -0534 SHEET IDENTIFICATION 1 SIT /FLR 2 SITE /FLR 3 FLR 4 FLR/ L I, 0.1. 5 6 7 Occupancy Construction I -A City of Port Angeles Community Developement (Building Division) 321 E 5th St Port Angeles, Washington 98362 360 417 -4815/ Fax 417 -4711 Plan analysis based on the 2003 International Building Code Project Number 05 -458 Project Name OLYMPIC MEDICAL CENTER Address 939 CAROLINE STREET NOTE The code items listed in this report are not intended to be a ‘-)efi✓ complete listing of all possible code requirements in the 2003 IBC It is a guide to selected sections of the code Report created using Plan Analyst software by IHS Global 800 854 -7179 CORRECTION REQUIRED Date June 23, 2008 \1 Contractor TBA Architect MAHLUM ARCHITECTS \OJ i Engineer JILL A CONNELI Report By JIM LIERLY v ia' A 31A This exter or wall is required to be a j_ hour assembly. Table 601 and Table 602 Opening(s) indi ated are required to be protected Sec 704 8, Table 704 8 and Sec 706 7 Penetrations of fir rated walls shall be protected Sec 712 3 protected Sec 712 4 The wall and ceiling fir sh material in this area must comply with Clas requirements Sec 803 5 and Table 803 Toilet rooms are required to have a smooth, hard nonabsorbent surface that extends at least 6 inches onto walls Sec 1210 1 Walls within 2 feet of urinals and water closets are required to be covered with a smooth, hard nonabsorbent surface to a height of 4 feet Sec 1210 2 Qi \CfN L e e. �`a O p C Q e r ei f!` W 6S Penetrations of fire a ated ceilings shall be pn■ r- C 44 1S7-- lirKk _Opa4.-1-; ot—t- 8 9 10 11 12 13 14 15 16 17 18 Code review for Project Id OLYMPIC MEDICAL CENTER Address 939 CAROLINE STREET At least 50 percent but not ss than one entrance shall comply with accey-i ility requirements Sec 1105 1 Also Wa hington state amend require all egress within 6 finish grade to be ADA compliant per Washington state am an accessible drinking fountain is require ith an occupant load over 30 up to 150, then e for each additional 500 minimum wi minimum tread is 11 Page 2 Grab bars need to b shown on the plans that comply with ICC /ANSI 2411 Sec 604 5 Accessible toilets an inks shall have a maximum height of 34 inche ICC /ANSI A117 1 Sec 606 3 The stair(s) dicated does not provide the required Sec 1009 1 The maximum rise of a s'£ep is 7 inches and the nches Sec 1009 3 The minimum headroom ve ically from nosing line is 6 feet 8 inches( 80 chest Sec 1009 2 A handrail is require on both sides of the stairway It is re F' red to be 34 to 38 inches above the nosing of theeps Sec 1009 11 and 1009 11 1 A 42 inch high gua rail with a maximum opening of 4 inches is requir where step is greater than 30 inches to floo or grade below Sec 1012 1, 1012 2 10 The enclosed usable space under the stairs is required to be protected by 1 hr fire resistive construction Sec 1019 1 5 Indicate that building has an automatic sprinkler system per NFPA 13 on the plans Sec 903 2A SEPARATE PLAN PERMIT REQUIRED FOR MODIFACATIONS OR INSTALLATION OF FIRE SPRINKLER 1 19 20 21 Code review for Project Id OLYMPIC MEDICAL CENTER Address 939 CAROLINE STREET Page 3 All glazing in hazardous locations is required to be of safety glazing material Sec 2406 1 2406 3 The number of water closets /unirals is inadequate for male occupants in this area Provide at least water closets unirals IPC Table 403 1 The number of drinking fountains is inadequate in this area Provide at least drinking fountains IPC Table 403 1 4 1 R cvA Attn Building Permit Technician 1 .7... 741=111111111r 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PEl &colmo BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Applicant or Agent 6 0 Property Owner .b 1 41.E Property Owner's Address 3 03 w 01 -st i Contractor /Engineer `5X, D C 5 cA-km. .r I vac Contractor /Engineer's Address tei ao pd,,,., t t Pt S>wr toe, License nvL.v Cat. 233 L PROJECT ADDRESS Parcel Number Proiect Type Brief De Check all that apply ®'New Construction it ddition remodel Repair Re -roof F� Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other ia0 514- QK scriotion. Floor Areas Existing (sq. ft.) Proposed (sq. ft.) 1 Zgi-i azl&kt (mai n. c-o ir') r .7 Signature (A )T5 Tk c..rcln vi-ect ilia II prate l 6 2 per M e i n d C o n n o r 6J For City Use Only Date Received 1 -2-3 -c Permit 6 Lz- Date Approved sti` Phone 4 9 o 20%, Phone 4..7_ -Tep 9,:b aco'L Phone 3c 39 d. -ceoon Pca..A-mfm wA- 9 t53 Expires 4- s 2ro9 Lot B- to, lg. (&.Zoning disk, Residential rrC Multi family Industrial _.t.teu tu. et.io✓ CG. eZw{ •.•.)411.1 e Q E ir✓ Jtit 4.v at44W otel t ktitit LK 40 -eat/ 1 riewo Go e„ c 4 t,,,. S{ e�A C t ,4. u rrvvr JA:b P-g-M+ wu....rc..l,tn• m'demol tion or trAt ez,„,„ k,s ux a2�.. tia,,b u�,t Sign a 5 _4 C) \o w mounted ro p ojectin freestanding awning other i Ssue4 0511-14 otal sign area sq. ft. Maximum allowed sign area sq ft. Heat e'r-leat pump wood burning stove gas fireplace pellet stove o other Other I e240 -F ,ref 13.L per sq. ft. eAniet7 &F-1A1- A<vPttl t4 �n 0 �c��r� 4 (tt V pv t rceg cr1 Lae. G TOTAL VALUATION S co t oop Total footprint of structures 131A 131124 ft. T Lot size 3t35 Z. sq ft. Lot coverage AA t8 Max. height of proposed structures 3o ft. Occupancy group _j___ of bedrooms Will a lawn sprinkler system be installed ?No rev- orC 'Occupant load 1 1, 0 2 of full baths Will a fire sprinkler system be installed? A Construction type g_ p of half baths I have read and completed this application and know it to be true and correct. l am authorized to apply for this permit and understand that if is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. rr Date 5 2 -o$ Print Name V E (t e-k IA .e c Cre_,. T Forms /Building Division /Bldg Permit Appl. -2006 Code.doc de s i V) As,M ego 5127/03 Dr William Hennessy Family Medicine of Port Angeles 303 W 8th Street Port Angeles, WA 98362 Dear Dr Hennessey, The City of Port Angeles received a copy of the Cascadia Archaeology report entitled ARCHAEOLOGICAL ASSESSMENT FOR THE AMBULATORY CARE CENTER. PORT ANGELES. CLALLAM COUNTY. WASHINGTON on May 21 2008 I reviewed the report on May 29 and forwarded it to the Lower Elwha Klallam Archaeologist, Bill White, for his comments as required under Mitigation Measure 1 Mr White promptly responded and his comments are attached as an enclosure Based upon Mr White's comment and my own acceptance of the recommendations of the Cascadia Archaeology report you may consider that Measure 1 of the Determination of Non Significance is met so long as you follow the recommendations that state Based on the assessment of the probability of adverse impacts to archaeological resources, additional cultural resources investigations are recommended only for those ground- disturbing activities that will intersect native soils. No further investigation is recommended for the shallow -level excavations or ground disturbances that will take place to depths of 3 feet. These activities will be entirely within 20th century fill deposits. Cascadia recommends that the mid -level activity (0 to 30 feet) occurring in the north half of the existing building be monitored as the excavation approaches the expected surface of native soils. Although the geotechnical report describes historic fill at a depth of 30 -35 feet in the location of the two bores, it is possible that fill is not that deep in the area of the site where mid -level excavations will occur Historic accounts of the downtown fill project would lead one to expect fill at this location to be 10 to 14 feet thick. It is important that monitoring be conducted when the excavations reach a depth of 9 feet. Should construction activities or core sampling fix the native soil boundary on the north end of the site, then the recommended monitoring activities would be adjusted accordingly in consultation with the professional archaeologist. It is also recommended that limited monitoring of the deep -level activity (0 to 300 feet) occur The preliminary recommendation is that sediments be examined from at least 3 (10 of the 30 wells planned. The focus would be on determining the location of the interface between fill and native soil and examining the contents of the native soil. Any recommendation for further monitoring of the deep -level activity would depend on the results of the previous examination. May 30 2008 The archaeological monitoring will need to be conducted by a qualified archaeologist who has been approved both by the City of Port Angeles and the Lower Elwha Klallam Tribe It will be your responsibility to notify me at least 48 hours before commencement of the above described ground disturbing activities I will then contact the Lower Elwha with the dates of the activities and the contact information for the archaeologist. In the event that the Lower Elwha do not approve of your choice of a qualified archaeologist, they may request that you also retain a tribal monitor during the archaeological monitoring. As Required under Mitigation Measure 2, you are required to follow the unanticipated discovery plan presented in the report and contact the appropriate parties should any cultural remains be discovered during the archaeological monitoring process or in the event they are uncovered during unmonitored excavation activities. Thank you for your attention to these Mitigation. Measures. As you may know the City, the State of Washington, the Lower Elwha Klallam Tribe, and the Port of Port Angeles are parties in the August 14 2006 Settlement Agreement that describes Land Use Regulations, Archaeological Analyses, and Permitting for activities in the area from Ediz Hook to the Rayonier Mill Site between the bluffs and the shoreline Mitigation Measures 1 and 2 are direct responses to this agreement and reflect the City's commitment to the terms of the agreement regarding cultural resources. If you have any questions or need additional guidance please feel free to 'contact me at (360) 417 -4704 or dbeery acitvofna.us In the event that I.am nor available you may also contact Nathan West, Deputy Director of Community and Economic Development at (360) 417 -4751 or nwest a,citvofna.us Sincerely, Derek Beery City of Port Angeles Archaeologist Enclosure. 5/29/2008 Derek Beery Re. Mitigated Determination of Non-Significance 1221 (5/29/2008),D rekBeery Re MitigatedwDetermmation ofNon- Significance 1221' Page 111 From: Bill White <bill.white @elwha.nsn.us> To Derek Beery <Dbeery@cityofpa.us> Date: 5 /29/2008 9:54 AM Subject: Re. Mitigated Determination of Non Significance 1221 Derek, I'm finally in the office catching up on paperwork. I had the opportunity to review the proposed medical center DNS and have no concerns provided condition 1 is met. I have also approved the Department of Ecology's Cultural Resource scope of work when sampling begins. We are still waiting for EPA's results at Tsewhitzen and finally have power Bill Derek Beery wrote. 11(5728/2008) Linde Pangrle Family Medi Crrie Port Angeles 4. From 'Lufkin, Frank <frank.lufkin@stantec corn> To <Ipangrle@cityofpa.us> Date 5/28/2008 9 AM Subject: Family Medicine Port Angeles Attachments Mechanical Submittal Form pdf Linda, Here is the mechanical submittal form for the Family Medicine Port Angeles Project. If you have any questions, feel free to call. Thanks Frank Lufkin Stantec Consulting 1932 1st Ave Ste 307 Seattle WA 98101 (206) 770-7779 ph (206) 409-1826 cell (206) 770-5941 fx frank.lufkin@stantec com (5128(2008) Linda Pangrle Mechanical Submittal Form.pdf Nam 27 08 12 24p OVANT ITY DESCRIPTCON Q I Furnace 5 Ton, 100,000 Btu /h (,29.3 kW) 0 �f Furnace 5 Ton, 100,000 Btu /h (29.3 kW) 0 Floor Furnace C) Heater (suspended, recessed wall, floor mounted) 0 f Boiler, comaessor, absorption system: I of 1 _c 3 hp, 100,000 Btu /h (29.3kW) o o e aV Fill in the specific quantity of each item that will be installed or relocated at your building project Submit this form with the Building Permit Application. Ca U G Air handler> 10,000 cfm (4 72m' /S) Evaporative cooler (attached, not Ventilation fan connected to a single I rte' n g le duct el eckv t rod Ventilation system (not pail of a h Hood served by mechanical exhaust, including ducts C, Incinerator commercial or industrial G IIncinerator domestic -tyke O Solid-fuel burning appliance c> Fuel gas p ping, one to five outlets Fuel gas piping, each additional outlet over five O I Hazardous Process p ing ystem, one to four outlets Hazardous process piping system, each additional outlet over four n Nonhazardous process piping system, one to four outlets T Nonhazardous process piping system, each additional outlet over four Miscellaneous appliance vent or equipment (not otherwise listed on this form) J Specify how many repairs, alterations, or additions (not otherwise listed on this form) will be done regarding heating appliances, refrigeration units, cooling units, evaporative cooling systems, absorption units, or other mechanical appliances, including installation of Z 2 ti 0 Connor Associates MECHANICAL SUBMITTAL FORM 3 hp 15 hp (2.24 1 119 kW) 100,000 500,000 13tu /h (29.3 146 481619 15 hn 30 hp (1 1 19 22.37 kW) 500,000 1,000,000 Btu /h (146 48 292.95 kWJ 30 hp 50 hp (22.37 37.3 kW) 1,000,000 1,750,000 Btu /h (292.95 512.66 kW)__ >SO hp (37.3 kW) 1,750,000Btu %h (512.66 kW) Air handler 10,000 din (4 72m 3 /S) controls, at this building project. P I rmn. r i r PS t o P 0 c (U,x, -e.- e C� ('(a a` V P v 206 842 2239 eating or air cond itioningly stem \0 C Page 1 6 1 57V c Qj op' e v, \is 4, \L k(5/27/2008) Linda Pangrle From 'Garlick, Jesse' <Jesse Garlick @stantec.com> To <Ipangrle @cityofpa. us> Date 5/27/2008 2 13 PM Attachments FMPA site plan pdf CC 'Peter O'Connor' <poconnor @oconnorarchitects.com> As requested here is the site plan for the FMPA clinic, on Front Street. Jesse Garlick, B.A. M.Arch LEED A.P Intern Architect Stantec 1100 111 Dunsmuir Street Vancouver BC V6B 6A3 Ph (604) 696 -8370 Fx: (604) 696 -8100 jesse.garlick @stantec.comn stantec.com <http. /www stantec.com/> The content of this email is the confidential property of Stantec and should not be copied modified, retransmitted or used for any purpose except with Stantec's written authorization. If you are not the intended recipient, please delete all copies and notify us immediately u Please consider the environment before printing this email. I1111111410 t yy w 1 (5227/2008) Linda Pangrle Re Family Medical Practice Ambulatory Care Center permt#08 -622 From Linda Pangrle To Peter O'Connor Subject: Re Family Medical Practice Ambulatory Care Center permit#08 -622 Hi Peter Thanks for the occupancy info I received the e- mailed site plan earlier too Thanks for your help 'Peter O'Connor' <poconnor( oconnorarchitects.com> 5/27/2008 4.23 PM Hi Linda, Based on IBC table 1004 1 1 'Business Areas' the occupancy load for the gross square footage of the building is 162 Please let me know if you need any additional information I have sent your other forms and questions to the appropriate engineers and you should be hearing from them shortly Peter Peter O'Connor AIA O'Connor Architects 147 Finch Place SW Bainbridge Island WA 98110 T 206 842.5490 F 206 842.2239 poconnor a( oconnorarchitects .com www.oconnorarchitects.com Page 1 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00000410 Date 5/22/08 Application pin number 825610 Property Address 240 W FRONT ST ASSESSOR PARCEL NUMBER ir'rLa P NUr I S Tenant nbr name FAMILY MEDICINE OF P A Application type description DEMOLITION 13 630 dQd� l�Zd Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 200000 Application desc DEMO EXT INT WALLS (FRAME ROOF TO REMAIN) Owner Contractor DOWNTOWN AMBULATORY HEALTH CTR DRURY CONSTRUCTION CO INC 303 W 8TH ST 19302 POWDER HILL PL N E PORT ANGELES WA 98362 STE 100 (360) 452 7891 POULSBO WA 98370 (360) 394 6000 Structure Information 000 000 DEMO EXT INT WALLS (FRAME REMAINS) Permit DEMOLITION Additional desc DEMO INT EXT WALLS Permit pin number 124156 Permit Fee 50 00 Plan Check Fee 00 Issue Date 5/22/08 Valuation 200000 Expiration Date 11/18/08 Qty Unit Charge Per Other Fees BASE FEE Special Notes and Comments The Fire Department has reviewed the project application and has no comm. May 22 2008 8 22 38 AM sroberds The permit is for DEMO ONLY Ground disturbance activities WILL REQUIRE further review with City Archaeoloaist. Electrical load calculations and electrical permits are required MAINTAIN CLEARANCES FROM SERVICE WIRES Any modifications to the City s electrical facilities will be at the customer s expense April 16 2008 6 02 56 PM rlarson Bob Larson 417 4706 All new service conductor must meet current NESC requirements An approved Public Works Waste Disposal Application is required prior to taking material to transfer station STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Extension 50 00 Fnal 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. 1;7-2 2 -of �T F%e Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T.Forms /Building Division/Building Permit (10/01/07) wpd ELECTRICAL LIGHT DEPT INSPECTION TYPE DATE FOUNDATION- FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY.) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 T Forms /Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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. ACCEPTED COMMENTS YES NO 1 I I I I I I I I FINAL FINAL PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO I 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. I I I I I 1 1 I 1 1 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 08 00000410 Date 5/22/08 Application pin number 825610 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 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 (10 /0l /07).wpd CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER, 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 FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT It's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING FIRE PLANNING DEPT BUILDING 417 -4807 417 -4653 41:7,:4750 417 -4815 T Fornis /Building Division/Building Permit (10 /0i /07).wpd 0/ BUILDING PERMIT INSPECTION RECORD ACCEPTED YES I NO SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE FINAL DATE FINAL DATE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT 1 BUILDING COMMENTS DATE ACCEPTED YES I NO ACCEPTED BY. ACCEPTED BY. O Envelope UA Calculations Climate Zone 1 ENV -UA 2006 Washington State Nonresidential Energy Code Compliance Forms Project Address Family Medicine Port Angeles Space Heat Type 10 Electric resistance All other Glazing Area as gross exterior wall area I 22 2% Prop. I 45 0% Max.Target Concrete /Masonry Option I 0 Yes O No Notes: If glazing area exceeds maximum allowed in Table, then calculate adjusted areas on back (over). T cc" U C r a)— C7 Building Component Proposed UA List components by assembly ID page U- factor x Area (A) U= Plan ID 2175 0 U. Plan ID U= Plan ID U= Plan ID U= Plan ID: U= Plan ID: U= Plan ID U= Plan ID Q U= Plan ID U= Plan ID* O U= Plan ID: ce U= Plan ID 420 0 o U= Plan ID: r U= Plan ID O U= Plan ID u= Plan ID' U= Plan ID' U= Plan ID: R= Plan ID' R= Plan ID R= Plan ID R= Plan ID' 15120 0 R= Plan ID R= Plan ID: R= Plan ID 9525 0 R= Plan ID R= Plan ID* R= Plan ID: R= Plan ID R= Plan ID R= Plan ID **Note: sum of Target Areas here should equal Target Opaque Wall Area (see back) R= Plan ID: v a R= Plan ID: R= Plan ID* Note: if insulated to levels required for opaque walls, list above with opaque walls E O 07 n t T. 2 O cc- R= Plan ID R= Plan ID' R= Plan ID: R= Plan ID' a 'c R= Plan ID S R= Plan ID' a R= Plan ID R= Plan ID *For CMU walls, indicate core insulation material. 2006 Washington State Nonresidential Energy Code Compliance Form Totals 27240 0 To comply 1) Proposed Total VA shall not exceed Target Total UA. 2) Proposed Total Area shall equal Target Total Area. 'Date 5/22/2008 For Building Department Use Target UA UA (U x A) U- factor x Area (A) O 550 2175 0 Glazing Electric Resist. 0 -30% 0.40 >30 -45% see note above O 700 Glazing Electric Resist. Other Heating 0 -30% 0.6 0.7 >30 -45% see note above 0.6 O 700 420 0 O 600 Electric Resist. 0.60 O 036 Int Ins Ext Ins O 056 Revised July 2007 UA (U x A) 1196 3 Other Heating 0.55 0.45 294 0 Other Heating 0.60 Electric Resist. Other Heating 0.031 0.036 O 046 15120 0 695 5 Electric Resist. Other Heating 0.034 0.046 Electric Resist. Other Heating Frame -Wd 0.062 Frame -MtI 0.062 Mass Wall 0.15 see mass wall Criteria Electric Resist. 0.062 0.07 Electric Resist. 0.029 0.062 0.109 0.15 Other Heating 0.062 0.07 Other Heating 0.056 O 540 Electric Resist. Other Heating; .F=0.54 F =0.54 (see Table 13 -1 for radiant floor values): Totals 17715 0 2185 8 ADJUST TARGET WALL ARE Climate Zone 1 ENV -SHGC 2006 Washington State Nonresidential Energy Code Compliance Forms Glazing Proposed SHGC Target SHGC List components by assembly ID page SHGC* x Area (A) SHGC x A SHGC x Area (A) SHGC x A ID' 0 450 2595 0 1167 8 ID* Glazing;% Electric'Resist. Other Heating N ID '0-30% 0.4 '0.45' t ID >30 -45% not allowed °0.4 ID" ID *Note: Manufacturer's SC may be used in lieu of SHGu. For compliance: Proposed total SHGC x A shall not exceed Target total SHGC x A NOTE. Since 1997 SHGC compliance for vertical and overhead glazing is allowed to be calculated together Target Area Adjustment Calculations Glazing Area OG= Opaque Area Gross Exterior Wall 11700 0 5265 0 If the total amount of glazing area as a of gross exterior wall area (calculated on ENV -SUM1) exceeds the maximum allowed in Table 13-1 then this calculation must be submitted Use the resulting areas in the Target UA and SHGC calculations above. Area (Table 13-1) Roofs over Attics Other Roofs X Roofs over Attics 2006 Washington State Nonresidential Energy Code Compliance Form Proposed Areas: Numbered values are used in calculations below. Max Glazing Area 45 0% Target OG Area in Roofs over Attics Target OG Area in Other Roofs Max OG Remaining 420 0 1 lesser 5265 0 j lesser 5265 0 5265 0 Proposed Opaque Area 15120 0 IOG= I 1 Totals Other Roofs 420 0 15120 0 100 I VG= 1 -M Walls 2175 0 9525 0 Maximum Target Glazing Area 5265 0 Proposed OG Area Target OG Area Target Opaque Area 420 0 4 2 0 Tor 15120 '0 Proposed Opaque Area Proposed VG Area Target VG Area Target Opaque Area Walls 1 9525 0 I+ 1 2175 0 I 1 2175 0 1 1 9525 0" I Note: If there is more than one type of wall, the Target VG Area may be distributed among them, and separate Target Opaque Areas found. If the Target Areas for Opaque Walls listed on the front must equal the total calculated here. Target values in shaded boxes are used in the applicable Target UA calculations on the front. Target VG Area and Total Target OG Area are also used in the applicable Target SHGC calculations above. Revised July 2007 Totals 2595 0 1167 8 Note: OG overhead glazing VG vertical glazing Target VG Area For Target OG's, the '2175 0 lesser values are used both here and below. Error in Areas I 2006 Washington State Nonresidential Energy Code Compliance Forms Project Info Project Address Project Description Compliance Option Space Heat Type Glazing Area Calculation Note: Below grade walls may be included in the Gross Exterior Wall Area if they are insulated to the level required for opaque walls. Concrete /Masonry Option Semi- Heated Path Envelope Requirements (enter values as applicable) Minimum Insulation R- values 30 0 Roofs Over Attic All Other Roofs Opaque Walls' Below Grade Walls Floors Over Unconditioned Space Slabs -on -Grade Radiant Floors Opaque Doors Vertical Glazing Overhead Glazing Vertical /Overhead Glazing Notes 2006 Washington State Nonresidential Energy Code Compliance Form Envelope Summary Climate Zone 1 ENV -SUM Family Medicine Port Angeles Port Angeles WA Applicant Name: Family Medicine Port Anageles Applicant Address: Port Angeles WA Applicant Phone: I New Building Addition El Prescriptive Component Performance (See Decision Flowchart (over) for qualifications) I 0 Electric resistance Total Glazing Area (rough opening) (vertical overhd) 2595 O yes no O yes 0 no 0 21 0 10 0 10 0 Maximum U- factors O 600 O 550 O 700 Maximum SHGC (or SC) 1 Assemblies with metal framing must comply with overall U- factors divided by 0 Alteration El Change of Use Q All other Date For Building Department Use Seattle EnvStd Systems Analysis (see over for definitions) Revised July 2007 5/22/2008 Electronic version: these values are automatically taken from ENV -UA -1 Gross Exterior Wall Area times 100 equals Glazing 11700 0 X 100 22 2% Check here if using this option and if project meets all requirements for the Concrete/Masonry Option. See Decision Flowchart (over) for qualifications. Enter requirements for each qualifying assembly below. Check here if using semi heated path and if project meets all requirements for semi heated spaces as defined in section 1310. Requires other fuel heating and qualifying thermostat. Only wall insulation requirement is reduced (2006 change). Only available in prescriptive path. Opaque Concrete/Masonry Wall Requirements Wall Maximum U- factor is 0.15 (R5.7 continuous ins) CMU block walls with insulated cores comply If project qualifies for Concrete /Masonry Option, list walls with HC 9.0 Btu/ftt °F below (other walls must meet Opaque Wall requirements). Use descriptions and values from Table 10 -9 in the Code. Wall Description U- factor (including insulation R -value position) Envelope Summary (back) Climate Zone 1 ENV -SUM 2006 Washington State Nonresidential Energy Code Compliance Forms Decision Flowchart for Prescriptive Option 1302 Space Heat Type: For the purpose of determining building envelope requirements, the following two categories comprise all space heating types: Other' All other space heating systems including gas, solid fuel, oil, and propane space heating systems and those systems listed in the exception to electric resistance. (continued at right) 4—N All Insulation Installed? Below Grd Wall (ext) R -10 Below Grd Wall (oth) R -19 Roof Over Attic R -30 All Other Roof R -21 Raised Floor R -19 Slab -On -Grade R -10 Radiant Floor R -10 Opaque Door U -0 No L Ys Mass Wall Criteria OK? (below) Yes i AG Mass Wall Insulation Req Mass Wall U0.15/R5.7ci CMU Block Ins. Cores Wood Frame R19 Metal Framed R19 fez �o V Concrete/Masonry Option* Assembly Description 2006 Washington State Nonresidential Energy Code Compliance Form Use this flowchart to determine if project qualifies for the optional Prescriptive Option. If not, either the Component Performance or Systems Analysis Options must be used. Glazing Area 0 -30% 30 -45% >45% No !lc Yes Glazing Criteria Met? Vert OH UVaI UVaI 0.55 0.70 0.45 0.60 Not Allowed Yes I Assy Tag. START Electric Resistance Heat? SHGC 0.45 0.40 Glazing Area 0-30% >30 Prescriptive Path Allowed Yes Glazing C iteria Met? Vert OH UVaI UVal SHGC 0.40 0.60 0.40 Not Allowed Yes fJ Component Performance s Systems Analysis, or EnvStd Required Yc: Yes Yec No V Wall Heat Capacity (HC) HC* Area (sf) Totals Area weighted HC: divide total of (HC x area) by Total Area Electric Resistance: Space heating systems which use electric resistance elements as the primary heating system including baseboard, radiant, and forced air units where the total electric resistance heat capacity exceeds 1.0 W/ft of the gross conditioned floor area. Exception: Heat pumps and terminal electric resistance heating in variable air volume distribution systems. V All Insulation Installed? Below Grd Wall (ext) Below Grd Wall (oth) Roof Over Attic All Other Roof Raised Floor Slab -On -Grade Radiant Floor Onaaue Door Wood Metal R -10 R -10 R-19 U -0.062 R -38 U -0.031 R -30 U -0.034 R -30 U -0.029 R -10 R -10 R -10 R -10 U -0.60 U -0.60 No-► Yes AG Mass Wall Insulation Req Mass Wall U0.15/R5.7ci CMU Block Ins. Cores Wood Frame R19 Metal Framed U0.062 o V HC x Area Revised July 2007 *If the area weighted heat capacity (HC) of the total above grade wall is a minimum of 9.0, the Concrete Masonry Option may be used. *For framed walls, assume HC =1.0 unless calculations are provided; for all other walls, use Section 1009. 2006 Washington State Nonresidential Energy Code Compliance Forms Project Info Project Description Briefly describe mechanical system type and features. Includes Plans Cooling Equipment Schedule Equip. ID See Brand Name' schedules Heating Equipment Schedule Equip. ID Brand Name' See schedules Fan Equipment Schedule Equip. ID Brand Name' See schedules 2006 Washington State Nonresidential Energy Code Compliance Form Mechanical Summary MECH -SUM Project Address Applicant Name: Applicant Address: Applicant Phone: Air source heat pump with minimum outside air, natural ventilation and radiant floor slab Include documentation requiring compliance with commissioning requirements, Section 1416. Q Simple System 0 Complex System O Systems Analysis Compliance Option (See Decision Flowchart (over) for qualifications. Use separate MECH -SUM for simple complex systems.) Equipment Schedules The following information is required to be incorporated with the mechanical equipment schedules on the plans. For projects without plans, fill in the required information below Model No.' Model No.' Model No.' Family Medicine Port Angeles Port Angeles Washington Family Medicine Port Angeles Port Angeles Washington Capacity Btu/h Capacity Btu /h 'If available. 2 As tested according to Table 14 -1A through 14 -1G. Total CFM Total CFM CFM SP' 3 If required. OSA CFM or Econo? OSA cfm or Econo? applicable. 5 Flow control types: variable air volume(VAV), constant volume (CV), or variable speed (VS). Date Revised July 2007 5/22/2008 For Building Dept. Use SEER or EER IPLV Location Input Btuh Output Btuh I I I I I I I I I I Efficiency' HP /BHP Flow Control Location of Service 4 COP HSPF Combustion Efficiency or AFUE, as Mechanical Summary (back) MECH -SUM System Description See Section 1421 for full description of Simple System qualifications. Decision Flowchart Use this flowchart to determine if project qualifies for Simple System Option. If not, either the Complex System or Systems Analysis Options must be used. START Heating Only Complex Systems 2006 Washington State Nonresidential Energy Code Compliance Form Yes If Heating/Cooling Constant vol? or Cooling Only Split system? If Heating Only <5000 cfm? Reference Section 1421 Heating'Cooling or Cooling Only Yes 1 Simple System i Allowed (section 1420) ingle Package Unit? Ye= No Yep (Section 1423 Reference otal Ca•. wo economize <240,000 Btuh or 10 Yes Air cooled? Packaged sys? <20,000 Btuh? Economizer included? <70% outside air? Air Cooled, Constant Vol? Na No v Use Complex s Systems (section 1430) Refer to MECH -COMP Mechanical Complex Systems for assistance in determining which Complex Systems requirements are applicable to this project. REFERENCES 3 NFPA 101 Life Safety Code QUALITY ASSURANCE SECTION 07 84 00 FIRESTOPPING AND SMOKE SEALS GENERAL Condition of the Contract and Division 1 apply to this Section SCOPE. Provide firestopping as required and as indicated on the Drawings Provide firestopping as specified in Mechanical and /or Electrical Specifications or as noted on Mechanical and /or Electrical Drawings Provide firestopping which shall meet all applicable codes 1 Underwriters Laboratories (UL) of Northbrook IL runs ASTM E814 under their designation of UL 1479 and publishes the results in their Fire Resistance Directory that is updated annually UL tests that meet the requirements of ULC -S115 are given a cUL listing and are published by UL in their Products Certified for Canada (cUL) Directory 2 TEST REQUIREMENTS UL 2079 'Tests for Resistance of Building Joint Systems (July 1998 This test requirement provides more guidelines for testing moving joints than that given in ULC -S115 UL tests that meet the requirements of ULC -S115 are given a cUL listing and are published by UL in their Products Certified for Canada (cUL) Directory 1 Firestop System installation must meet requirements of UL 2079 tested assemblies that provide a fire rating as shown 2 Firestop Systems do not reestablish the structural integrity of load bearing partitions /assemblies or support live loads and traffic Installer shall consult the structural engineer prior to penetrating any load bearing assembly 3 For those firestop applications that exist for which no UL tested system is available through a manufacturer a manufacturer's engineering judgment derived from similar UL system designs or other tests will be submitted to local authorities having jurisdiction for their review and approval prior to installation Engineer judgment drawings must follow requirements set forth by the International Firestop Council (September 7 1994 as may be amended from time to time) 4 Firestopping shall be designed to meet or exceed the requirements of the IBC SUBMITTALS Submit manufacturer's product data for materials and prefabricated devices providing descriptions are sufficient for identification at job site Include manufacturer's printed instructions for installation and maintenance LEED REQUIREMENTS Compliance with applicable LEED requirements as outlined in Section 01 02 00 is mandatory including compliance with allowable VOC levels for all on -site applied adhesives sealants paints and other coatings as outlined in the LEED reference documents QUALITY ASSURANCE Engage an experienced Installer who is certified licensed or otherwise qualified by the firestopping manufacturer as having the necessary experience staff and training to install manufacture s products per specified requirements MAINTENANCE Submit maintenance material consisting of a minimum of four (4) unopened containers or packages of each product used 07 84 00 -1 REGISTERED' ARCHITE O'CONNO TATE OF WASHINGTON PRODUCTS MATERIALS 1 Fire stopping and smoke seal systems in accordance with ULC -S115 Asbestos -free materials and systems capable of maintaining an effective barrier against flame smoke and gases in compliance with requirements of ULC -S115 and not to exceed opening sizes for which they are intended Firestop system rating assemblies are to have ratings as noted and as indicated on the drawings 2 Service penetration assemblies certified in accordance with ULC -S115 3 Fire resistance rating of installed fire stopping assembly not less than the fire resistance rating of surrounding floor and wall assembly 4 Fire stopping and smoke seals at openings intended for ease of re -entry such as cables elastomeric seal do not use cementitious or rigid seal at such locations 5 Fire stopping and smoke seals at openings around penetrations for pipes ductwork and other mechanical items requiring sound and vibration control elastomeric seal do not use a cementitious or rigid seal at such locations 6 Primers to manufacturer's recommendation for specific material substrate and end use 7 Water (if applicable) potable clean and free from injurious amounts of deleterious substances 8 Damming and backup materials supports and anchoring devices to manufacturer's recommendations and in accordance with tested assembly being installed as acceptable to authorities having jurisdiction 9 Sealants or caulking materials used for openings between structurally separate sections of wall and floors must provide dynamic movement capacity 10 For penetrations through a Fire Separation wall provide a firestop system with a 'F' Rating as determined by UL or Warnock Hersey as indicated below in accordance with Table 3 1 8 4 of the VBBL Fire Resistance Rating Required UL F' Rating of Firestopping of Separation Assembly 45 minutes 45 minutes 1 hour 45 minutes 1 5 hours 1 hour 2 hours 1 5 hours 3 hours 2 hours 4 hours 3 hours 11 For combustible pipe penetrations through a Fire Separation provide a firestop system with a F' Rating as determined by UL which is equal to the fire resistance rating of the construction being penetrated 12 For penetrations through a Fire Wall or horizontal Fire Separation provide a firestop system with a FT' Rating as determined by ULC or cUL which is equal to the fire resistance rating of the construction being penetrated INSTALLATION MANUFACTURERS Subject to compliance with through penetration firestop systems and joint systems listed in the U L. Fire Resistance Directory Volume III or UL Products Manufactures should have Fire Protection Specialists in their staff capable of providing technical support at job site such as contractor certification and firestop systems selection 1 Examine sizes and conditions of voids to be filled to establish correct thicknesses and installation of materials Ensure that substrates and surfaces are clean dry and frost free 2 Prepare surfaces in contact with fire stopping materials and smoke seals to manufacturer's instructions 3 Maintain insulation around pipes and ducts penetrating fire separation without interruption to vapour barrier 4 Mask where necessary to avoid spillage and over coating onto adjoining surfaces remove stains on adjacent surfaces 5 Install fire stopping and smoke seal material and components in accordance with ULC certification and manufacturer's instructions 6 Seal holes or voids made by through penetrations poke- through termination devices and unpenetrated openings or joints to ensure continuity and integrity of fire separation are maintained This requirement applies to both new and existing structures 7 Provide temporary forming as required and remove forming only after materials have gained sufficient strength and after initial curing 8 Tool or trowel exposed surfaces to a neat finish 9 Remove excess compound promptly as work progresses and upon completion 10 All exposed firestopping to be covered with sealant. FIELD QUALITY CONTROL 1 Examine sealed penetration areas to ensure proper installation before concealing or enclosing areas 2 Keep areas of work accessible until inspection by applicable code authorities 3 Perform under this section patching and repairing of firestopping caused by cutting or penetrating of existing firestop systems already installed by other trades INSPECTION Notify Architect when ready for inspection and prior to concealing or enclosing firestopping materials and service penetration assemblies SCHEDULE Only tested firestop systems shall be used in specific locations as follows 1 Penetrations for the passage of duct, cable cable tray conduit, piping electrical busways and raceways through fire -rated vertical barriers (walls and partitions) horizontal barriers (floor /ceiling assemblies) and vertical service shaft walls and partitions 2 Safing slot gaps between edge of floor slabs and curtain walls 3 Openings between structurally separate sections of wall or floors 07 84 00 -3 4 Gaps between the top of walls and ceilings or roof assemblies 5 Openings around structural members which penetrate floors or walls 6 Between curtainwall and floor slab CLEAN UP Remove excess materials and debris and clean adjacent surfaces immediately after application Remove temporary dams after initial set of fire stopping and smoke seal materials COMMISSIONING At the time of building commissioning provide a comprehensive seminar to maintenance and electrical staff on the purpose and nature of the firestop systems used Include a hands -on session on re -entry re- sealing and all safety aspects of firestops END OF SECTION 07 84 00 -4 IsPoslaL b -e •rig... dR(,�pv�s (o.c rtvvno,kd cl- cowed t 4b �✓TnTAC. W 1k ZA `testa ✓,L taiect K GSA. RECEIVED MAY 21 2008 CITY OF PORT ANGELES BUILDING DIVISION 1 u Y C KAA.C. r -lb l�l /i9 /da (AAQ bkrcg4 blocks' �4 s �k a fie 5 5 t '�...►k- SA vl to c. IN CITY OF ti fir.-- NI x$y May 21, 2008 GELE W A S H I N G T O N U S A Public Works Utilities Department Family Medicine of Port Angeles 303 West 8 Street Port Angeles, WA 98362 RE Port Angeles Landfill Transfer Waste Disposal Application, WDA 08 -13, Building demolition matenal from 240 West Front Street We have received your application for disposal ofbuilding demolition debns from the referenced site and reviewed the testing results for lead paint and asbestos content. Based on the testing results the debris appears to be acceptable for disposal at the transfer station. A copy of your approved application is attached. This approved application must be shown to the transfer station scale attendant at the time of disposal. Please be advised that this disposal apphcation is only for the materials and quantities listed in the apphcation. Matenals not listed or in excess of the quantities noted may require separate applications and approval. Please call if you have questions. Very truly yours, e Stephen Sp err, P.E. City Engineer Encl. WDA 08 -13 Copy Claudia Stromski H2 Environmental, Inc N:IPWKS ENGINEER \WDAPPLIC 08 -13 File: Landfill Solid Waste Disposal Applications Phone 360- 417 -4805 Fax. 360- 417 -4542 Website www cityofpa.us Email publicworks @cityofpa.us 321 East Fifth Street P 0 Box 1150 Port Angeles WA 98362 -0217 1 IOd901 To. City of Port Angeles, City Engineer 321 E Fifth Street P O Box 1150 Port Angeles, Washington 98362 NOTE: Consulting Firm: Contact: Phone. Contractor Name Contact: Phone. Laboratory* Contact: Phone PORT ANGELES LANDFILL WASTE DISPOSAL APPLICATION All questions must be answered for waste to be approved. 1 Generator Information. Company Name. C c' h'\e Q c -t 0-1 Mailing Address. 3a5S (fit 8� .i)b4 9 (F z r -en n eSS ,!h 0_, tf' Contact: Phone. (360) q52-- Project Name. Q, 66 Project Location: 2-Y0, 1,3 sd- �e Qom 1))1h 9 Z ocs .eD s,. U C ,o �T, 4-vint vai..ouc.- _(ZO 0) 2 3C 1S N 2 /it L J te Po e 1SY ,So cork c e lop. 9S- 314s 2. Other Contacts (if applicable) Phone: (360) 417 -4803 FAX. (360) 417 -4709 top-Jot-Ors i/3 kc1(3 IA ®v O� 7,74 S e, 9r to,0') 330 S b n n ©c ceetr g 39 V- 0.c, 5 iji,obot vaksTP CI (qp) p, ,.1 95245 City of Port Angeles Landfill Waste Disposal Application O;(1. r oil ),A-e -r S 0014mila rn e //g .4( 1,2 q 3) io7 Page 1 3 Source of Waste. Check the appropriate box below and briefly describe the project, process, and/or cleanup that will or has produced the waste requiring disposal. Include the gasoline service station number (if applicable) CERCLA/MTCA Remediation Agency Contact Independent Remedial Action UST Removal Unused Chemical Product Spill Other Source. ,r r n P rut t., .lC our ers 1 t.)P9� X71 \f Q7r�j V AL. r LA e e 9 4 4 _,,,cG C P,7sc wrea. Soil Con ete Asphalt Preserved Wood Coal Ash Wood Ash 4 Waste Material Composition. (check all that apply and include percent of total) NOTE. Total must equal 100 5. Waste Material Contaminants: (check all that apply) N K-b .6 44, 110 sr Unknown Foundry Slag Dredge Sediments Debris Other (list) AS 644A Akvv -rir. t w` i z Gasoline Metals Solvents Heating Oil Unused Motor Oil Used Motor Oil/Waste Oil Other 16_61sle-s Other Petroleum Product NOTE Supply any MSDS information with application if available. is1A-4c- I�C.G r, I..- City of Port Angeles Landfill Waste Disposal Application Diesel PCBs Page 2 6 Estimated Quantity of Waste for Disposal 0 Cubic yards Tons (estimate both) Drums Tons (estimate both) Other NOTE Estimated quantity for disposal must be within 20% of the quantity actually disposed (10% for projects over 7 500 tons or 5 000 cubic yards.) 7 Frequency of Disposal 8 Waste Sampling Proper characterization of the waste for disposal requires the collection of representative samples The methods and equipment necessary for obtaining representative samples of a waste, and the frequency of sampling, will vary with the type and form of the waste. Check the appropriate box and briefly describe how and where the waste was sampled. Include site maps with sampling locations if possible. Number of COMPOSITE samples number of discrete samples per composite Number of DISCRETE samples W Sr r C7 0„ w-s-., cam. £R (9v) nee ee l '`ice' OH O 4. c 4<r5 \Al2 54,c2 Cipnt.L, 0 NOTE 1 NOTE 2. One time 0 -25 25 100 101 500 501 1000 1001 2000 >2000 cubic yards cubic yards cubic yards cubic yards cubic yards cubic yards One composite sample shall contain samples. Monthly Annual Other P Unless prior approval has been granted by Port Angeles the following sampling frequency will be used. 1 composite sample 3 composite samples 5 composite samples 7 composite samples 10 composite samples 10 plus one sample for each additional 500 cubic yards a minimum of three /maximum of five discrete City of Port Angeles Landfill Waste Disposal Application Page 3 9 Waste Analysis The 'Dangerous Waste Regulations (WAC 173 -303) shall be utilized to determine the appropriate analytical requirements for waste characterization. Ecology Publication #91 30 (Revised April 1994) "Guidance for Remediation of Petroleum Contaminated Soils shall also be used to characterize petroleum contaminated soils from UST releases Submit all laboratory analytical results QA/QC data and Chain of Custody sheets along with this application. (NOTE. The laboratory must be accredited by the Washington State Department of Ecology a) List all analytical test methods used ePia -r3Jji b) Provide a narrative as to why the above analytical methods were selected vwr AI( /3E 0 11 Dangerous Waste Affidavit: Class 1 Class 2 Calculated Hazard Index NOTE. Additional sheets attached YES NO Class 3 Class 4 10. Soil Classification (**FOR PETROLEUM CONTAMINATED SOILS ONLY**) Based on the analytical data and Ecology Publication #91 -30 the soil classification is: (check ore) Based on a review of the analytical test results, site history and the applicable regulations, this waste is classified as: (check one) Neither Dangerous Waste (DW) nor Extremely Hazardous Waste (EHW) Dangerous Waste (DW) and Waste Code Extremely Hazardous Waste (EHW) and Waste Code. City of Port Angeles Landfill Waste Disposal Application Page 4 12. Certification. We, THE UNDERSIGNED certify that this application is true to the best of our knowledge. All information provided is correct and the enclosed analytical results represent the proposed waste material to the best of our abilities asteGenerator Signature /e -1.J. t_c_ C (,J Truer Printed Name (14 2- 4 S ic) 5 Company Date r City of Port Angeles Approval: /1__d_ 47ezi4A2,4 City Engineer Date Approval Expiration Date A r,7A. vaLp Lei 4 C :IDATAIW P' FORMS'.W DAapp.wpd City of Port Angeles Landfill Waste Disposal Application Page 5 fl Analyzed By ORIO Environmental Services An Environmental Compliance Consulting Firm Test Report TCLP METAL EPA 1311 Client Family Medicine of Port Angeles 303 West 8"' Street Port Angeles, WA 98362 -5904 A1177. Dr William Hennessey Project Number N/A ProjectNause City Lights Warehouse 204 West Front Street Port Angeles, Washington Client Number PA -01 Orion Number TCLP Lead (ms/11 80411 -49 Method Blank: 0.5 mg/kg Linear Regression Lower Limit: 0.990 Actual Batch Linear Regression: 0.999 Check Standard Per Set: 0.2 mg/1 Allen C Laboratory Analyst 0.5 Quality Assurance Information Reviewed By Date Page Invoice Date Received SDL 0.5 Results reported in PPM (mg/1). NOTE. SDL Sample detection limit. Donna McNeal Laboratory Director, CEO Leading EnvironmentadCompCtance Consufting Into the 21st Century April 17 2008 Page 1 of 1 0092 -08 April 11, 2008 EPA Method 7420 34004 9 Avenue South A Suite 5 Federal Way Washington 98003 -6740 Tacoma (253) 952 -6717 0 Seattle (253) 874 -8118 Facsimile (253) 927 -4714 A Email Info @OrionES.net WBE W2F9219763 Analyzed By ORIO]V Environmental Services An Environmental Compliance Consulting Firm Test Report TCLP METAL EPA 1311 Client Family Medicine of Port Angeles 303 West 8 Street Port Angeles, WA 98362 -5904 Attn. Dr William Hennessey Project Number N/A Project Name City Lights Warehouse 204 West Front Street Port Angeles, Washington Client Number PA 01 Allen Clark Orion Number TCLP Lead (mg/ll 80411 -49 Method Blank: 03 mg/kg Linear Regression Lower Limit: 0.990 Actual Batch Linear Regression: 0.999 Check Standard Per Set: 0.2 mg/l Laboratory Analyst <0.5 Quality Assurance Information Reviewed By Date Page Invoice Date Received SDL 0.5 Results reported in PPM (mg /1). NOTE. SDL Sample detection limit. Donna McNeal Laboratory Director, CEO Leadnil EnvironmentadCompriance Consul ntg Into tfie 21. Century April 17 2008 Page 1 of 1 0092 -08 April 11 2008 EPA Method 7420 34004 9 Avenue South Suite 5 s Federal Way Washington 98003 -6740 Tacoma (253) 952 -6717 0 Seattle (253) 874 -8118 Facsimile (253) 927 -4714 0 Email lnfo@OrionES.net OrionES.net WBE W2F9219763 KCB INC ASBESTOS CONTRACTOR PHONE (360)830 -5022 FAX (360)830 -5020 ASBESTOS INSPECTION 240 W Front Street Port Angeles, WA 98362 CLALLAM COUNTY October 29, 2007 Prepared for Dr William Hennessey, M.D Family Medicine of Port Angeles 303 W 8 Street Port Angeles, WA 98362 P.O BOX 220 SEABECK, WA. 98380 f 001 Regulatory Compliance TABLE OF CONTENTS 002. Asbestos Definition. 003 Sampling Protocol 004 Survey Methodology /Limitations 005 Site Specifications 006 Summary Attachments which may be included. Site location maps Photos Notification forms Lab analysis Field reports Chain of Custody forms Certifications Print outs Miscellaneous information 2 001. Reeulatory Compliance This inspection satisfies the current regulation WAC 296- 62 -07707 that requires building owners to conduct an inspection before any repair, remodel, or demolition can be performed where asbestos may be disturbed (Chapter 49 -17 RCW) and. Puget Sound Clean Air Agency (PSCAA) Regulations. Article 4 of the Asbestos Control Standards Section 4.02 (a) Asbestos Survey Requirements. "It shall be unlawful for any person to cause or allow a renovation unless the property owner or the owner's agent determines whether there are suspect asbestos containing materials in the work area and obtains an asbestos survey of any suspect asbestos containing materials by an AHERA Building Inspector An AHERA Building Inspector is not required for asbestos surveys associated with the renovation of an owner occupied, single family residence. (1) If there are no suspect materials in the work area, this determination shall either be posted at the work site or communicated in writing to all contractors involved in the renovation. (2) It is not required that an AHERA Building Inspector evaluate any material presumed to be asbestos containing. (3) Except for renovations of an owner occupied, single family residence, only an AHERA Building Inspector may determine that a suspect material does not contain asbestos. (4) A summary of the results of the asbestos survey shall either be posted by the property owner or the owner's agent at the work site or communicated in writing to all persons who may come into contact with the material. (b) Requirements for Demolition It shall be unlawful for any person to cause or allow any demolition unless the property owner or the owner's agent obtains an asbestos survey by an AHERA Building Inspector of the structure to be demolished. (1) It is not required that an AHERA Building Inspector evaluate any material presumed to be asbestos containing material. (2) Only an AHERA Building Inspector may determine that a suspect material does not contain asbestos. (3) A summary of the results of the asbestos survey shall either be posted by the property owner or the owner's agent at the work site or coniunumcated in writing to all persons who may come into contact with the material. Section 4.04 (a) Removal of Friable Asbestos Prior to Renovation or Demolition. Except as provided in Section 4 06c of this Regulation, it shall be unlawful for any person to cause or allow any demolition or renovation that may disturb friable asbestos-contaimng- material or damage a structure so as to preclude access to friable asbestos containing material for future removal, without first removing all friable asbestos- contanmg material m accordance with the requirements in this regulation. Notification is required for demolition s involving structures with a projected roof area greater than 120 square feet, even if no ACM is present. Friable, asbestos-containing material need not be removed from a component if the component can be removed, stored, or transported for reuse without disturbing or damaging the asbestos. It shall be unlawful for any person to cause or allow the burning of any facility for fire training without removing all asbestos containing matenals prior to burning. This includes both friable and nonfriable ACM. Section 4.05 Procedures for Asbestos Projects. Training Requirements It shall be unlawful for any person to cause or allow any work on an asbestos project unless it is performed by persons framed and certified in accordance with the standards established by the Washington State Department of Labor and Industries, the federal Occupational Safety Health Admuustration (OSHA), or the United States Environmental Protection Agency (whichever agency has jurisdiction) and whose certification is current. This certification requirement does not apply to asbestos projects conducted in an owner- occupied, single family residence performed by the resident owner of the dwelling. AHERA (Asbestos Hazard Emergency Response Act) regulation requires this inspection to include the identification of Friable and Non Fnable ACM m (1) Surfacing Matenais, (2) Thermal System Insulation, and (3) Miscellaneous Materials: to delineate homogeneous areas and to sample or "Presume' all matenals located. Fnable ACM is thought to release fibers into the air more readily, however many types of Non Friable ACM can become airborne if disturbed. Additionally, the condition of the material will be graded and the potential for future damage assessed. The number of samples required is specified m the AHERA Rule (40 CFR 763 86) as follows Surfacing Materials. (SM) 3 samples per homo- geneous area of less than 1000 square feet, 5 samples for greater than 1000 but less than 5000 square feet, 7 samples for greater than 5000 square feet. Thermal System Insulation. (TSI) 3 samples from each homogeneous area that is not "Assumed" to be asbestos, 1 sample per each patched area, and as determined by the inspector for tees, elbows or valves. Miscellaneous Materials. (MM) Sample in amounts determined sufficient by the inspector. Friable asbestos is material that can be crumbled, pulverized or reduced to powder by hand pressure. Non Friable asbestos can become Friable by sanding, grinding, sawing, or other mechanically induced means. EPA (Environmental Protection Agency) regulates asbestos above 1 as determined using the method specified in Appendix A, Subpart F 40 CFR (Code of Federal Regulations) Part 763, Section 1 by Polarized Light Microscopy (PLM) Included in this report is the required Local Air Pollution Control Agency's* Notification form. Washington State) Puget Sound Clean Air Agency (PSCAA) King, Kitsap, Pierce, Snohomish Olympic Regional Clean Air Agency (ORCAA) Jefferson, Clallam, Mason,Thurston, Pacific, Grays Harbor Southwest Clean Air Agency (SWCAA) Lewis, Clark, Wahkiakum, Cowlitz Skamania Yakima County Clean Air Authority Yakima Northwest Air Pollution Authority (NAPA)Whatconi, Skagit, Island Douglas County Clean Air Commission,Douglas Grant County Clean Air Authority Grant Tri Counties Air Pollution Control Authority Benton, Walla Walla, Franklin Spokane County Air Pollution Control Authority (SCAPCA) Spokane Washington Department of Ecology (DOE) Stevens, Ferry Okanogan, San Juan,Chelan, Kittitas, Kickitat, Columbia, Garfield, Asotin, Adams, Lincoln, Pend Oreille A fee must accompany this form, and be submitted prior to renovation or demolition of a building. There is a required waiting period after filing a notification before work can begin. (Mandatory 10 days for all demolition s) Further mfounation regarding compliance may be obtained at our office. It is unlawful for the owner or the owner's agent to remove asbestos in excess of 10 linear feet or 48 square feet per year, per structure, unless the building is an owner- occupied, single family pnvate residence. Washington State law requires asbestos that is left in place, be m good repair and maintained at regular intervals. Mamtenance should be documented. References. WAC 296 -62 -077 Asbestos, Tremolzte, Anthophlylite Actinolite WAC 296 -65 -001 Asbestos Removal Encapsulation NESHAP Asbestos Regulations 40 CFR 61 Sub Part M PSCCA Regulation III Article 4 AHERA Model Accreditation Plan AHERA Final Rule 40CFR 763 OSHA 29 CFR Parts 1910 US EPA Guidance for Controlling Friable ACM in Buildings US EPA ACM in School Buildings, A Guidance Document Part 1&2 US EPA Asbestos Waste Management Guidance (Office of Solid Waste)US EPA Reporting Recordkeeping Requirements for Waste Disposal 11 -90 US EPA Asbestos in the Home, A Homeowners Guide 6 -88 United States Environmental Protection Agency The Asbestos Informer 002. Asbestos Definition "Asbestos" includes Chrysotile, Amosite, Crocidohte, tremohte asbestos, anthrophylite asbestos, actmolite asbestos, and any of these minerals that have been chemically treated and /or altered. Chrysotile is the most commonly used type of asbestos in North America, known as "white asbestos the only mineral in the serpentine group of asbestos minerals. The word "asbestos" (Greek not extinguishable) was first recorded in the first century AD although the substance was known as early as the second century BC 75% of the world's asbestos is mined in Quebec. Exposure to asbestos fibers can cause asbestosis, various cancers and the deadly mesothehoma which is an inoperable cancer of the chest and abdominal linings. Because there is no known safe level of exposure to asbestos, all exposure should be avoided. Asbestos was used in the United States in over 3600 different building materials, and while it is possible to suspect that a matenal contains asbestos, actual determination can only be made by instrumental analysis. Sample List of Suspect Asbestos Containing Materials Cement Siding/Wallboard /Pipes Asphalt Floor Tile /Adhesives Vinyl Floor Tile/Vinyl Wall Coverings Vinyl Sheet Flooring Flooring Backing/Vinyl Wall Coverings Construction Mastics /Joint Compounds /Spackling/Caulking/Putty Acoustical and Decorative Plaster Textured Paints and Coatings Ceiling Tiles and Lay -in Panels Spray -on Insulation/Duct Boiler Insulation Blown -in Insulation/Wiring Insulation Fireproofing Materials /Cooling Towers/Base Flashing Taping Compounds /Chalkboards /Roofing Shingles Packing Materials (Walls /Floors) Gaskets/Drywall/Roofing Felt Laboratory Hoods /Gloves/Table Tops Fire Blankets /Curtains /Doors Heating Electrical Ducts/ Pipe Insulation Elevator Brakes and Equipment Panels Note: This list does not include every product that may contain asbestos. 7 1 003. Samaline Protocol This survey addresses Friable and Non friable suspect asbestos contammg materials to meet NESHAP 40 CFR 61 (National Emissions Standards for Hazardous Air Pollutants) requirements for renovation and /or demolition activities. When suspect ACM is observed our technicians are trained and proficient m gathering samples by approved industry standards. All samples are then analyzed by an independent EPA approved NVLAP/ NIST /AIHA accredited lab that participates in the PAT program according to 29 CFR 1910 1001 (j)(8)(ii)(A &B). The samples are analyzed using PLM with dispersion staining to estimate the percentage of asbestos composition by volume. Samples in which less than 1% of asbestos mineral is detected is designated as "None Detected" (ND) or "No Asbestos Detected' (NAD). Random samples are gathered of each homogeneous suspect ACM identified during a visual search. A series of samples are gathered (accordmg to the 3 -5 -7 AHERA Rule) and are read at the lab for a positive result. If positive, no other samples are read of that material, if the sample is negative of asbestos content, the other samples are studied. All samples gathered must be reported negative for the material to be considered "None Detected' The laboratory analysis of all bulk sampling is included in this report and intended to be an mtegral part of the inspection data. Guidelines require laboratories reading asbestos samples to read all materials which are included in the submitted sample (tile, mastics, vinyls, adhesives, leveling compounds, etc) Because we frequently submit a `layered" sample, we may not sample mastics /adhesives separately as we feel this would be redundant and cause confusion in the interpretation for our clients and also result m costlier lab fees. Therefore, the number of samples gathered will not always result in the same number of sample results received from the lab. a 004 Survey Methodolory Limitations Site reconnaissance was conducted by a Certified AHERA Building Inspector, m accordance with 40 CFR Part 763 Appendix C, who is familiar with the probable uses and locations of suspected Asbestos Contaiung Build ing Materials (ACBM) In addition to a visual walk through, effort is expended to disclose prior uses of the facility, age, and characteristics of construction, and other information which helps determine the potential presence of suspected ACBM. This inspection report is the wntten opimon of a qualified Certified AHERA Building Inspector and is based on conditions visible at the time of the site visit. This report does not constitute a warranty of any kind. Although extensive searches are conducted, there remains a remote possibility that asbestos in some form may he undetected within the structure; under a floor, inside a duct, behind a wall, or buried in the ground. No degree of demolition was authorized or performed. Some printed materials may be included in this report strictly -for educational purpose. Estimated dimensions quoted in this report are approximate estimates for location awareness of the materials and are not intended to be accurate for bidding. The Abatement Contractor should check all measurements by site visit. No portion of this report should be removed from its entirety copies can be made by folding back the pages. This report should remain on file for future reference regarding this structure. In older structures, it should be noted for personal safety that most window putty did contain asbestos, and that in the process of removung the putty to repair a pane, some individual contamination would most likely occur Such windows should be removed with the glass intact, and disposed of as a unit. When flooring is considered suspect of asbestos content, the mastic should always be treated as suspect as well, and should never be chipped, sanded or scraped until tested to determine if asbestos is present. 9 All questions pertaining to this report should be directed to our office for immediate response. Field notes are included in this report for their interpretive value. Photo's if taken are included for identification. Sample readings resulting in less than one percent <1 will not be recorded as asbestos because this amount in unregulated, therefore not considered asbestos (ACM Our services have been executed in accordance with generally accepted practices within the limitations of scope, schedule, and budget; no other conditions are expressed or implied. This report does not expire as long as all repairs and remodeling activities are conducted using new materials (not inventoried or used) and this action is carefully documented. 10 005. Site Specification. This AHERA Building Inspection was authorized by Jesse Garlick, representing Stantec of Vancouver, BC in behalf of William Hennessey MD of Port Angeles, WA, the owner of the property; for the purpose of compliance requiring this action prior to renovation or demolition of any structure in local, state and federal jurisdictions. The investigation was performed on October 29, 2007 of this two story commercial site located at 240 W Front. Street. Port Angeles, WA 98362, entaihng approximately 15,000 square feet. The building presently houses Port Angeles City Light and was occupied durmg the site search. The types of sampled materials that were deemed to be suspect of containing asbestos included ceiling tiles, vinyl floor coverings, mastics and adhesives, acoustic "popcorn ceiling texture, CAB, leveling compound, floor tiles, and plaster 19 samples of suspect materials were collected to be analyzed using Polarized Light Microscopy at Global Industrial Corp, in Mesa, Arizona. An additional 3 layers attached to the submitted samples- were extracted and analyzed at the lab Of these 22 matenals, 7 areas were located that contained Chrysotile Asbestos. Sample 4 (Layer 2) was identified containing less than one percent <1 of asbestos, rendering it below the regulated amount, and not requiring engineering controls or certified workers. It was a yellow adhesive sampled near the ramp between the engineering section and the area with the front entrance. The other identified asbestos containing matenals (ACM) are listed here in the order they were gathered. #2/240W.F Black Mastic contammg 2% Chrysotile Asbestos located in the engineering section on the ground floor (concrete) under a non -ACM white tile, which is under carpet. The area involved is about 425 square feet. This is non friable, miscellaneous material in damaged condition with a potential to release asbestos fibers if disturbed rated at moderate. #7/240W.F (Layer 1) Brown VAT (Vinyl Asbestos Tile) on concrete, under carpet in the front section of the building accessing the front entrance This material contains 2% Chrysotile and there is about 400 square feet in place. This is non friable, miscellaneous material in damaged condition with a potential to release asbestos fibers if disturbed rated at moderate. 11 #7/240W.F (Layer 2) Black Mastic containing 2% Chrysotile under #7 same square footage, same amount and characteristics. #8/240W.F (Layer 1) Beige VAT on concrete in the meter room, about 725 square feet: present, containing 2% Chrysotile. Nf, mm, dc, moderate. #12/240W.F White CAB (Cement Asbestos Board) in the ceiling of the main front entry, containing 60% Chrysotile, about 40 square feet in place. This is categorized as Friable, Miscellaneous Material in Damaged Condition with a potential to release fibers rated at High due to the high percentage of asbestos by content. 16/240W.F Rust colored vinyl in the upstairs bathrooms and janitor closet, about 140 square feet containing 10% Chrysotile. Friable, Miscellaneous Material, in good condition with a potential to release fibers iif disturbed rated at High. 1 #18/240W.F Gold painted CAB (Cement Asbestos Board) attached to the end wall of the Bay This material contains 40% Chrysotile, is Friable, Miscellaneous Material in Good condition with a potential to release rated at High due to its high content of Asbestos This material was "presumed' to be present in soffit material on the exterior of the building, in a front panel on the exterior which housed a sign, and about 100 square feet over the Director's office, next to the main entrance on Front Street, as well. On the exterior of the building was also noted an extensive use of corrugated asbestos /cement material that was popular m the 1970- 1980's era which contained at least 30% Asbestos. This material was not disturbed due to its nature of shattenne when sampled. This inspector was unsure whether this material might remain in place during the renovations and not need to be disturbed. The corrugated CAB surrounds the building on all 4 sides, an approximate 3 band. It must be "presumed" to contain asbestos. It can be sampled at a later date if, in fact, it will be removed or impacted by the renovations. Washington State law requires ACM left m place to be m good repair, but it is not mandatory to remove it if the renovation activities do not impact the material directly No other buildings were included in this survey This report has been prepared for the exclusive use of Dr Hennessey and his agents with specific application to this site. If new information is developed through excavations or borings, this inspector should be retained to re- evaluate the conclusions of this report and provide amendments as needed. 13 006. Summary: Local, state and federal regulations require all friable asbestos be removed from any structure prior to demolition. Puget Sound Clean Air Agency will allow some non friable materials be left, if mtact during demolition, but not during burning practices, but Washington State Labor and Industries Asbestos Division, does not allow any asbestos to remain. There is a 10 day mandatory waiting period required by WA L &I prior to removal of asbestos and demolition, there is also a mandatory 10 day wait required by Olympic Region Clean Air Agency prior to demolition. This structure is located within -the Jurisdiction of Olympic Region Clean Air Agency, and is subject to that regulation, as well as the state. In addition to the Notices of Intent to remove asbestos, notification must also be given for demolition, and it includes a fee the selected Asbestos Contractor should obtain these Notifications for you. We suggest you retain this documentation for as long as you own tlus property to venfy your compliance to the asbestos standards in place at this tune. If there are any questions, please contact this inspector Jeanie Taylor, EPA Certified AHERA Building Insp��e ter.Q0251241 (Since 1994) Expiration. 01- 19 -08' WA State Certified Asbestos Worker #200806190A (Since 1985) 14 i COMPENDIUM OF LOCATED ASBESTOS CONTAINING MATERIALS Approximately 240 pproximately 240 W Front Street, Port Angeles, WA 98362 Clallam County 425 square feet of Black Mastic in the engineering section of the street level, under floor tile and carpet, on concrete. 400 square feet of Brown VAT under carpet on concrete on the street level, of offices m lower area next to main front entry 400 square feet of Black Mastic on concrete, under tile and carpet in the lower section near front entry 725 square feet of Beige VAT in the meter room. 40 square feet of White Cement Asbestos Board ceiling panels in main front entry 140 square _feet of Rust colored sheet vinyl in upstairs bathrooms and jamtor closet. Undetermined amount of Gold painted CAB on end wall in Bay and also like material located on the exterior of the building in several areas including soffit, face panels on front of the building, sign paneling, etc Presumed corrugated cement asbestos panels used on the exterior of the building, painted gold. 15 i u_viwe' 12411-1' t om• 1 Al 3 1A4 J� CIO 4 -natio AL F it ow' piwr c�n KCB INC ASBESTOS CONTRACTOR PHONE (360)830-5022 FAX (360)830 -5020 r t DATE b 1 CONTRACTOR o`er DESCRIPTION �bi1►tiW+ s, (J 1 5 7:443 Tc SAMPLE FUNCTIONAL HOMO AHERA MATERIAL FRIABLE MATERIAL COND ION POTENTIAL REASON MATERIAL OTHER COMMENTS IDENTIFICATION SPACE AREA CAT TYPE YES /NO AMOUNT G /D /SD DAMAGE DAMAGE COLOR LOCATION VAT M IA kat., AA 6p- t■)6 6.--A4bity 5‘,D. A4Dior P afri t` Ih -7 :tom 11a40u4.F i pr k /4 A eicit v;igobtarr2ft qkig: qiizqint),F la iv' TR4431. sr dK` h -6 IX No t0. X1111 1 kW% 0, CA0Zr■ bek rf P .916 sb m� sty hw Sni /GA sn mbo Mop 5/1 0A M rte) __Op\ FIELD REPORT Page 6 of 6,4 PROJECT NAME �-k. -vb LOCATION ot} up r 331 INSPEC R c� ,ry I Uz-s`I z-Lf SI. ATURE: 6 U. (laD e-iktu oul2 ea?;1 atAD 4.36143. 4 LoL fL tiox :11 L04 c.L)ab U I k olo I JO akcit. to C-Ne j �p-cti rely 4 KCB INC ASBESTOStCONTRACTOR PHONE (360)830 -5022 FAX (360)830 -5020 /1 i K i i a-kA DATE (O, a9 DESCRIPTION pA SAMPLE FUNCTIONAL IDENTIFICATION SPACE Le-, mod HOMO AHERA MATERIAL FRIABLE AREA CAT TYPE YES /NO 1 kL F Roam L D r`fl wilt) los F M (L L)L 4f 110. lot` -0 1 ,F 11,1L t lc r ,.501 Pk t q.;w6 Bb. C-.)(1 110_ 04 19 jz4o Co,r 441 r )0 5 ObV I G j 1 3 G No-r fAC.rv} FIELD REPORT MATERIAL CONDITION POTENTIAL REASON AMOUNT G /D /SD DAMAGE DAMAGE 'NM 1 PROJECT NAME N-Eix ss- y LOCATION -4 LQ, 1 =2L' i s INSPECTOR. E 7 z SIGNATURE keL k-i gez Purr LQ1 qtAb U CONTRACTOR s 7 MATERIAL OTHER COMMENTS COLOR LOCATION 271 w 3,1. PKc- 5DIME kt L.O H' r« I Page ;2,, of, T: 0 2". Submitted to: SAMPLE NO. p. Special Instructions Delivered by Fed X0vernight or Re K C B INC ASBESTOS CONTRACTOR MOM PHONE (360)830-5022 CE1.1.(360) 731 FAX (360)830-6020 GLOBAL.IRIDUSTRIAX, CORP. Kaki AZ MATERIAL. SAMPLE DESCRIPTION DATE TIME SAMPLE TYPE BULK Reesived by t. 1 1 CNAIN OF CUSTODY CLIENT'. PROJECT 0 Itt W AHERA INSPECTOR jEtigpe- CERTIFICATION t6 SAMPLE TYPE ANALYSIS AIR •••■•11.. REQUIRED Date -RECE1VgD OCT 3 zgaz a_ N Special histructions 0 0 Submitted to: SAMPLE NO. Delivered by FeclX0vernight or KCB INC ASBESTOS CONTRACTOR (#1085) PHONE (360)830-5022 CELL(360) 731-1414 FAX (3G0)830-5020 GLOBAL INDUSTRIAL CORP, MESA, AZ MATERIAL SAMPLE DESCRIPTION DATE TIME SAMPLE TYPE SAMPLE TYPE ANALYSIS SULK AIR REQUIRED NW -wg CIIAJNOF CVSTPDY, Page if CLIENT P ROJ ECT_ JAI0 AURA. INSPECTOR CERTIFICATION Date k T 5"T 04- Client: KCB INC Project: 240 W FRONT ST Sample Material Client Location Description Detection Composition 11244W.F VAT White Norte Detected Non Fibrous 100' 2/240W.F Mastic, Black Chrysotlie 2% Non Fibrous 98' 3 /24DW.F Glue, Yellow None Detected Non Fibrous 1009 i 4/240W.F Tread, Gray None Detected Non Fibrous 1009 Layer 1 4/240W.F Glue, Yellow Chrysotile c1% Non Fibrous 99°/ Layer 2 71240W.F Layer 1 4/240W,F Layer 2 5/240W,F Leveling Compound, White None Detected 81240W.F VAT Beige Chrysotile Layer 1 8515E Main St Suite 128 Mes9 AZ 85205 Phone {480)497 -2280 Fax {481)497 -0540 NVLAP CODE 200670.0 MORAL INDUSTRIAL RR Mastic, Yellow /Black None Detected Report 07-GIC -4069 Date of Receipt: 10/31/2007 Report Date: 11/1/2007 Date of Analysis. 11(1/2007 Non Fibrous 100% 8/240W.F Leveling Compound, Gray None Detected CeilWose 2% Non Fibrous 98% VAT Brown Chryeotile 2% lion Fibrous 98% 7/240W.F Mastic, Black Chrysotile 2% f4on Fibrous 98% Layer 2 2% Non Fibrous 98% Non Fibrous- 100% Page 1 Sample Material Client 0 Location Description Detection Composition 9I240W.F Ceiling Tile. White None Detected Cellulose 95 Non Fibrous 5 101240W F Ceiling Tile, White None Detected Cellulose- 95 Non Fibrous 5- 1 t1240W -F Ceiling Tile, White None Detected Cellulose 95 Non Fibrous 5t 12124OW.F CAB, White Chrysotlle 60% Non Fibrous 40 13/240W.F Ceiling Tile, White None Detected Cellulose_ 30 Mineral Wool 30°, Non Fibrous 40 0 r 14/240W.F Popcorn, White None Detected Non Fibrous 100% 151240WF Popcorn, White Nona Detected Non Fibrous 100°• 161240W.F Vinyl, Rust Chrysotile 10% Cellulose 10% Non Fibrous 80% 17/240W.F Piaster White None Detected Cellulose 2% Non Fibrous 98°fo 18t24oW.F CAB, Gold Chrysotile 40% Non Fibrous 60% 1yf240W.F Popcorn; White None Detected. Non Fibrous 100° /q ASBESTOS TYPE is Cbrysot%le, Croeidolite; Anthophyllite, Tremolite, Amosite, Aetinolite Thha samples listed above Were suspect of containing asbestos. A result of "'Non Detect" means a thorough search using appropriate technique's was conducted and no type of asbestos was discovered. Samples sufllni tted to this facility will be disposed of unless the client requests the samples be returned. Reports will be archived for a period of no more than 3 years. The analysis performed is in accordance with EPA600/M4 -82 -020 with a detection limit of 1 Test results apply only to the samples submitted. It is mot our policy to distribute the customer's information without the written consent of tie customer The test report shall not be reprodu ed except in full, without; the written approval of the laboratory Shawn Kearney Angela Kearney la boratory Director President Analyst 8513.E Main St Suite 928 Mesa AZ 85205 Phone (480)497-0280 Fax (480)497 -0540 NVLAP CODE 200670 Page 2 07 -GIC -4069 Asbestos Containing Materials in the Living Space Home, Apartment and Condominiums Transit Shingles Siding ILinoleura Backing I vinyl Asbestos floor Tiles Toping Compounds Asbestos iljas+er Pipe Lagging Elbow Mud -......e.r-r Q ....r.e....e. •lil.;:t31•11.1.;... 4. 1.: e-r••-."..r.e. -........--e-i:1"..-. ...A.... .%.%.%.A.1.-%.%.%..."-%.......-s....1.......5..%.%-....u. ......-...........•,...-e-e-e.e.r.e.e.e...-.................- Block Insulation Roofing Felt Dry Asbestos Insulation Material used to Insulate Attics—very unusual Asbestos-Cement Logs artificial osh Asbestos faping inside registers re Door Gaskets lift! 44P r:1 '4'1N I T1 UP" Acoustic Ceiling Material IN V mot: 11•••••■• IP MM di li fi t! 1 Transite Furnace Flue Aircell Pads inside Furnaces !Asbestos Taping on Return Seams lAircell and Sheeting Ductwork Insulation I Insulation inside ilise and old wire insulation Taping on Ductwork Seams Drop Ceiling Tiles e9t Textured Paints Piasters Taping Compounds Asbestos Containing Materials gn Buildings 1 Flexible Fabric Joints Acoustic Cciling Material .t (inn Asphalt Roofing Material& Roofing-[c1 v 1 4-.". 4 4; 4 Asbestos-Cement Vallboard Tile or Linoleum Floor Backing 9" x 9" Vinyl Asbestos Floor Tile ISilvex Roofing PainAl Fire -Door Ineriorx (10 Block Insulation Sprayed-on Firc-proofing Insulation Voter Heater VCD.T Scams Pipe Elbows Taping Compounds Pipe Lagging CERTIFICATIONS Federal Identification Number 91 1043402 Unified Business Identifier 600-299-247 Washington General Contractor Registration KITSACB101MR /Washington Certified Asbestos Contractor #1085 Contracting in WA since 1967 ot tt. fti I Crit ertifirate of Co p Instructor EPA Provider Cert..Nurnber 085 Tbii5 tO to certify tha Jja 5atidattortip compieteb 4 bour5 of refreOber training a5 an Asbestos Building Inspector to comply thitj ttje training requirenientO of 215I§QESA Etat 40 CIA 763 (zupeima) Certificate Number 1025124 3 Bffil fir Saraura=811 r7+1 SAFETY TRAINING INDUSTRIAL HYGIENE Argus Pacific Inc. 1900 W Nickerson, Suite 315 Seattle Washington 98119 (206) 285.3373 0 fax (206) ?AO' tio San 19. 2007 Date(s) of Training EXarn 'Score. NA Expiration Date Jan 19 2008 kre Ar bts 0 '''Rf ,k, ,t,.s.911WAMfeaffiL .C P M E.Sai TASSWIL...... EM T .S.V t atiMa r V..tVileM 5,, ...r. :gradar E Wa'th=qtr-t-r 1,1144, Z Pr- 4, M 9, -L -"r- 4 2 1 -ft 4-5' tO‘• t A fg; 285.3927 r. 0 11 Instructor ertifirate of Com Certificate Number 1025097 •tt""""t•ttPt""t:: -0 Al AV Assmaramis SAFETY TRAINING INDUSTRIAL HYGIENE i jt io to tertifp that Je ee F. Taylor bao s'atiotattortip to bouril of refre0er training a an Asbestos Worker to comptp With tbe training reguirement5 of TitAER Zritie 31, 29 ejr31 1926 1101 aub Ine 296-65 Argus Pacific, Inc. 1900 W Nickerson Suite 315 Seattle Washington 98119 (206) 285 3373 fax (206) 285.3927 Led Jan 16. 2007 Date(s) of Training Annual Refresher Required Exam Score NA :A t4 1-k A 4 l' ..;11MiLt t P WI) ,,,4 lel H t- la ,t; oltt t rt; t c, it tttn.4 t— 1R 1 .A..01V.LIMI-6%.11MXWM.tiSriZ.Maractgalt==-5 •14x t.ti_5StrattitAilfe&ii=,;T&= t 1„ Watia%; 10: t .S.:_......;:zz„:„.:::ay.:6.7,..:.z•,•,a,az.liai.,%."..t:MatZ.4411:aif,,23,1 7.;;61, Nttg 71: •rn. r cfm- ,41,24,Av ‘■1 d s itOgnizad by.tho Wolof Voltintotyiabiao*ity Acoreditation rn onitorhanco with witeria sot fth isIMT (*Oat* 10121001.464 ail of miter t T025:1199. Acerediffitionqs,grantedlor specific soivicOt listOr oh the $cOpe ofyiporeefitatift-lOr Certificate of Accreditation to 130/IEC 17025:1999 United States. Department sof 'Cononetc.e. 1 National Institute of Standards and Technology: NVL&P LAB COM 20670-0 Global Industrial Corp. Mesa, AZ BM< AS STOS ThE L1IJ S 164N:411 411 j i Eactive CITY OF PORT ANGELES *MITIGATED DETERMINATION OF NON SIGNIFICANCE Description of Proposal. The redevelopment of an existing 13,000 square foot building and site, located in the Central Business District zone from a municipal utility shop into a health care facility APPLICANT Cherry Hill Associates Location of Proposal (including street address, if any) Located on the south side of Front Street at Cherry Street, 240 W Front Street. Lead Agency. CITY OF PORT ANGELES The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment. An environmental impact statement (EIS) is not required under RCW 43.21C 030(2)(c) This decision was made after review of a completed environmental checklist and other information on file with the lead agency This information is available to the public on request. X This DNS is issued under WAC 197 -11- 340(2), the lead agency will not act on this proposal for 15 days from the date of issuance. Comments must be submitted by Mav 21, 2008, the DNS may be retained, modified, or withdrawn. There is no comment period for this DNS This DNS is issued per WAC 197 -11 -355 There is no comment period. 2/ 7 %1% W7 Date 1CIark E. Madsen, Director RCW Chapter 197 11 340 NO. 1221 You may appeal this determination to the Port Angeles City Council by submitting such written appeal to the Planning Department 321 East Fifth Street, Port Angeles, WA 98362 no later than June 5. 2008. You should be prepared to make specific factual objections Responsible Official Mark Madsen, Director Community and Economic Development Department, 321 East Fifth Street, Port Angeles, WA 98362, phone (360) 417 4750 *Mttiaation Measures. 1 If the subject site has not been previously inventoried, evaluated, and reviewed to the satisfaction of the Lower Elwha Klallam Tribe, the subject site shall be evaluated by a cultural review team, which shall include a professional archaeologist, a representative of the Lower Elwha Klallam Tribe, a representative of the site owner, and the Port Angeles Department of Community and Economic Development. This team shall determine the extent of excavation monitoring for the project during the permit review process. As an alternative, the applicant may have an approved archaeologist on site during any excavation in lieu of a review by the aforementioned cultural team. If during an excavation that, by decision of the cultural review team occurs without an approved archaeologist on -site, any phenomena of possible archaeological interest are uncovered, the developer shall stop such work and provide for a site inspection and evaluation by a professional archaeologist to ensure that all possible archaeological resources are handled in accordance with applicable law 2. In the event archaeological artifacts, features or human remains are discovered, the permittee will immediately notify the City of Port Angeles Archaeologist at (360) 417- 4704, as well as the Lower Elwha Klallam Tribal Chair and specified Tribal staff by both letter and telephone The City, in turn will immediately notify the State Department of Archaeology and Historic Preservation, as required in RCW 27 44 and 27 53 3 The applicant shall provide a construction operations plan, including but not limited to identification of material stockpiles location, site entry and exit points, potential street blockages, or any other construction conditions that may impact traffic flows or otherwise impact the public or neighboring businesses. Pub NA Mail: 5/06/08 DOE, LEKT T• \CG &F\2008 \Family Med\MDNS.doc p,.poRrgq' BUILDING PERMIT APPLICATION Print in ink 010-....14.-- CITY OF PORT ANGELES For City Use Only it 0 t ``.i;; 'As Attn Building Permit Technician I Date Received 1+. 7-n& 321 E. Fifth St. Port Angeles WA 98362 V� \I �0,�0 Permit* mg- y to a�C if `i (360) 417 -4815 fax (360) 417 -4711 y ght Bug �7 /Date Approved l s g" 1 °r will be, the Family P7. of P A Applicant or Agent e 4 ,d sect 4(-es, (KC. ecikue.Ze Phone Ati —ow Property Owner c A A o«4.4e4(a.tt l es Phone 4, i Property Owner's Address 3„b w 5m ?4t a uu,A 4gacoZ Contractor gineer b'.•-■,"■u 644, es c- 4, 1AC- Phone 3 oQ,o Contractor /Engineer's Address lei 30 z. 11.4_,.... 1.1-at Plgcoo Sit Ito d 4,,As Li,. u,A'I 70 License D�uQN e. 'taco LOS Expires z�q fi 4. PROJECT ADDRESS _zao Parcel Number Proiect Type Brief Des Check all that apply New Construction Addition Remodel Repair Re -roof demolition Sign Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other ©t, oo Ce0 R.°S criotion. Residential cmmercial Multi family Industrial -tra pa ,..ti- S 44 l o t A k o t. 4v64utc ICC i 4( Cat% w vet,/ td; 41, few Z...w. s.vQd[t .6 tit uA,/ e w X a T ,i.%U I.64e. te.,.ke...te s s4-scl ►wtc /uAf4t,t9 41 .t." rtc4LL1 6 4 1 C- 4-. I wae,d 4-a.4.44-4 Cwt. 'ant Ix •1 "'IA AI-CA. i u htt.Ao (k +�'M^9`t 'C'Je it _u 1-taw w4(IS (64we'it0 4.l- tv„gwte l v+ i tr 4o vtowAIv1). wall- mounted projecting freestanding awning other Total sign area sq. ft. Maximum allowed sign area so ft. Heat pump wood burning stove gas fireplace pellet stove other Existina (sq. ft.) Proposed (sq. ft.) Total footprint of structures sq ft. T Lot size Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type €,°I to t Ar Lot T wt. Zoning GFaD per sq ft. TOTAL VALUATION 2cto sq ft. Lot coverage 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 A -'1- OS Print Name S.k.te IAA f. VlnVt(- Signature T Forms /Building Division /Bldg Permit Appl. 2006 Code.doc i of bedrooms of full baths of half baths 'Farr) dj 0') e_el.‘‘c,1 (le 0 060 _0111j L 5 2:1 A 4,2_,,o,vores.j s?■,Ktf.,5 41% r ct. 4;4,1 army P.01.6 FRONT STREET Lf0 fay- i<tn sipaces (0 t co-yr S Ocul (S 4 4 Of:Vag =1.4, ALLEY N Yarrtm .9.7 4 ECENING CITY PARKING LOT 1 tete CA' eArKi §taniec Copyr01 Ileservel UV. PAM,. AUTEIIIll SITE PLAN Proj. .4.107093 Ne. A050 ro-K S fLC6 S olcioAsA pen0 ELES WA FINCEON Aantsclnilltectun Vancouver. BC Can. .8 WO 6.61.1000 Fez 60.86-8100 rnwor stant..Corri 2001.41VOK Scale Is nItalad Sheet mow co4trx*. .44Trwimacai 10111 DWFIS AV.0 Wo.•4 4.0.30m. VAECt ctionvwepa FAMILY MEDICINE PORT ANGELES AMBULATORY CARE CENTRE Beinsm pzsa SI -c, f u: gy 228 „J05 IN N N N N. 1F' A `OELES Construction Pl. -r, The Is ce .this>ifermit based upon these plans. sp. ti- cations an her'ata shall not prevent the building official }tern thereafter norm the correction of errors in <ai: plans; specification nd tt data, or from prevernin building 4erations bei rnedon thereunder when :a violation of all�odes and o anc`esof this jurisdicte ooS I I I I Ci r I1 R f kb I I I I I I I I I I 1 AiLt January 7, 2008 CASCADIA ARCHAEOLOGY Dr William Hennessey Family Medicine Port Angeles 303 W 8 St. Port Angeles, WA 98362 RE. Proposal for Archaeological Assessment for Ambulatory Care Center, Port Angeles, Washington Dr Hennessey, This letter responds to a request made for a scope of work and cost estimate for an archaeological assessment of the proposed Ambulatory Care Center in Port Angeles, Washington. Based upon the information provided to me in our telephone conversation and as email attachments sent to me by Jesse Garlick, it is our understanding that you are requesting an archaeological assessment that would include the following scope elements. Records review at the Department of Archaeology and Historic Preservation in Olympia (DAHP) for information on previously recorded archaeological and historic sites, reports of previous archaeological investigations, and relevant ethnographic and historic records. Review of historic maps and literature pertaining to this locality at the University of Washington Libraries, the Clallam County Historical Society and the Port Angeles public library On -line resources will also be consulted as appropriate. Review of geotechnical reports available for the property Review of excavation plans to determine where they might intersect native soils. A field visit to the project area to document and photograph the setting and current conditions (to be done as part of a day -trip to do histoncal records review in Port Angeles). Consult with Derek Beery, Archaeologist for the City of Port Angeles, to obtain information he may have of relevance to the Project Area. P 0 Box 51058 Seattle, WA 98115 -1058 Phone: 206 366 -0337 Fax: 206 363 -5303 Preparation of a report describing the results of the above reviews and assessing the need for any further work based on the probability of adverse effects on historic resources or archaeological deposits in native soils. Cost and Schedule A cost estimate is attached. If this proposal meets with your approval, we can proceed with implementation upon receipt of a signed copy of this letter and a $2000 retainer The balance will be due upon receipt of the assessment report which will be completed by January 31, 2008. If you have any questions, please call me at our office (206- 366 -0337) Signature below is considered concurrence with the terms of this proposal. Sincerely, e l Principal Archaeologist Dr William Hennessey Randall Schalk, Ph.D., R.P.A. 2 P 0 Box 51058 Seattle, WA 98115 -1058 Phone: 206- 366 -0337 Fax: 206 363 -5303 O~~ORr ""'_ ~..~~~ ~fr'.. ~ ~~ ~ .....""" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT PERMIT NO: 13410 OWNER/APPLICANT CITY OF PA 321 E 5TH ST Port Angeles, WA 98362 360/457-0411 T: S: ISSUED: 1 1 PROPERTY LOCATION 240 FRONT W Lot: 9 Block: 14 Subdivision: TPA Parcel No: C8J Long Legal CONTRACTOR OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 PROJECT INFO Project Value: $45,000.00 Project Type: MEZZANINE Occupancy Type: COMMERCIAL Occupancy Group: Construction Type: Zoning Use: CBD ARCHITECT NIA , 98360-0000 360/000-0000 SFD Units: SFD SO FT: o o Commercial: Industrial: Garage: o o o N ..c 0" MFD Units: MFD SO FT: o o E PROJECT NOTES ADD 9'6" X 44' AND A 13' X 25' MEZZANINE RECEIPT #9069 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $593.75 $385.94 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Misc Fee 1: Misc Fee 2: Misc Fee 3: T/ 1 () ) + $0.00 $0.00 $0.00 Signature of Contractor or Authorized Agent Date Signature of T:\PLANNING\FORMS\ 11 02.15 [4/2002] TOTAL FEE: AMOUNT PAID: BALANCE DUE: $984.19 $984.19 $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and pubiic improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. Ail provisions of laws and ordinances governing this type of work wiil be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancei the provisions of any state or local iaw regulating construction or the performance of construction. Date Fax Cover Sheet J -\ ..... l , MATERIAL HANDLING SOLUTIONSl PACKAGING SOLUTIONS! Date: To: Company: Phone: Fax: ~bi::l- L Pa es includin cover: From: Chris Andrus Company: DACO 18715 East Valle Kent, WA S6032 Phone: 1-800-345-3226 Fax: 4.25 656-4503 -02... ,- U ent ASAP Please Comment Comments: D\ , ~...<<. Q\\L ~~~. l-e. .\-. I11.e. K~t:>ll) 'It' +\"'E:..~e <liR..<UV\~~). 'T\-.~~ I(~ e.h1?-..~s MATERIAL HANDLING SOLUTIONS! OUR 2STH YEAR OF SERVICE KENT. PORTI..AND. YAKIMA /1, /.c,- I-'~ 1:1;.$.:). ;)Oc- ~S/ (,) W'd ZS:~T ZOOZ 9 neN 8Z08-9S9-SZv:xe~ ddOJ OJi:JG =-.L ~L~.:'T-~l ..;.;Mi- - f---- -~._---~~ ...-- -- 1---.......---- -:.Ii 1I5'l1'J._ --.., , , "''''''V''!IIO . ~ -~ - ~ -- ~ . -I----------~-----~--,-.-----------.~----~.- . 0lIJIIfJ ~T . ! ".U:S. ! -"'~1 I I I: ~ t1t !~ . . ! i' i . 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N - =--= ua "- I... .......... ....., :-Cl(OWI 3: '" u: N ""' CIl N '" , 0 " ;'3 m lD I ~ v.J - .. m V1 " '" o :u o '" '1 '" X '" '" V1 I ""' V1 ""' I ill o '" ill .....J!:K..WLft.YIOOII ::''I:\\\or~' .... )- /""-- ~lIWIdIDrwI)lUA. 3" 1lI II: Ot::j !II:n n 00 N n o OAJ -" .. - 111 " Fax Cover Sheet J _ \ .... \ , MATERIAL HANDLING SOLUTIONS! PACKAGING SOLUTIONS! Phone: Fax: /- pa as including cover: From: Chris Andrus Company: DACO 18715 East Valle Kent WA 98032 Phone: 1-800-345-3226 Fax: 425 656-4503 Date: To: Company: co::J For your review [D""""J Reply ASAP Co I Please Comment CD:lUrllent Comments: MATERIAL. HANDUNG SOLUTIONSl OUR 28TH YEAR OF SERVIOE KENT. PORTLAND - YAKIMA ,s ~ lQ'd 8S:TT COOC T new ~OSv-9S9-Scv:xej dClOJ OJtJG i_ ~ .A.. ~ , '6715 East Valley Highway Kent, WA 96032-'241 (425) 658.4505 ,.800.345.3226 F~(425)e5e.4503 SINCE 1S7e April 16, 2001 Quote Number:CWA041101PA Page 1 of3 Debbie Smith City of Port Angeles City Light PO Box 1150 321 E Fifth Port Angeles. WA 98362 PH (360)417-4738 FX 1-360-417-4729 Dear Debbie: Thank you for your interest in DACO products, We are pleased to quote the following, subject to DACO Terms & Conditions of Sale: Extended Quantity Prvduct and Deecrlptlon Unit Price Price FOR BUDGETARY PURPOSES 1 Each Cubic Designs free-standing mezzanine, 44' long x 18' wide, 792 square feet, to include: '" Deck Surface: 20 ga. x 1-112" roof deck with %' plywood '" Framing Depth: 13' C-Channels )- Clear HI: 8,17 Ft Top of Deck HI: 9.5 FI )- Capacity: 125 psf )- Material Weight: 10,500 Ibs )- Max. Column Load: 10,700 Ibs )- One Stair: 37' x 9,5' )- One Platform, 41' x 41' )- One Swing gate, 6Ft wida ;.- 80 Ft 01 3- level railing and kick plate )- Washington PE stamps )- Powder coated finish )- Lead lime: 4-8 weeks after signed approval drawings are received at the factory )- FOB: Delivered to job site 1 Each Mechanical inslilllation in free and clear area, during normal , business hours, off-loading and staging by others. Based on use Of oustomer's forklift Notes; The slab'S ability to support the vertical and overtuming loads from the mezzanine columns is the responsibility of City of Port Angeles. All systems are designed to meet OSHA, BOCA, and UBC codes. Final prioing may be affaclid by local code requirements. To accommodate required anchor bolt embedmen~ the prioing is based on a slab thiokness 01 5'. DACO is happy to offer aaaistenca in assuring suitability of the slab. KENT. YAKIMA · PORTLAND CMHiii --- ---- 170'd 8S:" eOOe, new ~OSI7-9S9-Sel7:xe~ &10) O)l!Q A!," 10 01 07: 53il t:ubic Desi;"s, ,r"c. 262 789 1970 ~ i II , <'10 , '" ,W- Iii' t' ~ ~.n cc: ,.""" .,..... M....CO lOHJ: .. C fPI ~~ iC!lC!l n",,,, 0........ ,. ,. ~~ MM hr:; "'''' 1:; ,. c:ll; 1l1l ,. IilQ .... "'~ M n~ '!:'[li "l"'ll '''' ....., . ~ eM" ~~~ -<z n '" 9'-6" TOP OF' DECK BRIDGING"""-:: I I I &/-2' C~E"AR 1'-1- J/4,j FRAME "e 114' i U!._Qf .r =: , ~ c:~ "'ll", ~ ~ .. 'l .. .... , 0 . - ~ ~ . SO'd ~ " e . 6S:TT ~OO~ T neW ~OSv-9S9-s~v:xe~ p.5 &IOJ OJl:JG J_ ... .a.. , f 18715 East valley Highway Kent, WA 98032.1241 (425) 85645Q5 1-1100-345-3228 F~(425)e56'4503 SINCE 1972 April 16, 2001 Quote Number:CWA041001PA Page 1013 Debbie Smith City of Port Angeles City ~iBht PO Box 1150 321 E Fifth Port Angeles, WA 98362 PH (360)417-4738 FX 1-360-417-4729 Oe<lr Debbie: Thenk you for your interest in OACO products. We are pleased to quote the following, subject to DACO Tenms & Conditions of Sale: Quantity Product and OeecrlDtlon Extended Unit Price Price FOR BUDGETARY PURPOSES 1 Each Cubic Designs free-stending mezzanine, 13' long x 25' wide, 325 square feet, to include: ~ Deck Surface: 20 ga. x 1.112" roof deck with %' plywood ~ Framing Depth: 15' C-Channels )- Clear Ht: B Ft Top 01 Deck Ht: 9,5 Ft )- Capacity: 125 psI )- Material Weight: 6,100 Ills )- Max. Column Load: 8,800 Ibs ., ~ One Steir: 37' x 9.5' )- One Platfonm, 41' x 41" )- One Swing gate, 6Ft wide >- 63 Ft 01 3- level railing and kick plate )> Washington PE stamps ~ Powder coated finish ~ lead time: 4-8 weeks after signed approval drawings are received at the factory )> FOB: Delivered to job site 1 Eech Mechanical installation in free and clear area, during nonmal business hours, off-loading and staging by others. Based on use of customer's forklift Notes: The slab's ability to support the vertical and overturning loads from the mezzanine columns is the responsibility of City of Port Angeles. All aystams are designed to meet OSHA, BOCA, and UBC codes. Final pricing may be affected by local code requirements, To accommodate required anchor bOlt embedment, the pricing ia based on a slab thickness of 5', DACO is happy to offer assistance in assuring suitability 01 the slab, KENT. YAKIMA. PORTLAND CMH;. 1IlI_ ____' (;O'd 8S:TT ~OO~ T neW ~OSv-9S9-s~v:xe~ d<lDJ DJtJG :D 'II ~ - o c - c " ., 111 III to n <:: .. ~. o t:l .. .. ~. .. :J .. - :J o . SfJlJR UP -,- r- . ... ~ N "/ . i'" ...2 ~~ '" o cL 00 If) ~ ~ '" o o '" ~ ::n '" E '" o If) "'" I '"' If) '"' I If) '" "'" X '" w... III 01 III .J <II 00 - 00 .J o , r -- ~ ~ '"" "- ... ~ C> Z U o ;;; m ~ :'I:':l ,IL. ",0 0- ~ J L jl~ "'<> - 0... '" o u o u a: Q .... '" 25'-0' . Cubic Designs me. CUSTOMER, PORT ANGELES cAPACln. 125 psr FOR LlICATWNo PORT ANGELES. IJA TOP Dr DEcK,9'-6' RITERENcr DEALER' DACO ONLY TYPICAL ELEVATlQJ'! ..-ff FEE RECEIPT NUMBER CITY OF .PORT ANGELES .' DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A I()~ 1- PERMIT NUMBER . TOTAL FEE t1tM. CONT. Lie, NO. TIME TO COMPLETE NO. STORIES LEGAL OC,cUPANCY NO OCCUPANCY OR USE ESTABLISHED UND~R THIS PERMIT Site Address Owner Owner's. Address PERMITS WITH WRONG ADDRESSES ARE CANCELLED Installation By , IOwA..; E.f!- ' Installers Address Day Phone Installers Phone Application is hereby made for Permit to install Electrical Equipment as follows: , f?tIJ( A;cL . ;~" L ItJ 'i\1.LM f?M~ . . 'U~'i ~)C(mN6' p~~~ ~~ dr' 'Z")C. f. r<'il~). .Wiri~g Method . NUMBER AMP 120V 240V NUMBER AMP .120V 240V USE OF CIRCUIT CIRCUITS PER to 100R FEE ~USE OF CIRCUIT - CIRCUITS PER 10 100R FEE CIR 30 CIR I 30 LIGHT SIGN .. "LIGHT - .. 50 VOLTS .. . OR LESS CONVENIENCE .. - MOTOA . CONVENIENCE .. "MOTOA APPLIANCE .. . . MOTOR .. DISHWASHER .. FIRE ALAR~S DISPOSAL BURGLAR ALARM , RANGE MISC. Q\JEN WATER HEATER .. LAUNDRY DRYER . .. .. .00 .. REINSTALLATION LIGHT FIXTURE # FURNACE SUB.TOTAL.FEE . .. GAS. OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT . TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER , .. -, . A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDuqTOAS ... .- SERVICE AW.G. 00 I 'SUB-To'TAL' " SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be perfo-rmed under this permit will be done by-the installer and in. conformance with the N.E.C. Electrical Code, Date Application made ,19 By . Date Permit Issued CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Per.mission is h.ereby gi'{en to do the ~bo~e des.cribec;t work, according to th_e conditions hereon and according, to the approved_plans and specifications pertaining thereto, subject to compliance with the Ordinances 1\ .e,Clty of port~nge e ~ . .... ' .. IRE OR CITY LIGHT, '3/ t ~ / t 7 VED - ' Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on belore inspection and O.K. for coy:ering or service has been given by Inspector in, Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH ELECTRICAL PERMIT SERVICE CITY OF PORT ANGELES ROUGH -IN FINAL 360- 417 -4735 COMMENTS: Application Number 15- 00001047 Date .8/18/15 Application pin number . . . 114691 Property Address , , . , , . 240 W FRONT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0- 1405 -0000- Application type description ELECTRICAL ONLY on your 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 TI, Switches and plugs Owner Contractor DOWNTOWN AMHULIATCRY HEALTH CTR SIMPSON ELECTRIC 240 W. FRONT ST„ STE, A 243036 W HWY 101 PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452 -7891 (350) 457 -9270 Permit , , , . ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS Permit Fee 106..00 Plan Check Fee .00 Issue Date 8/18/15 valuation . . . . 0 Expiration Date 2/14/16 Qty Unit Charge Per Extension BASE FEE 86,00 4,00 5,Do00 ECH EL- BRANCH CIRCUIT W /FEEDER 20,00 Fee summary Charged Paid. credited Due Permit Fee Total 106,00 106,00 C0 c0 Plan Check Total ,00 00 .00 .00 Grand Total 106,00 106,00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Da GAIEXCHANGRIBUILD ING CITY OF PORT ANGELES P1a7<tMIT ,APPLICATION Ruil6mg Division/Electrical Inspections 321 East Fifth Street – P.O. Box 1150 / Port Angeles' Washingtan, 98362 Ph: (360) 9417 -4735 Fax: (360) 41.7 ^471.11 Date_ ��- —/Y * plan Review May Be Job Address:_, Building Square Footage: _ Desoriptlan of above Multi.Parraily or Cow al* Owner Info atio� NgmC: ' Mailing A,.drass; City; State: -.�2ip: �� nseF�EW unit C a e Item Service /Feeder 200 Amp. $ 132.00 Servlooeader 201400 Amp. $160.00 Service /Feeder 401.600 Amp $ 225.00 90rvlcelFPeder601.1000 Amp. $ 288.00 Service/Feeder over 1000 Amp. $ 410.00 Branch Circuit WI Service Feeder $ 5,00 Branch Circuit W10 Service Feeder $ 74,00 Inch Additional Branch Circuit $ 5,00 Branch Clmutts 1.4 $ 86.00 Temp. Service/ f=eeder 200 Amp. $102.00 Temp, Service/Feedor 201 -400 Amp. $121.00 Tamp, SeNcelFeeder 401.600 Amp. $164.00 Temp. Serviceffineder 601 -1000 Amp , $185,00 Portal to Portal Hourly $ 06.00 SignlOulllne Lighting $ 68,00 Signal Orcultl Limited Energy — Multi -Family $ 64.00 Signal Clrcultl Limned Energy 1 First 1500 sf — Commercial $ 96,00 Nola: $5,00 ror each additional 1500 sr Renewable Electrical Energy - SKVA System or Less $113.00 Thermostat $ 56.00 Note, $5.00 for each additional T-Stat A% 20b 5 IWtUTMCA IN- VIciIONS Si�eet Coritmctor lnformation Name; L;_l., C Meiling dd ss; - ¢7:�LP}� City: Stato 4AL State Zlp:.. I�hone:7�b Fax: S License # 1 Efwp —� —' •! Total Mufti r;l led b Unit Cho e c $ !� Total ownet es defined by RCW,19,28,261: (1) QWner will acmupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspactlo I. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical o intmetor. I am making the electrical installation or alteration in compliance with the electrical laws, N.Q.G., RCW. Chapter 19.28, WAG, Chapter 296.468, The City of Part Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Sign ure ofi Owner, electrlr:al contr ctor or electrical admirtistra #ors © cash CO Check cmd!I Carl 0— --h- f 011101120112 A 0,� V08T4&, ELECTRICAL INSPECTION WIRING REPORT 417-4735 Ks DATE; PERMIT lo-w 77 CONTRACTOR r4: ADDRESS 2 L4 D �.D APPROVED NOT APPROVED ........ ........ DITCH ................. 13 ROUGH IN/COVER ............... E3 Cl .................... SERVICE, . . ............... . 11 ..................... FkAL . .................... 0 CORRECTIONS NEEDED: L&NaLa- 6QvmA)-2 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . 16-00000799 Date 6/03/16 Application pin number 048948 DITCH Property Address . . 1 240 W FRONT ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -1405 -0000 - Application type description ELECTRICAL ONLY Subdivision Name AP Property Use Property Zoning . . . . . CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc Security, door sensor, panic Owner Contractor OLYMPIC MEDICAL CENTER HI TECH SECURITY INC 240 W. FRONT ST., STE. A 723 E FRONT ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-2727 Permit . . . ELECTRICAL ALTER COMMERCIAL Additional desc . , Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date 6/03/16 Valuation . . . 0 Expiration Date 11/30/16 Qty tit Charge Per Extension 1.00 96.0000 ECH 'EL -LIMITED 1ST 1500 SQ FT 96.00 Fee summary Charged Paid Credited Due Permit Fee Total. 96.00 96.00 00 00 Plan Check Total '00 .00 .00 00 Grand Total 96.00 96.00 .00 5 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: AP PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor Date: - GAS EXCHANGEWILDING Page 1 of 1 x Multi -Family or Commercial" Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Af,117esi; 1240 W, F rant d ,p X) VY�d A Tp�� .rdd �ar��. �r�u�wml�l^ �rr.rr adrnl'�t° �a�y.�leua�a..rtli rmn�ro-ti, , , rutr ��I n��r,ar�t, Vq uuP t,aaira(, I�!apnarwYH^ , rernote not rfrcation strrttarras Owner Information r rwa a°r'R��1 ✓r, �. CITY OF PORT ANGELES PER_XIIT APPLICATION N f, ,r I fxa.lr .�Ir1rrc _ AY'fgdPGPt Building Division/Electrical Inspections 'A F'rlfru mlaar St''WA e r 11 trr4A1 e A Zip par$f4 -_7ax. ®, 321 East Fifth Street — P.O. Box 1150 / Port Angeles %Washington, 911362 Pi11'iw .4M Z� 272,7 Ph: (360) 4174735 Fax: (3611) 4174711 Item 9ty Natal (Qty q 14jf1.tlipd,.4l (I.rrut N1 r .g Service,Tee&r 200 Amp. rf iFJ.;f, ServkmiFeedsr 2011.400 Amp. x Multi -Family or Commercial" Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Af,117esi; 1240 W, F rant d ,p X) VY�d A Tp�� .rdd �ar��. �r�u�wml�l^ �rr.rr adrnl'�t° �a�y.�leua�a..rtli rmn�ro-ti, , , rutr ��I n��r,ar�t, Vq uuP t,aaira(, I�!apnarwYH^ , rernote not rfrcation strrttarras Owner Information Contractor Information Nrvne:N�rklOlympic -fWtfcare Nftwc.)rk _ . N f, ,r I fxa.lr .�Ir1rrc _ AY'fgdPGPt la kal1t tSr 'A F'rlfru mlaar St''WA e trr4A1 e A Zip par$f4 -_7ax. ®, Pi11'iw .4M Z� 272,7 a t�r�!..'na@',', C, Exp _ .1"fITE"'t T��4��%n,';,Uss Item 9ty Natal (Qty q 14jf1.tlipd,.4l (I.rrut N1 r .g Service,Tee&r 200 Amp. 132.00 ServkmiFeedsr 2011.400 Amp. $ 160.100 r Sery .Teedpf 401-6T) Amp S 225!,101 Service<ff-eeder6011-100OAmp. 5288.00 _......... .., m„ ,efv; Feeder oveP 1000 Amp, 5 410.00 S_....... � . Branch Q rcu it W'Servicie Feeder 5 5.001 _ r.... ..... arancli Qrcuit'ffiC Serve:: F der 5 t4 L S EachAcIditional BrerachCircud 5 5,00 Se klranch Cita.lits 1-4 S' Syr O Temp. Servwre� Few..ier 200 Arnp. $ 10100 S .... Terror. ServicerFeedar 201-4601 A.rtap. 5 121.001 S Temp. Sefvic lFeec9er401-600 Amp. $ 164.110 S ..... Tesmp. ServiceTeeder601-1000 Amp . 5 185.00 S.... pon.a11n pvl.a ljw r .tirr $ S�n(Oulhne lighting $ dkt.i101 _. 5..... . S �rwai CuPfitail" I.itvlit l Eapigy — Mulb-Family S 64.00 S S�roeV ipf;ui9." I_rmi l ti @ Eneqy ; First 1:AI0;st — £xbr imeri.Aal S Bell00 1..,,, t�.ate: 5 r.dg Isar each addiGa�rvtl 15fMQ sV RAnewaW E4er,Iwal Enegy - 5KVA System or Less $113.00 Thennw,ta1. S 56DO .,., _ ..m t :ate: h5DO for each Aditorml T-Stat ...... 96 qJ11........� Total Owner as defined by RCW.19.25.261: (1) Owner will occupy the structure for tvio years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said propedy is for sale, rentor Lease. Permit expires after six months of last inspection, After reading the above statement, I hereby certify that I am the owrer of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical I s, N.E.C., RCW. Chapter 19.26, WAC, Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical adrn inistrator: C cash C Check CiraddCaidA on idle X Mike Shirr �.. ,�a....... 9� Cdr ':ro,"2CU�d Qlf V2012 https://www.pdfescape. com/open/RadPdf.axd?rt=c&dk=0604187CNHYxcLgpPQCRsPzd8Vet... 5/20/2016 Application Number . . . . . 22-00001528 Date 12/12/22 Application pin number . . . 395936 Property Address . . . . . . 240 W FRONT ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1405-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Lighting replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NORTH OLYMPIC HEALTHCARE NETWO FELTON ELECTRIC 240 W. FRONT ST., STE. A 196 GANDALF RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452-7891 (360) 775-5001 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . . .00 Issue Date . . . . 12/12/22 Valuation . . . . 0 Expiration Date . . 6/10/23 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _ OWNER INFORMATION Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRICAL CONTRACTOR INFORMATION Name: License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS llim! Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Sign / Outline Lighting Signal Circuit/Limited Energy -Multi-Family Signal Circuit/Limited Energy/First 1500 sf -Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ TOTAL Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD PREPARED 12/08/22, 7:45:19 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001528 240 W FRONT ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 86.00 TOTAL DUE 86.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Interior Lights NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 1/18/2023 22-1528 TAP OWNER CONTRACTOR Felton Electric PROJECT ADDRESS 240 W Front St Application Number . . . . . 23-00001145 Date 10/24/23 Application pin number . . . 634610 Property Address . . . . . . 240 W FRONT ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1405-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Led retrofit ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NORTH OLYMPIC HEALTHCARE NETWO FELTON ELECTRIC 240 W. FRONT ST., STE. A 196 GANDALF RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452-7891 (360) 775-5001 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee . . .00 Issue Date . . . . 10/24/23 Valuation . . . . 0 Expiration Date . . 4/21/24 Qty Unit Charge Per Extension 1.00 86.0000 ECH EL-COMM BRANCH CIR 1-4 86.00 2.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 10.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _ OWNER INFORMATION Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRICAL CONTRACTOR INFORMATION Name: License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS llim! Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Sign / Outline Lighting Signal Circuit/Limited Energy -Multi-Family Signal Circuit/Limited Energy/First 1500 sf -Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ TOTAL Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/1/2023 23-1145 TAP OWNER CONTRACTOR Felton Electric PROJECT ADDRESS 240 W Front St Application Number . . . . . 23-00001182 Date 11/06/23 Application pin number . . . 735082 Property Address . . . . . . 240 W FRONT ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1405-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Office remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NORTH OLYMPIC HEALTHCARE NETWO JOHNSON ELECTRIC COMPANY 240 W. FRONT ST., STE. A 3129 S REGENT PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-7891 (360) 728-4327 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 86.00 Plan Check Fee . . .00 Issue Date . . . . 11/06/23 Valuation . . . . 0 Expiration Date . . 5/04/24 Qty Unit Charge Per Extension 1.00 86.0000 ECH EL-COMM BRANCH CIR 1-4 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _ OWNER INFORMATION Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRICAL CONTRACTOR INFORMATION Name: License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS llim! Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Sign / Outline Lighting Signal Circuit/Limited Energy -Multi-Family Signal Circuit/Limited Energy/First 1500 sf -Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ TOTAL Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS Wall cover. NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 11/13/2023 23-1182 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 240 W Front St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 12/04/2023 23-1182 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 240 W Front St