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HomeMy WebLinkAbout620 E 8th St - BuildingWien. recorded return to s�,rJ AO_ Phone 36 0 1 -1 5 ti 2_0@-1 ZONING LOT COVENANT I /WE the undersigned owner(s) of the following described property (Insert legal description and parcel number here) L�rt 5 Q D i Cis 5 31 oc <�3 FA 1 do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17 08 130 "Z" of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may only be removed through compliance with Chapter 58 17 RCW (subdivision regulations) and /or the City of Port Angeles short subdivision regulations (Ordinance No 2222, as amended) This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and local land use and building regulations This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non carnpliance. DATED this Z-3 day of 20 0 Pnnt Name oA4 Te_w N Pnnt Name (Owner Signature) (Owner Signature) Phone STATE OF WASHINGTON) ss COUNTY OF CLALLAM Notary Public in and for the State of Washington, do hereby certify that on. thi &2 3 day of �o 200, personally appeared before me /o,1/7f known to me to be the individual(p' described in and who executed the within instrument and acknowledged that signed and sealed the same as 1 4 i free and volu AIIW I I*61be d for the purposes herein mentioned. GIVEN UU F 2$1Tt4 2 *D OFFICIAL SEAL this �r� day of 2 206 4 01A Ry J' .2012 Z 0 N EXP 02.24 Z .qtr. lW pi, NOTARY PUBLIC m and for the State of Wash mrigton residing at Port Angeles. leS P CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00001334 Date 11/15/07 Application pin number 222076 Property Address 620 E 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 7320 0000 Tenant nbr name TODD IRWIN DENTAL CLINIC Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 250 Owner Contractor TODD R MARY A IRWIN LARRY S LANDSCAPING 426 E 8TH ST PO BOX 1015 PORT ANGELES WA 98362 CARLSBORG (360) (360) 683 3425 Fee summary WA 98324 Permit PLUMBING PERMIT Additional desc IRR DOUBLE CHECK BACKFLOW Permit pin number 115410 Permit Fee 57 00 Plan Check Fee 00 Issue Date 11/15/07 Valuation 250 Expiration Date 5/13/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 ECH PL EA LAWN BACKFLOW 7 00 Charged Paid Credited Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 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 law regulating construction or the performance of construction /S c-7 Date Print Name T Forms /Building Division/Building Permit (10 /01 /07).wpd Signature of Co or of. Au 11'orized Agent Signature of Owner (if owner is builder) 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. INSPECTION TYPE 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 1r 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 BUILDING PERMIT INSPECTION RECORD DATE ACCEPTED YES NO PLANNING DEPT SEPARATE PERMIT s SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 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 /0I /07).wpd 417 -4735 ELECTRICAL LIGHT DEPT FINAL N Z V O 1 DATE RB ACCEPTED BY. FINAL CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED BY. DATE ACCEPTED YES 1 NO 0 kiq tio Q l I I 7. I 111© I 1 1 I E° C C Application Number 07 00001334 Application pin number 222076 Property Address 620 E 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 7320 Tenant nbr name TODD IRWIN Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning Application valuation Owner TODD R MARY A IRWIN 426 E 8TH ST PORT ANGELES (360) Permit Additional Permit pin Permit Fee Issue Date Expiration Date desc number CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 COMMERCIAL NEIGHBORHOOD 250 WA 9836 PLUMBING PERMIT IRR DOUBLE CHECK 115410 57 00 11/15/07 5/13/08 BACKFLOW Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 1 00 7 0000 ECH PL- EA LAWN BACKFLOW Fee summary Charged Paid Credited Permit Fee Total 57 00 57 00 00 Plan Check Total 00 00 00 Grand Total 57 00 57 00 00 T.Fonns /Building D s o 'Building Permit (10 /01 /07).wpd 0000 DENTAL CLINIC Contractor LARRY S LANDSCAPING PO BOX 1015 CARLSBORG WA 98324 (360) 683 3425 liseedceS evirb R r vi /S O- L a_ kr Oct v, Se L� 5 Date Print Name J Signature of Co Date 11/15/07 Due Extension 50 00 7 00 00 00 00 0 250 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 31 law regulating construction or the performance of construction. 1 Pg c-c e/Icxpeof,eat f_, fgt. .d e d 7 er p`1 Ldlievite g c'i re/go c or or Au ffonzed Agent Signature of Owner (if owner is builder) PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Sign Heat System 'Other Floor Areas Basement 1St Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? BUILDING PERMIT APPLICATION 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 Applicant or Agent L Owner 1 (K fi'r n Owner's Address ,,o io is (r c--t.) 01 Contractor /Engineer" Can's ra7c-c J Contractor /Engineer's Address m ,e.._. License L/Y-Rny L wall- mounted projecting freestanding awning other Total sign area sq ft. Maximum allowed sign area sci ft. Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) Total footprint of structures sq ft. Lot size Phone Expires 620E Lot Zoning Residential NXCommercial Multi- family Industrial ft. projects. I Date /S/14rz"c'�7 Print Name "1 V. l2 S /uJ T Forms /Building Division /Bldg Permit Appl. -2006 Code doc c.,.0 et ClAe.e.k l,- r'■f G a 4 Q t^ J Occupancy group Occupant load Construction type /In c Phone Phone TOTAL VALUATION i Signature >v .r For City Use Only Date Received [1-1q-0 Permit 1 2 iA Date Approved 92S per sq ft. sq ft. Lot coverage 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 obtai er its ,laraor to working on OA ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000458 Date 254622 620 E 8TH ST 06-30-00-0-2-7320-0000- ELECTRICAL ONLY 4/23/08 COMMERCIAL NEIGHBORHOOD o Application desc Audio system Owner Contractor PA5 PARTNERS 734 E 1ST ST PORT ANGELES WA 983623630 HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES WA 98362 (360) 452-2727 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 124875 Permit Fee 40.00 Plan Check Fee Issue Date 4/23/08 Valuation Expiration Date 10/20/08 .00 o ~ 8 Qty 1. 00 Unit Charge Per 40.0000 EL-LOW VOLT SYS <=2500 SQFT Extension 40.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.00 40.00 .00 .00 f'\ m ~ C' I · SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000334 Date 12/04/07 541600 620 E 8TH ST 06-30-00-0-2-7320-0000- DR. TODD IRWIN COMM NEW CONST COMMERCIAL NEIGHBORHOOD 996625 Owner Contractor IRWIN TODD R / MARY A 426 E. 8TH STREET PORT ANGELES WA 983623630 MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452-8281 NEW DENTAL OFFICE BLDG. TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Structure Information 000 000 Other struct info . . 24.00 V-N 1 2.00 24500.00 5943.00 5943.00 1. 00 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW COMMERICAL HI-TECH/ SECURITY-AUDIO 103077 HI TECH SECURITY 62.00 7/30/07 4/30/08 INC Plan Check Fee Valuation .00 o ~~ > ~ ~ ~ "V\'\ Qty 1. 00 2.00 unit Charge 40.0000 11.0000 Per EL-LOW VOLT SYS <=2500 SQFT EL-LOW VOLT SYS >2500 SQFT Extension 40.00 22.00 ~ ~ Special Notes and Comments 02/21/2007 10:14 AM KDUBUC -----------------------------1) Horn/strobe devices are indicated in the downstairs restrooms. These should be strobe only devices. 2) The building must be equipped with a KNOX locking keybox. Contact the Fire Department at 417-4653 for a KNOX order form and for mounting location information. 08/28/2006 01:56 PM KDUBUC ----------------------------- The Fire Department will require plans for review for this project. 08/31/2006 12:44 PM SROBERDS -- The proosal will result in a dental office in the CN zone with lot coverage of 24%. Setbacks are good, and parking will be adequate for up to 3 doctors. Electrical load calculations and elctrical permits are required. Alley will require asphalt over lay, construct road to City standards, see public works engineering for requirements. Sanitary sewer connection inspection is required by V'\ '\ [INSPECTION ELECTRICAL TYPE DA TE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH - IN FINAL COMMENTS: Application Number . . . . . Application pin number 06-00000334 541600 Page 2 Date 12/04/07 Special Notes and Comments Public Works prior to back fill of ditch. Cap off existing sewer laterals not used, notify Public Works Engineering 24 hour advance notice is required. Existing water meter may be used for landscape irragation, Back flow device is reqiured. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Storm drain tap in 8th Street, your contractor will complete this tap. Building fire sprinkler connection to City main to done by City approved contractor at owners exspence, Public Works inspection required for hot tap and fire line extent ion prior to back fill of ditch. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62.00 62.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 66.50 66.50 .00 .00 ,- ~ INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH - IN FINAL //-;;z...-oi If/~ M COMMENTS: ~.-' CE RTJFICA TE.~~OF~.qC€lJ P ANCY City of Port Angeles- Building D.\tision This certificate is issuet;lrsuant to the requirements of Section 110 of the 2~international Building Code certifying that at the time of issuance this.structure was in compliance with the various ordinances of the City ;~;;;~~g:~;~:g rS~;;;;;:~~~{tllOWing Owner ,0fbuSineSS\'~ LjFo99 & Mary I~i~ J. .'~ """,~. ... ...... Owner s address: \&9.l0 S. Mountaln.iJ:@.......rra._9...~ ~_a~,lPQ[f.A.[Igeles'w/.'A 98362 Automaticjire sprinkler system: Per IBe .... . 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ZO ell , 0 E-< .~ , r.<lo. Ul -U , .-< N .-< N ~O UlE-<O<: ..:1Z , 0 0 0 0 0 0<: ~~~fHj..:1 , Ul 0.>- , "- '" '" r.<lE-< OZZZ~o. , 0. "'1 "'1 '" '" ~H ~r.<l0;3:0<:0. , >- ..:1 ..:1 ..:1 ..:1 o.U E-<UOo.o<: , E-< 0. 0. 0. 0. 1-- ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning . . . Application valuation 06-00000334 Date 11/01/07 541600 620 E 8TH ST 06-30-00-0-2-7320-0000- DR. TODD IRWIN COMM NEW CONST COMMERCIAL NEIGHBORHOOD 996625 Owner Contractor IRWIN TODD R / MARY A 426 E. 8TH STREET PORT ANGELES MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452-8281 000 NEW DENTAL OFFICE BLDG. TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 983623630 WA 98362 Structure Information 000 Other struct info . . 24.00 V-N 1 2.00 24500.00 5943.00 5943.00 1.00 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW COMMERICAL ANGELES COMM/ VOICE- DATA 102277 ANGELES COMMUNICATIONS INC. 51.00 Plan Check Fee 11/01/07 Valuation 4/29/08 .00 o Qty 1. 00 1. 00 Unit Charge 40.0000 11.0000 EL-LOW VOLT SYS <=2500 SQFT EL-LOW VOLT SYS >2500 SQFT Per Extension 40.00 11.00 Special Notes and Comments 02/21/2007 10:14 AM KDUBUC -----------------------------1) Horn/strobe devices are indicated in the downstairs restrooms. These should be strobe only devices. 2) The building must be equipped with a KNOX locking keybox. Contact the Fire Department at 417-4653 for a KNOX order form and for mounting location information. 08/28/2006 01:56 PM KDUBUC ----------------------------- The Fire Department will require plans for review for this project. 08/31/2006 12:44 PM SROBERDS -- The proosalwill result in a dental office in the CN zone with lot coverage of 24%. Setbacks are good, and parking will be adequate for up to 3 doctors. f Electrical load.calculations and elctrical permits are required. Alley will require asphalt over lay, construct road to City standards, see public works engineering for requirements. Sanitary sewer connection inspection is required by ~~ }t f\ ~ ~ ~ ~~ .. ~~ ..... "'l ~ . t> ~ r--- -- -- -- --~ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: tJ-'=- ',C i~ -''---,; "'-.~;' ~ -.~ ',,,-~:-,,......,...r.."-\,,,,,,,,,, ,.,.-~~~~-..,.:-.........~~ f.r J1l BUILDING DIVISION / /, I CITY OF PORT ANGELES * * I ,. Job Located at / Correction Notice . \ lJ~ r (P:;zo c;- Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: -~ i :t ?- ~( pu~{e LLrlJ-J/ 0'1'-' S' r~ grz ?iJ1~t y (PiJS ><'I(~ rz/>P i ~ Y(I i \ ~ I / r d F fJ / "") A ~r.4t' f-- p, ,f\. (eVe- Ir (1'4C'!e rf . eo""r.I;" / Lpty ':sr. M\lJ / lVor--' I'JL/ S, c, '- ('Y:( '"'I-' is,J:fb/tclY,,< c *" _1-'1-> I~~f' (" f '; {ry L, (/ . ') ,,/,' + it sI,,~ ~ t\hA 0fJQr)e) ~(~A-.d~1 ~ 1t:.J /L{--t,J- ]L(?7d/'""1 U)(~ C ~>()c-. , *' ~ ....\l.} 'f\.u-\\.)t.-~ I ~.\\, ., U 5, . / J, j 1i...1~) IJ nft '~ These corrections must be made and are not to be covered until reinspection is made. When g9rrections have been made, please call I W'-;i - (I ( (( for inspec~li~.I. . \ . I, ') Date I V '7 I (J) \ . \ /"., \ . \ \J.rlspector for Building Division DO NOT REMOV~/THIS TAG ~ iU--- . LOr-- 0 '- M '" '- E-< 0 Ol M Ol :;: 0l0l 6 0E-< .,;.,; 0.0 Ol :x: 0 Ul M M <Xl p: N Ol <Xl :x: , E-< N LO QJ E-< .,. M Ol I-< 0 01 0 .:: ::0 '" '" 0 >< '" 0. >< ...:l M p: Ol Ol 0 p: H ;': 0:;: 0 ...:l 0l0l .. 0. r>. E-< 0 ZZ M Ol Ul OlUl gJ 00 OM III Ol :<:Ol :X::X: 0 E-< ;::~ Ul 0.0. Ul 0 OlM Ol Z E-<'J :;:.,. !; H .. 0 Z .. E-<.,. Z ~ OP: H HO Ul r-- :;: E-<E-< E-< 0 Ul UU Z ...:lo ...:lo E-< 0l0l Ol ";N .,;'" Z 0.0. Z~ Z <XlZ Ol UlUl H ..\,,0 H H ~ ~~ 00 ~ON~H HU I""')\,[) ,.:(MZ 0 E-<'- o '0UP:0 U E-< o.Ul Zl-<oZ 010 Ul HE-< ~~~~~~~ Z P:...:l Z '0 U::> ~2d;~::o~ 0 oU UlUl H";O 0l0l Ht.lHHHO~ E-< 03: OP: 0.0 'Jo. 0. ><.,; U~O~ ::OP: 'Z ~~~~ l Ul "':;: E-< N ZZ'-r--O o....:l LO HO 'U Ul::O E-<3:UP:N ZUl N UlP: ,.,. HOl M H:::'::OOM , P: :x: 010 ' '" 0\ t~ClMOoo Ul coCl~E-ioo Ol OU '0 00 -...:l OlE-< ZOO 0l0l r-- r--Ol ....:!HMO E-<E-< 0 00 0 . ...:l 3: , , UlOl '- ::<~ NO::: H 0:: l..Ol..O [:Jo: M \.OCl:E:HOO '" '" 0:;: '- '-E-< 010 0 0P: P: P: P:U M MO . III P: 'Ol 0. ZO III 0 E-< .~ Olr>. Ul -U M P:O gJE-<;;ip:r;jZ 0 0 .,; P:~E-<OlU...:l Ul 0.>< '- 0\ OlE-< QZZZP:o. 0. 0\ P:H ~0l03:";0. >< ...:l o.U E-<UOo..,; E-< 0. -. . -'o,- ,.-" .-, --.-:""" ....:.-..,...,....,.J.A.~.~ .... -" ."..- .----, --,....,-- '.. :~..."""".""-............:.....~._.~;.-.. ~"'-\f' BUILDIN.G DIVISION CITY OF PORT ANGELES * * Job Located at Correction Notice s../-l, ~1-Q E. <;f Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: ~vm.f" ~lI:,l. 'c "lD12k s- r:-,", \ 4- ) ~O'--t \ '0f E,\ ~ f\LJf Y t=i?rvY1 Tnt ~, .Fa" ""0"> !,",-.,", (p 'd ~ "'f I ,),-8, I' , 10 ( . t~i7-'f~ 't\~/~ ~ ~-~~,(i)~I-ZLVL : ~ rr~ ~!; tL; tw, ~ r(~ ~ ~ ~ (l ilrl.J/ . ~ I ,v . r c... 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I H ~COr--,:( Z '-<Z I Hko:t'H r..QJ r.. .0<( c.'JOOc.'J ClJ-lZO ...:IUHH mO..:1(1l f-o 0...:1 Ul::> ZUl Hr>l ~ ~$: ~ClCl ....r>lr>l Ulf-of-o Ulr>l Or>l..:1 0::>0. O:E :Z:r>l0 t!)~U .... Ul r- o '- eo o '- o .-< '"' i 0. .-< o a Ul '- 0. >< f-o '" '" ..:1 m Ul r>l f-o o Z Cl ~ Ul f-o Z r>l :E :E o U I'll- 0 '- '" 0 '- 0 .... r.lr.l t:>E-< ,,;,,; 0..0 .... 00 N 00 , N 111 '" 0 '" >< M ..:I I>: r.l H > ..:I H r.lr.l E-< 0 ZZ r.lCll gl 00 ~r.l :t::t: ~~ 00 0..0.. E-<,"> Z .. 01>: HO E-<E-< UU r.lr.l 0..0.. 0000 ~~ E-< 00 Z Z '0 0 oU H";O E-< 03: U~oW ::> ~ ' Z I>: 0 E-< N:E 00 M:E 111 ZZ........r--O N HO 'U E-<3:UI>:N '" 001>: '''' M H::t: 0 Ol'"'l :I: r.l0 , M .... ~O~OOO ....00 ccOo::~OO r.l OU '0 -..:I r.lE-< ZOO I-r.l ~HMO Ot:> 0 . ..:I 3: ' , :;:~ ND::HQ::;\DI.O \DCl::tHOO 0 '-E-< 01>: I>: I>: ....0 . ~ I>: .r.l 0.. ZO ~ 0 00 - tJ . . ~ r.l'" 1>:0 gjE-<~I>:t;JZ ,,; 0..>< 1>:~E-<r.lU..:I r.lE-< OZZZI>:o.. I>:H ~r.l03:";o.. o..U E-< UO 0.."; IV .... ... Ol <:: III >< 0. ..:I .... I>: r.l H ~ ..:I ,">0 OM .. N :E.... 0..000 '" "'r.lOO 00 0:E E-< uH["'"- Z ",E-<o r.l 0 0 :E NOO Z:E '" 00 1-1>: -N HU 0-<'<1'\,,0 Z E-<'- O~ , 0 0..00 N' "'0 0 HE-< .........E-iWI..O 1ii ['JS 00 .0'" ....t:>0 I>:r.l 0000 '-O...:E";E-< r.lr.l \D~UHro~ 01>: O~O,">E-<"; E-< it ~S ZOO Hr.l I>: , 00 r.lr.l I- E-<E-< 0 CIlr.l '- ~o: '" 0 O:E '- r.l0 0 I>:U .... .... 0 0 00 '- ~ 0.. E-< >< ..:I E-< ~ r.l E-< o Z ~ 00 E-< Z r.l :E :E o U 4SEASONS ENGINEERING, INC City of Port Angeles 321 East Fifth Street Port Angeles, W A 98362 o ~ \ (360 J 452-3023 · Fax (360 J 452-3047 vJ 619 S. Chase Street. Port Angeles, WA 98362 oJ -+= July 12,2007 Subject: Minor revisions to the approved Site Plan We have reviewed the proposed revisions to the Irwin Dental Office Site Plan, furnished to us by James Schouten of Mill Creek Construction. The plan proposes adding three additional parking spaces, over that shown on the previously approved site plan. The proposed changes do not significantly alter the Stormwater Drainage Plan. If there are any questions, please call (360) 452-3023. . Sincerely, E~ Reviewed by: -- ~t; Jay S. Petersen, P.E. cc. Mill Creek Construction - James Schouten _ ~ Y-h ~ 2 D t:::. c::r Db - 5S!.j 6" ~ o \t\ ~ ()O 1= ~ I Mr- o "- ID o "- r- , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , .. ,> , H 'Q :~ ,rn , MM ZZ 00 :C::C: 1>.1>. MM C>E-< <<<< I>.Q M co N co , N III .,. o ID '" :>< ..:I ~ M H ..:I E-< MUl :':M ~~ E-<':l Z .. O~ HO E-<E-< UU MM 1>.1>. UlUl ZZ H H III N E-< Ul Z Z '0 o oU H<<O E-< 0;': U:><oM ::J ~ 1 Z ~~~::E: Ul "'::;: ZZ"-r-O H 0 I U E-<;':U~N Ul 0:: I '<;J4 H~QOI""l ~ OOQI("1 E-iQOOOOO COQ~f-loo o U 10 filE-i ZOO ~Hr"10 o . ~ ~ I I NO:::HO::I..O\D \OCl~HOO N .,. '" UJ M -..:I r-M 0C> ;;,~ o "-E-< r-~ o I>. Q M'" ~O << 0.:>< ME-< ~H o.U ~ . i1l ~ ZO E-< UJ - U UJE-<<< ..:IZ ~~~&ifL QZZZ~I>. QMO;':<<o. << E-<UO 0.<< ~ . . 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W ..:l << t'J ~ '" ..:l ~ ~ j ::E <( Ul ~ .... o Z ~ ZN H.-< I ,,"'" :<:Or- t'J.-<.-< ::0 0 o ' <<r-CO 00 t'JOCO ZN H' <0.,. ::EO,", ::0,<< o:~~ Ul .... 1J ~ 8 -j , , , , , , , , , , , ~i :;~ , .,. o , '" Q/ Ul , '" >< b N o N ..:l '" ---" ..-/ I I :f 90RT ~ $.J..O~~~ r'..-a -- ~ ~ 'tiii",~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 5/31/07 o 6' I \J-l v..I --C Permit MECHANICAL PERMIT Additional desc Permit pin number 103424 Permit Fee 252.40 Plan Check Fee .00 Issue Date 5/31/07 Valuation 25000 Expiration Date 11/27/07 Qty Unit Charge Per Extension BASE FEE 50.00 3.00 14.7000 ECH ME- INSTALL 100- FAU 44.10 12.00 7.2500 ECH ME-VENT FAN 87.00 1. 00 10.6500 ECH ME-HOOD/DUCT SYSTEM 10.65 1. 00 10.6500 ECH ME-OTHER APPL. N/R 10.65 1. 00 50.0000 HR ME-ADD PLAN REVIEW 50.00 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning . . . Application valuation 06-00000334 Date 541600 620 E 8TH ST 06-30-00-0-2-7320-0000- DR. TODD IRWIN COMM NEW CONST COMMERCIAL NEIGHBORHOOD 996625 Owner Contractor IRWIN TODD R / MARY A 426 E. 8TH STREET PORT ANGELES MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452-8281 000 NEW DENTAL OFFICE BLDG. TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 983623630 Structure Information 000 Other struct info . . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 103440 457.00 5/31/07 11/27/07 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 44.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER 4.00 5.0000 ECH PL-MEDICAL GAS PIPE 5+ 1. 00 50.0000 HR PL- ADD PLAN REVIEW 1. 00 7.0000 ECH PL- EA.WATER HEATER .00 5.0000 ECH PL- EA. GAS PIPE 1-5 WA 98362 24.00 V-N 1 2.00 24500.00 5943.00 5943.00 1. 00 6' \'J o f\) " 00 3= ~ . .00 o Extension 50.00 308.00 7.00 15.00 20.00 50.00 7.00 .00 1ft Separal'EfPerffimnW~aiMePfof~m6m~afflt\3rk, 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. 3- t -, ~ T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] - Signature of Owner (if owner is builder) "" \) C ~ () ~:S- Date iH-- BUILDING PERMIT INSPECTION RECORD .' CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 41 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PR.OVIDE A MINIMUM 24 HOUR. NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WOPJ> BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMJT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS . FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALUHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (fNTERJOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL ROUGH-IN HEATPUMr/FURNACEIDUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMlT#'s SErA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. /PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 4]7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1 J 02 15 buildmg pennit mspectlOn record05.wpd [1/4/2005] ~ ~ORT ~ tO~",,", ha lL ~ ~ 'tSt",~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 06-00000334 Application pin number 541600 Page Date 2 5/31/07 Special Notes and Comments PLUMBING OR HVAC PERMITS, NO WORK SHALL BE ALLOWED FOR THESE AREAS UNTIL MECHANICAL DRAWINGS ARE PROVIDED AND APPROVED. 11/30/2006 09:07 AM DYASUMUR ------- 02/21/2007 10:14 AM KDUBUC -----------------------------1) Horn/strobe devices are indicated in the downstairs restrooms. These should be strobe only devices. 2) The building must be equipped with a KNOX locking keybox. Contact the Fire Department at 417-4653 for a KNOX order form and for mounting location information. 08/28/2006 01:56 PM KDUBUC ----------------------------- The Fire Department will require plans for review for this project. 08/31/2006 12:44 PM SROBERDS -- The proosal will result in a dental office in the CN zone with lot coverage of 24%. Setbacks are good, and parking will be adequate for up to 3 doctors. Electrical load calculations and elctrical permits are required. Alley will require asphalt over lay, construct road to City standards, see public works engineering for requirements. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Cap off existing sewer laterals not used, notify Public Works Engineering 24 hour advance notice is required. Existing water meter may be used for landscape irragation, Back flow device is reqiured. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Storm drain tap in 8th Street, your contractor will complete this tap. Building fire sprinkler connection to City main to done by City approved contractor at owners ex spence , Public Works inspection required for hot tap and fire line extention prior to back fill of ditch. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 709.40 709.40 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 713.90 713.90 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:IPoliciesIII02_15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTJONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A M:JNIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WOPJ. EEFORE I/VSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATJON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA TlON: FOOTINGS SHEAR WALLS / WALLS FOUNDA nON DRArt,AGE / DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS.) PLUMBING Gt "S; 'P e €SS v \2.t 1'l:ST (p I o~1 o:r Jl..A.. UNDER FLOOR / SLAB ROUGH-IN / /1/ o~1 ur JU...- WATER LINE (METER TO BLDG) GAS LINE .~I 0(0 I tJ.1r-- ,-rvt- FINAL H -z.-o7 DATE :JL-L ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH-IN HEATPUMP/FURJ-lACE/DUCTS GAS LINE FINAL 1l-Z--07 DATE -:Jt..L ACCEPTED BY: WOOD STOVE / PELLET / CHlMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKJNG & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECT-IONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. /PW/ CONSTRUCTION - R.W. ENGINEERING 4 17-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PoJicies\1102 15 building pennit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, W A 98362 o .-J I ..r:.. ...J -J Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000477 Date B31BB5 620 E BTH ST 06-30-00-0-2-7320-0000- TODD IRWIN FIRE SPRINKLER SYSTEM 5/15/07 COMMERCIAL NEIGHBORHOOD 471B9 Owner Contractor IRWIN TODD R/MARY A 426 E. BTH ST. PORT ANGELES WA 9B362 KNIGHT FIRE PROTECTION INC 2509 WEST 19TH STREET PORT ANGELES WA 9B363 (360) 417-0505 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . FIRE SPRINKLER COMM IRWIN DENTISTRY CLINIC 100826 650.05 Plan Check Fee 5/15/07 Valuation 11/11/07 422.53 471B9 6"' \'l o Qty Unit Charge' Per Extension 417.75 232.30 rt1 , BASE FEE 23.00 10.1000 THOU BL-25,OOl-50K (10.10 PER K) Permit . . . . . Additional desc . Permit,pin number Permit Fee Issue Date Expiration Date FIRE SPRINKLER COMM _ FIRE INSPECTION AND TESTING 1;0,1691 . 100.00 '5/15/07 11/11/07 OQ j: Plan Check Fee Valuation .00 471B9 ~ Qty Unit Charge Per BASE fEE Extension 100.00 l' ---------------------------------------------------------------------------- _. .. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 750.05 750.05 .00 .00 Plan Check Total 422.53 422.53 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 11 77. OB 11 77. OB .00 .00 /0 ~ S\ , 0...) ~ ?z: ~ \'\ (6 C/) -:0 ]" /' '5 ?\: -- ~ 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 examinfrl 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 w' h whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel th r vision~?! ~~y state r local law regulating the work specified l~ th~p~rm it. / ractor or Authorized Agent Date Signature of Owner (if Owner is builder) .' Date --~ , "',r Si - ....- ~ ---.J 1- FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insul~te 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 I 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 \0-25-01 K.T D FIRE ALARM Rough-in inspection Alann 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/com bustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS: 2/15/00 d'''.'~ '~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .,21 EAST 5TH STREET. PORT ANGELES. WA 98~62 MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452-8281 000 NEW DENTAL OFFICE BLDG. TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS "'.. ." Application Number Application pin number. Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description subdivision Name Property Use Property Zoning . . . Application valuation COMMERCIAL NEIGHBORHOOD 996625 06-00000334 Date 541600 620 E 8TH ST 06-30-00-0-2-7320-0000- DR. TODD IRWIN COMM NEW CONST Owner Contractor IRWIN TODD R / MARY A 426 E. 8TH STREET PORT ANGELES WA 983623630 Structure Information 000 Other struct info . . permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW COMMERICAL PEN. HT./ 5- T-STAT 101402 PENINSULA HEAT 79.00 5/14/07 11/10/07 Plan Check Fee Valuation Qty 1. 00 4.00 Unit Charge Per 35.0000 ECH EL-LVT-FIRST THERMOSTAT 11.0000 ECH EL-LVT-ADD THERMOSTAT Special Notes and Comments THIS PERMIT DOES NOT INCLUDE THE PLUMBING OR HVAC PERMITS, NO WORK SHALL BE ALLOWED FOR THESE AREAS UNTIL MECHANICAL DRAWINGS ARE PROVIDED AND APPROVED. 11/30/2006 09:07 AM DYASUMUR ------- 02/21/2007 10:14 AM KDUBUC -----------------------------1) Horn/strobe devices are indicated in the downstairs restrooms. These should be strobe only devices. 2) The building must be equipped with a KNOX locking keybox. Contact the Fire Department at 417-4653 for a KNOX order form and for mounting location information. 08/28/2006 01:56 PM KDUBUC ----------------------------- The Fire Depa{tment will require plans for review for this project. 08/31/2006 12:44 PM SROBERDS -- The proosal will result in a dental office in the CN zone with lot coverage of 24%. Setbacks are good, and parking will be adequate for up to COMMENTS/ACTION NEEDED 5/14/07 WA 98362 24.00 V-N 1 2.00 24500.00 5943.00 5943.00 1. 00 ~ "( ~ ~ o .00 o ~ 'I ... \' Extension 35.00 44.00 ~ ~ I ELECTRICAL PERMIT INSPECTION.RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEFl'ED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO 6-/1-0 '''ll GENERAL COMMENTS: PW-II02.IS 14196) 90 ~~. "\tJ BUILDING PERMIT - APPLICATION 'iV\"\-\-iCL\L pe~Mlr Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 FOR OFFICIAL USE ONLY: Dale Rec.: 0 'i -11- 0 7 pcnnit#:~'33 Date Approved" ~7 ate Issued: tl . " Applicant or Agent: ~~~ __ (~n.~-r( ~ jA4,1I L'(ircA,f~ 6:,.~1 Owner: lOfP~ ~JM Address: 117-4 G F'- city:J=:.A. Phone: tt~-77~' Iftl')~'2fS Phone: J1 ~;1. 20/,'1 Zip: f ?71,'L ArchitectlEngineer: Contractort1lu/ ~, tY"V Address: 'tr., I ~ Du.4 ""'" ll...t- ~ PROJECT ADDRESS: {p 2.0 P. ~ LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Phone: State License #fIt\LI rqn "f,fIA.h- City: lP A- Exp:"l/-'tJ7 Phone: Zip: 1f?~L ZONING: Subdivision: TYPE OF WORK: SIZEN ALUATION: o Residential J(New Constr. D Re-roof D Stove SF. @$ /SF. = $ o Multi-family D Addition D MoveD Garage SF. @$ /SF. = $ D Commercial D Remodel D Demolition D Deck SF. @$ /SF. = $ D Repair D Sign 0 Other ~~ ~VAT.lJATION $ BRIEF DESCRIPTION OF THE PROJECT~~MP .t-\ '~. tCff AI\{ J:cM- 5~ ()()Q p Occupant Load: & Proposed Sq. Ft Construction Type: = TOTAL Sq. Ft COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft T otallot coverage % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCfION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residenrial Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same 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 ,not the City's, and that I must obtain such permits prior to work. Applicant: ~J("t^J.A ;;,.. ~ f7 Date: ~/OI07 T:\FORMS\BldgPennitAppl.. wpd I ~ ~ NTI NORTHWESTERN TERRITORIES, INC. AJLSGROUPCOMPANY 717 SOUTH PEABODY STREET, PORT ANGELES, WA 98362 o Engineers 0 Land Surveyors 0 Geologists . o Construction Inspection. 0 Materials Testing (360) 452-8491 FAX 452-8498 www.nti4u.com E-Mail: info@nti4u.com JLS GROUP, INC. May 9,2007 RECE-IVED MAY a 9 2007 r}f Lt ~ ~~fty\ Mill Creek Construction Attn: Jim Schooten 4619 Old Mill Road Port Angeles W A 98362 f\lt CITY OF PORT ANGeLeS BUILDING DIVISION Dear Jim; NTI examined the foundation concrete at 620 East 8th St. site in Port Angeles by use of a concrete test impact hammer to assess the compressive strength of the concrete by this method. Although this method (impact hammer) is commonly used to estimate the compressive strength of cured concrete, it is not precise. We calibrated our hammer during a recent test, where the concrete slab in question was cored and the cores compression tested in conjunction with hammer testing. These . results were used to calibrate the readings obtained from the 8th St. site. Given the use of average readings (over 50 impact hammer readings were taken at the 8th St. site) and a normal distribution plot of the variability inherent in the procedure, the most likely average compressive strength for the foundation concrete (!t the 8th St. site is 3,150 psi. o E0 , vJ; vJ -C 6"- ~ \tl \f\j S ~ 'C7 ~. , H ') t -' ~ o ~ -- o - -~ ;:s r-r \' PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Irwin Dental Office Address: 620 East 8th Installer: Knight Fire Protection Installer Telephone: 417-0505 Type of System: Closed 13 ~ 13RD 13DD Date: 5.7.2007 PAFD Permit #: 07 -15 We have checked this plan and find that it conforms to the requirements of the code. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. Contractor Reviewed by: ~(QG.JdD \ Date: 'S. (. 0 '7 D ~ D Building Department Fire Department ,'\~"~(;-~ ~,. ,.,."l,.jd,','llm.... 1(,. ...... ....:;.Jf',..".,',y~:.. r~"__ ~ ~.-o!:'J!lli~ 11! ~~ \i:_ PJC::;:;:-;:.::...,:ra 't."-'- '~ BUILDING PERMIT - APPLICATION FOR OFf'ICIAL USE ONL V: Dale Rec.: 0 ~ -() 3 - 01 I'ermit#: O"l-l..{17 Date Approved: ~ -1- 07 Date Issued: ?,... I ':i - 07 Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, caU PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Owner . -r~ Address.~~ , r2--\V ItJ ~ 01-i, s., Phone: t~ ld'J) L-j 11 - O~b) Phone: 1>01,1 P.vb-'t3ll.) Zip: ~1,L City: Architect/Engineer: Contractor \Lrv I{,.,-y! f1J2.e. Address: --z. >,0 4 tV t.., T PRO.TECT ADDRESS: ~ 20 LEGAL DESCRIPTION: Lot: Phone: ~. State License~: \4-\i&\trPq4~~ EXP:~ Phone: -4n.o~) Yi Tn <;, City: POtI (>t:v~G..) Zip: q~l?3 e;1.ts'\ e>~ S, ZONING: eN Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: ot '10C1302- 192.G TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof 0 Stove o p..t'ulti-family 0 Addition 0 Move 0 Garage cYCommercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF TlIE }'ROJECT: ()n" ~ CA I hv<[ (f/l.,L1X-1 (y) SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $-41) 16CJ .00. COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Con~truction Type: No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft. = TOTAL Sq. Ft. % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FillE: OTHER:_ ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In aU cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPmATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand at itJs my respons' '/Hy to determine what permits are required ,not the City's, and that I must obtain such permits prior to wor: Date: -4)t1 T:\FORMS\BldgPennitform. wpd Applicant: I Mr- o , M .... , M r>lr>l C9E-< <(<( 0.0 .... CO N CO , N L1l .,. >< , 0 ..:l , '" ~ , M r>l , H , ..:l , .. , > ..:l , H r>lr>l E-< , 0 ZZ r>lUl , ~ 00 :.or>l :x::x: ~~ CIl 0.0. E-<'"J Z O~ HO E-<E-< UU r>lr>l 0.0. CIlCll ZZ H H '" .,. E-< CIl Z Z '0 o au H<(O E-< 03 U~oW ::> ~ ' Z ~~~:i: CIl M:E ZZ,r-O H 0 I U E-<:<:U<>:N (J) ~ I '<;f' H::':::OOM ::z:. w. 0. 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"0..:( "1"'1..,c(.. ..~ ONCO~MOCOOOOOO~~ClMNO~ONZ~HOOO~~OOO ~O::N SO;~OSO;O~O~SO~~OSrl~amSo~o50 O~M o OOH 0 00 u ~O 100 0 0 ~O I 0 ~ ~r--o r--~r--or--Mr-- ~r--oo~r--~r--Or--O~r--or--~r-- r--(J)r-- DroZO ocoo~o~ 00-,.-40 o~o 0\,,00 0 0 0 ~o Oo~o o(J)omC!)ooo oC!)o oOOO~OOOMOOO ZN ONZN NZNCZN ~NZNHNZZN NZN~NZN 8~~~~~~~~H~'..-48~>.~~8~~~W.8~ ~8~~~8~ HOHWOHNrlN 'NUHNHUNHaE-tOE-tHrlrl~HrllrlHrl H'HE-t'H'M'~'WH'~W'H'~'OOH'~'H'O'H' ::Jrl~~rl::Jrl Q)rl '.-1 ~::Jrltil ~rl::JN-=:t:N-=:t:::JN ro<'l::JN\ON::JM mo~-=:t:oroo~o~owroo~womo~otilmo~omo~omo >< ..:l ~ r>l H ..:l .., lJllJl E-<<( H :E ~ r>l 0. lJl r>l E-< o Z o ~ M L1l '" '" , o '" .,. lJl E-< Z r>l :E :E o U ..:l ::> <( 0. o lJl , 0. >< E-< ..:l ..:l ..:l ..:l ..:l ~ ..:lo. ..:l<( ..:l<( "'0. ...<0. ..:lo. '"J<( '"JU .-,U 0.<( '"J<( '"J<( r-r- r-r- r-r- r-r- r-r- r-r- ~1 00 00 00 00 00 00 " " " " " " "'''' "'''' "'''' "'''' .,..,. L1lL1l 00 NN NN 00 riH H ri " " " " " " Hri riH ....ri NN NN NN H ri '" ri N M ri 0 0 0 0 0 0 0 Q 0 0 ri N N '" '" '" '" ..:l ..:l H ..:l H ..:l ..:l '" '" '" '" '" '" '" 1--- ~M I :f"uRr~ S lL ~ ~ ~C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 2/22/07 ~. ~ , ~ ~. MIL~ CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452-8281 000 NEW DENTAL OFFICE BLDG. TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Special Notes and Comments THIS PERMIT DOES NOT INCLUDE THE PLUMBING OR HVAC PERMITS, NO WORK SHALL BE ALLOWED FOR THESE AREAS UNTIL MECHANICAL DRAWINGS ARE PROVIDED AND APPROVED. 11/30/2006 09:07 AM DYASUMUR ------- 02/21/2007 10:14 AM KDUBUC -----------------------------1) Horn/strobe devices are indicated in the downstairs restrooms. These should be strobe only devices. 2) The building must be equipped with a KNOX locking keybox. Contact the Fire Department at 417-4653 for a KNOX order form and for mounting location information. 08/28/2006 01:56 PM KDUBUC ----------------------------- The Fire Department will require plans for review for this project. 08/31/2006 12:44 PM SROBERDS -- The proosal will result in a dental office in the CN zone with lot coverage of 24%. Setbacks are good, and parking will be adequate for up to 3 doctors. Application Number, . . Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000334 Date 541600 620 E 8TH ST 06-30-00-0-2-7320-0000- DR. TODD IRWIN COMM NEW CONST COMMERCIAL NEIGHBORHOOD 996625 Owner Contractor IRWIN TODD R / MARY A 426 E. 8TH STREET PORT ANGELES WA 983623630 Structure Information 000 Other struct info . . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date FIRE ALARM SYSTEM 95620 150.00 Plan Check Fee 2/22/07 Valuation 8/21/07 Qty 1. 00 1. 00 Unit Charge Per 100.0000 ECH FIRE INSPECTION & TESTING 50.0000 ECH FIRE ALARM PLAN REVIEW WA 98362 24.00 V-N 1 2.00 24500.00 5943.00 5943~00 1. 00 ~ 6 .00 16090 Extension 100.00 50.00 ~ ~)\ ~ -)~ ~ 70. "/. ~C1\~ ~ \) CYl ~~:-'t -} :t 3 o ~ "'< 3 t-J -f 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. ~~ d/8c1/b7 Signature of Corff'r'actor or Authorized Agent Date Signature of Owner (if owner is builder) Date T;\Policies\l102_15 building pennit inspection record05.wpd [1/4/2005] I ...~ BUll,DING PERMIT INSPECTION RECORD CALL417-4815 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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS' YES NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS' I POST HOLES (POLE BlOGS.) PLUMBING LINDER FLOOR 1 SLAB ROUGH-IN , WATER LINE (METER TO BlOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALlJHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL ROUGH-IN HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE 1 PELLET 1 CHIMNEY MANUFACTURED HOMES ( FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPoliciesll102 15 buildmg penntl mspeclJon record05.wpd [1/4/2005] .... d ~ORr ~ S ~"'~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 06-00000334 Application pin number 541600 Page Date 2 2/22/07 Special Notes and Commehts Electrical load calculations and elctrical permits are required. Alley will require asphalt over lay, construct road to City standards, see public works engineering for requirements. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Cap off existing sewer laterals not used, notify Public Works Engineering 24 hour advance notice is required. Existing water meter may be used for landscape irragation, Back flow device is reqiured. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Storm drain tap in 8th Street, your contractor will complete this tap. Building fire sprinkler connection to City main to done by City approved contractor at owners exspence, Public Works inspection required for hot tap and fire line extent ion prior to back fill of ditch. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 154.50 154.50 .00 .00 ( Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:IPolicieslI102_15 building pennit inspection record05.wpd [1/4/2005] .... BUILDING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECTIONS. CALL 417-473,5 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I YES I NO FOUNDA TlON: FOOTINGS SHEAR WALLS 1 WALLS FOUNDA TlON DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LlNE FlNAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS , CEILlNG I FRAMING , JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILlNG DRYWALL (INTERJORBRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL ROUGH-IN HEAT PUMY I FURNACE 1 DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE 1 PELLET 1 CHlMNEY MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LlGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. IPWI CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUlLDING 417-4815 BUlLDlNG T:\Policies\! 102 15 building pennit inspecrion Tecord05.wpd [1/4/2005] ,.. PORT ANGELES FIRE DEPARTMENT FIRE ALARM SYSTEM PLAN REVIEW Project Name: Irwin Dental Building Address: 620 East 8th Street Plan # 07-03 I Installer: Cosco I Date: 2.21.2007 We have checked this plan and find that it conforms to the requirements of our codes and ordinances, with the following comments: 1) Horn/strobe devices are indicated in the downstairs restrooms. These should be strobe only devices. 2) The building must be equipped with a KNOX locking keybox. Contact the Fire Department at 417-4653 for a KNOX order form and for mounting location information. The following comments apply to all systems: 1. All systems shall be installed per NFP A 72. 2. A final field acceptance test will be conducted before final approval. The field acceptance test will be a test of ALL system components. NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by: ~O(;)~GQ ~ Building Department Copy D Contractor/ Owner Copy D Fire Department Copy D Light Department Date: 2,2.(.07 BUILDING PERMIT - APPUCA TION FOR OFFICIAl:USE ~LY: D~te Ree.: ~ 9-& t) 9 Permit #: & to ...: 3 5Jj Dale Approved: Date IssuedO 2-! 22-/07 Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent'VA L'- Owner: TOQD \ f2lJ.)IN Address: l/~\() ~. 1?w ~A "F'~ Phone: 1./'5, - '3'3C::>~ Phone: 1./57 - dI<6'9 tS't" City:!ber AJ::v...;~ U7~ Zip: ~l/L., Architect/Engineer: Phone: c..o<;CDFP\\O~~ ~~ Contractor Ct~s~ Ft e ~ State License #: Exp: PI1one: '15/ :3>'~O~ Address: 'Il RU\14.\cs PLAt ~ City: SEQv/M \.JJA zip:9~~~'2- PROJECT ADDRESS: t{)~D EAST <;< Tl.J -S~ ZONING: LEGAL DESCRIPTION: Lot Block: CLALLAM COUNTY PARCEL NUMBER: Subdivision: . Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF W~: o Residential "g New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 Move 0 Garage ~ Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: F \ f2 ~ City: Exp. Date: SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ I v, ~y. ~ A"LAt2.JyJ t'A,.,JeL ~/~ ~__ COMMERCIALIRESIDENTIAL: Occupancy Group: No. of StOlies: Lot Size: Total lot coverage Existing Sq. Ft. Occupant Load: & Proposed Sq. Ft. Construction Type: % = TOTAL Sq. Ft. PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building pemut application and construction plans are subnutted. All other pemut fees are due at the time ofpemut issuance. EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. 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A JLS GRO~P COMP~V -, 717 sOuTH PEABODY STREET, PO~T ANGELES, WA lI83&2 o Engineers c I.Bnd Su~rs 0 Geologists a Conslnlclfon InspeaJon- C Msflllfals TEISting. (360) 452..9491 FAX 452-8498 _.nd4u.com E-MaIl: InIo@nl14u.com ..rLS GROUP, INC. February 1, 2007 Jim Schouten Mill Creek Construction 461 9 Old ,Mill Creek Road Port Angeles. WA. 98362 lilt Jim, On 1/30/07, I inspected the rebar and miscellaneous imbeds at the Mill Creek Construction, 620 East 8tl1 Street site in Port Angetes. I foLind all exposed rebar and imbeds to be as per the designer (Visser Eng., Federal Way, WA) Visser Job Number VEC 06-113, sheets 2.1 and 3.1.', . I could not inspe~t the rebar in the footings, since the footing concrete had already /;>earl poured. Sincerely. -,...._.~ /' . d-L /~y\ ~ Tom "Gentilo r-- ~ ",r- , 0 C) "- ~ '" N "- .-< ~ MM elE-< Cl ..:..: 0.0 .-< <Xl N <Xl , N LIl .,. >< ...:l I>: M >-< ...:l ...:l E-< MUl :<:M U::;: >-<..: E-<'"o Z .. 01>: >-<0 E-<E-< UU MM 0.0. 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Z QNCOOlMeOOCOCOQ SO~~OSO~O~ o COH 0 co U ~r--O r--~r--Or--tIl DroZO occo~ CIa QoCla oC/.) ZN ONZN NZ H.......... Z.........H.......... .........H QCO>OO:::O'\QLll>.U1 HO....:lWOHN.......N. H.............:If-l.........H.........................:E ::JrlC:Il~M::Jnq)M . lIJo;::.::oe(olDo~o~ a Ul '- 0. :>< E-< ..:I ~t ..:10. ...,.,; r-r- r- t 00 0 '-'- '- "'''' \0 00 N '-'- '- riri ri ri ri 0 0 ri N ..:I ..:I <Il <Il a ~ ~ ~ ~ ~ ~ "- \oJ d ~ Jt- 1 i Ul 01 E-< o Z Cl ~ ~ ~\~ CXl Ul E-< Z '" :>: :>: o U r- Q ---- <S"'" <6 --.... - " g \'J!! CITY OF PORT ANqElES PUBLIC WORKS . ELECTRICAL DIVISION nl EAST 5TH STREET. PORT ANGELES. WA 98362 ....... Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000334 Date . 1}14/07 541600 620 E 8TH ST 06-30-00-0-2-7320-0000- DR. TODD IRWIN COMM NEW CONST I COMMERCIAL NEIGHBORHOOD 996625 Owner Contractor IRWIN TODD R / MARY A 426 E. 8TH STREET PORT ANGELES WA 983623630 MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452-8281 NEW DENTAL OFFICE BLDG. TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Structure Information 000 000 Other struct info . . 24.00 V-N 1 2.00 24500.00 5943.00 5943,.00 1. 00 ~~ f'. ~ ~ ~ Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW COMMERICAL OLYMPIC EL./ 600A+3-200A ' 93112 OLYMPIC ELECTRIC 378.00 1/14/07 7/13/07 Plan Check Fee Valuation .00 o l"\ .~ " ,\.../ Qty 3.00 1. 00 Unit Charge Per 58.0000 ECH EL-COM 101-200 NEW ADD SRV FDR 204.0000 ECH EL-COM 401-600 NEW SRV FEEDER Extension 174.00 204.00 ~ \~ Special Notes and Comments THIS PERMIT DOES NOT INCLUDE THE PLUMBING OR HVAC PERMITS, NO WORK SHALL BE ALLOWED FOR THESE AREAS UNTIL MECHANICAL DRAWINGS ARE PROVIDED AND APPROVED. 11/30/2006 09:07 AM DYASUMUR ------- 08/28/2006 01:56 PM KDUBUC ----------------------------- The Fire Department will require plans for review for this project. 08/31/2006 12~44 PM SROBERDS -- The proosal will result in a dental office in the CN zone with lot coverage of 24%. Setbacks are good, and parking will be adequate for up to 3 doctors. Electrical load calculations and elctrical permits are required. Alley will require asphalt over lay, construct road to City standards, see public works engineering for.requirements. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Cap off existing V\ :; COMMENTS/ ACTJON NEEDED r-. r ELECfRICAL PERMIT INSPECTION.RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPIC110N TYPE DATE ACCIPTID COMMINTS . I YES I NO I UT( "H unl J( iH-IN / CUYJiK ~bK Y lC~ T I I ...... GENERAL COMMENTS: PW-II02.IS 14196) g ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :12\ EAST 5TH STREET. PORT ANGELES. WA 983()2 , Application Number . . . . . 06-00000334 Application pin number'. . . 541600 Page Date 2 1/14/07 Special Notes and Comments sewer laterals not used, notify Public works Engineering 24 hour advance notice is required. Existing water meter may be used for landscape irragation, Back flow device is reqiured. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Storm drain tap in 8th Street, your contractor will complete this tap. Building fire sprinkler connection to City main to done by City approved contractor at owners exspence, Public Works inspection required for hot tap and fire line extent ion prior to back fill of ditch. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 378.00 378.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 382.50 382.50 .00 .00 COMMENTS! ACTION NEEDED ELECI'RICAL PERMIT INSPECI'ION .RECORD , CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO CO,JIER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEn'ED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPIt COMMENTS NO GENERAL COMMENTS: PW.II02.I~ 14'961 I Nt"- 0 ...... '" 0 ...... .... 0000 t'JE-< ..;..; 0.0 .... CO N 0 CO 0 0 N M lJ) .... <l' 00 >< 0 :E ..:I \D H ~ M E-<..:I 00 0 H X ..:I E-< :> t'J~ ..:I H 0000 Z..; E-< 0 ZZ H<II UJ OOUJ gJ 00 E-<o. 00 :<:00 XX 0 E-< 8~ UJ 0.0. 0 0 "':E Z E-<,"> 0. Z z 8 0 z 0 ~ O~ H .... E-< HO UJ f-ll""'l[""-U E-<E-< E-< ..; .. N 00 UJ uu Z QNOOc.. E-< 0000 00 SO<l'UJ Z 0.0. ~z~ oZ 00 UJUJ 0 COH :E ZZ ....00 "'t"-o :E H H UHU ocoz 0 IE-<...... t'Jo 0 U E-< o.UJ 'ZN 0 UJ HE-< H...... Z Z ~..:I C1oo~O:: Z '0 8U::> HO~~ 0 oU UJUJ H........Hf-l H";O 0000 ::J~~~ E-< O~ OO~ lXlo~~ U~otIJ ::> ~ , Z E-< ~~~:E .... UJ M:E ~c..~ ~ t"- ZZ......t"-O .... HO oU l'<UJ::> E-<~U~N ZUJ N UJ~ O<l' t'lHOO lJ) H~C10M :z: ~ X 000 OM .... N f-lOtIJOoo 9 ....UJ ooClc:t: f-i 00 00 OU 00 ....00 -..:I OOE-< zoo ::>0000 ~+ t"-OO HHMO 1llE-<E-< ot'J 0 '..:1 ~ , , UJOO ~~ NO::H~l..O\O 000..:1 \DCl:I:HOO 0::>0. 0 alE ....... ......E-< 000 .... ....~ ~ ~ u~u 0 . <II ~ .00 l'< 0. ZO <II <II 0 E-< .~ 000. UJ -u .... ~o UJE-<"; ..:IZ ... a 0 ..; [:l~~&l[L .... UJ 0.>< ~ ...... OOE-< ozzz~o. 0. .... ~H ~ooo~..;o. >< ..:I o.u E-<UOo...; l'< E-< <II r " llirS. OFFFI CE IJ2. 8/8 SR 100 C llirS. OFFFICE Ii2 8/8 S~ 100 C SEPARATE COOUNG SYSTEM PROVIDED FOR THIS SPA~ COMPU TER ROOM 7"~ 8"~ 1114-/6 WSR 1i75 CFM AI:::J=.J. W / I MIXING BOX & ECONOMIZER DOCTOR'S LOUNGE 1- DR. IRWIN'S OFFICE r ~ REFRIGERATION 3 PIPING ON TO HP-3. SIZE PIPING PER MFR'S I I I RECOMMENDATIONS ~~ UPPER FLOO~ PLAN - HVAC \j L/ SCALE: 1/8" = 1'-0" I T R E 8 . E 8 T I PRO.ECT: IIWIN DENTAL CLINIC II DAm 1 /9/07 II REv. ENGINEERS, INC. Z702 SOOTH 4211) StREET, utE J01 nn.e: UPPER FLOOR PLAN - HV AC TAlXIMA, WA 18408-7315 ~ 4~72 3300 CORRECTIONS r . SHEET: M2.2 R1-Q ~ ~ORT ~ ,:-O~~~ c)ha~ 1L -=->>' ~ ~-;--;dP CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning . . . Application valuation 06-00001303 Date 12/06/06 458503 620 E 8TH ST 06-30-00-0-2-7320-0000- DR. IRWIN SIGNS COMMERCIAL NEIGHBORHOOD 200 Owner Contractor IRWIN TODD R / MARY A 426 E. 8TH STREET PORT ANGELES WA 983623630 MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES, WA 98362 (360) 452-8281 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SIGN PROJECT SIGN 91900 115.00 12/06/06 6/04/07 Plan Check Fee Valuation .00 200 Qty Unit Charge Per 1.00 115.0000 PER S- SIGN FREE OR PROJ 25+ Extension 115.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 115.00 115.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 115.00 115.00 .00 .00 ~ /:/9: / /0, /~./ O~ cr ...... O~ 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. Date Signature of Owner (if owner is builder) Date T:\Policies\II02_J5 building pennit inspection record05.wpd [J/4/2005] r-- B{Jll;DING 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 INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO rOUNDA TION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) SHOWER PAN FINAL DATE ACCEPTED BY: MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALlJHOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (rNTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP / FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED flOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT#'s SEPA: P ARKING/LlCHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 .' FIRE DEPT. ' PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING /fJ4JIl.-o7 7J /....I.- , . T:\Policies\1102_15 bUlldmg penmt mspectlOn record05.wpd [1/4/2005] ~ ~ ~\) ~ ~ ~,\ -.... C"\ \\ \...1 ,7:.. \ \\ \'~ j ~} \} \ ti ~~ 11 CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner IRWIN TODD R / MARY A 426 E. 8TH STREET PORT ANGELES 06-00000334 Date 11/30/06 541600 620 E 8TH ST 06 - 3 0 - 00 - 0 -2--73 2 0 - 0000- DR. TODD IRWIN COMM NEW CONST COMMERCIAL NEIGHBORHOOD 996625 Contractor MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452-8281 000 NEW DENTAL OFFICE BLDG. TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 983623630 WA 98362 Structure Information 000 Other struct info . . Permit . . ". . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 24.00 V-N 1 2.00 24500.00 5943.00 5943.00 1. 00 DRIVEWAY INSTALLATION 89904 170.00 11/30/06 5/29/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date BASE FEE Extension 170.00 PUBLIC WORKS COMM WATER SERV 89920 1940.00 11/30/06 5/29/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 1940.0000 EA PW W/M COM 1 1/2" Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Extension 1940.00 SANITARY SEWER HOOK UP 89912 110.00 11/30/06 5/29/07 Plan Check Fee Valuation .00 996625 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Special Notes and Comments THIS PERMIT DOES NOT INCLUDE THE Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that J 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. .~ nature of Contractor or Authorized Agent T:\Policics\11 02.1 SR [1/05] Signature of Owner (if owner is builder). _ Date r- PERMIT INSPECTION RECORD CALL 417-4807 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 I YES I NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I I . . I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W.I PWI CONSTRUCTION - RW. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING - T:\Policics\1102.15R [I/05J .' ,.,..,. tir it~ ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 06-00000334 Application pin number 541600 Page 2 Date 11/30/06 Special Notes and Comments PLUMBING OR HVAC PERMITS, NO WORK SHALL BE ALLOWED FOR THESE AREAS UNTIL MECHANICAL DRAWINGS ARE PROVIDED AND APPROVED. 11/30/2006 09:07 AM DYASUMUR ------- 08/28/2006 01:56 PM KDUBUC ----------------------------- The Fire Department will require plans for review for this project. 08/31/2006 12:44 PM SROBERDS -- The proosal will result in a dental office in the CN zone with lot coverage 'of 24%. Setbacks are good, and parking will be adequate for up to 3 doctors. Electrical load calculations and elctrical permits are required. Alley will require asphalt over lay, construct road to City standards, see public works engineering for requirements. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Cap off existing sewer laterals not used, notify Public Works Engineering 24 hour advance notice is required. Existing water meter may be used for landscape irragation, Back flow device is reqiured. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Storm drain tap in 8th Street, your contractor will complete this tap. Building fire sprinkler connection to City main to done by City approved contractor at owners exspence, Public Works inspection required for hot tap and fire line extent ion prior to back fill of ditch. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2220.00 2220.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 2224.50 2224.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ' Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) . Date T:\Policies\l J02.JSR [JlOS] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTfER DRIVEWAY APPROACH I BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING - T:\Policics\1102.15R [1105] ". 0' ~O"T ""'C ,-:~~ " 't'i:!!i!ii'"' '- -=-- ~ "t.&;-;O-;;.dO"' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDlNG DIVISION 32! EAST 5TH STREET, PORT ANGELES, WA 98362 ~ ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-Q0000334 Date 11/30/06 541600 620 E 8TH ST 06-30-00-0-2-7320-0000- DR, TODD IRWIN COMM NEW CONST MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES. (360) 452-8281 000 NEW DENTAL OFFICE BLDG. TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS COMMERCIAL NEIGHBORHOOD 996625 Owner Contractor IRWIN TODD R / MARY A 426 E. 8TH STREET PORT ANGELES WA 983623630 Structure Information 000 Other struct info , . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL 85415 562L 00 11/30/06 5/29/07 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 497.00 4.7500 THOU BL-500,001-lM (4.75 PER K) Special Notes and Comments THIS PERMIT DOES NOT INCLUDE THE PLUMBING OR HVAC PERMITS, NO WORK SHALL BE ALLOWED FOR THESE AREAS UNTIL MECHANICAL DRAWINGS ARE PROVIDED AND APPROVED, 11/30/2006 09:07 AM DYASUMUR ------- 08/28/2006 01:56 PM KDUBUC ----------------------------- The Fire Department will require plans for review for this project. 08/31/2006 12:44 PM SROBERDS -- The proosal will result in a dental office in the CN zone with lot coverage of 24%. Setbacks are good, and parking will be adequate for up to 3 doctors. Electrical load calculations and elctrical permits are required. Alley will require asphalt over lay, construct road to City standards, see public works engineering for requirements. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Cap off existing sewer laterals not used, notify Public Works Engineering 24 WA 98362 24.00 V-N 1 2.00 24500,00 5943.00 5943.00 LOO 3653,65 996625 Extension 3260,25 2360,75 t ~ ~ ~ I ( \\\ ~ (\1 ~' /7 q-i. /1'.2 ~ '0 > ~ ~ ~ ~ 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. . nature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:IPoliciesl] 102_15 building pennit inspection record05.wpd [1/412005] I . '. BUU,DING 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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) SHOWER PAN FINAL DATE ACCEPTED BY: MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (fNTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W./ PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 " FIRE DEPT. . PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417.4815 BUILDING , . T:\Policies\1102_15 building peTTnll inspectIOn record05,wpd [1/4/2005] , # . .PORT~ -<e~" 6,.0;, '- ~ ~ 'ti;.-;;--;;:i<P CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDll\lG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 06-00000334 Application pin number 541600 Page 2 Date 11/30/06 Special Notes and Comments hour advance notice is required. Existing water meter may be used for landscape irragation, Back flow device is reqiured. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Storm drain tap in 8th Street, your contractor will complete this tap. Building fire sprinkler connection to City main to done by City approved contractor at owners exspence, Public Works inspection required for hot tap and fire line extent ion prior to back fill of ditch. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 5621. 00 5621.00 .00 .00 Plan Check Total 3653.65 3653.65 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 9279.15 9279.15 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\J 102_15 building permit inspection record05.wpd [1/4/2005] I V-B G~iB BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKSUTILITlES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UN LA WFUL 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 I NO FOUNDATION: fo~~ ~/l;7 oldtl- FOOTINGS /1471,7 ~ ) J..L. SHEAR WALLS / WALLS I " ~/7~ ov/5 ~dO/ (P/~ JJ.l- ~ h/ FOUNDA TION DRAINAGE / DOWN SPOUTS III /71 -r. ,., I .J f..)... 'I JLL D:..all1A&>.n 'L 'yj I . / . PIERS POST HOLES (POLE BLDGS.) PLUMBING pl\lV"b~ ~ OG,w?,?,"\ UNDER FLOOR / SLAB SQf ~\'7$\Je.6. 0'5 ( ~\ \Cf1 ROUGH-IN I WATER LINE (METER TO BLDG) SHOWER PAN FINALlI-Z-D7 DATE -:SLL- ACCEPTED BY: MEDICAL GAS UNE AIR SEAL (PI 007 (Ff.. J"U.., WALLS CEILING FRAMING (p/~ lor-- Jl....L- JOISTS / GIRDERS . SHEAR WALL/HOLD DOWNS J;h'A If}'" f1L ., WALLS / ROOF / CEILING DRYW ALL (rNTERIOR BRACED PANEL ONLY) T-BAR l (}-1. ~wOl ":1vv INSULATION <Pk51 0-"-' ~jVL.- SLAB WALL / FLOOR / CEILING I MECHANICAL {Y\ec..~DJ'\i~' ('1'\\t- o~-~~y ~eY' HEAT PUMP / FURNACE / DUCTS ~ej!, '\~'711e..~ 05/'3l/G7 GAS LINE FINAL \ l-l..-o7 WOOD STOVE / PELLET / CHIMNEY DA TE :fLL... ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING D&l>T. SEPARATE PERMIT#'s SEPA: P ARKING/LIGHTINC ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION It W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. . PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING 1\1-2-01 3"LL. . . T:\Policies\1102_15 bUlldmg perrmt mspectlOn record05.wpd [1/412005] ~. . .~ . () ~ t ~ ~ ~ ~~ ~)\t F~ $ . w ~ - z: L ,--- HAYS ARCHITECTS PO Box 3221120 W. Bell St. 1 R I Sequim WA 98382 Voice:360168315877 Fax:360168315904 November 27, 2006 City of Port Angeles Attn: Jim Lierly 321 E. 5th St Port Angeles, WA 98362 Re: Plans submittal for Dr. Todd Irwin Dental Office Correction Letter Responses I am responding to the items that are building life and health safety related, the numbering corresponds to your corrections letter dated September 19, 2006. .l!lL t rJ '" #6 A1.0/FLR EXITING All of the exits meet the referenced accessibility requirements. #7 A1.0 SITE The Section drawing correctly shows 19 risers for the interior stairway. With a floor to floor height of 11'-05/8" that equals 132.625"/19 =6.98" each riser. The treads are drawn at 11" each. The plan drawing A 1.1 mistakenly shows 20 risers. Since the final drawings have been reprinted for re-submittal prior to my response may I request that you mark the drawings by indicating the omission of the first riser shown on A 1.1. The deletion of this first riser also addresses the question regarding the handrail extension by allowing a generous extension at the bottom of the stair run (more than 12"). #8 FLR Please see revised drawings. #11 A 1.0 ADA Landing Please see revised drawings. Please contact me if you have any further concerns or questions. Regards, ~ Ken Hays ARCHITECTURE PLANNING cg GRAPHICS 1-- FltE November 27, 2006 City of Port Angeles Attn: Jim Lierly 321 E. 5th St Port Angeles, WA 98362 Re: Plans submittal for Dr. Todd Irwin Dental Office Correction Letter Responses I am responding to the items that are interior related, the numbering cooresponds to your corrections letter dated September 19, 2006. f #3 Ken Hays has reviewed and stamped our set of drawings, Pages 11.1 - 117.1. #5 All the toilet rooms have a nonabsorbent surface extending 6". Women's Restroom #1 and Men's Restroom #1 have tile that extends up the wall (51 Y:?" in the Women's and 66" tofull heightfor the Men's - see Elevations 1/111.1- 5A111.1). Women's Restroom #2 and Men's Restroom #2 have vinyl floor that coves up the wall 6". (See Elevations 6/111.1 & 7/111.1.) #9 We have renamed the toilet rooms to reflect both genders. The accessibility requirements - wheelchair turning space and 30" X 48" box of clear floor space beyond the arc of the door are marked on the Plumbing and Electrical Plan, Page 14.1 due to the Interior Framing Plan being too cluttered. There is a note above Women's Restroom #1 on Page 11.1 directing to Page 14.1. #10 Note #1 on Door Schedule, Page 13.1 indicates that all door hardware meets Washington State Barrier Free codes. All doors have been specified with paddle handles meeting ADA regulations. #12 The re-su~mitted plans have been modified to include a 4th Toilet Room on the Main Floor. There are two Women's and two Men's Accessible Toilet Rooms. # 13 See above # 14 See above # 15 See above Sincerely, \ Bobbi Quigley Chapman s.J Barrett and Company, Inc. 221 S. 28th St. . Suite #100 . Tacoma, W A . 98402 253-573-0200 or 360-417-2634, phone 253-272-6868 or 360-417-6848,fax ~ORT ANGELES fiLE WAS H I N G TON, U. S. A. City Manager's Office October 17, 2006 Dr. Todd Irwin, DDS 426 East Eighth Street Port Angeles, W A 98362 Dear Todd: Thank you for taking time yesterday to meet with me to discuss the plans for your new dental clinic building. I wanted to'summarize for you our discussion regarding the building design and City application of the International Building Code (IBC), as amended and adopted by the State of Washington. 1. We will consider the upper level to be private space, not a medical space, due to the nature of a dental practice wherein patient care is procedure oriented and your plans call for all patient care to be provided on the main level. Thus NO elevator will be required. 2. You indicated that you have directed your designer to reconfigure an area on the main level to provide one (1) additional ADA compliant restroom, thus providing for a total of four toilets on that level. At least one restroom will be signed for WOMEN and one for MEN prior to final inspection. As discussed this will bring the facility design into compliance with the IBC. 3. The Building Division and the Fire Department have evaluated occupancy requirements for egress for the second level. Occupancy is show(l to be less than 30 persons. Therefore is has been determined that NO additional exit from the second floor would be required. 4. Your contractor had previously proposed adding a "platform lift" for access to the second level. As we discussed, this would not be necessary with the addition of one restroom on the first level as identified in paragraph 2 above. We have evaluated the manufacture's specification sheet provided for a lift and determined that the proposed lift meets code requirements, should you choose to pursue that option. Further engineering specifications may need to be evaluated regarding fire spread prevention for any proposed lift shaft. Again, I want to emphasize that based on the redesign envisioned in paragraph 2 above, such a lift would NOT be required. Again, thank you for your time. If you have further questions, please do not hesitate to call. Sincerely, ~!d~ Cc:Jim Lierly Phone: 360-417-4500 / Fax: 360-417-4509 Website: www.cityofpa.us / Email: citymanager@cityofpa.us ::\::>1 F=R!'>t Fifth Street - P.O. Box 1150/ Port Anr:leles, WA 98362-0217 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: Project Name: Address: Date: September 19, 2006 Contractor: Occupancy: Construction: Engineer: Report By: JIM LIERLY NOTE: The code items listed in this report are not intended to be a 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 # SHEET IDENTIFICATION CORRECTION REQUIRED ----------------------------------------------------------------------------- ----------------------------------------------------------------------------- 2 C 1.0 SITE All sheets to be stamped and signed by a design professional registered in this state. -- Sec. 106.3.4.1 3 1-1.1/17 INTERIOR All sheets to be stamped and signed by a design professional registered in this state. -- Sec. 106.3.4.1 4 C 1.0 SITE Erosion control is required per The City of Port Angeles Public Works Dept. Please provide the required details. 5 111.1 DETAIL 1 Toilet rooms are required to have a smooth, hard nonabsorbent surface that extends at least 6 inches onto walls. -- Sec. 1210.1 Fllf Page # 2 Code review for: proj ect Id.: Address: At least 50 percent but not less than one entrance shall comply with accessibility requirements. All exterior exits which are located adjacent to accessible areas and within 6" of grade shall be accessible -- Sec.1105.1 EXC. areas which are not required to be accessible, loading and service entrace to tenant space. 6 A1.0/FLR EXITING 7 A 1.0 8 A 1.0 9 I 1.1 10 i 3.1 11 A 1.0 12 I 4.1 13 I 5.1 SITE/ ELEV ramps and stairs require handrails/guards and edge protection per chapter 11 of the IBC and ANSI 117. Stair risers are reqd to be 7" max 11" min run, plan shows 8" rise. handrails require 12" extentions and return or round off to post,wall. SITE Provide ADA drawings for site and interior accessiblity as per chapter 11 of the IBC and ANSI 117. This will include state amendments to the adopted codes. FLR Accessible toilets area required to have a wheelchair turning space not less than 60 inches in diameter. -- ICC/ANSI Al17.1 Sec. 603.2.1 and 304. This item is marked as the plumbing fixture count is not separated for both genders. hrdwr sched Provide details defining ADA plumbing/door hardware. IE.. paddle handles meeting ADA regulations ADA Landing details Provide a landing on both sides of door. Note: The step & size requirements. -- Sec. 1008.1.4, ADA requirements for ramp and landing aswell. Restrooms The number of water closets/unirals is inadequate for male/female occupants in this area. Provide at least water closets/unirals. -- 2003 IBC chapter 29 table 2902.1 (Washington Amendment 413.0) restrooms The number of water closets/unirals is inadequate for male/female occupants in this area. Provide at least water closets/unirals. -- 2003 IBC chapter 29 table 2902.1 (Washington Amendment 413.0) Page # 3 Code review for: Project rd.: Address: 14 A 1.2 15 A 1.1 16 I 4.1 17 Mech 2nd flr off section 2901.2 Private offices, Fixtures only accessible to private offices shall not be counted to determine compliance with the req'd fixture count in chapter 29. revise plans to accommodate this requirement. 1st/2nd flr section 2902.3.1 Separate toilet facilities are required for both genders, See Exc. 1 & 2 if the occupancy count is for 10 or less or in occupancies of B or M, and the total area is 1500 sq ft or less, one toliet facitity designed for use by no more than one person at a time shall be permitted for use by both genders. med gas A medical gas riser diagram is required, third party inspection shall be reqd. to inspect for cross conection and purity. The city of PA will only verify static pressure on medical lines (reqd 150psil medical suction shall be sleeved to prevent contamination per 2003 UPC ? A complete mecahnical plan shall be required to be considered a complete application for review. If this application is bidder design, Mech. plans may be defered if approved by the building department. A mech engineer design shall be required. . 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 "'I Project Number: 06-334 Project Name: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET Date: September 18, 2006 Occupancy: B Construction: V-B Contractor: MILLCREEK CONST Architect: HAYS VISSER Engineer: Report By: JIM LIERLY NOTE: The code items listed in this report are not intended to be a 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 SPRINKLER SYSTEM: NFPA 13 sprinkler system throughout the building Sprinkler system used to increase the allowable area and height. -- Sec. 504.2 and 506.3 f\1U)...lILt pIc loQ€ ~6"{i)UI~~ FRONTAGE INCREASE: AN Y fulo tXc.~?tlS;D L/7 IL€'Q 's ~~'JU;.kl~2 Perimeter of the entire building = 313 ~~t. ~;r~~. Perimeter which fronts a public way or accessible open ~ce = 169 feet. , Minimum width of public way or accessible open space =~ ~[). ~ l~/ Allowable area increased 28.99% for frontage increase. I Sec. 506.2 NOTE: Limit in Section 506.2.1 used. FL NAME OCC MAX FLR AREA ALLOWED RATIO STATUS 2 Office B ok 2030 29609 0.07 ok TOTAL FOR FLOOR 2030 29609 0.07 ok 1 Office B ok 5943 29609 0.2 ok TOTAL FOR FLOOR 5943 29609 0.2 ok BUILDING TOTAL 7973 59219 0.13 ok - - Sec. 503, 504, 506 and Table 503 The The and actual height of this building is 28.0 feet. maximum height of this building is 60.0 feet. -- Table 503 Sec. 504.2 \ . 2:,~ l ~ '2-00 b ~~O\9'l-l~ Page # 2 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET PROPERTY DESCRIPTION: North Side has a public way. - Distance to public way = 24.0 ,width = 70.0 Exterior wall rating based on distance to center line of public way. -- Sec. 702.1 FIRE SEPARATION DISTANCE East Side has a property line. - Distance to property line = 38.0 South Side has a public way. - Distance to public way = 44.0 ,width 20.0 Exterior wall rating based on distance to center line of public way. -- Sec. 702.1 FIRE SEPARATION DISTANCE West Side has a property line. - Distance to property line = 46.0 EXTERIOR WALL FIRE RATINGS AND OPENING PROTECTION Sec. 602, Tables 601 and 602, and Sec. 704 OCC BRG WALL O-hr NORTH NON OPNG% BRG UP/PR O-hr NL/NL BRG WALL O-hr EAST NON BRG O-hr OPNG% UP/PR NL/NL BRG WALL O-hr SOUTH NON OPNG% BRG UP/PR O-hr NL/NL BRG WALL O-hr WEST NON BRG O-hr OPNG% UP/PR NL/NL B The exterior walls may be of COMBUSTIBLE material. -- Sec. 602.5 Exterior walls are required to be fire-rated for exposure to fire: 1. From Both sides when fire separation is 5 feet or less. 2. On the interior side only when separation is greater than 5 feet. -- Sec. 704.5 Then maximum percent of area of unprotected opening has been adjusted for an automatic sprinkler system. -- Sec. 704.8.1 up/pr = Maximum percent of openings in the exterior wall. Table 704.8 up - The maximum percent if all openings are unprotected. pr - The maximum percent if all openings are protected. If some are protected and some are not, then use formula in Sec. 704.8 Openings in 1hr walls are required to be protected with 3/4 hour assemblies. -- Sec. 704.12 and Sec. 715.4 Openings in walls required to be greater than 1hr are required protected with 1 1/2 hour assemblies. -- Sec. 715.4 NL No fire protection requirements for openings. NP Openings are not permitted in this wall. Page # 3 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET Note: Unlimited unprotected openings are allowed in walls not required to fire-resistant. -- Table 704.8, Note: g. * These walls may be required to have a parapet wall 30 inches above the roofing. The parapet wall is required to have the same fire rating as the wall and shall have noncombustible faces for the uppermost 18 inches. -- Sec. 704.11 Exception 1: A parapet wall is not required when the wall is not required to be fire-resistive. FIRE RESISTANCE RATINGS MATERIAL My My My My My My My FOR BUILDING RATING o hour o hour o hour 1 hour o hour o hour None ELEMENTS -- Table 601 NOTES ELEMENT Structural Frame Interior Bearing wall Interior nonbrg wall Shaft Enclosure Floor/Ceiling Assembly Roof/Ceiling Assembly Stairs Note 1 NOTES: 1. Fire resistance rating for shafts based on Section 707.4 NOTE: See Section 707.2 for shaft enclosure exceptions. SHAFT REQUIREMENTS: Openings other than those necessary for the purpose of the shaft shall not be permitted. -- Sec. 707.7.1 Penetrations other than those necessary for the purpose of the shaft shall not be permitted. -- Sec. 707.8.1 Shafts that do not extend to the bottom of the building shall: 1. Be enclosed at the lowest level with the same fire-resistance rating as the lowest floor but not less than the rating of the shaft enclosurei or 2. Terminate in a room having a use related to the purpose of the shaft. The room and openings shall have a fire-resistance rating at least equal to the shaft enclosurei or 3. Be protected by approved fire dampers installed at the lowest floor level within the shaft enclosure. Sec. 707.11 PENETRATIONS OF FIRE RESISTIVE ASSEMBLIES -- Sec. 712 Page # 4 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET WALLS ASSEMBLIES -- Sec. 712.3 Through penetrations of walls: 1. Penetrations shall be installed as tested in the fire resistance rated assembly. -- Sec. 712.3.1.1 2. Penetrations shall be protected by an approved penetration firestop system with a minimum positive pressure differential of 0.01 inch of water and shall have an F rating of not less than the required rating of the wall penetrated. -- Sec. 712.3.1.2 Exception: Where penetrating items are steel, ferrous or copper pipes or steel conduits, the annular space between the and the penetrating item and the fire resistance rated wall shall be permitted to be protected as follows: 1. In concrete or masonry walls where the penetrating item is a maximum of 6 inches nominal diameter and the openings is a maximum 144 square inches, concrete, grout or mortar shall be permitted. 2. The material used to fill the annular space shall prevent the passage of flame and hot gasses sufficient to ignite cotton. Membrane penetrations of walls: The requirements are the same as for through penetrations. -- Sec. 712.3.2 Exceptions: 1. Steel electrical outlet boxes that do not exceed 16 square inches provided that the area of such openings does not exceed 100 square inches for any 100 square feet of wall area. Boxes on opposite sides of the assembly shall be separated by a horizontal distance of not less than 24 inches. 2. Sprinklers with metal escutcheon plates. Page # 5 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET FLOOR/CEILING AND ROOF/CEILING ASSEMBLIES -- Sec. 712.4 Through penetrations of fire-resistive horizontal assemblies: 1. Through penetrations shall be installed as tested in an approved fire resistance rated assembly. -- Sec. 712.4.1.1 2. Penetrations shall be protected by an approved penetration firestop system with a minimum positive pressure differential of 0.01 inch of water and shall have an F rating and a T rating of not less than 1 hour but not less than the required rating of the floor penetrated. -- Sec. 712.4.1.2 Exceptions: 1. When penetrating items are steel, ferrous or copper conduits, pipes, tubes and vents through a single concrete floor, the annular space shall be permitted to be grout or mortar. The minimum thickness is the thickness required to maintain the fire rating. The maximum size of the penetrating items is equivalent to a 6-inch diameter and the opening is a maximum of 144 square inches. 2. Electrical outlet boxes that have been tested for use in fire -assemblies. Membrane penetrations of fire-resistive horizontal assemblies: The requirements are the same as for through penetrations. -- Sec. 712.4.2 Exceptions: 1. When penetrating items are steel, ferrous or copper conduits, electrical outlet boxes, pipes, tubes and vents through concrete or masonry and the annular space is protected by an approved penetration firestop assembly or protected to prevent the free passage of flame and products of combustion. Such penetrations shall not exceed an aggregate area of 144 square inches in any 100 square feet of ceiling area in assemblies without penetrations. 2. Electrical outlet boxes that have been tested for use in fire- assemblies. 3. Sprinklers with metal escutcheon plates. DUCTS AND AIR TRANSFER OPENINGS -- Sec. 716 Dampers shall be accessible for inspection and servicing. 716.4 Where required. -- Sec. 716.5 1. Fire walls. -- Sec. 716.5.1 2. Fire barriers -- Sec. 716.5.2 See exceptions 3. Shaft enclosures -- Sec. 716.5.3 See exceptions 4. Fire partitions -- Sec. 715.5.4 See exceptions 5. Smoke barriers -- Sec. 715.5.5 (smoke damper) See exceptions Page # 6 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET DRAFTSTOPPING: Draftstopping is not required in buildings equipped throughout with an automatic sprinkler system in accordance with NFPA 13. -- Sec. 717.3.3 Exception (floor) and Sec. 717.4.3, Exception (attic) Opening in the partitions shall be protected by self-closing doors with automatic latches constructed as required for the partitions. -- Sec. 717.4.1.1 OCCUPANCY SEPARATIONS Sec. 302.3.2 and Table 302.3.2 No occupancy separations required. SEPARATION OF INCIDENTAL USE AREAS -- Table 302.1.1 Furnace rooms where any piece of equipment is over 400,000 BTU per hour input -- Smoke barrier -- Sec. 302.1.1.1 Rooms with any boiler over 15 psi and 10 horsepower -- Smoke barrier -- Sec. 302.1.1.1 Refrigerant machinery rooms -- Smoke barrier -- Sec. 302.1.1.1 Incinerator rooms -- 2 hours and an automatic sprinkler system Storage rooms over 100 square feet -- Smoke barrier -- Sec. 302.1.1.1 Note: This list covers only the most common uses. See Table 302.1.1 for a complete list. EXIT REQUIREMENTS: FL NAME NUMB OCC MIN MIN EXITS WIDTH PANIC CORRIDOR DOOR NOTES HDWR RATING SWING 2 Office TOTAL FOR FLOOR 20 20 1 1 3.0 4.0 No No None N/A N/R N/R 6 1 Office TOTAL FOR FLOOR 59 59 2 2 8.9 8.9 No No None N/A Out 1 Out FOOTNOTES: 1. Two exits are required from this area since the occupant load exceeds allowable in Table 1014.1 6. One exit is based on compliance with Section 1018.2 and Table 1018.2 ~- Page # 7 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET NOTES FOR EXIT TABLE Door swing is based on Section 1008.1.2 Occupant load is based on Section 1004 and Table 1004.1.2 Exit width is in inches and based on Section 1005.1 & Table 1005.1 Width shown for all areas is based on other egress components. Width shown for 1st floor is based on other egress components. Width shown for other floors & basements is based on stairways. For the minimum width of doors, see Section 1008.1.1. For the minimum width of corridors, see Section 1016.2. For the minimum width of stairways, see Section 1009.1. Exits shall be continuous from the point of entry into the exit to the exit discharge. -- Sec. 1003.6 If 'CORRIDOR RATING' N/A There is no corridor in this area. If 'CORRIDOR RATING' = None Walls and ceilings of corridors are not required to be fire-resistive unless they are required to be fire-resistive based construction type. -- Table 1016.1 There is no restriction as to the amount and type of openings unless protection of openings is required by some other code provision. If 'CORRIDOR RATING = 1 hour or 1/2 hr Walls shall be fire-resistive -- Table 1016.1 Walls shall extend to the underside of the floor/roof slab or deck or to the fire-resistance rated floor/ceiling or roof/ceiling assembly above. -- Sec. 708.4 Exception 2: Where the room-side membrane is carried through to the underside of a fire resistance rated floor or roof, the ceiling of the corridor shall be permitted to be protected by the use of ceiling materials as required for a 1-hour rated system or the ceiling shall be constructed as required for the corridor walls. Door openings are required to be protected with 20 minute (1/3 hour) fire assemblies. -- Sec. 715.3.3 & Table 715.3 Doors shall be self-closing or automatic-closing. -- Sec. 715.3.7 Doors shall have an active latch bolt that will secure the door when closed. -- Sec. 715.3.7.1 1_ Page # 8 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET Window openings are required to be protected with labeled 45 minute (3/4-fire- hour) fire-assemblies. -- Sec. 715.4 & Table 715.4 Exception: Glazing in 0.5-hour walls is permitted to have an 0.33-hour rating. The total area of windows shall not exceed 25 percent of the area of a common wall with any room. -- Sec. 715.4.7.2 Corridors shall not serve as supply, return, exhaust, relief or ventilation air ducts or plenums. -- Sec. 1016.4 See Exceptions Fire resistant corridors shall not be interrupted by intervening rooms. -- Sec. 1016.5 Exception: Foyers, lobbies or reception rooms constructed as required for corridors. When more than one exit is required, exit access shall be arranged such that there are no dead ends in corridors more than 20 feet. -- Sec. 1016.3 Exception 2: In Groups B or F with an automatic sprinkler system, the dead end of a corridor shall not exceed 50 feet. EXIT SEPARATION In areas where 2 exits are required, the minimum separation is 1/3 of the maximum diagonal of the area or floor measured in a straight line between exits or exit access doorways.-- Sec. 1014.2.1, Exception 2 Multiple means of egress shall be sized such that the loss of anyone means of egress shall not reduce the available capacity by more than 50 percent. -- Sec. 1005.1 EXIT SIGNS Exits and exit access doors shall be marked by an approved exit sign. Signs shall be placed where the exit or the path of egress travel is not immediately visible. No point to be more than 100 feet from an exit sign. -- Sec. 1011.1 Exception 1: Exit signs are not required in rooms or areas which require only one exit. Exception 2: Main exterior exit doors which obviously and clearly are identifiable as exits need not be signed when approved. Exit signs shall be internally or externally illuminated. -- Sec. 1011.2 Exit sign shall be illuminated at all times including during loss of primary power. -- Sec. 1011.4 & Sec. 1011.5.3 Page # 9 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET BOLT LOCKS: Manually operated flush bolts and surface bolts are not permitted. -- Sec. 1008.1.8.4 Exception 2: Where a pair of doors serves a storage or equipment room, manually operated edge- or surface-mounted bolts are permitted on the inactive leaf. LOCKS AND LATCHES: Egress doors shall be readily openable from the egress side without the use of a key or any special knowledge or effort. -- Sec. 1008.1.8 Locks and latches shall be permitted to prevent operation where any of the following exists: Exception 2: The main door or doors in Group B, F, M and S areas are permitted to be equipped with key operating locking devices from the egress side provided: 2.1 The locking device is readily distinguishable as locked. 2.2 A readily visible durable sign is posted on the egress side stating: THIS DOOR TO REMAIN UNLOCKED WHEN BUILDING IS OCCUPIED Exception 3: Where egress doors are used in pairs, automatic flush bolts shall be permitted to be used, provided the door leaf having the automatic flush bolts has no doorknob or surface-mounted hardware. ADDITIONAL DOORS: Where additional doors are provided for egress purposes, they shall conform to the requirements in Section 1008.1 LANDINGS AT DOORS: 1. There shall be a floor or landing on each side of a door. -- Sec. 1008.1.4 2. Such floor or landing shall be at the same elevation on each side of the door. -- Sec. 1008.1.4 3. The floor or landing shall not be more than 1/2 inch lower than the threshold. -- Sec. 1008.1.6 4. Landings shall have a width not less than the width of the stairway or width of the doorway, whichever is the greater. Where a landing serves an occupant load of 50 or more, doors in any position shall not reduce the landing dimension to less than one half it required width. The minimum length in the direction of exit travel is 44 inches. -- Sec. 1008.1.5 5. The space between two doors in series shall be 48 inches plus the width of door swinging into the space. -- Sec. 1008.1.7 Page # 10 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET STAIR REQUIREMENTS: Stairways: ~1. The riser heights shall not be less than 4 inches or greater than 7 inches. The minimum tread depth is 11 inches. -- Sec. 1009.3 The maximum variation is 3/8 inch between the largest and the smallest in a stairway flight. -- Sec. 1009.3 2. The minimum width of a stairway is 36 inches, 44 inches if the occupant load is greater than 50. -- Sec. 1009.1 Also, check exit table above to see if minimum width is greater than 44 inches. 3. Provide a handrail on each side of stairways. -- Sec. 1009.11 Handrail height, measured above stair tread nosing, shall be not less than 34 inches and not more than 38 inches. -- Sec. 1009.11.1 Handrails with a circular cross section shall have an outside diameter of at least 1 1/4 inches and not greater than 2 inches or shall provide equivalent graspability. -- Sec. 1009.11.3 Handrail-gripping surfaces shall be continuous without interruption by newel post or other obstructions. -- Sec. 1009.11.4 Handrails shall return to a wall, guard or the walking surface or shall be continuous to the handrail of an adjacent stair flight. Where handrails are not continuous between flights, the handrails shall extend horizontally at least 12 inches beyond the top riser top riser and continue to slope for the depth of one tread beyond the bottom riser. -- Sec. 1009.11.5 4. Open sides of walking surfaces which are located more than 30 inches above the floor or grade below are required to have a guard. -- Sec. 1012.1 5. The minimum height of guard is 42 inches. -- Sec. 1012.2 6. Open guards shall have balusters or ornamental pattern such that a 4-inches diameter sphere cannot pass through any opening up to a height of 34 inches. From a height of 34 inches above the adjacent walking surface to 42 inches above the walking surface, a sphere 8 inches in diameter shall not pass. -- Sec. 1012.3 Exception 1. The triangular opening formed at the riser, tread and guardrail may be 6 inches. 7. The minimum headroom clearance is 80 inches (6 ft.- 8 inches.) measured vertically from a line connecting the edge of the nosing. Headroom shall be continuous to the point where the line intersects the landing below. The minimum clearance shall be maintained the full width of the stairway and landing. -- Sec. 1009.2 8. Enclosed usable space under the stairs is required to be protected by 1-hour fire-resistive construction or the fire-resistance rating of the stairway enclosure, whichever is greater. -- Sec. 1019.1.5 9. A flight of stairs shall not have a vertical rise greater than 12 feet between floor levels or landings. -- Sec. 1009.6 l_ ~~.o ~ ~K)..\ fl... ~ Page # 11 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET STAIRWAY ENCLOSURES: 1. Stairways are required to be in 1 hour fire resistive exit enclosures. -- Sec. 1019.1 Exception 4: Stairways that are not a required means of egress element only need to comply with shaft enclosure requirements in Section 707.2 See Exception 2 to shaft enclosures in Section 707.2 Exception 7 in Section 707.2, Not required if: 7.1 Does not connect more than two stories. 7.3 Is not concealed. Exception 8: 50 percent of egress stairways serving one adjacent floor are not required to be enclosed, provided at least two means of egress are provided from both floors. Exception 9: Stairways serving on the first and second stories are not required to be enclosed, provided at least two means of egress are provided from both floors served by the unenclosed stairways. 2. The openings into the exit enclosure are required to be 1 hour fire assemblies. -- Table 715.3 Openings into enclosure are limited to those necessary for exit access to the enclosure from normally occupied spaces and for egress from the enclosure. -- Sec. 1019.1.1 Doors shall be self-closing or automatic closing. -- Sec. 715.3.7 3. Exit enclosure must discharge directly to the exterior of the building. -- Sec. 1023.1 Exception 1: 50 percent of the number and capacity may exit through areas on the level of discharge provided all of the following are met: 1.1 There is a free and unobstructed way to the exterior that is readily visible and identifiable form the exit enclosure. Exception 2: 50 percent of the number and capacity may exit through a vestibule provided all of the following are met: 2.2 The depth from the exterior of the building is not greater than 10 feet and the length is not greater than 30 feet. 2.3 The vestibule is separated from the remainder of the level of exit discharge by construction providing at least the equivalent of approved wired glass in steel frames. 2.4 The vestibule is used only for means of egress and exits directly to the outside. 1- Page # 12 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET 4. The walls and soffits within enclosed usable spaces under stairways shall be protected by 1 hour fire resistant construction. Access to the enclosed usable space shall not be directly from within the stair enclosure. -- Sec. 1019.1.5 -- Sec. 1019.5 RAMP REQUIREMENTS: 1. The minimum width is 44 inches. If a ramp serves an occupant load of 50 or less, it may be 36 inches wide. If the ramp is serving a high occupant load, check exit table above for required width. -- Sec. 1010.5.1 & 1016.2, Exception 2 2. If the ramp is part of the means of egress, the maximum slope is 1:12. All other ramps may have a slope of 1:8 or less. -- Sec. 1010.2 3. The rise for any ramp shall be 30 inches maximum. -- Sec. 1010.4 4. Landings shall be provided at the top, bottom, points of turning and at doors. -- Sec. 1010.6 Landings shall have a length of at least 5 feet in the direction of travel. -- Sec. 1010.6.3 Where changes in direction of travel occur at landings, the landing shall be 60 inches by 60 inches minimum. -- Sec. 1010.6.4 5. The surface shall of slip-resistant materials that are securely attached. -- Sec. 1010.7.1 6. Handrails shall be per stair requirements. -- Sec. 1010.8 A rail shall be mounted below the handrail 17 to 19 inches above the ramp or landing surface. -- Sec. 1010.9.1 7. A curb or barrier shall be provided that prevents the passage of a 4-inch diameter sphere, where any portion of the sphere is within 4 inches of the floor or ground surface. -- Sec. 1010.9.2 EXIT ACCESS TRAVEL DISTANCE: The maximum travel distance in Group B is 300 feet. -- Table 1015.1 Page # 13 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET BUILDING ACCESSIBILITY 1. In addition to accessible entrances required by Sections 1105.1.1 through 1105.1.6, at least 50 percent of all public entr~ces ,',,- ~ A f'\ ... shall be accessible. - - Sec. 1105.1 VI ~ ~,'I1\fe,..u)~ (p ~~ I 2. At least one accessible entrance shall be provided to eac tenant, ~ J&D\~ \' dwelling unit and sleeping unit in a facility. -- Sec. 1105.1.6 . U ~ 3. Where parking is provided, accessible parking spaces hall be provided ~ in compliance with Table 1106.1 -- Sec. 1106.1 ~~ 4. At least one accessible route shall connect each accessible level. ,QU -- Sec. 1104.4 See exceptions. ~~ 5. Accessible routes shall coincide with or be located in the same area as a general circulation path. Where the circulation path is interior, the accessible route shall also be interior. -- Sec. 1104.5 6. On floors where drinking fountains are provided, at least 50 percent, but not less than one fountain shall be accessible. -- Sec. 1109.5 7. ADA title 3 technical assistance manual (covering public accomodations and commercial facilities) A "professional office of health care provider" is a location where state regulated professionals provides physical or mental health services to the public. The ADA's elevator exemption does not apply to buildings housing the offices of a health care provider. ROOFING REQUIREMENTS: 1. The roofing on this building is required to be Class C. -- Table 1505.1 Roofing may be of No.1 cedar or redwood shakes and No.1 shingles. -- Exception c Page # 14 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET LIGHT AND VENTILATION 1. Every space intended for human occupancy shall be provided with natural light. The minimum net glazed area shall not be less than 8% of the floor area. -- Sec. 1205.1 and 1205.2 Any room is permitted to be considered as a portion of an adjoining room where one half of the area of the common wall is open and unobstructed and provided not less than one tenth of the floor area or 25 square feet, whichever is greater. -- Sec. 1205.2.1 Artificial light shall be provided that is adequate to provide an average illumination of 10 foot candles over the area of the room at a height of 30 inches above the floor. -- Sec. 1205.3 2. Natural ventilation of an occupied space shall be through windows, doors, louvers or other openings to the outdoors. -- Sec. 1203.4 The minimum openable area to the outdoors shall be 4 percent of the floor area. -- Sec. 1203.4.1 Any room is permitted to be considered as a portion of an adjoining room where unobstructed openings are provided that have an area not less than 8% of the floor area of the interior room but no less than 25 square feet. -- Sec. 1202.3.1.1 When openings are below grade, clear space measured perpendicular to the opening shall be one and one half times the depth of the opening. -- Sec. 1203.4.1.2 3. Rooms containing bathtubs, showers, spas and similar bathing fixtures shall be mechanically ventilated As per the 2003 Washington State Ventilation and Indoor Air Quality code. CEILING HEIGHTS: Occupiable spaces, habitable spaces and corridors shall have a ceiling height of not less than 7 feet 6 inches. Bathrooms, toilet rooms, kitchens, storage rooms and laundry rooms shall be permitted to have a ceiling height of not less than 7 feet. -- Sec. 1208.2 ~- Page # 15 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET WALL AND CEILING FINISH: 1. Wall and ceiling finish materials are required to comply with Sec. 803.5 and Table 803.5. 2. Textile wall coverings shall have Class A flame spread index and shall be protected by automatic sprinklers or meet the criteria in Section 803.6.1.1 or 803.6.1.2. -- Sec. 803.6.1 3. Carpet and similar textile materials used as a ceiling shall have a Class A flame spread index and be protected by automatic sprinklers. -- Sec. 803.6.2 4. Expanded vinyl wall coverings shall comply with the requirements for textile wall and ceiling materials. -- Sec. 803.7 5. Toilet room floors shall have a smooth, hard nonabsorbent surface that extends upward onto the walls at least 6 inches. -- Sec. 1210.1 6. Walls within 2 feet of urinals and water closets shall have a smooth, hard nonabsorbent surface, to a height of 4 feet above the floor. -- Sec. 1210.2 INSULATION NOTES: 1. Insulating materials shall have a flame-spread rating of no more than 25 and a smoke developed index of not more than 450. -- Sec. 719.2 (concealed installation) and Sec. 719.3 (exposed installation) 2. Where such materials are installed in concealed spaces, the flame spread and smoke developed limitations do not apply to facings, coverings and layers of reflective foil that are installed behind and in substantial contact with the unexposed surface of the ceiling, wall or floor finish. -- Sec. 719.2.1 Foam plastic insulations are required to be protected. -- Sec. 2603 ADDITIONAL REQUIREMENTS: For B occupancy Page # 16 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET ACCESSIBLE FACILITIES: NOTE: Except as noted, section numbers listed below are from ANSI Al17.1-2003 AND CHAPTER 11 OF THE 2003 INTERNATIONAL BUILDING CODE WATER FOUNTAINS AND WATER COOLERS: Accessible units must comply with the following: 1. Spout is to be within 36 inches of the floor. -- Sec. 602.4 2. Spout arranged for parallel approach shall be located 3 1/2 inches maximum from the front edge. Units with a forward approach shall have the spout 15 inches minimum from the vertical support and 5 inches maximum from the front edge of the unit. -- Sec. 602.5 3. Spouts shall provide a flow of water 4 inches height minimum. -- Sec. 602.6 TOILET FACILITIES: 1. A 60 inch diameter turning space or T-shaped space is required in the toilet room. -- Sec. 603.2.1 and 304.3 Doors shall not swing into the clear floor space for any fixture. 603.2.3 See exception for rooms used for individual use. 2. Water closet shall be mounted adjacent to a side wall or partition. The distance from the side wall or partition to the centerline of the water closet shall be 16 to 18 in. Sec. 604.2 3. When the accessible water closet is not in a compartment: Clearance around the water closet shall be 60 inches minimum, measured perpendicular to the side wall, and 56 inches minimum, measured perpendicular to the rear wall. -- Sec. 604.3.1 4. When the accessible water closet is in a compartment: Wheelchair accessible compartments shall be 60 inches wide minimum measured perpendicular to the side wall, and 56 inches deep minimum for wall hung water closets and 59 inches deep for floor mounted water closets, measured perpendicular to the rear wall. -- Sec. 604.8.1.1 Compartment doors shall not swing into the minimum required compartment area. -- Sec. 604.8.1.2 Page # 17 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET 5. Grab bars shall have a circular cross section with a diameter of 1 1/4 inch minimum and 2 inches maximum, o~ shall provide equivalent graspability. -- Sec. 609.2 The space between the wall and the grab bar shall be 1 1/2 inches. Sec. 609.3 Grab bars shall be mounted in a horizontal position 33 inches minimum and 36 inches maximum above the floor. -- Sec. 609.4 a. Side wall grab bars are required to start within 12 inches of the backwall and extend to 54 inches from the back wall. (The minimum length of the bar is 42 in) -- Sec. 604.5.1 b. The rear bar shall be 24 in long minimum, centered on the water closet. Where space permits, the bar shall be 36 in long minimum, with the additional length provided on the transfer side. -- Sec. 604.5.2 6. The top of the water closet seats shall be 17 to 19 inches above the floor. -- Sec. 604.4 7. Accessible urinals shall be of the stall type or wall hung with the rim at 17 inches maximum above the floor. Sec. 605.2 8. Accessible lavatories shall be mounted with the rim 34 inches maximum above the floor. -- Sec. 606.3 9. Sinks shall be 6 1/2 inches deep maximum. -- Sec. 606.5 10. Water supply and drain pipes under lavatories shall be insulated or otherwise treated to protect against contact. -- Sec. 606.6 11. Mirrors shall be mounted with the bottom edge of the reflecting surface 40 inches maximum above the floor. -- Sec. 603.3 FIXTURE COUNT TABLE: NAME NUMBER RATIO WATER CLOSETS LAVS TUB DRINKING OCC M/F MALE FEMALE M F SHOWER FOUNTAIN --------------------------------------------------------------------- 2nd. floor Office 20 SO/50 1 1 1 1 0 1 Ratio = 1 per 15 15 30 30 100 TOTAL FOR FLOOR 1 1 1 1 0 1 1st. floor Office 59 SO/50 2 2 1 1 0 1 Ratio = 1 per 15 15 30 30 100 TOTAL FOR FLOOR 2 2 1 1 0 1 Page # 18 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET BUILDING TOTAL 3 3 2 2 0 International Plumbing Code Section 403 and Table 403.1 2 In each bathroom or toilet room, urinals shall not be substituted for more than 67 percent of the required water closets. -- IPC Sec. 419.2 NOTE: The number of fixtures for a floor may not match total number of fixtures per area. The number of fixtures for the building may not match the total for the floors. The number of fixtures for each area and floor are rounded up to the next whole number. Totals are not rounded up until the total is obtained. If the fixtures only serve an area, use number shown for each area. If the fixtures serve an entire floor or building, use number shown for totals. Septic system or sewer connection required PEDESTRIAN WALKWAY: -- Sec. 3104 1. The pedestrian walkway shall be of noncombustible construction. -- Sec. 3104.3 Exception: Combustible construction is permitted when buildings are combustible construction. 2. Walkway shall be separated from the interior of buildings by fire barrier walls with a fire-resistive rating of not less than 2 hours. -- Sec. 3104.5 Exceptions: 1. The distance between buildings is greater than 10 feet and the walkway and both buildings have an automatic sprinkler system per NFPA 13. See exception for glass requirements. 2. The distance between buildings is greater than 10 feet and the sidewalls of the walkway is at least 50% open. 3. Walkway is not required to be separated when buildings are on the same lot are treated as one building per Section 503.1.3. 3. The unobstructed width of pedestrian walkways shall not be less than 36 inches. The total width shall not exceed 30 feet. -- Sec. 3104.8 4. The length of exit access travel shall not exceed 200 feet. -- Sec. 3104.9 Exceptions: 1. If walkway has an automatic sprinkler system, length shall not exceed 250 feet. 2. If both sides are at least 50 percent open, length shall not exceed 300 feet. 3. If walkway has an automatic sprinkler system and both sides are open 50 percent or more, length shall not exceed 400 feet. 5. Smoke and heat venting shall be provided for enclosed walkways. -- Sec. 3104.11 ~ " Page # 19 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET GLAZING REQUIREMENTS All glazing in hazardous locations is required to be of safety glazing material. -- Sec. 2406.1 Locations: Sec. 2406.3 1. Glazing in swinging doors except jalousies. 2. Glazing in fixed and sliding panels of sliding patio door assemblies and panels in sliding and bifold closet door assemblies. 3. Glazing in storm doors. 4. Glazing in all unframed swinging doors. 5. Glazing in doors and enclosures for hot tubs, whirlpools, saunas, steam rooms, bathtubs and showers. Glazing in any portion of a building wall enclosing these compartments where the bottom exposed edge of the glazing is less than 60 inches above a standing surface. 6. Glazing in fixed or operable panels adjacent to a door where the nearest exposed edge of the glazing is within a 24-inch arc of either vertical edge of the door in a closed position and where the bottom exposed edge of the glazing is less than 60 inches above the walking surface. Exception: Panels where there is an intervening wall or other permanent barrier between the door and glazing. 7. Glazing in an individual fixed or operable panel, other than those locations described in items 5 and 6 above, than meets all of the following conditions: 7.1 Exposed area of an individual pane greater than 9 square feet. 7.2 Exposed bottom edge less than 18 inches above the floor. 7.3 Exposed top edge greater than 36 inches above the floor. 7.4 One or more walking surfaces within 36 inches horizontally of the plane of the glazing. See Exceptions. 8. Glazing in guards and railings regardless of the area or height above a walking surface. 9. Glazing in walls and fences enclosing indoor and outdoor swimming pools, hot tubs and spas where all of the following are present: 9.1 The bottom edges of the glazing on the pool or spa side is less than 60 inches above the walking surface. 9.2 The glazing is within 60 inches of the water's edge. 10. Glazing adjacent to stairways, landings and ramps within 36 inches horizontally of a walking surface when the glass is less than 60 inches above the plane of the walking surface. 11. Glazing adjacent to stairways within 60 inches horizontally of the bottom tread of a stairway in any direction when the exposed glass is less than 60 inches above the nose of the tread. See Exceptions. Page # 20 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET CRAWLSPACE REQUIREMENTS: 1. Ventilation openings are required and shall be placed so as to provide cross-ventilation of the under-floor space. -- Sec. 1202.3 The minimum area net area of ventilation shall not be less than 1 square foot for each 150 square feet of crawl space area. -- Sec. 1202.3.1 Exception 2: Vent openings may be reduced to 1/1500 where the ground surface is treated with an approved vapor barrier material. Vents may have operable louvers. Exception 3: Vents may be omitted when continuously operated mechanical ventilation is provides 1.0 cfm for each 50 square feet of crawl space and the ground surface is covered with an approved vapor retarder. Exception 4: Ventilation openings are not required when the ground surface is covered with a vapor retarder, the perimeter walls are insulated and the space is conditioned per the IECC. 2. Provide an access opening not less than 18 inches by 24 inches to the crawl space area. -- Sec. 1209.1 Note: Opening may be required to be larger if mechanical equipment is located in the crawl space. -- Sec. 1209.3 3. Unless the wood is listed as an approved wood of natural resistance to decay or treated wood, the minimum clearance between exposed earth and floor joist is 18 inches. The minimum clearance to beams and girders is 12 inches. -- Sec. 2304.11.2.1 ATTIC REQUIREMENTS: 1. Provide an access to all attic areas with a clear height over 30 inches. The minimum size is 20 inches by 30 inches. There must be 30 inches or more clear height above the access. -- Sec. 1209.2 Note: Opening may be required to be larger if mechanical equipment is located in the attic space. See the International Mechanical Code -- Sec. 1209.3 2. Provide cross ventilation in all attic areas. The net free vent area shall not be less than 1 square foot for each 150 square feet of attic area with 50% of the required ventilating area provided by ventilators located in the upper portion of the space at least 3 feet above eave or cornice vents. -- Sec. 1203.2 Exception : The minimum vent area may be 1/300 if a vapor retarder having a transmission rate not exceeding 1 perm is installed on the warm side of the attic insulation and 50 percent of the required vent area is located in the upper portion of the space at least 3 feet above eave or cornice vents. .. Page # 21 Code review for: Project Id.: DR. IRWIN DENTAL OFFICE Address: 614 E 8TH STREET Is the surface sloped toward a floor drain and does the plans show a trap primer , I PORT ANGELES FIRE DEPARTMENT PLAN REVIEW Project Name: Irwin Dental Building Address: Eighth Street Plan # 06-21 I Com [g] Residential D I Date: 9.21.2006 We have checked this plan and find that it conforms to the requirements of our codes and ordinances, with the following comments: 1) A fire sprinkler system is required for this building. Separate fire sprinkler plans are required. 2) A fire alarm system is required for the building. Separate fire alarm plans are required. 3) A KNOX locking keybox is required for the building. Contact the Fire Department for a KNOX order form and also for mounting location. 4) The room containing the sprinkler riser must be labeled "Sprinkler Room." 5) The room containing the fire alarm control panel must be labeled "F ACP." 6) The doors separating the rated stairway must be either normally closed or held open with magnetic closers connected to the fire alarm system. 7) Ideally, the fire extinguisher located on the second floor should be located closer to the top of the stairs. 8) According to IRe section 1018.2, the second floor of this building must be served by two exits. NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by: ~.LW Date: ~'21.0.b ~ D D Building Department Copy Contractor/ Owner Copy Fire Department Copy \) \S' , ~ \j\ ~ ~ ~ ~ l~ ~ ~~~ ~- ~L. - ~ - - " .J -- n BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agenk.~? ~<II':>J7.6:" I).pA.l ~/ - (P~ 7, Owner: 7~ llZpv{nJ 7 Phone: '15'1-?2 ~l Phone: Address: Architect/Engineer: Contracto011 u..... ~ -'- f'-..-.,..rz.1 Address: City: Zip: Phone: State License #t:JI(A~_~~ , City: Exp: Jja.r Phone:fS2J2 r,l Zip: ZONING: PROJECT ADDRESS: ? 20 fi ;?t'^- LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: TYPE OF WORK: D Residential D New Constr. D Re-roof D Stove D Multi-family D Addition 0 MoveD Garage o Commercial D Remodel 0 Demolition D Deck D Repair )( Sign D Other BRIEF DESCRIPTION OF THE PROJECT: 7~. ~~-' SlAt-{.t::>~)("~ SIZEN ALUATION: SF. @$ /SF. "" $ SF. @ $ /SF. "" $ SF. @ $ /SF. "" $ TOTAL VALUATION $ 2CO '/af c~~ 97'# 3J6/'~ Construction Type: "" TOTAL Sq. Ft. 1 -I COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. ' EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. -The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same 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 ,not the City's, and that I must obtain such permits prior to work.. .--- f T:\FORMS\BldgPermitform,wpd Apphcant: i {/1......, -: ~ Date: /2/(, Ib ~ / . I Permit # 0 ~ - '3 3 Y Project Address (020 ~ ~ <;{+h S+ Project Name 'T"JJ, , :J:. r(J.J; V\ \Je.N'v{al CL\ h. r c... " 7 .()."R. v l-ltt ~> ~\7 \ S(o '( \e)\ \'~~ . --S.,"', ~'7~: ~ ;'" CO'~o\ ,/ 12.. ~ent fo..ns Ov v:>;' rof.SIl ~o~ ff'''' ~'*-<;. b tI HI/ I"C 3 uni-l-s 100- 0C;) 'aU? cp-r<" \}J().;0~ ~'0 I .~.t\~ v DYO,Po..ne. -R~(lce -J()v\\ 'iov ~(~~~. ~~\"oj) , , V~ :~. ~",,, ;~.,l'e- "'~ J):' ~f)J . ~ O:'1k ~R ->('0e. <(l')uvJ. ~ fJ" ~ ,\. -\I) v Hot- ~(l H",,-.\eY- ~e>r0) ~ ~ ~ ~ v '(\ ~\~\4 W \f\v...S 1 o.-{''!> ~ UY\~ ~~'f' ~ oV' ~c-~ ~& <]~".jv -<\>1'" '\\ C; cY{\ ~eJf) ~\ G PERMIT MECHANICAL PERMIT V r /Zl!--lJ~~ qIJfjr;'b .r$$,~D e~cl.u~ BUldilNG PERMIT - APPLICATION / I Fill out COMPLETELY and in INK. Your application and site plan MUST BE \'2. (7 07 COMPLETE to be accepted for review. If you have any questions, caD Per Ca..\\ 10 br, :J:t"wil'\ PERMITS(360)417-481S FAX(360)417-4711 -fO ~ C () f 0 US" N 0Lt'Y\e :. 'Ir w \ n \)en,-+o...\ C~'\-w owner :. 10 Applicant or Agent: \ T~s...... ~~ I"tll..v~~ r.,~Phone: '152- 8~1 Owner: .p i2... .~..?' I /2-.h)1 H Phone: Lt~. 2.0 lD 4- Address: Lf24 /Z ~ 97 City:,f6fl"l A-rv€J~-> Zip: 9K3"2.. ArchitectlEngineer: Jf/J;-J c, / V I ?~fZYZ- Phone: If i'J 3- .5Y3 "7"7 ~ / Contractor MIl.(.",~ _ tb..1>"7 kv( .-State License #tJ.IUAXAn~,f\A It Exp: )/07 Phone:lt5 2- bz.e \ Address: I1"JCf ~~.~ City.f1,n-r8tJ:,r1f.l4<; Zip: 'lPft2.. PROJECTADDRES '_~fZ g'tv\.~Z_~ ZONING: LEGAL DESCRIPTION: . Block: Subdivision: CLALLAMCOUNTYPARCELNUMBER: 0&'3000 n,27~2.0) 0,2/32~) o<P:>OqC{ OJ)3Zb TYPE OF WORK: SIZENALUATION: D Residential D New Constr. D Re~roof D Stove SF. @ $...."".- ISF. = $ D Multi-family D Addition D MoveD Garage 7t=17..3 SF. @$ j 2S" ISF. = $ ~ Commercial D Remodel 0 Demolition D Deck SF. @$ ISF. = $ o Repair 0 Sign D Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: pl$fA(Jl-l":>y\- ~ .~ ')<=.,~5- p t2 8f\-- Jh'\JtQ L.-erv57"'~ .;7 NZ.\.J J1.~hf--..' ~('.;t:. qq~ (,zs ?94 (pZS;- fc f L.l.J- It 7 f) COMMERCIALlRESIDENTIAL: Occupancy Group: B No. of Stories: 1- Lot Size: Z.~':->72? Existing Sq. Ft. Total lot coverage 2-L-f % Occupant Load: Construction Type: & Proposed Sq. Ft..5t1lf'> = TOTAL Sq. Ft.Sq'l3 PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes D No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be troe and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. .' T:\FORMS\BldgPermitAppl..wpd Applicant: .j CA/vvu./J ;:;- s.. L u!v-- ~ ~~~ 4y() ~ ~~ (oK Date: alVt Jo(P I I fO ~ <=--' \ ""'" ~~ S~') <{ j. ( J( ;;'0.",0 I J!V IJ'I) 9 \&10 ~ o E~ ~~ "'....0 t ~ :6 '" '" \' tn c::> - o (1\ , ~ , ~ ~ E ~ " "1j :P E ~ -t:) 00 '^' 0' ('J ~ ~ORT ~ I~O~.y~ G~~ "-~ ~ "4i-;;;;--~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Appl~cation pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appl~cat~on type description Subdivision Name Property Use Property zon~ng . . . Applicat~on valuation 06-00000808 Date 12/05/06 742456 620 E 8TH ST 06-30-00-0-2-7320-0000- DR. TODD IRWIN DEMOLITION o cs- \ oQ a ~ COMMERCIAL NEIGHBORHOOD 1500 Owner Contractor IRWIN, TODD R / MARY A 426 E. 8TH STREET PORT ANGELES WA 983623630 MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES WA 98362 (360) 452-8281 Permit . . . . . Add~tional desc . Perm~t p~n number Perm~t Fee Issue Date Exp~ration Date DEMOLITION 85423 50.00 11/09/06 5/08/07 plan Check Fee Valuation .00 o Qty Un~t Charge Per BASE FEE Extens~on 50.00 <s-- ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 {\) < 0(:) $- ~ /:: ~ ~ ~ r? ?~ ~ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate 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 wlthm 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 compiled with whether specified herein or not. The grantmg of a permit does not presume to give authonty to violate or cancel the provIsions of any state or local law regulating construction or the performance of construction ! gnature of Contractor or Authorized Agent Signature of Owner (if owner IS builder) Date T \Pohcles\] 102_15 bUlldmg penmt mspectlOn record05 wpd [1/4/2005] " ... BUll,DING 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 UN LA WFUL 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 FOUNDATION. FOOTINGS SHEAR WALLS/WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLOG) SHOWER PAN FINAL DATE ACCEPTED BY MEDICAL GAS LINE AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALLIHOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (rNTSRIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING I>EPT SEPARATE PERMIT#'s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE' FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W./ PW / CONSTRUCTION - R. W ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING ofol/c,/tl7- ::r L-L- ~ " ~ ~ T \pohcles\ll 02_1 5 bm1dmg penmt mspectJon record05 wpd [1/4/2005] PREPARED 6/15/07, 10.18,23 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 4 6/15/07 -------------------------~---------------------------------------------------------------------- ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . . . APPL NUMBER 620 E 8TH ST DR TODD IRWIN MILL CREEK CONSTRUCTION IRWIN, TODD R / MARY A 06-30-00-0-2-7 06-0000080 EMOLITION SUBDIV PERMIT: DEMO 00 DEMOLI REQUESTED TYP/SQ COMPLETED PHONE PHONE (360) 452-8281 ------------------------------------------------------------------------------------------------ BL99 01 -w -------------------------------------- COMMENTS 6/15/07 PM LPANGRLE 1'I1,,~1\t CAN CLOSE THIS PERMIT THANKS. ~~ l? OF 610, 614, &_ 620 E 8TH $O,,-<6D l> AND NOTES ----------------------________________ \ \to ~~\ ~y;(J ~~ ~ BLDG FINAL 06/14/2007 02 43 PLEASE FINAL, SO I BLDG FINAL - DEMO b P- r IIO-R; '1l'Ji"1'~NG7' EL' E"IS~i l,p' 'I~.I! 1 I I' ,;11 Ii I' .# -- -- _J . --- - - --' ,b ! ~-- . .. WAS H I N G TON, U. S. A. Public Works & Utilities Department December 5, 2006 Mill Creek Construction 4619 Old Mill Road Port Angeles, W A 98362 RE: Port Angeles Landfill Waste Disposal Application, WDA 06-39; Building material at 614 And 620 East 8th Street, Port Angeles, W A We have received your application for disposal of building demolition debris from the referenced site and reviewed the testing results. Based on the testing results the debris appears to be acceptable for use in the landfill. A copy of your approved application is attached. This approved application must be shown to the landfill scale attendant at the time of disposal. Please be advised that this disposal application is only for the materials and quantities listed in' the application. Materials not listed or in excess of the quantities noted may require separate applications and approval. Please call if you have questions. Very truly yours, ~ J/~ ~o;--- Gary W. Kenworthy, P.E. City Engineer Deputy Director of Engineering Services GWKtf End WDA 06-39 Copy Ken Loglny N IPWKSIENGINEER\WDAPPLIC\06-39WPD FILE Landfill Sohd Waste DIsposal ApphcatlOns Phone: 360-417-4805 / Fax: 360-417-4542 Website' www.cityofpa.us / Email: publlcworks@cltyofpa.us 321 East Fifth Street - P.O. Box 1150/ Port Angeles, WA 98362-0217 Dee 05 06 11:53a James Sehou~en 08/25/2006 FRI 09:01 FAX 360 452 0292 p.2 flJ 001 ~ ~ PORTANCELESLAND~~ WASTE DISPOSAL APPUCATION cCo....39 To: City gf Port Angeles. City Engineer 321 E Fifth Street P.O. Box 1150 Port Angeles, Washington 98362 Phone; (360)417-4803 FAX: (360) 417-4709 NOTE: AU questions must be answered for waste to be approved. 1. Generator Information: Company N~rne; Mairir'lg Address; I1IIAJ~JL.(~7 lJ'~lCf ~ MJI ~.J' fZ.c? 16n_"1' A-~~( WA- 9P"!42- J~~~J4.1 ~~-r~l ~O-".?,,.B frnJI'l& /f4.JlrJ R~~ ('.L4~ (' _ c-l'1 t$ $11'\. >?- ..! f.t z 0 Contact: Phone: Project Name: Project Location: 2. Other Contacts (it applicable): Consulting Firm: Cont:iiilct: Phone: Contractor Name: Cont3ct: Phone: Laboratory; Contact: Phone: .,....----......- City or Port Angeles - LanGnJl WlI$te Disposal Application Page - 1 Dee 05 06 11:53a James Schou~en 08125/2006 FRI 09:02 FAX 360 452 0292 p.3 IgJ UU;I; r:--s;urce of Waste: Check the appropriate bOx below and briefly describe the project, process. 3nc1lor deanup that will or has procll.lccd the waste requiring disposal. Include the gasoline seJVice station number (if applicable). CERCl.AIMTCA Remediation Independent Remedial ActiOn Agency Contact: UST Removal Unusod Chemical Product Spill _ other Source: -ri?..At'L~ b ,~rJ f1V Z~ Cf...dt:7 ~....c.,..l- f-AaArr,t'!:" <.. 4. Waste Millterial CompoGition: (cneck all that apply and indl.lde percent of tOlal) Soil CoI"lcrf)tc/Asphalt Pfeserved Wood Coal A:sh Wood Ash _% _ Foundry Slag - % .....1.f2 % _ Dredge Sediments _% - % ~ Debris % - - % ~ Ottler (list) _% I _l ) f"'... c. F ,/L !isL % " - % NO.!E: Total must equal 100%. 5. Waste Material Contaminants: (check all that apply) Gasoline Solvents Unused Motor Oil OUll~r Metals _ Heating Oil _ Used MOlor Oil/Waste Oil _ Other Petroleum Pl'Odud Diesel PCBs Unknown NOTE~ Supply any MSDS information with application, if available. City of Port Angeles ~ Landfill WiiI$fa Dlspoul Application ps:ago _ :2 Dee 05 06 11:53a James Schou~en 09/BS/2eaG 07:~9 4521422 360 452 0292 EDEN'EXCAVATIN~ INC p.4 PAGE 1:1:2 ... uu" 8_ e!Mi........ Q..~ GIf w.... nw Ch.-="..: '3::=0 CubIc y8f'Ga I OIvm. , ~ Tona C.sCirftIM.. both) Tom. (cac;I'nII18 Dottt) ~r NO'll!!: ~ q~ fDr.... ....,......... wiII'lirl 20% or tM qu.ntilY _ClUe'ly dbposed. "0% fDr projecb ower 7.SOO lGfla or ~.aoa cutlfc yard,.) r "....-.-. .._-, L One hme _ Moml'lly Annual _ 01fte, 8- w... .......... Pn:IpBr ~~an of 1Ile ....e fOr CI'pos.t nrqulnul the ('.DIlec:lion Of ntptUentafiwre ..m,.... -n. mM~ and equiptftlll'ft ~7 for obtaI"'nU ~l'Ib1tive samples of . ..... tWIll'" fNQu8ncy Of SMtplinQ. _II .., wfttIlPle Iyp8 and t'ol'm of ""e WlUW. ~ thu ...~ bale.. ... ~Ibu '-.'"' ...... ... ...... WIIS ..mptecf, (nduele site mapa ..... ..mpling tDc......,a If PQUIDIe. Number of COMPOSITE ..".1.. _ a numbw' of dl~ sampJo::J per compo... _ Number r:iI DISCRETE umpMtl _ . ~ - NO~ 1: UrI.... pOor 1IpP11lI..' ft.. ~ e...m.d bV Por'l Angeles, IP\e tOlIOM"U ~pli"g "'-quency will be uaoc:l: , ccnnpo.... ''''ple 3 gan'J~le 501Intpl- S- ClDfl'\pDstt. .....pies 7 CIClmPOsfte "MPles 10 c:ampasi'le umples 10 """', Oft.. s.mJ>>'. for 88CIh eddlUMClI SOO ~c yards NOTe z; en. COtnpOllite .....p.. .hall c:onIIlin . minimum at IY8l11mmdmum of fiye disclWt. SIImplcs. 0-25 2S - 100 101 . ~OD S01 .1000 100' - 2000 ~2000 cutlfc v-ds cubic: prd. o..be yaras eubic )<<CIs cubic prds cuDlc ,.rds ... . = ~ :::I . CIfw ofPvI1A11geI_ - Wndfill W_ ~I ~ PlIl88 3 De~ 05 06 11:56a James Schoueen ua'~~I~UUO ~K! uu:ua rAX 360 452 0292 p.l raJ 005 12. CertmCiltio": We, THE UNDERSIGNED. certify that this application is tl'\.l8 to the best of Our knowledge. All infcrmation providecJ is COm!d and tI'1e enClosed analytical results represent the "roposed waste material to the best of our abilitilil.ll. 6~k"~ ..;;...-= - ~@ Generator ignaturo ~~~6 <;'-4dQ~ Printed Name At. (~.I J (' ~"~".L - C~ II' H'" -- , ~ Company pt1/rto Date N'\POUCY_~'C10iU5W\'l0Clll_O"'^'"=I City of Port Angeles - L.andfill Waste Disposal A~pliciltion PliIg_ - 5 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, OAlOC 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: b) Provide a narrative as to why the above analytical methods were selected: NOTE: Additional sheets attached: YES NO 10. Soil Classification: (**FOR PETROLEUM CONTAMINATED SOILS ONLY**) Based on the analytical data and Ecology Publication #91-30, the soil classification is: (check one) Class 1 Class 2 Class 3 Class 4 Calculated Hazard Index 11. Dangerous Waste Affidavit: 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 (OW) nor Extremely Hazardous Waste (EHW) Dangerous Waste (OW) and Waste Code: Extremely Hazardous Waste (EHW) and Waste Code: City of Port Angeles - Landfill Waste Disposal Application Page - 4 D~~ 05 06 11:54a James Schoueen 08/25/2006 FRI 09:03 FAX 360 452 0292 p.5 ~UU;) 12. certmcation: We. THE UNDERSIGNED. r;er1ity that this application is true to the b~st of our knowledge. All information provided is corred and the endosed analytical results represent the proposed waste material to the be.50t of our abilities. ~~~')~ W e Generator 'Si;nature ~~5 <;-~r&4J Pnnted Name 1-:1{~ ~ -' ('~,,~.,~ -- ~- Irrc -- Company t17/rto Oate Northwest Asbestos Consultants 406 Reed St. Port Townsend, W A 98368 360-385~0584 northwestasbestosconsultants(~cablespeed" com D~: 11/2/06 lob Location: 620 E. 8th St. Port Angeles, WA 98362 CQ.o.ta~t~: Jim Schouten Mill Creek Construction, Ine. 4619 Old Mill Rd. Port Angeles, WA 98362 SUQject: Regards to re-inspection; The purpose of re-inspection after ACBM was removed by the abatement contractor, KD&S Environmental. This area that was noted on 8/29/06 inspection report has been abated. I find this building ready for demolition as according to the regulations of Olympic Region Clean Air Agency and EP A guidelines. Insvecror: ~ W~, Bob Witheridge EPA-AHERA - Building Inspector I Management Planner WAMOA",0042-1 02 7060 1 Expires- 10/27/07 eel Olympic Region Clean Air Agency City of Port Angeles Permit Center 2"d 2620 2SV 09E: ua~n04oS sawer e9S:11 90 SO oaa WASHINGTON ASSOCIATION of MAINTENANCE and OPERATIONS ADMINISTRATORS THIS IS TO CERTIFY THAT Bob Witheridge Participated in the EPA AHERA INSPECTOR, MANAGEMENT PLANNER Refresher Course offered by the WASHINGTON ASSOCIATION of MAINTENANCE and OPERATIONS ADMINISTRATORS - The full day training program covered all topics specified in the Model Accreditation Plan under Section 206 of Title II of TSCA The course was taken on October 27, 2006 in Silverdale. Washington_ Certificate #10270601 - Expiration October 27, 2007 ~p" Colin MacRae Course Administrator 2714 228th St. SE, Bothell, WA 98021 E-d 2620 2S;. 09E ua"J.nol.lOS sawe[" eLS:ll 90 SO oan .. Date: lob Location:- Contacts: Subiect: Inspector: Northwest Asbestos Consultants 406 Reed 8t. Port Townsend, W A 98368 360-385-0584 northwestasbestosconsultants@cablespeed.com 9/5/06 620 E. 8th St.. Port Angeles, WA 98362 Jim Schouten Mill Creek Construction, Inc. 4619 Old Mill Rd. Port Angeles, WA 98362 Demolition home and garage Bob Witheridge AHERA - Building inspector / Management Planner WAMOA - 0042-05 Expires - 10/12/06 Scope of work 1) Inspect for asbestos containing building materials (ACBM). 2) Survey, sample and record suspect materials. 3) Report to Jim Schouten of Mill Creek Construction, Inc. with results of testing by Northern Industrial Hygiene, Inc. 4) Copies for Jim Schouten, City of Port Angeles Permit Center, Olympic Region Clean Air Agency and on site for demolition. Inspection Report The inspection started with a visual survey looking for Asbestos Containing Building Material (ACBM). Two story wood frame home on cement and post and beam foundation. Forced air electric heat. No visible insulation. Composition roof and wood siding. Garage was a wood frame building on a cement slab and composition roof. There was no suspect of ACBM. Sample results are as follows: Sample #1: Exterior skirting. Sample #2: Laundry room floor vinyl with mastic. White with tan. Sample #3: Kitchen floor 'vinyl with mastic. Tan with gray. Sample #4: Bathroom floor vinyl with mastic. Top layer. Tan with brown. Sam.ple #5: Bathroom floor vinyl with mastic. Bottom layer. Green and white pebble pattern. San::J,ple #6: Plaster Samples were sent to lab. See results. ASBESTOS BULK SAMPLE DATA Northwest Asbestos Consultants 406 Reed St. Port Townsend, WA 9-8368 360-385-0584 northwestasbestosconsultants@cablespeed.com To Northern Industrial Hygiene, Inc. ~ 8/29/06 Tob Location: 620 E. 8th St. Port Angeles, WA 98362 Contacts: Jim Schouten Mill Creek Construction, Inc. 4619 Old-Mill Rd.- Port Angeles, WA 98362 Sample #1: Exterior skirting. SamJ,1le #2: Laundry room flOOT vinyl with mastic. White with tan. Sample #3: Kitchen floor vinyl with mastic. Tan with gray. Sample #4: Bathroom floor vinyl with mastic. Top layer. Tan with brown. Sample #5: Bathroom floor vinyl with mastic. Bottom layer. Green and white pebble pattern. Sample #6: Plaster Inspector: Bob Witheridge AHERA - Building Inspector / Management Planner WAMOA - 0042-05 Expires - 10/12/06 Please call with test results when completed. See attachment. Thank you, ~~W~ Bob With;;idge, E~M [~_ .J 215 SW 153rd Street Burien, WA 98166 OFFICE: (206) 988-1746 FAX: (206) 888-1978 EMAIL: nlhlnC@eS(:helon.com NVLAP# 200511-0 Bulk Asbestos Analysis Report Notlt\w$st As~ Contuttants 40& Reed Stfttet Port Townsend, WA 9838t-kfh_ Project locaIIon; 82lJ E. Reee sIiN( Port~. WA Client Sample Number. 1 Sample Desctlpt!on: Skirting Sample L~n: Exterior SamD1e COmments: NIH Batch Number: 01-00913 Client Job Number" Turn Around Time: 5 Day Samples Analyzed: 6 Lab Sample Number: CJ6.G0113.0001 I Off-white ribrous brittle material ~~st~~-~~: , ,Non-Asbestos Fibrous Components: '~~'1.ll.~'" ~~.. "-"~ -., <to ~" :H,* 9 ......~. )/."' (' ~...__..~ ... _ ~" ~ _ '" .r..::.-,.--~:.' _ ~ __'1,' Non.Flbrous Componems. 80% Filler and Binder Client Sample Number: 2 Sample Description: Floor VInyl with Mastic Sample location: Laundry Room GamoJe Comments: Lab Sample Number: 08-00913.0002 White and tan vinyl on white fibrous bacldna with off....1te residue Aabestos Fibrous Components: Non-AsbeStos Fibrous Components: Non-FIbrous Components: No Asbestos Detec:t8d 5% Fiberg/8s$ 60% Filler and BiJlder 35% Vinyl Filler and Binder Client Sample Number. 3 Sample Desaiplion: ROOf Vinyl wllb Mastic Sample LocatiOn: KItchen SamDle Comments; Lab Sample Number: CJ&.GOB13.0003 sampled by~ Bob Wltherldge Rec:eMd by: Radlel Melgoza Reviewed by: Jude Cummings (Sampe t~ eonllnued on next page.) =::: _r~ e~_~.=~ 8/llZOOI Jude Cummings, LaborutoryMfmager Pege1 '-, 215 SW 153rd Street Surien, WA 98166 OFFICE: (206) 988-1746 FAX: (206) 988-1978 EMAIL: nlhlnc@eschelon.com NVLAP# 200511-0 Bulk Asbestos Analysis Report Northwest Asbe.stos Consultants NIH Batch Number. 86-00913 406 Reed StrMt Client Job Number: Port Townsend, WA 93388- Tum Around TIme: 5 Day Project LocafJon: 620 ~ street. Po1t ArlgEJIs$. WA samples Analyzed: 6 Layer t Tan and gray vinyl wftb white fibrous babking and tan mastic AsbeStOS Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components; No Asbestos Detected 15% Cellulose 50% Filler and Binder 3596 Vin,- Fil/of" and Binder Layer 2 Pate-yellow vinyl with off-wbtte fibrous tIIac1dng and tan mldue AsbestoS Fibrous Compone.II.: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 18% Cellulose 47% Ftller and Binder 35% Vinyl Filler and Binder Client Sample Number. 4 sample Description: Floor Vinyl wRb Mastic: Sample Location: Ba1h1OOJl\ SamDIe Comments: Lab Sample Number: 08-00913.0004 .Off-whhB and brown vinyl with white fibrous badlng and brown nssldue ASbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Dl'lII8eted 18"" Cellulose <4796 Fdfer and Binder 5% Synth8UC 30'5& Vinyl Filler and Binder Client Sample Number: 5 sample oesctiption: FIDorVlnyl with MastIc Sample location: Bdlroom SamDle Comments- Lab Semple Number: 0&-00913.00QS ~ White and red mosaic palt8m vinyl wiIb white fibrouS bacling alld gray residue AsbeStDS Abmus COmponents: No...Asbestos Fibrous ComponenI.S: Non-Fibmus Componen1$: ~!:i~"~~~~ !,~} ~ 2% CelIufose 50'11. Filler and Binder 30% Vinyl Filler and Binder (SamPe resufta continued on next paga) s.mpted by: Bob Wi'lherklge Received by: Rachel Melgoza Reviewed by: Jude Cummings 1l2812C108 81301Z006 9151ZOOlS _'~r~_ .C-:_~~~~ Jude cummingS, LaboratoryManager Page 2 '~ 215 SW 153rd Street Burien, WA 98166 OFFICE: (206) 988-1746 FAX: (206) 988.1978 EMAIL: nlhlnc@eschelon.com NVLAP# 200511-0 Bulk Asbestos Analysis Report Client Sample Number: 6 Sample Description: Plaster Sample Location: Not Noted S8mo1e Comments: MH Batch Number: 06-00913 Client Job Number: Turn Around Time: I Day SampleS Analyzed: 6 Lab Sample Number. 0&-00913.0006 Nordlwest AsfJesto. Consultants 401 Reed Street Port Townsend, WA IIJ9r Project Location' 620 E_ RUr:J Strest. Pod AIIQ8IeB. WA Layer 1 White paint Asbestos Fibrous Components: No Asbestos Detected Layer 2 Pink gritty material AsbutDs Fibrous Components: No Asbestos Detected Non-ASbestos FibroUS ComponentS: Non-Flbrous Components; 100lM. PaInt NOn-Asbestos FibroUS components: Non-FIbrous Components: 35% Aggregate 55% Filler and Binder 10% Pertlte Layer" While gritty material Asbestos Fibrous Components: No Asbestos Detected Non-Asbestos Fibrous Components: 3% Cellulose Non-fibrous Components: 45CJC. Aggregate 42% F."ler and Binder 10% pel'llte Sampled by: Bob Wilheridge Received by; Rachel ""9_ Reviewed by: Jude Cummings 1I2tJ2OO6 813012OO6 tIII2I06 <+--'- e ~ Jude Cummings, UbOflltolJManager P8Q8 3 Summary of Inspection: This survey includes all areas of inspection with the report results from Northern Industrial Hygiene, Inc. Sample #1: Exterior skirting. 20% chrysotile asbestos. Sample #2: Laundry room floor vinyl with mastic. White with tan. No asbestos detected. Sample #3: Kitchen floor vinyl with mastic. Tan with gray. No asbestos detected. Sample #4: Bathroom floor vinyl with mastic. Top layer. Tan with brown. No asbestos detected. Samnle #5: Bathroom floor vinyl with mastic. Bottom layer. Green and white pebble pattern. 18% chrysotile asbestos. Sam.,ple .#6: Plaster No asbestos detected. All asbestos containing building materials with a reading of 1% or greater is to be removed by a certified abatement contractor which follows the rules of the EPA and governed by Olympic Region Clean Air Agency. During building demolition or remodeling, it is possible that additional suspect asbestos containing building material (ACBM) may be found with in a wall, floor, ceiling or other areas not accessible at the time of the survey. Should such suspect material be discovered an AHERA certified inspector will have to sample and test the material to prove it is of non-asbestos. Northwest Asbestos Consultants is not responsible for identification of hidden materials that are not identifiable with reasonable diligence. After the facility is completely cleaned out a walk through and inspection is required by the original AHERA building inspector (NW Asbestos) after abatement, then a copy of the letter certifying that abatement has been completed needs to be received by the Port Angeles Permit Center and Olympic Region Clean Air Agency. Thank you, 'B~Wl~f\LLo Bob With;ricig~ E-:F.lL , . . ~'e BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, caD PERMITS (360) 417-4815 FAX(360)417-471l. Applicant or Agent: \ TJarv\,trE:s..... ~'\1"'~ juf'II..l.../(~~ r:.-~~Ph~ne:' '1;52- B 2.-e1 Owner: J;> 12... ~~ I 12-h.J/ N Phone: '-f .:;:7, .zo ED 4- Address: Lf~ tz. ~ >7 City:;::gfl~ A(\fb~-> Zip: 9%3(,2- ArchitectJEngineer: l:fAj S / V i ':?~~ Phone: I, Ef 3. S?3 T7 / Contractor Mil.v~ _ ~,P'1' hl\/C ..-State License #t!J j U~n""tr,Iv.1r Exp: '7/'07 Phone:lt5Z, 6ze \ Address: I1fvJ9 Ot-it? ,M(,u.,.... f2-'~ City:fbn-rd,Jb~~ Zip: 9~r3f;2- PROJECT ADDRESS: r;./~ t;ZD 12 gtvlJ:.7 ~.. 1 .. "lit ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAMCOUNTYPARCELNUMBER: 0&'3000 i)-r7~2.0) 0;2/32-;-) O(P:?Oqq O~')37Cl OF WORK: ,0', ResIdentIal 0 New Constr. 0 Re-roof 0 Stove : D MultI-family 0 AddItlOn 0 Move 0 Garage o~,Commerclal 0 Remodel )\ DemolItlOn 0 Deck o Repair 0 SIgn 0 Other " BRIEF DESCRIPTION OF THE PROJECT. '~-M~'~-1)~ ffO~5 @./ ~/l.[ ~ C9zo fl ~dVL 57': SIZE/V ALUATION: SF.@$ /SF.=$ SF @ $ /SF. = $ SF. @ $ /SF = $ TOTAL VALUATION $ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft Construction Type' = TOTAL Sq. Ft No. of Stories' Lot SlZe. Total lot coverage EXlstmg Sq Ft. % PLANNING USE ONLY: ESA/W etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the applicant This figure will be revIewed and may be revIsed by the Buildmg DIvision to comply with current fee schedules. Contact the Penmt Coordmator at 417 -4815 for aSSIstance PLAN CHECK FEE: IF a plan check fee IS due It must be subrmtted at the tlille the building permit applicatlOn and COnstructlOn plans are subrrntted. All other penmt fees are due at the tlille of peTilllt Issuance. EXPIRATION OF PLAN REVIEW: If no peTilllt is Issued wlthm 180 days of the date of application, the application will expire. The Buildmg Official can extend the time for actlOn by the applIcant up to 180 days upon wntten request by the applIcant (see SectlOn RI05.3.2 of the InternatlOnal BUlldmg/Resldential Code, 2003). No applIcation can be extended more than once I, l:!ereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to i 'ppplyJor thiS permH and understand that it is my responsibHity.,to determl[Je wtJat Pf![I):]jts,f1,[f}jegyired ,not the ' and that I ,.,:',"'" ~'''',,\oi:?tajn such permits prior to wor: ' ,'- ,~,:,', ," , , ,:', ""'1 >1""""''''''~' >, ;:', " '," ' ~ " , , j 'c _. ~ ,'""'..... _ ,-""""'",...." . d'""~ S@ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .12\ EAST 5TH STREET. PORT ANGELES. WA 9RJ62 ELECTRICAL PERMIT PERMIT NO 6782 ISSUED: 10/21/1999 OWNER/APPLICANT COLDWELL BANKER Port Angeles, WA 98362 360/000-0000 T: S: ARCHITECT N/A CONTRACTOR ELECTRIC SERVICE 924 DRAPER RD. PORT ANGELES, WA 98362 360/452-6424 PROPERTY LOCATION ,iI &cZO L. S"1-"1 Lot: Block: Subdivision: Parcel No: 1:>9 Long Legal , 98360-0000 360/000-0000 PROJECT INFO Project Type: RES. MISC. Occupancy Type: Occupancy Group: Electrical Heat: o Baseboard o Furnace o Heat Pump o Fan Wall Project Value: $0.00 Construction Type: ADD CIRCUITS Zoning Use: OKW OKW o KW o KW o Riser 0 1:>9 Overhead Service o Temp Service Underground Service Voltage: 120,240 Phase: ~ 1 0 3 Service Size: 200 Feeder Size: 0 PROJECT NOTES CLEAN UP WIRING, ADD CIRCUITS FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Mise Fee: TOTAL FEE: AMOUNT PAID: BALANCE DUE COMMENTS/ACTION NEEDED $42.50 . $0.00 $0.00 $0.00 $0.00 $42.50 $42.50 $0.00 ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO u-iN Il.,UV~K ,h r r IW~6/?, I GENERAL COMMENTS: PW-I102.1S14'961 .~ ..........:i' CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 98,62 ELECTRICAL PERMIT Issued: 12/01/98 Permit No: 6492 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ COLDWELL BANKER 620 8TH ST E Lot: Block: Sub: Parc No: Port Angeles, 360/000-0000 T: WA 98362 Long Legal: S: CONTRACTOR-----------------------------DESIGNER----~---~------------------------ COLEMAN ELECTRIC PO BOX 1326 PORT ANGELES, WA 98362 360/452-7194 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: RES. MISC. prj Value: $0.00 Occ Type: Cnstr Type: SERVICE CHANGE Occ Grp: Occ Load: Land Use: Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 120,240 X Furnace KW: 10 X Overhead Service Diameter: X-I -3 Heat Pump KW: 0 Underground Service Service Size: 200 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES------------------------------------------------------------------- ADD 200 AMP SERVICE, INSTALL 10KW FURNACE , . , PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $59.25 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $59.25 $59.25 --------------------------------- --------------------------------- --------------------~----- TOTAL FEE: $59.25 Balance Due: $0.00 COt-HvU:NTS/ACTlON NEEDED ELECI'RlCAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATE I ACCEPTEll COMMENTS I YES I NO UiTCH ROUliH-IN I COVER , "J<1l "ICE Il'/t:nl'.(' ~ I I I GENERAL COMMENTS: PW-II02J'I4'!l6J s ~~ CITY OF PORT ANqELES PUBLIC WORKS - ELECTRICAL DIVISION J21 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Appllcation type description Subdivision Name Property Use Property Zonlng . Appllcatlon valuation 07-00000012 Date 748916 620 E 8TH ST 06-30-00-0-2-7320-0000- ELECTRICAL ONLY 1/14/07 COMMERCIAL NEIGHBORHOOD o @J Owner Contractor IRWIN, TOD 620 E. 8TH ST PORT ANGELES WA 983623630 OLYMPIC ELECTRIC 423q TUMWATER PORT ANGELES (360) 457-5303 WA 98363 Permit Additional desc Permlt pln number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE OLY EL TEMP SVC 92882 OLYMPIC ELECTRIC 46 00 Plan Check Fee 1/14/07 valuation 7/13/07 .00 o ~ \), Qty Unit Charge Per 1.00 46 0000 ECH EL-TEMP SRV - 0-100 SRV FDR Extension 46.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46 00 46.00 00 .00 Plan Check Total .00 00 00 .00 Grand Total 46.00 46 00 .00 .00 .~ \1) \t-. 1 COMMENTS/ ACTION NEEDED ELECfRlCAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COJlER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I INSPEC110N 'lYPE DATE I ACCEPTED COMMENTS I YES I NO 1JITCH IHlIIBI-I-IN /l.,JVbK SERVICE . F.I N Al I-I( 'ffJ L..I..,.1 ) I GENERAL COMMENTS: PW.IIOZ.lS 14196] Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . Application valuation d~'T~ ~ ~~ Owner IRWIN TODD R / MARY A 426 E. 8TH STREET PORT ANGELES ---r ' -( :J vuJ In. . f pvil II C~{!ON CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TII STREET, PORT ANGELES, W A 98362 06-00000334 541600 620 E 8TH ST 06 - 3 0 - 00- 0 - 2.-73 20 - 0 000- DR. TODD IRWIN COMM NEW CONST 11/30/06 Date . COMMERCIAL NEIGHBORHOOD 996625 Contractor MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452-8281 000 NEW DENTAL OFFICE BLDG. TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 983623630 WA 98362 Structure Information 000 Other struct info . . Permit . . _. . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 24.00 V-N 1 2.00 24500.00 5943.00 5943.00 1. 00 DRIVEWAY INSTALLATION 89904 170.00 11/30/06 5/29/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BASE FEE Extension 170.00 PUBLIC WORKS COMM WATER SERV 89920 1940.00 11/30/06 5/29/07 Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 1940.0000 EA PW W/M COM 1 1/2" Extension 1940.00 Permit . . . . . Additional desc . Permit pin number Permi t Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 89912 110.00 11/30/06 5/29/07 Plan Check Fee Valuation .00 996625 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Special Notes and Comments THIS PERMIT DOES NOT INCLUDE THE D&~>s uf;D 6 EJ-fj) D~ ~/ ~/u Lp~' . ~ UJ c0 rV 0.J D1 IV'-. )/ 1 \/ 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 of180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating constructi6n or the performance of construction. Date Date Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:\Policies\1102.15R [1105] .....'~ t,....~ "'-tiii ... -- """~ r "H:;i'" ' CITY OF RORT ANGELES . PUBLIC WORKS:- UTILITIES DIVISION 321 EAST 5TIISTREET; PORT ANGELES, WA 98362 Application Number Application pin number 06-00000334 541600 Page; 2 Date 11/30106 Special Notes and Comments PLUMBING OR HVAC PERMITS, NO WORK SHALL BE ALLOWED FOR THESE AREAS UNTIL MECHANICAL DRAWINGS ARE PROVIDED AND APPROVED. 11/30/2006 09:07 AM DYASUMUR ------- 08/28/2006 Ol:5~ PM KDUBUC ----------------------------- The Fire Department will require plans for review for" this project. 08/31/2006 12:44 PM SROBERDS -- The proosal will result in a dental office in the eN zone with lot coverage .of 24%. Setbacks are good, and parking will be adequate for up to 3 doctors. Electrical load calculations and elctrical permits are required. Alley will require asphalt over lay, construct road to City standards, see public works engineering for requirements. Sanitary sewer connection inspection is required by Public works prior to back fill of ditch. Cap off existing sewer laterals not used, notify public Works Engineering 24 hour advance notice is required. Existing water meter may be used for landscape irragation, Back flow device is reqiured. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Storm drain tap in 8th Street, your contractor will complete this tap_ Building fire sprinkler connection to City main to done by City approved contractor at owners exspence, Public Works inspection required for hot tap and fire line extent ion prior to back fill of ditch. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2220.00 2220.00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 2224.50 2224.50 .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 orwork 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. J 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 goveming this type of work will be complied with whether specified herein or no!. The granting of a permit does not presume to give authority to violate or cancel the provisions of any slate 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:\Policics\1102.15R {lIDS) ..tw'~ ~ ~ ~;? CIlY OF PORT ANGELES PUBLIC WORKS "UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000334 541600 620 E 8TH ST 06 - 3 0 - 00 - 0 -Z-73 2 0 - 0000- DR: TODD IRWIN COMM NEW CONST Date 11/30106 {; ZIJ E pf!J COMMERCIAL NEIGHBORHOOD 996625 Owner I Contractor PAS PARTNERS 734 E 1ST ST PORT ANGELES WA 983623630 Me COP PEN CONSTRUCTION 34 OLD STATE RD PORT ANGELES (360) 452-8728 NEW DENTAL OFFICE BLDG. TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98363 Structure Information 000 000 Other struct info . . 24.00 P4-5 RX{17rJ/2;(V .--;: , :J-12-/,{J{)./I'J V-N 1 2.00 24500.00 5943.00 5943.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 89904 170.00 11/30/06 5/29/07 plan Check Fee Valuation .00 o _________~:~___~~~t_:~::~:__~::__~~~~_~~~______________________~~~~:~ Permit PUBLIC WORKS COMM WATER SERV Additional desc Permit pin number Permit Fee Issue Date Expiration Date 89920 1940.00 11/30/06 5/29/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per ExtenRin~ 1.00 1940.0000 EA PW W/M COM 11/2" ...----r940.00 --------------------------------------------------------------(------ Permit . . . .. SANITARY SEWER HOOK UP Additional desc . Permit pin number permi t Fee Issue Date Expiration Date 89912 110.00 11/30/06 5/29/07 Plan Check Fee valua.t;Lon .00 996625 Qty Unit Charge Per ~xt "----, 1 00 110.0000 EA SAN SEWER HOOKUP 110.00 ---------~---------------------------------------------------------------- Special Notes and Comments THIS PERMIT DOES NOT INCLUDE THE Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of180 days after the work as commenced, orif 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 permn 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 buiider) Date T:\Policies\1102.ISR [1I05J ".-~ .t:.~~ "~ II 'E!iII 'IL -- ~~ . . '. H., . cItY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TIl STREET, PORT ANGELES, W A 98362 Application Number . . . . . 06-00000334 Application pin number 541600 Page 2 Date 11/30/06 Special Notes and Comments PLUMBING OR HVAC PERMITS, NO WORK SHALL BE ALLOWED FOR THESE AREAS UNTIL MECHANICAL DRAWINGS ARE PROVIDED AND APPROVED. 11/30/2006 09:07 AM DYASUMUR ------- 08/28/2006 01:56 PM KDUBUC ----------------------------- The Fire Department,will require plans fOT review for this project. 08/31/2006 12:44 PM SROBERDS -- T ill result in a dental office in the eN zone wit overage" of 24%. Setbacks are good, and parking will he adequate for up to 3 doctors. Electrical load calculations and elctrical permits are required. Alley will require asphalt over lay, construct road to City standards, see public works engineering for requirements. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Cap off existing sewer laterals not used, notify Public Works Engineering 24 hour advance notice is required. Existing water meter may be used for landscape irragation, Back flow device is reqiured. 1--- Construct driveway and Sidewalks tq City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Storm drain tap in 8th Street, your contractor will complete this tap. Building fire sprinkler connection to City main to done by City approved contractor at owners exspence, Public Works inspection required for hot tap and fire line extent ion prior to back fill of ditch. Other Fees STATE SURCHARGE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2220.00 2220.00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 2224.50 2224.50 .00 .00 / 09~D - RJ OlJ-;( fS?rr /JP' U . (0 . 4.50 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period of180 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 s'pecified 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 Date Signature of Owner (if owner is builder)' T:\Policies\1102.15R [lIaS) e CITY OF PORT ANGELES DEPARTME~JT OF PUBLIC WORKS . INSPECTION REPORT. REQUEST: Date 17..!-z!')ou I Time :;<-( II - Received by 1--_ /~~O E ~ ~ -<' VI ';.., ,'2...",jJ"", ""-- (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. %0 07 g:y Type of Inspection (circle appropriate one): Permit No. 0&-- :5 51 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other .s: f.o "^....... INSPECTION NOTES: Inspected: Date /2-/,2 ~ /0 c., I I Remarks: I" Time I - p......... By J....M RESTORATION REQUIRED. . . . .. YES NO \ J7 - '. t T~, - r:J f'> .lI<'SJ Poc'<: sLv ~ ~ - {', ~' 1- , C v'''-':> _ ~ \.A \ t :' I~' - -l Bb I c.\> 1 - - ~, E:x :st. C2 II C01l1C. S 1n/2~ "- D , 5.5 l::>e.ep i~tr- ~+ c? - 0 SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) o ~ ~ ~ ~ORT~~GEt~ES'-- c;2/J 68 S6 WAS H I N G TON, U. S. A. [)(;;;_ PUBLIC WORKS DEPARTMENT DATE: OCTOBER 30, 2006 To: Jay Peterson, PE, 4 Seasons Engineering Trenia Funston, Engineering Specialist, COPA FROM: Mike Szatlocky, PE SUBJECT: Irwin Dental Office, East 81h Street, Stormwater Drainage Plan I have reviewed the above referenced plan and find it to be in compliance with the stormwater standards of the City of Port Angeles. The submitted plan will be kept in the City archives., r~:~ ?l:;Nj~ \ <'. ,~~ v 1-,<' f\ (t tf ,,.,. /};~f t'~'~. t. \ \ I-;::'t, " \\' , 1"~ J c. ,>, \ ...... ~ \"..,. '.' .. ~ ~.. ,~\~,,~. ~' ..... :.~~:~.~.~i~;":' ~~~,.; ~; ~ ?1~-'-' ',< ,':4:.:'\\1:-., ' r.-~~~",O ~~,y/,,~\~_.., '.~t ~; [t.,r~ ~.. I,",'}) ,.' ,{;':" . . \ .,*,~,~:,JJ,~~.~ ~.h~r .'c'- ~7'-' ~]!.~~'~~.', . .~- ~;:~C,' ~. ~,. , ',,"",:- p;:r'....... " ~ ._'..........."..:.. .. 0\ . ...- - c=... (~Ji. ~1 {"fr,1A~~, Ill'" ,:j,: .' \. \.,1 l' ~',l>.r:.:/ . I. " (~I, '. , r r '1;/$ ..,. '\' l' ., ...-r~ , ~ " ..,:.--=-~ -- '.'U \ ....~. 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"','" '~~~') ,~ .'t li,~~%"{" ,;;.\,., "~-,.':t "~~_~:_,.. - ;J..'.. --<: '~>:;-."'t'_-"'/7~-;~;;-" ,.'... _ J!;!; <~- ''''r~'~-i.~~ _ ~~:"r,4A ,'1lrn~ ,:'-,~~, ~~~"" " \>! ..," , .--""-',. '. /. " ,- t'~'~ . ~: .'. . , -'~_a."""'/h~'K"\l:q\~ '".',.-.'--. -~ ?'::~~.~ ." - J :t ,l\~~rr!! ," f ~( ~;" :1fL( , "",'~ J .~ I "~,.,,,W , ._.",::>-io- .J ,~.;,_-' _J -_---.;--:;~,~1 '_.;.>,' ],-..,.j .-.~;. .... .--' '.. :C'.<fi' .~.,. ,.;',,',u;' .,. ... -'~ - :",:',.' -, " __ ~l - ~W~;,':",'?""';".<.t -'~~~ 5 3:38 PM ~ ~'''- ~ / / Feel -NAVDRH VerricQllJalun':'-:'NAf)IJJI91 HoriZIJfltalDatu . Id"",p""" '" . . . wb,,,,,.",,.,,,,,," """""'''"''''f'''''''' . . il";,'-JlUIINlended. JJ'orlAn1?eleJ}or . 'b-hrvoflne(ltv. Thism or dhy the Cil) OJ b lm:reJ[J()II." I Jr<M'ill~ IS produce -dr<ll+'im! shall ,,0/ ... lhi"";;';'OlhcruseoflhiJmaV CITY OF PORT ANGELES DEPARTMEI\IT OF PUBLIC-WORKS . INSPECTION REPORT. . . REQUEST: Date 10- 1- -0 7 Time Received by -r~ / I (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. tfbb - t;z.68 Type of Inspection (circle appropriate one): Permit No. 0&-331 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other .5/~elO~- uZO 6 l3 t:tJ J /J?1 5 J,ou-Ie-n INSPECTION NOTES: Inspected: /:te If) - ~-/)7 Remarks: .... J J e",..C"~ ......tho -;... U:M ~.n,4. /.Ue J .);;...... - Time 2:4:;- ;PM By !'l-,c (J. e. - ;t./e",c!, ~Jb -/1 6"';"/r!-1}.1l.J/~;'y' H. '00 ,,~t J 12a':" {,........., /.5. C-f /1/1- /H I t!' AU RESTORATION REQUIRED . . . . .. YES NO /'<2- ~l15 t7vt. eEiAA/~ . , _ LU:;:--ceV --'teGtVV~ rl",--~lJ f)./ 6b -rOw' )it;y vJ I 40 rrW r ' - \ i ,diM \ pv' SURFACE RESTORATION: ' SURFACE TYPE: [] Unimproved [] Gravel [] Asphalt [] PCC [] Other [] Repaired by City D Repaired by Permittee [] No Damage Found Work Order # [] COMPLETE [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) J' . APPLICATION FOR WATER City Water Division q~:J.O I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: \ r h I . _~ ~",,~,;~c..- 0 u't'€.t Name of Applicant: --r;;dd L R WI /J -bevJ~{lj/~;c.-- ~~B J Address: U?24f) r: 23 tb. 'S-rvpe~ . L\ -Vi - wiog Ow woo:;:. 7'3 z.o Renewal 0 New servic~k. Lot Add Size of Service I ~ i 11/9-- II Meter Number 03 Service Left On 0 Service Left O~ ...kgned Installed by ,~/ Port Angeies, Washington Remarks: ~n~Vll-r':il-- 011-3'54 N 1- '- .,. -.t) - <::z::::. 1t!]..D I ,20~ \j J9<le ~ , !J p Sv 5.f.em Y7S€.V w tgTt... ,;"''-.J: Ie s /6S"' ~ 2'filC E 6 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC VVORKS" . . . . . . INSPECTION REPORT. . . . . . . . REQUEST: Date <0 - ~ 't - 0-' Time II A" Received by ~hon~erson) Location of Work to be inspected f.r, doE. B-4-.. ~+ Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Phone No. Permit No. ~EX~ Other Oc.,-'33l.f INSPECTION NOTES: ~ I . ;' S ,.,.. ,...A 'Q Inspected: Date ~ -.;/ 9' 0""1 . Time / I . By' r' . Remarks:L..oc.......~..4 (,," eo...c....eh:. s....t.u-<- s+c.,,1::, ~ 5' d-r-.:O do .2'tS" IE '-I. Cc f e", YI ,.~... 5>/. "(1 ~ 8. fl,. -:r,., 51,4/1 b" ~v!:. 3 ' c-dur c. k 0/" r'v't... '-', r,., ~ .,..../'I c/o. A.spkc..t~ ~"",-I- .....p"..... '3')iS' - f'.,/I..J ~,fJ, cOF RESTORATION REQUIRED. . . . .. YES . '/... NO t 3 t..J . :17 ~ n. f' .Ie.. u' 6,- ~ t.:- \/I III 11 '. ,. . /p e""(.'''~'' ~ A-II-c ; SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side jf necessary) STREET SUPERINTENDENT IDATEI t': ~ lil ii1 ! ~ W,e,' If. it ~ . . , .,~ ' -!i'~ ' , -:~<li~j , ,rl~!1!f_<io"",,-;,.,.,___.<., IT6i21 120(7) Trenia Funston - hoftae for fire line Page-i] From: To: Subject: Trenia Funston Annette Owens; Dennis Edgington; Ken Dubuc; Larry Messinger; Roger Vess hot tap for fire line Mark Doty will be having Superior hot tap the water main west side of Albert Street at the 8/9 alley tomorrow. They will be doing just the hot tap tomorrow, then come across the street and down the alley next week. This work is for the Irwin Dental clinic on the 600 Blk E 8th Street. TF li.~~-~..- ~ - ~ ~ - ~~ , OO~~~~. - -""~_.~-_.~---_. ~ . ~~ ,(5/9/2007) Trenia Funston - 620 E 8th 5t """'~~" _ _~ ~~~____ __~~_~ _W. ~= .. . ~~~~__ .. -~"- ~-~--~~_.~ -- _~:_~_--=---'p~g~. 1] From: To: Date: Su bject: Roger Vess Annette Owens; Ernie Kiimek 5/9/2007 4:01 PM 620 E 8th St cc: Annette, Trenia Funston The fire sprinkler system supply will come off the 6" AC main on Albert Street & is a 4" hot tap. The Fire sprinkler hot tap is to be completed by an approved contractor at the owners expense. The water service will be the 1 1/2" meter from the 2" main on 8th Street. Our plan review comments say that one of the existing 5/8" water meters may used for irrigation and the other existing meters to be removed. The contractor will need to tell you which existing selVice will be used for irrigation. Trenia, Permit #06-334 There was no permit or charge to remove the existing water meters? Thank you, Roger SEASONS ENGINEERING, INC (360) 452-3023. Fax (360) 452-3047 619 S. Chase Street. Port Angeles, WA 98362 July 12,2007 City of Port Angeles 321 East Fifth Street Port Angeles, W A 98362 Subject: Minor revisions to the approved Site Plan We have reviewed the proposed revisions to the Irwin Dental Office Site Plan, furnished to us by James Schouten of Mill Creek Construction. The plan proposes adding three additional parking spaces, over that shown on the previously approved site plan. The proposed changes do not significantly alter the Storm water Drainage Plan. If there are any questions, please call (360) 452-3023. Sincerely, F~ _~OO;fk- Jay S. Petersen, P .E. cc. Mill Creek Construclioa - Janles Schouten b"20 E 8+lt o b~s:;-'7 q} ~ \{CY, ~ o {/5 '74 ;{(vJ~ Ji;7w, Clallam County Environmental Health 2.L.;1 Eo 4th St. BUlte 14 Port Angeles. WA 98362 (360) 417-2334 " -- COLIFORM BACTERIA ANALYSIS Date Sample Collected 0p/:'7 -- County Time Sample Collected ,tJAM ,'-I II, ~ ..... '- f" II"-~ Month Day Year ...!...-.-:~DpM Type of Water System (check only one box) ~ Group A Public 0 Private Household o Group B Public 0 Other Group A and Group B Systems - Provide from Water Facilities Inventory ('NFl): . - ,-- -- 10# (~ ~'::i ~ -='--- ,-: ! (,t 17 ''4,,-1 e'j -' System Name: -: I / ~ r I) (-t Contact Person: f.. r'v(,,,- I:... !~V\.""\( L Day Phon" L,_ L HI -, 'I SS ") I Cell Phone- ( Eve. Phone, () I FNt{ ) Send results to: {Prinl fun name, addressandzipcodej _ I C.~ >' oS; PDr"" fl..:;" < 4, r.F' I3p y ((5D "J ~ II _ I \ c:.-...... 31 ., i.:c, "".,L.<<;' lv~ 10..<- ~ SAMPLE INFORMATION .- Sample collected by (name): c- "':) t:.. j~I(,-;l-6 '''-. Specffi~ ~QCftion whelJ ~rple collected (add~s~ or sample sit~, and type of faucet) ~ 1'7 III,.,. r l' .. , r "- I ...'--<:... Special instructio')S: J)r comments: I _ I (. .:\ I ( I-...},--+ L ,-,.. _:>v.T':> }) 'cc..~..: Type of Sample {must check only one box of #1 through #4 tisted below) 1.0 Routine Distribution SampJe 2.0 Repeat Sample (tollow-up Provide informaUon below to an unsatisfactory sample) Chlorinaled: Yes_ No_ Provide infonnation below. Chlorine Residual: Total Free Unsatisfactory routine lab numb~r: 3.0 Raw Water Sgurce SampJe __~______ Required fo~ce Water, GWI. and Unsatisfactory routine collect date: some Spring Sources _/~/_ Chlorinated: Yes_ No_ au PutK:Sy.;mr;J~SaJm1UrtG"itm(Wfl) 4.0 Sample Collected for Information Only Construction~ Repairs Private ReSidence Chlorine Residual: T olal Free --; I ~- .- Ott", " .~;\.ts~O~r';J"D1WKiNG.WAfI:R~i::>qLT~ :;; .\J,SV$E 9t:/C'L_ o Unsatisfactory I N Satisfactory Total Cofiform Present and r \ o E.coli present 0 E.coli absent o Fecal coliform present 0 Fecal coliform absen1 o Replacement Sample ReqUired Sample not lested because I 0 Sample too old (>30 hours) o Improper Contamer I_D.c. ,- T" ;==-"'_. ~.' _,---=,---.0=__._ I Bactenal Oeoslty Results Plate Count ___ Iml E coli l Total Coliform~___.'100ml Fecal Coliform__~__________'100ml I ~leth~C~cJ~-- - -------- I Dat;;;r~;R~~~,V;d 1~~~232Q-- J_ ~ Oa~_~~alyl~~_ .;_~~;:-----L--~-- t ~~:LJ~~~~~rj--' : n<i? Test unsuitable because o TNTC DlurbldcuJlure /lOOml 4619 Old Mill Road Port Angeles, W A 983 360-452-8281 phone 360-452-0292 fax C'" '0,' "We;)"", 'S-.c:Y '+~..",," d' " ';( ",,",.' 1:& i;;oi Mill Creek Constructio Statement for payment To: City of Port Angeles POBox 1150 Port Angeles, W A 98362 11/23/07 Road rebuilding and partial paving at alley behind 620 E 8th Street Port Angeles, W A 98362 Date: Project: Remove broken asphalt and pour sub-base and lay new pit run base 175'xl7' 6,88820 Lay 2" crushed rock to prep for new asphalt 175' x 17' @A8/sq,ft <8/9 AIL.y r'po..lr Overlay half of alley at west end BUDGET CO~E 5"" 75' x 8,5' @2.07 P~O~E~~WO~-RD~ -(, 10 1,428.00 , 19.63 DEP 635.83 0.00 Sub total Sales tax DATE' Balance due $9,635.83 Please remit in ten days. Thank you for choosing Mill Creek Canst. Inc. ~ORT ANGELES WAS H I N G TON, U. S. A. 6/9 ALCil ~+ crf -Alkr-\ (.xY'\JJ\", Q~rv 1{Zft-jlA \. C d-'1 ..to ;" .lre(, \- ":>1 ~v..J"-\ \::- fc<'"'"i:( 'f- I ,~ . C-.r.\c.rd,( f \Q-\.tY'l\~"T ~(J\CJuJ eJ '0-' r-r\ ~ Yl'\5rl\\^j 'L C ~y +0 c~~Gl QY' Cl~ J",,+ ot ",J~,<) tk"t- ~ Sh.T{ 0-$ e.oJ\y o...s Y'v\Ol'\A~ 1I'N>1V\\"f). -:Jl'" g'<Ov...T e ^ ul\ +~D- O.b {) ro-q..-Di E,'5n~e. -$~~J~Q.9 ~E?\IYIOlJe.Fy"~-rU.~-e.d fO~~- 'I E. m Oa.7r.$ . ell e~ ~eV\'\olie. ~haQ,b ~ -:;- ~fct~ u.;Tth <3" 8NJft>T x)PII~ . ,;;." e~U'7l.eJ. i f'~/nq /)/] /t? ~~::~ F1- FORT.i\NGELES WAS H I N G TON, U. S. A. Public Works & Utilities Department Mill Creek Construction Jim Schouten 4619 Old Mill Rd Port Angeles, W A 98362 RE: Irwin Dental Clinic alley improvements 620 East 8th Street Dear Jim: Per our conservation this morning this letter is in regards to the 8/9 alley improvements at the above referenced location. Based on the $6316.00 estimate you gave me this morning, and per the City Engineers approval, the City will commit to payment for actual the following: . Removal of the (8/9 alley) fractured roadway pavement from the east Irwin property line west to Albert Street based on time & material. . Remove asphalt and 8" base (unsuitable material) . Replace removed material with City approved 8" ballast material . City will pay for paving of Y, of alley from the west edge of Irwin property to Albert Street (see attached sketch) Mill Creek Construction will be responsible for the 2" crushed surfacing and the 2" asphalt pavement installation. Please contact me as to when the work will be scheduled so I can schedule an inspection with the Public Works Engineering field inspector. If you have questions, feel free to contact me at 417-4807 or Stephen Sperr, City Engineer at 417 -4803. Sincerely, J/LWJa~ Trenia Funston Engineering Phone: 360-417-4805 I Fax: 360-417-4542 Website: www.cityofpa.us I Email: pubilcworks@cityofpa.us 321 East Fifth Street - PO Box 1150! Port Angeles. WA 98362-0217 James Schout.en p.1 I;!JOOl Oet 08 07 08:00a 360 452 0282 17:06 FAX ~ORTANGELES . WAS H I NG T.O N,- U.' S. A, PubliC Works & Utilities Department Mill Creel< ConstrUCtion Jim S<;houten 46t9 Old Mill Rd Port Angeles, W A 98362 RE: Irwin Dental Clinic alley improvements 620 East 8" Street Dear Jim: .. Per our'consc:rvotion this morning this letter is in regards to the 8/9 alley improvements at the above referenced location. B"-wd on the $6316.00 estimate' you gave me this . morning, and per the City Engineer.; approval. th~ City.will commit to payment for actual . the following: . . Removal of thc (819 alley) fra<;turod roadway pavc:ment from thc cast Irwin property line wci;t to Albcn Strc:ct b..ed on time & materiaL. .. Remove.asphalt and S" base (unsuitable material) . . Ri,pl= ..cmoved material:wi!h City approved 8" balla:.i material Mill Creel< Construction will be ...-esponsible for the 2" cnished surfacing and the 2" asphalt pllVement installation. Please. contact me as to when lbe wotk will be scheduled so I Call schedule an ins~tion with the Public Works Engineering field inspector. If you have Questions. feel free to contact me at 417-4807 or Stephen Spcrr, City Engineer at 41 7-480:;. . . Trenia Funston EO;90.'Cring . Jt' GI'1'1 \,J \\"v /<h.--;,o iAj ~{Z l~"'r!VliJ~. . . P/ZUf'/\. f (LWJrV fl<:af'Crl..~ '^' r~>( /'-' . {~ ~ . P: 1'2.. .5-;7'e-y1!!- Sflfi'~- PhDne: 360-417-4805 I Fa.: 360-417-454~ Website: www.oityofpa.usIE....il:publ;cworks@cr1)!olpa.us 32' EO$' Fifth SI'OOI - P.O. Box 1150 I Port Angeles:WA 9e36~'0217 y.l 0 ~ ftU&y !+L:Cr;.f2r ..57. CITY OF PORT ANGELES DEPARTMt:NT u-j= PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . . . REQUEST: Date !()~ 50 - 0 7 , Time q~ &~ 6C3~ ,1\ I'Y1 '5::.-1"10 b. -f efr\ Received by J:~ (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No, 4-66- b? h8 Type of Inspection (circle appropriate one):.. Permit No, 0 I~ -5-::'1 S,w" '00"''';0" ''Om;", Ch;m"" P'omb;", ~ k;W" ",,,. 0".. Inspected: Date Remarks: INSPECTION NOTES: I D - 511) - 07 Time By ,r; 7 ~-1;~ f3 r 7J~, &f -!~-o 7 ~ 'I 1m h~D//)~ 5hf::; -::-Z$ -/) 7 JMtY1 ~/Pf>-U}fJ.U::::_ lo-'1....tn PtWev>-I ~ RESTORATION REQUIRED . . . . .. YES n7~~'1 /rn::;:ry rne.:J-trrBtkJ, 5{z rJ ~_ ?(:r21-(j7 ~w~ ( [:., vtce t /(..'/- 07 NO .'" N6 ?-er-,,",,-+ (0.,....; rr-7jCLt;cVo ~O-d::.. Flo'-">, 8",:1C:>;:; :tk-5.,o,zd,cv- w,~11 1-.","-''' C,,,,,,-\.,,..a.cl-or" g...t fe........:t o........d K.o~&....<::k..... i-o. ,...spec.t/Tes1- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel OAsphalt OPCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # [] COMPLETE [] INCOMPLETE (Continue on reverse side if necessary) C:TRJ:~T ~I IPI=Rll\ITl=l\lnl=NT InATFl ~li <]z .n! --D.. II U '-:! -.!) :;:'\jJ \.lJ ~ , '" () 1 . I ; ! i !~ 1, ~ ~~ I,,; l::t "':R l.-:;.~ ai ~~..r HI "'~ :~r 11> "I 'to i,,~ in H ~L. ::-4- -= . - - " - !"j ~ i ..!) :T ....'" c'\) .,~ ", tq"" ~P.;~t~:";>;ll u 4-- : ~ "";0,' :"', --t."",;< -.( ," Il- ':.'" ..:' .~':::> "'.' >I'l ~ a .. , ,s--u L:' ,Q ,,- ,~ .['~ :> ~~'-+.1 r;- 3 " "7-'~ <;:.-t t <t::-:L , , G~ FORTANGELES WAS H I N G TON, U. S. A. Public Works & Utilities Department Mill Creek Construction Jim Schouten 4619 Old Mill Rd Port Angeles, W A 98362 RE: Irwin Dental Clinic alley improvements 620 East 8th Street Dear Jim: Per our conservation this morning this letter is in regards to the 8/9 alley improvements at the above referenced location. Based on the $6316.00 estimate you gave me this morning, and per the City Engineers approval, the City will commit to payment for actual the following: · Removal of the (8/9 alley) fractured roadway pavement from the east Irwin property line west to Albert Street based on time & material. . Remove asphalt and 8" base (unsuitable material) · Replace removed material with City approved 8" ballast material Mill Creek Construction will be responsible for the 2" crushed surfacing and the 2" asphalt pavement installation. Please contact me as to when the work will be scheduled so I can schedule an inspection with the Public Works Engineering field inspector. If you have questions, feel free to contact me at 417-4807 or Stephen Sperr, City Engineer at 417-4803. Sincerely, JfLuu~~ Trenia Funston Engineering Phone: 360-417-4805 / Fax: 360-417-4542 Websile: www.cityofpa.us! Email: publicworks@cltyofpa.us 321 East Fifth Street - P.O. Box 1150/ Port Angeles. WA 98362-0217 l (10/8/2007) Trenia Funston - Re: 8/9 alle~ repairs Page 1l From: To: Date: Subject: Steve Sperr Trenia Funston 10(8(2007 4:00 PM Re: 8(9 alley repairs Trenia, As I discussed on site with Jim Shouten last Thursday, and reviewed with you later that day (and with Roger this morning) I've committed Public Works to reimbursing them for the actual cost of the following: 1. The "dig out" and removal of pavement and unsuitable base material, and repiacement with 8 inches of ballast and 2 inches of crushed surfacing top course, which has been estimated to cost about $6,000. This is for the width of the paved alley, from the east Irwin property boundary to about the sidewalk at Albert. This is in preparation for the alley paving work they are required to do. The actual cost will be based on time and materiais. 2. That part of the alley repaving that is the south side of the alley from the west Irwin property boundary to the sidewalk at Albert. This cost can be calculated by measuring the square footage of this area, divided it by the square footage of the entire area to be repaved (including the street crossing and the area around the valve on the other side of the street), and multipiying this by the overall paving cost. >>> Trenia Funston 10/8/2007 2:11 PM >>> Jim would like to have a letter of commitment from the city for the work in the alley. TF fIt g~, 1 , <lz ! U' , <~~ i , ! It 1.;;; . ~'" ~t~ tH '" ~ t ~H i~i ~t~ "2Clr r' ~H ;H ~...i- ~~~ ~h n .' ~L- :=j4 < , .- "- .Pi~ 1 -tI 3- <.:... ~T ., " c ~ ~ ~93 -I- "+ .{J r ., .~ a- "...; , ,2;t ~,.- ,c r<.l :; -1' oe--.s~ (:. 3 J:. ..s 7"'.<:> <;.'t -!' -1 U ~ ---<-~ I: FROM HI-TECH ELECTRONICS F~X NO. 360 452 8560 ~pr. 18 2008 11:56~M Pi \ C€-6LfG6" [) Ell.:C(rk~d COJltr01CfOr ~~.~...:::~:\";'~~ \t~ . '-~/ [J Owner ~.;<.. ELECTRICAL WORKJ'ER~tiT A P PU CATI01<J o UeQuest Inspection Q .-\J.J.l1U;ll Permit U Alarm 0 Cal'l1iv~I)!i.cllmmerci::\1 !:) R~sidenlhal (.J RcsideuLi~1 Malllt. 0 Signs 0 TheclJlosrat 0 'rele-com. ./vb h'jr~d by i4...Electriclll Cuntractor CJ Owner lm;lallluiOll tlc~criplioll l:::k':lri.:::.1 '':'IlHraCtor 'Hi.mc Li'~~'----"-- \-.I\,""'[.e..,~ 9s'S~<;' ~~\ --"'--~--"--_R_ t4 \ "'~"~f:.eu~cYr Pur..:-h;bcr'~ mJ.lling address 72'3, 'tA-...... ~r- ~~I.o-,- T~lepnoll~ lll.lmber 3~D-'IJ;"-::J - :<..7"2.7 ~D ~~ 'S( ---.. Slate ZIP U-JA. . 9S3~ ~ V€lLL.l,,^,~ "\0 ~~'O t.( l>J,- 2::z. ~'<R.CJL fAX 'lwnber "'"51,.0-'-/5'2- 8S-(DO ">0"-- T""€:.1fY\ . :Pr~mise:> owner's J.I..ll.mc >= ,rz. "-' \ '-i A4drtH of inspeClion t. 2.0 'E. l>:lt.....l~A.'-- S"t"'-\-.. City ~ T'!)R,.,- ~.s. o Cash U Check # ~~ t-,\ ~ .I h!reby ccnify that r am the OWner of the abeve named propdty or 3 liceru;e:d clcc-:n.cal Comra.ctof (or the: finn's authori:!cd agent) and am making th~ electrical il15l:.l11.'i.rian Of al[~ratjon in eomplianr.:e with the electrical law, Chaprer 19.28 RCW. o Credit Card Visa Mastel'card Di5cuvc:r Card # ---...- ---- ---._- --._-- Sign.ll.tur..;! of owllc . dccnic;'ll CO)l!UctOI' or electriclll Olduainilitrator Expiration Date of card x W,<\.LLS 1;;7l5f5 --4. Appro... By Cover CEILING Insulation Only ~~0rCd1iY COvi:r , THERMO~lAT .' '- r Dale ....~pruv~d hy ./ A"'''MAy ) D;ale SERVIQl 1 FmD~ ~ DITCH ---0:;;;-- .oI.,ppll.>vc:d ny ll~lc Al'pJ6..cd L\y '- O~le [)~le Electrical....L:..Q.ast~ions and or subtractions a NO LO,;D CHANGES o 8a,$";;:board Kw Cl Fumao,~ KW D. Heal PL1mp Ton LAR. o Fan-Wall KW Service Infnr,maiion o Overhead Service Q Temp Service. Q Underground Service Voltage ___._ Pha..Ol0S Service Size: ~~___ Feeder Size: _...... ln~p.::~rion Are~. Building or Equipment lnspected Action Tllktu EI.;:crricLlI D:ue lllspeclor ' 'i j':2,?;/ tIP. r' f\1 ~ L-- .. W .~ - , - 05/0;/0; 08:05 FAX 3606812086 s- ...... Job wir"d by CJ Electrical Contractor 0 Owner E~triCBI CllDtraCIOt I1ame. J J _ ~~ number . naif laxpirc5 f/PntnSwl"" tte/L-r- t.Jd!!/.A//OLlt.j11lA..J - Purchaser's jnailins "reu () I R J 7K) K;-tz:;WA? - jult:- ? Ciry State ZIP J e'1'VlrYl IA/~ 7'%3&2- Tele on1~ber FAX number Pnml~wDer'l DalDC /l ~ --.1_ - C'I I rWIi'l IJeHTR/ //;'/f;; Add?,ss or ImpecrloAob. <::"---1... hd 0 r. is ~. CitjJP?T 4n~ ~ ,/1W q~.)- P"one: Dumber tD lC:hr..kalc'iDsprdlo': Owner IlJ de.,fined by llCW.J9.28.261:(I) Owner will ocellI''' tAe stTUctlUe/or fWD years after Ihis elecrrtc,,' peI"Irlit Is jinaU=ed. (2) Owllt.,. Is retJ1llred 10 lUre an electrlCDl co"trac.lor if above said prope:rry is fa,. sale. r{!Ir.l or le4fe. After reading the: abovc statement, I hereby certify that I am [be owner of the above named property OT a licensed electrical contractor. I am rnakini thc electrical instaJ. la(ion or alteraTion in compliaace with the electtieallaws, N.E.C_. RCW. ChaJ)lcr 19.28, WAC. Chaptcr- 296......f.6B. Th iry of !Jort Angcles Municipal Code, Bnd Utility S j' ations. Sfg.. x Electrical L,oad Additions and or subtractions o NO LOA~I CHANGES CJ Bas.boa"~ KVV o Furnace KVV CJ Heat Pump _ Ton _ LAR o Fan-Wall _ KVV Peninsula Heat ~02 . ELECTRICAL WORK PERMIT APPUCATION; ID9ta1IBtJOD dc~criplioo )lionlluerdal 0 Raldeudal ~... o Altered/Addition ~w I/~J..k~ '~rT. X -5 ~ ()) @..-. #3 ~ ft) c?~ 6 / / 7h~ /cV- lJ Cash CJ Check # o Cmlit ClUd Q;) Mastercard Discover ~d#___~O~~/~~~___ Expil1llion Date of card sn5P7~~ ServlefFlnformatlDn a Overhead Service rJ Temp Service o Underground Service Voltago PhaseOt03 Senrice Size:_ Feeder Size; SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH.JN r lHERMOSI'AT SERVICE ..~ AlllNOwedSY D.l~ Apprond Ily ../ 0... Apprvnd By /I /., I..~AL ~ DITaI FEEDER "Dille; A,pnI'I'DlI By "- n.lc """'f(4BY/ " o~ A~\'gfB) Inspeetiotl Ami, Building Dr Equipment Inspected Acrion Taken Electrical Dale Inspc&;ror @lIS: If' ~ B lO~R . u , L>=ol!d' MAY 1 0 2 n07 - UGtfIf DElfT. " ~,...,c..."~, 0"",,, (i I:l Annual Pundt 0 Alarm 0 Carnival 0 Commercial ELECTRICAL WORK PERMIT APPLICATION o Request Inspection i , I I I i I I I I i i I ' Iii Ii 1 ! ; I j i i , i i I o Residential a Residential Matnt a Signs a Thermostal Thle<:ont. lnstalll'ltion dcsl:ription Job wil't!d by )( Electrica' Conlractor 0 Owner ~-J' td..J ,0.1f",", .am' Lico." number _k~ (' N\'1Mt~r\;C~t,c,'" <; fiC- Purch ., mai1ini; adJn=S5 \ 'd:1 , -J.- I 'f Oz,. b- h1. rr A', J {__ ttV'PfJU CitYD " In Slah:; ZIP . ({ift- a(\qr.rt:-7 LA.lA- a:!.i3<p3 Tcl(phone number ,- FAX number -O~ /7.- ,~y\l J ,~ Sf: tJ () Ice ~h prt~1nH'5 name: ~ -t ex 7:'"nAJ I Y\ Addn:,(;, i()cti~... 73" Ti'-t Cit~ P4 &Yf) S; -PI- 0",-+7 k o Cheek # o C"sh I hereby (:ertify that 1 am ~hc: Qwner or lhe above namc:d property or .1 licensed ~r e:le:cuical contractor (or the firm's authQrized agent) and am making the 1d~l.:trical ~Tedit Card Visa Mastercard Discover installation QJ ahemtion in comp1jClnc~ will1 tlle electrical law, Chilptcr 19.28 RCW. Card # ---------------- x cdlkal ('.nntr;:lctor nr d~(".trl~3.1 adminilltl'atO,. E;l(piration Date ofcarrl Sign CEILING [mill!;,1.iM On IX THERMOSTAT SERVICE OJ-Ie AflI)'"ovedl1y O.I~ Arll<1lvt"d By I 1;,7:, trow ^r:"?1 L7" J:..,,,, ^'T'n ~7~ ~7~ Electrical load Add"lons and or subtractions Q NO LOAD CHANGES o Basebol~rd KW o Furnaca KW o Heat Pump _ Ton _." LAA Q Fan-Wall KW DITCH tJ;tlJt'.K I);alc ^ppmveJ Dy Ilale Arprllved By Service Information -. " ". ~ ~'i:~' ~. ,:';', -, t:J Overhead Service o Tamp Service o Underground Service Voltage PhaseD 1 03 Service Size; Feeder Size: __ Inspection DCite Arel'l, I)uilding or Equipmenl Jns~(~\cd Action Taken Electrical Inspector \ //~2-:QZ tJk ~ 01/03/2007 15:21 3504523498 ...... C--30 .' JDb wired by I:l ElectrIcal CODlraclor Q Owaer Ele~trical cqatf9ctor namo L,.icenge number O'3'c !:cptrcs O~ymplC Electric Co. OLYMPEC285D1 p'urcNdr's moillna 8IImu 4230 Tumwater Truck Route Stile ZIP - City port Angeles, WA 98363 - Tclepllor~e 1lumber (360) 452-5303 FA)( number 452-349 CUr P~YI tJ tfiw:r1 ft,j.{)" t 8 tit I1I1/J~/~.f ,PrtmlStI owner'. ume ~ -,0 ~ or lo.pecttaa wI? PbODC l\~ruber to .cbedule lIupeeUoll: t{ S 7 ~ 3 () 3 Owner (IS dllfllled by RCfY.J9,28.16/:(I) Owner will OCCllPY lilt 1111lc,rntjor ,wo ystU'S Gj1u lJiLr eJ""ica1 pur",JI ujJnallled. (1) Own.., lz rtqulr'Cd fo IIlrt an tleet.rlCQI COttVrJCtor if aOcM' $m'd prtJ~O' u for 'sole, nfl' or !Gas'- Arter TC:lwlna: the above lIUlte""~~ 1 hereby cenlt)' thai I 1m \he OW1'Cl or the I.bove Darned propeTt)' or a Ileenaed eltICtrical C01ltJ'aCI.oT. 1 am mald,n; the elr:ctrieallnSlel. 1alion or alteration in compliance with lhe electrical laws, N.E.C., RCW. Chapter 19.2&. WAC. Chapter 296-468. The City of Port A"&~lcs Mllnh:\pll Code, Ind Utility $peetlic1t\o'D!.. Slca.ture of a t eleerrle&1 coturaU r or e.lectrlul .dmtnlUrlltor X < Date: I 1:;./ b7 t;1~~t~~1 Load Additions and or subtractions C NO LOAD CHANGES o B...et>oanl _ 'I:!N o FunUlce _ 'I:!N .lll Hoet pump _ Ton _ tAR IJ FaIt.Wall _ 'I:!N OLYMPIC ELECTRIC PAGE 02 , ELECTRICAL WORK PERl\fiT APPLICATION lualaUation desClrip~ion ,II( Commercial IJ Jle,sldeDtlal XNOW Q AJlerecllAddltloo lJen-fi67~Y , c- New CI,' YI ' tf;pt; A ,-{ vu rJtn>A y 3 . c5aB ~/l/ [~ Q Cash o Check # I:l Cn:dit Cud Y.... Mastercard Discovcr - - - ExpttatianDat:----- J.378 -oo~ of card Inspeelion fee $. Clltd# SarvlcA Information Vollllgo /.:u / :zoa Ph.....C 1.83 Sorvlco 51..: ,dO FO<><lar stza: (:9 ~,q/ o OVorhoad So..lc9 o Tomp Servlc.. "Underground Sorvlce SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 o nmRMOSTAl' " ~_ fly Dllt o.,~"" ^ppf'Cl""'" 91 FEEDER fi;~ D.. Inlpectloo . Cite Area, Building or Equlpmcnllnspeeled bAnl REo"lib-l:. "w.e.ovt.t) 1I,:;C 1-1-0 -7 Co.s tnT. 7?J ,l'm.r..rMJ bO -LNu& \;1et2- D'I~ _81 Action Takco Bleetric:al Inspector ~ J 01/03/;!007 15:21 3504523498 OLYMPIC ELECTRIC PAGE 01 \ . I ). -\ G-30 ... . ELECTRICAL WORK PERMIT APPLICATION! Job ",1J'ed by [J Electrical Contractor OOWller InllaUalicn dOJl:lriptioo ~Olllmetdal 0 Rl:s1deatlal E.'~ittieel oontractor name Lleease number Dale Expires o!ympic Electric Co. OLYMPEC285D1 p~er':iI mallin; elJrUeu 4230 Tumwater Truck Route S\a.\C. ZlP s;{l'Icw o 4JterodlAddltloa ~. -IBm ~ Sel<yi c::...e Cil)' port Angeles, Tele.phone: nu.mber (3601 452-5303 WA 98363 FAX T'lumbct 360 .d~~/n ~p../JE' B 1"n.. CUy ,fort I1n9e./es 'boll! nUl'Dbn to sell,dule Ia..pettio'll: 8 Premlle31 OWDer'.s Dime '('D ,\.ddrell of lu'pectln '.".' Ow,,~r G1f d<</l",d by RCw'J9.28.16J;(/) Own~r will oct:l1py ,h, SlnlC'U", for tWD yen ~'T ,Ills decrrir:tU ,.",.Ul U jlnQl1nd. (1) Owller is reqfllf'f!!d 10 Mrt CIII e/re.rictzl Ct'J11I1IlC'Df If abuw JDid pI'Operty i.J for j~/~, rent or '.tJ$t. A~ teldiD; Ute .'oo-Ie ,~t, J hereby certify lhat I m'I !:he oW'llcr of the above aamcd plrapert)' or a liCCMcd. eleetriciJ coftUBC:lOf. I 1m making the elcctrii;a\ Instal. lation 01 alteration in oompliaftee with tile elcelrlul )IW" N.E..C.. llCW. Chapter 19.2&. WAC. CJ\lp'" 296-4613, The Clly or pori Mg.l.. Monlelpo' Code, and Utility S:peDificIPOII.S. SIe:aat:ure ~e"'ifllattrIClI coatrsctor or electrical admlnlstntot X ~ Date:/ I;. 0 Elfdmle.~\' t\l\d AdrUtto'ftS and Of !l:tuht'a~lDnR C NO WAD CHANGES o BMllboard _ KW C Fumace _ KW o H..'I Pump _ Ton _ LAfl C FatI..Wall _ KW SAME DAY INSPECTION CALL BEFORE 1'00 AM 360-411-4735 - ! I I I I I Q Cash Q Check # 1 Q erN,! Card Vl!lIl MBSte~ Discover Card# ____-____._L__-___~ 00 n'~cc.liQD fee S.C>6 &pimion Date afcard Service Informstlon IJ( o.omndSorvl"" '~Tomp Servt"" [J Unlla,ground ServICe Voltag. J:j()/;l '{() Ph.....e:t-' 0 3 Sorvk>9 Size: ~ Foed.. so..: H ':l - / . . ( ROtJGB..IN "\ f 1lIERMOSTAT "" ( SERVICE "- DIIe Apiml"W E1)' D'" "","",llll81 "- Do" A...... ....dl)) . FlNAL '\ DrTCH '\ /' FEEDER '\ 1~;)~07 ~ I Dltc ~ed~./ D.. AJprOWd ., ../ DU' AolKVwCO 81 ./ I11Jp~clioa . C Ar... Building or Equipment Inspected . . Electrical CAle Action Tlken In.spe~or '"''J-07 ;4-f9~dJ 131- . . II L/Jo' ~ -" 7 ... - - - - 1 k i', y-fct/_ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner IRWIN TODD 12 MARY A 426 E 8TH STREET PORT ANGELES Structure Information 000 Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date WA 983623630 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00000334 541600 620 E 8TH ST 06 30 00 0 2 7320 0000 DR TODD IRWIN COMM NEW CONST COMMERCIAL NEIGHBORHOOD 996625 Contractor MILL CREEK' CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452 .8281, 000 NEW DENTAL OFFICE' BLDG TOTAL LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF' STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER 'OF UNITS ELECTRICAL NEW COMMERICAL HI TECH/ SECURITY AUDIO 103077 HI TECH SECURITY INC 62 00 Plan Check Fee 7/30/07 Valuation 1/26/08 Qty Unit Charge Per 1 00 40 0000 EL LOW VOLT SYS =2500 SQFT 2 00 11 0000 EL, -LOW VOLT SYS >2500 SQFT Special Notes and Comments 02/21/2007 10 14 AM KDUBUC 1) Horn /strobe devices are indicated in the downstairs restrooms These should be strobe only devices 2.) The building must be equipped with a KNOX locking keybox Contact the Fire Department at 417 4653 for a KNOX order form and for mounting location information 08/28/2006 01 56 PM KDUBUC The Fire Department will require plans for review for this project 08/31/2006 12 44 PM SROBERDS The proosal will result in a dental office in the CN zone with lot coverage of 24% Setbacks are good and parking will be adequate for up to 3 doctors Electrical load', calculations.. and'elctrical permits are required Alley will require asphalt over.' lay construct road to City standards see public works engineering for requirements Sanitary sewer connection inspection is required by Date 7/30/07 WA 98362 24 :00 V N 1 2 00 24500 00 5943 00 5943 00 1 00 ob 0 Extension 40 00 22 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS DITCH ROUGH -IN COVER SERV ICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD YES I NO P*-110i.15 141961 Application Number Application pin number Special Notes and Comments Public Works prior to back fill of ditch Cap off existing sewer laterals not used notify Public Works Engineering 24 hour advance notice is required Existing water meter may be used for landscape irragation Back flow device is reqiured Construct driveway and Sidewalks to City' Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Storm drain tap in 8th Street your contractor will complete, this tap Building fire sprinkler connection to City main to.-done by City approved contractor at owners exspence Public Works inspection required for hot tap and fire line extention prior to back fill of ditch Other Fees Fee summary Charged Paid Credited Due Permit Fee- Total Plan Check Total Other Fee Total. Grand Total 62 00 COMMI2NT /ACTION NEEDED 00 4 50 66 50 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000334 541600 STATE SURCHARGE 4 50 S62 00 h -00 4 50 66 50 00 00 00 00 Page 2 Date 7/30/07 00 00 o� 00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO DITCH N I ROUGH N I SERVICE I I I FINAL I Di. GENERAL COMMENTS: Pw -I 102.15 (4,96J ELECTRICAL WORK PERMIT APPLICATION 1 0 Request Inspection 0 Electrical Contractor 0 Owner Annual Permit Alarm 0 Carnival ommercial 0 Residential 0 Residential Maine. Signs Thermostat Telecom. Job wired by O Electrical Contractor Owner Electrical contractor name lar SECUP•t Purchasers mailing address 7Z 3 E s-r Roa Ci State ZIP ol:~� mobs°° gy p. 98 242 Tcicphonc number FAX numbcr 34,0 45'2- 2727 34o- 8 'Premises owner's name *WA 6Ef-atir-ALL Address of inspection Cit 'oc -aG 5 7 I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law. Chapter 19.28 RCW 'Signature of owner. electrical contractor or electrical administrator Date. Daft. Inspection Date WALIS Insulation Only Cover Approved By f/=d2 l RECEntitO MAY 2 4 2007 LIGHIDEPT_ Date [oZ� 9'836,2 CEIIINC ITIERMOSTAr Insulation Only Approved Hy Cover AppN'ed By !>atd Approvcd Hy id Wd6t7 E0 LOW 2E •hpW Area. Building or Equipment Inspected description License number 4 s r c's 9S'58 S �.,�0.� a^D s PL‘ SSc.ota..\ _vavigtrr ye.DO sr az keild 0-0 Cash O Check 0 Credit Card Visa Mastercard Discover Card Expiration Date of card Date Approved 8y Jets Approved Ay Di CH FEEDER Date Approved By Date Approved By Electrical Load Additions and or subtractions Service Information NO LOAD CHANGES Baseboard KW Voltage Furnace KW Overhead Service Phase O 1 0 3 0 Heat Pump Ton LAR 0 Temp Service Service Size: 0 Fan -Wall KW Underground Service Feeder Size: Action Taken (ion-, Da Inspection fcc SERVICE Electrical Inspector 09S8 ESP 092 'ON Xdd SDIN0a109 -2 H091 —IH woad 'r ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , , . . . 16- 00000159 Date 2/03/16 Application pin number , , , 769339 DITCH Property Address . , . . , , 62.0 E 8TH $T ASSESSOR PARCEL NUMBER: 05-30-00-0-2- 7320 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . , . . Property Use FINAL Property Zoning , . . . . . . COMMERCIAL NEIGHBDRHOOD Application valuation . . , . 0 ---------------------------------------------------------------------------- Application desc Furnace andd heat pump -------------------------------------------------- - - - - -- --------------- - - -- Owner Contractor TODD R AND MARY A IRWIN BLACK DIAMOND ELECTRICAL CONT'R 620 E 8th St 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 {360} 565 -1035 Permit , . , , . , ELECTRICAL ALTER COMMERCIAL Addi.tional desc , Permit Fee 79.00 Plan Cheelc Fee DO Tssue 'Date 2/03/16 Valuation 0 Expiration Date 8/01/16 Qty Unit Charge Per Extension 1,00 74,0000 ECH - ET,-COMM BRANCH CIR W01 S/F 74,00 1.00 5.0000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5100 Fee summary Chargcd - - - -- - - - - -- Paid Credited ---- - - - - -- ---- - - - - -- Date - --- - - - - -- ----- ---- -- - ---- Permit Fee Totai 79.00 79.00 .00 .00 Plan Check Total 00 .00 ,00 .00 Grand Total 79,x0 79.00 .00 .00 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE. DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGI1 -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date. GAtEXCHANGETUILDING P RI' 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: ' 2-` 1 _ Multi- Family or Commercial* INSPIxTIONS * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: el 2--0 Building Square Footage: Description of above urn * N 7 P Owner Information Contractor fnfnatr n Name: 7 VA# � Name: Mailing Address 62o 9 $rsc Mailing Address: City: State: Zip: City: State: Zip: Phone: Fax: Phone: 7 Fax: License # I Exp. License # ! Exp. tO Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201 -400 Amp, $160.00 $ Service/Feeder 401 -600 Amp $ 225.00 $ Service/Feeder 601 -1000 Amp. $ 288.00 $ Service/Feeder over 1000 Amp. $ 410.00 $ Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circuit W!0 Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1 -4 $ 86.00 $ Temp, Service/ Feeder 200 Amp. $ 102.00 $ Temp. ServicolFoedor 201 -400 Amp. $ 121.00 $ Temp. Service/Feeder 401 -600 Amp. $ 164.00 $ Temp. ServicelFeeder 601 -1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign]Cutline Lighting $ 88,00 $ Signal Circuit/ Limited Energy - Multi - Family $ 64.00 $ Signal Circuit/ Limited Energy I First 1500 sf- Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - SKVA System or Less $ 113.00 $ Thermostat $ 56,00 $ Note: $5,00 for each additional T -Stat =ITotal 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, KE.C., RCK Chapter 49.28, WAC. Chapter 296 -468, The City of Port Angeles Municipal Co , d Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signature ner, trical contractor or electrical administrator: ❑ Cash ❑ Check Credit Card # Z X Dated: 01/0112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . , 16- 00000145 Date 2/03/16 Application pin number 652525 Property Address . . 620 E 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 7320 -0000- Application type description ELECTRICAL ONLY Subdivision Name , . . . Property Use Property Zoning . . _ . . , . COMMERCIAL NEIGHBORHOOD Application valuation . . . 0 Application desc Heat pump system _.__°--------------------------------------------------- ---------- - - -- -- -_ Owner Ccntzactcr -------- ----- -- --- --- - -- ------------------------ PA5 PARTNERS ALL WEATHER HTG & COOLING INC 734 E 1yST ST 302 KEMP ST PORT AI9GELES WA 983623630 PORT ANGELES WA 98362 (360) 452 -9813 Permit , . , . ELECTRICAL ALTER COMMERCIAL Additional desc , , Permit Fee 56100 Plan Check Fee ,00 Issue Date 2/43/16 Valuation . , . , 0 Expiration Date S/01/16 Qty Unit Charge Per 1,00 56.0000 ECH -E Fee summary Charged Permit Fee Total. 56,00 Plan Check Total ,00 Grand Total 56,09 Extension L- LVT- THERMOSTAT 56.00 Paid Credited Due 56,00 .00 .00 00 C0 00 56.00 00 .00 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 a /G% FINAL y e� COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date.- GAEXCHANGDBUILDING - 3 CITY OF FORT ANGELES PERMIT AJPMWATYON building Division /iElectt-ical lnspecti0n� 321 Fast Fiiith Street— P.O. Box 1 X54 / Ph: (360) 417 -4735 Fax; (360) ,117.4711 Date; 1129114 x Plan ReVew May Job Address: 620 E Building Squa €e Footage: De8oription cf above Port Angeles Washijtgtnnp 98362 __X_ Multi-Family or Commercial* Be Required, Please Complete Electrical Plan Review Information Sheet st 8th Streat Owner information Name; lrw'n aan 1 Can r Melling Address: Pityr State; �Q16 zip; hare; 457 -0488 Fax, Licenes # 1 Exp. Item S ®rvicel�eeder 200 Amp, Chag e r unit --- ^--- -- Service/Feeder 201 -400 Arnp, ServicalFeeder 40MO0 Amp $132.00 $ 100,00 Sarvice1Feeder 601 -10Q0 Amp. Serviceipeeder over 1000 Amp, $ 225,00 $ 288,00 branch Circuit WI Service Feeder $ 410'00 Branch Circuit W/O Service Feeder $ 5'00 $ 74,00 Each Addifional Branch Circuit $ Branch Circuits 1-4 Temp. Service/ Feeder 200 Amp, 6100 $ 85,00 Temp. Service/Feeder 201 -400 Amp. $102.00 Temp, $ervice/Feeder 401-.609 Amp, $ 121.00 Temp. Servico /Feader601- 1000Arnp $164'00 . Portal to Portal Hourly $ M6.00 $ Signioutline Ligflfing Signal CircufU Limited Energy - Mufti- Family 86'00 $ 68,00 Signal Circuitl Limited Energy) First 1500 sf - Commerci$I Note; $5,00 for each additional 15Q0 sf $ $0.00 Renewable Electrical Energy - 6KVA System or Lass Thermoatat 0113.00 Note: $6.00 for each additional T•Stat $ 56,00 Contractor information Name; Want rhlaa &fi Mailing Address: 302 Ke State oily; P rt An lea State; WA zip; 9 362 Fhone; j 14�`Fax :: l_icenae # I Exp. ALLWl= N1i•1934MU 8116 Qty Tota{lt Ly rilluitiplieet her niti Chargel $ �_ Total Owner as defined l c RCWtor if above said Owner will aaattpy the structure for two years after this electrical Permit is finalized. (2) owner ig required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of fast inspection. After reading the above statement, I hereby certify that I am the owner of the move named property Ora licsnsed electrical Contrcotor. i am making the electrical installation or alteration in compliance with the electrical laws, N -E,C., RCW, Chapter 19,28 VVAC Chapter 296 -46B, The City of Dort Angeles Municipal Code, and Utility Specifioations and PAMC 14.05A50 regarding Electrical permit Applications. Signature of owner, elartrical contractor or electrical. administrators Cesh LJ Check l aced: Cradl1 card # �.� p�_..— 0hlU1f2072 E0 /EO 33Vd DIA1iV3H J31­IlV3M _nV LLT9Z9b09ET 9VsE9 9T9Z /53/TQ V\