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HomeMy WebLinkAbout1035 Caroline St - BuildingPREPARED 11/01/10 8 23 18 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/01/10 ADDRESS 1035 CAROLINE ST SUBDIV TENANT NBR OLY MEDICAL CENTER CONTRACTOR MILLER SIGNS PHONE (360) 683 6790 OWNER CLALLAM CO PUB HOSPITAL DIST 2 PHONE PARCEL 06 30 00 5 3 0470 0000 APPL NUMBER 07 00000119 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 11/01/10 J, LIQ BLDG FINAL (FoJ-- October 29 2010 4 14 25 PM 1pangrle �• (I SCHEDULED THIS TO FINAL THIS PERMIT ) BUILDING FINAL OMC UROLOGY (FREESTANDING SIGN) COMMENTS AND NOTES dl portr �w CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000119 Date 2/02/07 Application pin number 428003 Property Address 1035 CAROLINE ST ASSESSOR PARCEL NUMBER 06 30 00 5 3 0470 0000 Tenant nbr name OLY MEDICAL CENTER Application type description SIGNS Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 2407 Owner Contractor CLALLAM CO PUB HbSPITAL DIST 2 MILLER SIGNS DBA OLYMPIC MEDICAL CNTR 30 CHILDERS'LN PORT ANGELES WA 983623909 SEQUIM WA 98382 (360) 683 6790 Permit SIGN Additional desc Permit pin number 94581 Permit Fee 115 00 Plan Check Fee 00 Issue Date 2/02/07 valuation 2407 Expiration Date 8/01/07 Qty Unit Charge Per Extension 1 00 115 0000 PER S SIGN FREE OR PROJ 25+ 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 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-/ Si nature of Contractor or Auth ri g o zed Agent 6ate Signature of Owner (if owner is builder) Date T-\Policies\1102_15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4515 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAN FUL TO COVER, INSULATE OR CONCEAL ANY WORN BEFORE INSPECTED 4ND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPEI DATE I ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH -D4 WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL I` WALLS CEILING JFRAMING JOISTS/ GIRDERS SHEAR WAL11HOLD DOWNS WALLS / ROOF / CEILING I` DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH -IN HEATPUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #i's SEPA. PARKING/LIGHTING I I I ESA. LANDSCAPING SHORELINE: n I FINAL DATE ACCEPTED BY. I I 1 i FINAL DATE ACCEPTED BY. I RESIDENTIAL ELECTRICAL LIGHT DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417.4735 CONSTRUCTION R.W / PW/ ENGINEERING 417-0807 FIRE 417-4653 PLANNING DEPT 417-4750 BUILDING 4174815 T-\Policies\l 102 15 building permit inspection TecoTd05 wpd [1/4/2005] DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW / ENGINEERING I FIRE DEPT IPLANNING DEPT t _�_ BUILDING II'1't0 FOR OFFICIAL USE ONLY W BUILDING PERMIT - APPLICATION Date Rec. 'p -lo 7 pennit#-� 1wi" Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review if you have any questions, call Date Issued: PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: �`Gl�e-�'1��'y-' f!� L"%�NfJi�IG C1 Phone: Owner-, Phone: Address: : r City. Aon Architect/Engmeer- Phone: Contractor 11111101-Iliv e�� State License #- Exp Address: 'f City. PROJECT ADDRESS /0? ' r, O� LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. 0 Residential 0 New Constr 0 Re -roof 0 Stove 1:1 Multi -family 0 Addition 0 Move 0 Garage 0 Commercial 0 Remodel E) Demolition 0 Deck 0 Repair >0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT SIZENALUATION zip. 9P36�- Phone: 03_W"20q0 zip :)— ZONING eV-� SF @ $ /SF = $ SF @$ /SF = $ SF @ $ /SF = $ TOTAL VALUATION $ 41'e 2. ao 4' COMMERCIAL/RESIDENTIAL. Occupancy Group* Occupant Load. Construction Type: No. of Stones. _ Lot Size: txistmg Sq. Ft. & Proposed Sq. Ft. —TOTAL Sq Ft. Total lot coverage % PLANNING USE ONLY APPROVALS BLDG- DPWU ESA/Wetland(s) 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other* 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 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/Residential Code, 2003). No application can be extended more than once. I hereby certify that / have read and examined this application and know the same to be true and correct. / 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-\F0RmS\BIdgPenuitform.wpd Applicant: Date: 103°53 C�A�R O,L tN, 3:P OL.YM�PI'C riEnrc�i; c�.irE2. U ROLO-) GxY1� 0�35 CAROLFNjE — T��t7 �oSTS A ,l 36 Y :-.7- IJ 0, W Q) U :- CERT �C� =E1g0 s C-UPANCY Port Ang les = Bur1d!i,ntg3 D1 ision y�f This certificate is issue ursua_nt�to„ the requirements of Section 110 of the 20 1 International Building Code certifying that at the t' e f iss.ua&,—U 7 rA,tr�_ was in compliance with the v ious ordinances of the City . _cture regulaiing b-irilding c nuonoirseorheg�fovng n Business name �O�M� rology`Cl1nreivt s' V,ner ®1_.1411 -4Mediit; I Ce "ter) - =. '- Business address 103;5 aroline S -: 44M, 4 .. Property owner ,. Clallam C®kF I?ubCicspatal D,Istrhl #" Propert owners r ass. 939 Carolin:ear}tPoe:IWA`:9'8"3',6 909 p ty ,; +9. - Automatic fire spri li r, awj 'tem. Per B.0, >_ Use & occupancy c "A {idation. Busi ess4 . Building permit num ' r.- .Type Typeof construction. T pC Occupant load. P I �.. ,. 't 05-05-08 HIM ",#1'an :Dir ager Re -issue Date Post on the premises in a conspicuous place. This a I not be removed except by the Building Official. 1 0, W Q) U p 3 7;2—, CITY OF PORT ANGELES � 18':1_ 8 I.1 FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A PERMITNB a A APPLICATION AND ELECTRICAL PERMIT i ��? DU 1Ctc,Y4V /Sts t v %� ripIq M TOTAL FEE f CONT LIC NO TIME TO COMPLETE NO. eTOft1E5 LEGAL OCCUPANCY ` 1 (�, ELeRICAI.� SJIT NLYOZNO 6C�UI?�Noy OR USE ESTABLISHED UNDER THIS PERMIT j �� }i /5/ 4 Site Address _ • _ .. ' ^i^. CORRECT tcmREBS IS RESPONSIe4L1TY Of APPLICANT • PERMITS WITH WRONG ADDRESSES ARE CANCELLED owner 'Doe 4 4g R i•!/ Installation By /�(��c tr/�p� J ���° c %r? /c Owner's Address ROL, /✓C Installers Address —2l {n%, f5 TA - Day Phone L f 5.2 - 3 i 9� -" Installers Phone `'`✓ S'? l gV Application Is hereby made for Permit to install Electrical Equfpmerit as follows::, . r �,e r t 4 ✓'Tj USE OF CIRCUIT NUMBER AMPCIRCUITS PER CIR LIGHT i LIGHT I CONVENIENCE I CONVENIENCE APPLIANCE (DISHWASHER ! DISPOSAL RANGE OVEN WATER HEATER LAUNDRY DRYER" I FURNACE GAS - OIL FURNACE ELECTRIC i ELECTRIC HEAT ELECTRIC HEAT A.0 UNIT FEEDER SERVICE 2 240V 0V 0 10 on 30 FEE USE OF CIRCUIT ! ! SIGN !50 VOLTS OR LESS ! ! MOTOR !!MOTOR IlMOTOR ! FIREALARMS !l BURGLAR ALARM MISC. ! !I ! SUB -TOTAL,! REINSTALLATION LIGHT FIXTURE # SUB TOTAL FEE ENERGY FEE BASIC FEE a . TOTAL FEE 440, dQ SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE SIZE OF SERVICE ENTRANCE CONDUCTORS SIZE OF GROUND SIZE OF ENTRANCE SWITCH AWG I certify that the work to be performed under this permit will be done by the installer and in conformance with theA'N.EE.C. Electrical Code. Date Application made CONTRACT R OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. - +REC R O CITY'LIOHT Date Permit Issued ( — PIANS *OVEO -- Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must no be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector it Writing on Permit Placard. A, - Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE - Odglael CANARY - Duplicate PINK -Tnpiicate WHITE CARD- Inspeclor's Report nI YMPIC PRINTERS, INC _;:� Ioe Wiring Method 12� CIRCUITNUMBER S REF 10 OR FEE CIR ! 30 REINSTALLATION LIGHT FIXTURE # SUB TOTAL FEE ENERGY FEE BASIC FEE a . TOTAL FEE 440, dQ SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE SIZE OF SERVICE ENTRANCE CONDUCTORS SIZE OF GROUND SIZE OF ENTRANCE SWITCH AWG I certify that the work to be performed under this permit will be done by the installer and in conformance with theA'N.EE.C. Electrical Code. Date Application made CONTRACT R OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. - +REC R O CITY'LIOHT Date Permit Issued ( — PIANS *OVEO -- Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must no be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector it Writing on Permit Placard. A, - Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE - Odglael CANARY - Duplicate PINK -Tnpiicate WHITE CARD- Inspeclor's Report nI YMPIC PRINTERS, INC OATEOFVISIT I I I I5-3t-�� /-/n.. MAOESY REMARKS 45/( G$tL 4w „//, ,c/ /10(P r o R .PnateX, e/- 4:. S.erfi//c P. '71,�'S / Jl1S'7` tr6lc All oq-fleT 1f/�7Acev1` © ,7M - 64 ;7"o ALL stAiAS IYec S!7 -iv -L' '13-y• 0 f To CodeR P.-rcL Lt!ef/ FeQi' 1?drt 33oft7" O.K. FOR COVERING O.K. TO CONNECT SERVICE FINAL O.K. Li Io �z 0 0 0 f To CodeR P.-rcL Lt!ef/ FeQi' 1?drt 33oft7" O.K. FOR COVERING O.K. TO CONNECT SERVICE FINAL O.K. Li Io �z 0 0 3b Z CITY OF PORT ANGELES A FEE RECEIPT HUMBER DEPARTMENT OF LIGHT I ARIL ER APPLICATION AND ELECTRICAL PERMIT TOTAL FEE I III��A f/4>t'�IIII I - O C'VMA l I CONT. LIC NO. TIMETO COMPLETE NO STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address 1035 CORR,#CT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG- ADDRESSES ARE CANCELL D r� Owner PP F,X /!,)tr 11,P—)lLj ONEA Installation By ]11p -,JL}} Owner's Ad dreA<7-7111 s/s _ / / ZOO TIC IiL.O-w) A' Installers Address 2 -OL r!./i7w )'� Day Phone /�l < Z- 11I 9 I- . Z — 3�i'i% Installers Phones '-S Application is hereby made for Par it to install Electrical Equipment as follows: Wiring Method CIRCU TS CIR R AMP 120V 240V NU BER 10 SO CRCU TS OIR 110 90 USE OF CIRCUIT PER 1 0OR FEE I USE OF CIRCUIT PER 1 00R FEE LIGHT I I SIGN LIGHT I I OR LESS ESS CONVENIENCE I I MOTOR I I I I CONVENIENCE I I MOTOR I I I I APPLIANCE I I I MOTOR I DISHWASHER I FIRE ALARMS DISPOSAL I I I I I I BURGLAR ALARMRANG • I E • I I I I I I MISC. OVEN WATER HEATER I I I I I I I I I I LAUNDRY I I I I I I I I I I I DRYER I I I I I REINSTALLATION LIGHT FIXTURE k GASFURNACE - OIL I I I I I SUB TOTAL FEE FURNACE ENERGY ELECTRIC I I I I I I I BASIC FEEEE - ELECTRIC HEAT I I I I I I TOTAL FEE I ELECTRIC HEAT I I I I I SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT I I I I I AMP PHASE IFEEDER I I I SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE I I I I AWG. SUB -TOTAL I I SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installerZBy a witl�1the N.E.C. EI rical Code. �( 0 Date Application made r 19 `),,,�OR OW G T) Permission is hereby given to do the abovedescribed work, according to the condid according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City,of Port Angeles. - DIRE TOR O CITY LIGHT ' Date Permit Issued / — Byi'� PLANS APPREIVED Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457.0411 Ext. 158. WARNING I PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE - Original CANARY - Duplicate PINK Triplicate WHITE CARD Inspector's Report OLYMPIC PRINTERS, INC O.K. FOR COVERING O.K. TO CONNECT SERVICE 1 FINALO.K. ---- -- - - REPORT OF INSPECTOR GATE OF VISIT MAOEBY REMARKS O.K. FOR COVERING O.K. TO CONNECT SERVICE 1 FINALO.K. ---- -- - - 0.3ql CITY OF PORT ANGELES 000137 FEE RECEIPT NUMBER DEPARTMENT OF LIGHT PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT ® O r� 7�'� ✓ // w1 TOTAL FEE CONT. LIC N0. TIMETOCOMPLETE NO. STORIES LEGALOCCUPANCY ELECTRICAL PERMIT ITT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT � Site Address ��>Xi a - 12 CORRECT ADDRESS IS RESPONLIT SIBIY OF APPLICANT PERMITS WITH WRONG AD�o/.SES ARE CANCELLED Owner '�. R� 7� �VC R j L L. Installation By /r1r/a'•�vztra- %� Owner's Address/' N /0'35' ati Tk Cfllo41AfC = �3% Installers Addr q - Day Phone -r' - 3 1`37 -- - - Installers Phone Application is hereby made for Permit to install Electrical Equipment as follow' Wiring Methori 0 NUMBER AMP USE OF CIRCUIT PER 120V 240V 100R FEE I USE OF CIRCUIT NUMBER AMP PER CIRCUITS CER 10 30 CIRCUITS CER ILIGHT I I SIGN LIGHT CONVENIENCE (CONVENIENCE - APPLIANCE DISHWASHER I DISPOSAL RANGE OVEN WATER HEATER LAUNDRY I DRYER FURACE GAS- OIL FURNACE ELECTRIC IELECTRIC HEAT IELECTRIC HEAT A.C. UNIT 1 FEEDER SERVICE I ✓ I50 VOLTS OR LESS MOTOR I I I I I MOTOR I I I MOTOR ���NI�'`\ I I I I` OKCAiIs�v(��`�1 (11(�u d1�13AI I I I I REINSTALLATION LIGHT FIXTURE p II II SUB TOTAL FEE III ENERGY FEE BASIC FEE 20V 240V 10 10 OR FEE 30 - I TOTAL FEE SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE SIZE OF SERVICE ENTRANCE CONDUCTORS /6rD� I A.WG SUB -TOTAL II6 CO I I SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N. . Electrical Code. Date Application madR 1g_ _ S� cU By CON RACTOR OR OWNER (OR AUTHORIZED AGENT) Permission Js hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. FRETOR CITY LIGHTDate Permit Issued ( 7-� gv PLANS APPROVED Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not - be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — n, vuPmG PRINTERS. INC. - WHITE -Original CANARY Duplicate PINK -Triplicate WHITE CARD - Inspector's Report s}' - REPORT OF INSPECTOR DATE OF VISIT MADEBY REMARKS I I I w r L 1 O.K. FOR COVE FUND /- ��'O� _ - I�F� l • O.K. TO CONNECT SERVICE T FINAL O.K. ' ..