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Home My WebLink About1112 Caroline St - BuildingSENT FOR DEPARTMENT REVIEW ON REVIEWING DEPARTMENT NOTE TO PLAN SUBMITTER. All plan comments require written response and/or correction for permit issuance. permit issuance. El Concept Review 0 Revision (Preliminary Review 1:1 Final Review COMMENT NO PW-1104_04 [12/931 DRAWING OR SPEC REF other DEPARTMENT COMMENTS RETURNED PROJECT NAME erk.- I Coro:me, PLAN REVIEW COMMENTS Building PW Engineering [1 Wastewater Water Street Solid Waste Light 1 Fire by Date COMMENTS TO SUBMITTER: SUBMITTER RESPONSE DATE. CI Not approved. Comments r to submixter for response and or correction. 1:Wviewed by /OW REVIEWING DEPARTMENT FINAL APPROVAL. COMMENTS //ow is 76//:c Afx e__.,41c,_, f I ie..),16 .Dc6-7-,v/e_s- 1 3 e-7,e-i._5 ox) 00 _s 444t) AfEe--- tas./g dexwed-c-ie...-2,1? LOCATION iii a C. c...- Return response with plan resubminal. Approval of ALL reviewing departments required prior to 'VW-0*W BACK CHECK BY/DATE. STATUS CODES A COMMENT ACCEPTED C CORRECTION MADE N NO RESPONSE REQ'D PERMIT 'Z. 96 7 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5Tit SIREET, PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 10/29/2002 PERMIT NO 7869 OWNER/APPLICANT PROPERTY LOCATION OLYMPIC MEDICAL CENTER 1112 CAROLINE 939 CAROLINE STREET Lot: 6,7, 8, 9 Port Angeles, WA 98362 Block: 1 [] Long Legal 360/417-7703 Subdivision: HART & COOK T: S: Parcel No: 063000810120000 CONTRACTOR ARCHITECT OLYMPIC ELECTRIC N/A 4230 TUMWATER PORT ANGELES, WA 98362 , 98360-0000 360/457-5303 360/000-0000 PROJECT INFO Project Type: COML Project Value: $0.00 Occupancy Type: COMMERCIAL Construction Type: Occupancy Group: Zoning Use: RS7 Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 0 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] [] Fan Wall 0 KW Service Size: 600 Feeder Size: 0 PROJECT NOTES DISCONNECT PANEL P4 & TRANSFORMER FROM OLD SERVICE INSTALL NEW 600 AMP 3 PHASE TO PANEL P4 AND TRANSFORMER FEES ASSESSMENT Service: $254.90 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $254.90 AMOUNT PAID: $254.90 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL I~SPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. Il"IS UNLAWFUL TO COVEt~ INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERM/T CARD AND APPROVED PLANS AT JOB SITE I DITCH ROUGH-IN / COVER SERVICE GENERAL COMMENTS: CITY OF PORT ANGELES ' PUBLIC WORKS - BUILDING DIVISION 321EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 1/31/2002 PERMIT NO: 13210 OWNER/APPLICANT PROPERTY LOCATION 1112 CAROLINE OLYMPIC MEDICAL CENTER 939 CAROLINE STREET Lot: 6,7, 8, 9 Port Angeles, WA 98362 Block: 1 [] Long Lega~ 360/417-7703 Subdivision: HART & COOK T: S: Pamel No: 063000810120000 CONTRACTOR ARCHITECT SCHMITT'S SHEET METAL, INC N/A 3341 HWT 101 EAST PA, WA 98362-0000 , 98360-0000 360/457-6452 360/000-0000 PROJECT INFO Project Value: $20,000.00 SFD Units: 0 Commercial: 0 Project Type: THERMOSTAT SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES INSTALL 3 LOW VOLTAGE THERMOSTATS AND HEAT PUMP RECEIPT#8739 FEES ASSESSMENT Building Permit: S0.60 Misc Fee 1: THERMOSTAT $56.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $90.15 Plumbing: $0.00 AMOUNT PAID: $90.15 Mechanical: $34.15 BALANCE DUE: $0.00 Radon: $0.OO 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 [or a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the tast inspection. I hereby certify that I have mad 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 authorit~ 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 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL~IWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I YEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL CEILING FRAMING IOISTS / GIRl)ERS SHEAR WALL WALLS ! ROOF / CEILING DRYWALL T-BAR INSULATION MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK ( Engineeafi n g Division) SEPARATE PERM1T #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM 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 ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONS]RUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING IHRE 417-4653 FIRE DEPT. BUILDING 417-4815 //{t/~ y/~J Z f~~'~' BUILDING C:~APPL WPD '~" CITY OF PORT ANGELES °~' PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 10/11/2001 PERMIT NO: 12575 OWNER/APPLICANT PROPERTY LOCATION 1112 CAROLINE OLYMPIC MEDICAL CENTER 939 CAROLINE Lot: 6,7, 8, 9 Port Angeles, WA 98362 Block: 1 [] Long Legal 360/417-7703 Subdivision: HART & COOK T: S: Parcel No: 063000810120000 CONTRACTOR ARCHITECT OUT TO BID N/A , 98360-0000 , 98360-0000 360/000-0000 360/000-0000 PROJECT INFO Project Value: $545,000.00 SFD Units: 0 Commercial: 0 Project Type: COMM/ADDITION SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES CONSTRUCT A 2977 SQ. FT. DOCTORS OFFICE ADDITION TO AN EXISTING PHYSICAL THERAPY BUILDING RECEIPT Cf 8168 PLANS F-6 FEES ASSESSMENT Building Permit: $3,447.50 Misc Fee 1: $0.00 Plan Check: $2,068.50 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $5,676.90 Plumbing: $74.00 AMOUNT PAID: $5,676.90 Mechanical: $82.40 BALANCE DUE: $0.00 Radon: $0.00 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 authedzed 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 o~dinances 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 .~tate..or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Sign0tufe of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILD1NG INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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: - WALLS 10"17-0 FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # UNDER FLOOR~SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL ~ ,'/- ~o~l R /w.__*Lp FLOOR, CE,L,NG FOR OFFICIAL USE ONLY: ~'~' Building/Utility/Electric/Fire Permit Application ~ r.~: Please ~l out compldely. Type or print in inic If you have questions I~-~pi ¢~..,. .... - SHB1724: Y N please call (360) 417-4S1S or Fax: (360) 417-4711 L~a~r or ¢o~pl~np~_~.___/ B.P. Issu~~ //C/ Applicaatand/0rAgmt:¢~uOl~g~p.~ CM4~'la /~[r~kx~Te~:W-~hone:' -Ot tNt ' ci .. Zip: Conlracto~. ~[gJ6~O~M ~W ~/~ 'TlJ']~- Lic~mse~ Exp:. Phone Addre~: ~ City:.. ~ Zip:. CI,~!!.&M COUNTY PAR!-K,. NUMB~ Credit Card H~ler Name.- Bilaug Address: City: ~ Zip: Credit Card #. Kxp. Date:. TYPE OF WORK: $19'~'-rv'ALUATION: ~~- z./~ cl Rgsid,'ntial XNewC~mstr. o Retool oStovo~.nse~ "~"~'~ SF.~$ /SF.=$~ [] Multi-fnmily ~ Addition o MOW t3 Garage SF. (~ $.~/SF. = $ [] Comme~ial El R,'modd O Demolition [] De~k SF. ~1 $__..~_JSF. = $ [] Eiet:trkal o LP-gas o Sign ~UST TOTAL VALUATION $ BRIEI~DF. SCR1PTIONOIrlRKPROJECT: ~~ ~I(.A~ ~l~tTl~x) T'O COMMgnCIAL/RI~iDI~NTIAL: Occupancy Group: t~, Occulmt Load: ~ O C~mtmction Type:. Y' ~ ~ - No. of Stories: ] Lot Size: ~ ~0 ~. [:z?.% Lot Coverage. ~ '~ ~ % .. Existing CoVerage /sq. O. + Proposed Lot Cova g 6/sq. it = TOTAL LOT COVERAOE:/g'} . PLAN1NING USE ONLY: APPROVALS: PLAN.__ Permit~ Requirock Notes: BLDG Max. Height: Setbacks: Zoning: DI~ Site Plan aid Usc Approved by:. Dal~ ESA/Weflaad(s): a Yes ~ No SEPA Checklist required? ~ Yes ~ No Oth~: OTa~;R.__ PR~-API~CAIION SUBMITFAL: Kow aAolica~oa aad s/re p/aa ~u~ ~lled out compl~ely t~ he acce~tedfar revio~ Thc Building Division ca~ p, ovid¢ ~ou with more detailed information on ~hc application and plan svbmittal requirement~ BUILDING PERM~ APPLICATION SIOBI~IT[AL: Your completed application, site plan (for additions) and building conslruction plaas are to bc submitted to the Building Division. VALUAIION OF CONSTRUUIION: In all cas~, a valu~ion amount must bc mtercd b~ thc applicant. This fi~ur¢ will be reviewed and may be revised tr~ the Bvildia~ Div. to comply with cvrrmt fee schedules. Ccatact the Pmait Coordinator at 41 ?-481 ~ for assistance~ PLAN CHECK lr~E: Your plan c~eck fe~is duc ai the time the building permit application and coas~ruciion piaas are submitted. All other p~t'mit fees ~'c duc at the time of permit issuance EXPIRATION Ol~ PLAN REVIEW: If no p~u~it is issued within 180 days of the date of application, this -,pp]icstioa wil! expire by ]imitalio~ Thc Building Official can cxl~d thc time for action by the applicant up to 18~ dals, on written request by thc applicant (see Section 107.4 of thc Unil~m Building Code, current edition). No application caa be extruded more than ir hereby ¢er~fy ~ha~ I have read and ex~,niaed ~his a~licalion and haow O~ ~e ~o be true and coffee6 and I am apply for this permi& · understand it is net the City's legal responsibility t~ determine what permits ~re required; fl remains the applicant's responsibility to determine what penuits are required and to obtain such. DATE: O2-1~-OI ~%.% A Medical Office Space Addition For: REVISED:OI-25-O~ Medical Center ~ ................ ~ u,yml~c COMM. NO. ~O~'1.OC ~r~rte~o~ , -%~ ..... 321 Chambers St. Port AnReles, WA Permit Conditions For: 12575 PLAN REVIEW COMMENTS --- PHYSICAL THERAPY BLDG. 321 NORTH CHAMBERS PUBLIC WORKS DEPT -- T. FUNSTON ,G. KENWORTHY: 1. DRIVEWAY CONSTRUCTION TO CITY STANDARDS 2. REPLACE lB' +/- WEST END OF EXISTING SIDEWALK. 3 REPLACE / REPAIR BROKEN CRUMBLED CURB SECTIONS. 4. REPAIR ASPHALT JN ALLEY. 5. STORM WATER DENTENTION REOUlRED. AS SHOWN OK. $. 1' OOMESTIC WATER METER (COMPOUND), 1" IRRIGATION WATER METER I REOUIRES BACKFLOW DEVICE. 7. SANITARY SEWER IN ALLEY, 6" LATERAL TO PROPERTY THEN REDUCE TO 4". CONTROL DENSITY BACKFILL IN TRAFFIC AREA. LIGHT DEPT.-- G. MCLAIN: 1. ELECTRICAL LOAD CALASAND PERMIT REOUIRED. FIRE DEPT. -~ KEN DUBUC: 1. PROVIDE ADRESS NUMBERS FOR THE BUILDING. ADRESS NUMBERS ARE TO BE AT LEAST 6" IN HEIGHT, CLEARLY VISIBLE FROM THE STREET AND OF CONSTRATING COLOR FROM THEIR BACKGROUND. 2. PROVIDE 2- 2A-IOB:C FIRE EXTINGUISHERS FOR THE BUILDING. IT IS RECOMMENDETHAT WALL-MOUNTED FIRE EXTINGUISHER CABINETSBE USED. EXTINGUISHERS ARE TO BE MOUNTED WITH THE TOPS NO MORE THAN 5' OFF THE FLOOR. RECOMMEND PLACING AN EXTINGUISHER IN WAITING ROOM "102" ANO IN THE EXIT PASSAGE WAY OUTSIDE EXAM ROOM "11". 3. THE REO. UlRED EXITS WILL NEED LIGHTED EXIT SIGNS WITH BATTERY BACK-UP. 4.SEPERATE FIRE ALARM PLANS WILL BE REOUIREO. PLEASE SUBMITT PLANS TO THE FIRE DEPT. FOR REVIEW AND APPROVAL. 5. SEPERATE FIRE SPRINKLER PLANS WILL BE REOUlRED. PLEASE SUBMIT PLANS TO THE FIRE DEPT. FOR REVIEW AND APPROVAL WATER DEPT. -- RON BECKER: I. DO THEY HAVE X-RAY EOUIP., SPRINKLER SYSTEM, OR IRRIGATION SYSTEM THAT WOULD REQUIRE A BACKFLOW DEVICE ? BUILDING DEPT. -- LOU HAEHNLEN: 1. SHT A - 02 HOW IS THIS AREA BRACED. 2. SHT A - 04 WHERE ARE DETAILS? 3. SHT A- 06 SHOW BEAMS AND CONNECTIONS ON DETAIL A. 4. SHT A -06 HOW ARE POST I BM / FTG CONNECTEO? SHOW DETAIL # 5. IS A SEPERATE SERVICE NEEDED? ZONING LOT COVENANT ~ ~ underlined owne~0 oftt~ following described ~:' - ~ ~ d~ ~) Lots 7, 8 & g of Block 1 of Hart & Cook do he.by ~oven~nt that ~dd ~ she]] ~ ~i~ ~ one ~ing Im ~ ~ ~ S~fi~ 17.08.~2 ~ of &e P~ ~elen M~ C~. ~ ~ ~ o~ ~b~ ~g ~ ~A may ~ly ~ re~v~ ~ ~p~ ~ ~ 58.17 R~ (mM~ion ~s) ~ ~o Ci~ of P~ ~!~' sh~ ~J~ m~ (~ No. ~ ~ ~end~. .~ ~ ~11 ~ binding ~ ~ o~a), ~i~a), milO, ~d su~s) ~ ~ ~ s~l ~ ~ . ~s)~ ~d~s) in ~ ~ b ~ ~e ~ p~ of~p~ ~ s~ ~d 1~ ~d · ~ ~d b~K~ ~. ~b ~v~ may ~ ~ ~ inj~ or ~ ~ ~ ~d . ~ ~ ~ ~ ~ ~ ~ ~1~ ~ non c~pii~ce. Olympic Memorial Hospital (Ownm') (O~er) STATE OF WASHINGTON ) COUNTY' OF CLALLAM ) I, J'~_~ C~¢~u.~-~ ,NolaryPubl[cinandfor~heSta~eofWashinlp~m, dohereby cattily limt on Ibis ~_~.~ day of~ 20~_Q~ally ~ppeamd before me to me known ~o be ~he individual~ de'bed in mad who executed ~e withi~ instrument ~d acknowledged that ~ si~ned and seeded the same as ~x', ~ free and voluntary act ~md deed for the purposes herein ~,,~: ..' '.-" * .', NOTARY PUBLIC in ~md for the ~ ?, ~; {,',,,~,., ~: Of Washington residing at Port Angeles. AUD1TOK'$ CF_.RTIFICATB Filed fur n~.~rd at the requ~t of this __.day of 20 .... CLALLAM COUNTY AUDITOR By: 2000 "."- CLAL L/d,~ COU~Ty, ~ASH BY~P~pBTy ZONING LOT COVENANT I/WE the unde~gned owner(~) of the following described property:' · (~ I~pl du,~lptlo, h~) Lots 7, 8 & g of Block 1 of Hart & Cook do hereby covennnt thnt said propmx'y shall be d~)?ni'ed as one zoning lot as defined in Section 17.05 "Z" of the Port Angeles Municipal Code. This covennnt caeate~ one inseparable building lot and may only be removed through compliance with ~ 58.17 RCW (subdivision regulntions) trod/or the City of Port Angeles' short subdivision teBulations (Ordi~a~M No. 2222, aa amend~l). ,Th~ r..4~nnnt shall be binding on the owne~(s), heir(s), assign(s), and succemov(s) in interest nmi shall be /' filed wit~ the County Audil~s Office. This covennnt is for ~ mutual benefit of said owner(s), heir(s), ' assign(s); n~d.$imc~ssox(s) in inten~ nnd is for lhe furl~er purpose of ~omplinnce with stn~ and local land · ~s~ and' building reg~llnti~. This covemmt may be enforced by injunction or other lawful procedure and ~:0venant by the recovery of nny dsmagez resulting from non complinnce. DATED this l~ dny of 0enuery ,200~ · Olympic Memorial Hospital (Owner) (O~er) (Owner) (O~er) City of Port Angeles Applicant Project Review Sheet ok · e ~ow~ 1~ ~e m ~s ~e? ~ew r~ew ~ wc~ds ~ ~s of ~d~ ~ (y~ m~d or ~); If Planning ~ent ~ is requital, the p~e~ing ~me ~ be e~ed. ~f it ~ detrained a ~e~ra~ P~nni~g Permit Category # ~see reverse side) Building Permit # Master Tracking # Route to: rn BD rn CC El FD [] LD [] PD El PW El File [] Othe~ S~afflnitials Date Completion o/this form is required for all category lb, 2 & 3 permitz. Completion is not required for category I a permit~ unless they result in a potential change of use or occupancy. LINDBERG SMITH ARCHITECTS October 5, 2001 Brad Collins Community development Director City of Port Angeles P.O. Box 1150 Port Angeles, WA 98362-0217 RE: Olympic Medical Center Office Space Addition 1112 Caroline St. Dear Brad, As per your conversation with our office we are writing you a letter on the staffing of the existing building at 321 N. Chambers and the proposed building at 1112 Caroline. The existing building at 321 N. Chambers is housing ten (10) physical therapists. This is the same as when the building was constructed. The new building at 1112 Caroline is to house two (2) doctors. With this staffing of the two offices we understand the parking requirements to be two stalls for every one therapists and six stalls for every doctor, for at total of forty-four (44) parking stalls. The existing parking lots have twenty-four (24) parking stalls and the proposed parking lot is showing twenty (20) parking stalls, for a total of for[y-four (44) parking stalls. If there are any questions or comments please contact us. Respectfully, LINDBERG & SMITH ARCHITECTS, INC., P.S. Charles D. Smith, Architect 319 south peabody suite b / port angeles wa 98362 / 360.452.6116 fax 360.452.7064 email contact(w~lindarch.com / wwwJindarch.com l~ v CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date Z//--~,-- ~)~__ .Time Received by ~L// (phone, person) Location of Work to be inspected ~ / I ~. (~ ~O I. ~ ~_ Name of person requesting inspection ~"~c~ ,~ O. Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. ! ~. ~'-/'.~"~ Sewer Foundation Framing Chimney Plumbing Final SewerExcav. Other /~*[~,-- INSPECTION NOTES: Inspected: Date ',? ,' ~ ' Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt [~PCC [~Other [] Repaired by City Work Order # [] Repaired by Perm{teac [] COMPLETE ~--~ No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date Time Received by "~ (phone, person) Location of Work to be inspected ~ r Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. Type of Inspection (circ~.riate one): Sewer Foundation ~/Chi.mney~'- ' ~ Plumbing Final Sewer Excav. Other INSPECTION NOTES:. Inspected: Date Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel [~Asphalt []PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE I--] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /-- /~-~-- (~l'~- Time Received by ~_~J'""'/~ (phone, person) Location of Work to be inspected I ~ / ~ ~____.~,-~v"-C~_ II bt Name of person requesting inspection _'~c~ Address of person requesting inspection Phone No. ~ -- Type of Inspection (circle appropriate one): Permit No. Sewer Foundation ra~g~Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: ~ ~ ~' Inspected: Date ] ~ ~, , Time_ By Remarks: RESTORATION REQUIRED ...... YES NO ;URFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # I--I Repaired by Permittee [] COMPLETE L-~No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date Time _ Received by (phon~, person) Location of Work to be inspected / ,/ Name of person requesting inspection Address of person requesting inspection_ Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation' Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date //"- ~'~' ~') Time : Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt []PCC []Other EIRepaired by City Work Order # J~] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE {Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date //-- 2-- C~ /' Time Received by ' ,~_ ~,] {phone, person) Location of Work to be inspected I ~ ~ ~- ~ [, .~. ~ Name of person requesting inspection Address of person requesting inspection Phone No. ~1' Type of Inspection (circle appropriate one): Permit No. Foundation Framing Chimney P~mh'~n~) Final Sewer Excav. Other Sewer INSPECTION NOTES: Inspected: Date //- ~ ~ ~}~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel ~-~Asphalt I~PCC []Other [] Repaired by City Work Order # [--] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE} CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~_~.//'~ -' Date Time Received by ~ / (phone, person) Location of Work to be inspected //// ~- / ~'?'*/?~X'~/'?* ~ ~' Name of person requesting inspection Address of person requesting inspection Phone No. Type of In~sPection (circle appropriate one): Permit No. _/~ Sewer /Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [Gravel []Asphalt ~-~PCC [~Other [] Repaired by City Work Order # El Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /~ ['7-- 6 ! Time ! ~ ~-~ Received by~ ~/'~ (phone, person) ///7_ ~_b~o~_~ ~ ~_ Location of Work to be inspected ~ ~ ~/~~.v ~ ...~..i.~.~.,.,,,,~.,, Name of person requesting inspection Address of person requesting inspection Phone No. ~-~ Permit No. ~'~-~-~>~ Type of~cle appropriate one): Sewe~JFraming Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date /~ '-/7~-~/ Time. By /~ Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved ~Gravel [~]Asphalt []PCC [~Other [] Repaired by City Work Order # ~] Repaired by Permittee [] COMPLETE ~-I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date '~ ~ /'~ '- (~) ~ Time Received by ~ (phone, person) , Location of Work to be inspected ~--_~(2t;v-c3 [./~ Name of person requesting inspection ~,'/~ Address of person requesting inspection ~ Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing ~Sewer Excav. Other INSPECTION NOTES: Inspected: Date "i-- I,~:~--0'~.-- Time By ~ ~// Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved []Gravel []Asphalt []PCC [-]Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES. FIRE DEPARTMENT PERMIT 321 East 5'~ Street, Port Angeles, WA 98362 BUILDING PERMIT ISSUED:. 12/20/2001 PERMIT NO: 13144 OWNER/APPLICANT PROPERTY LOCATION 1112 CAROLINE OLYMPIC MEDICAL CENTER Lot: 6,7,8,9 939 CAROLINE STREET Pod Angeles, WA 98362 Block: 1 [] Long Legal 360/417-7703 Subdivision: HART & COOK T: S: Parcel No: 063000810120000 CONTRACTOR ARCHITECT FIRE SYS. WEST N/A 219 FRONTAGE RD N. B PACIFIC, WA 00000 , 98360-0000 000/833-1248 360/000-0000 PROJECT INFO Project Value: $0.00 SFD Units: 0 Commercial: 0 Project Type: SPRINKLER SYS. SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES FIRE SPRINKLER PLAN REVIEW & INSPECTION/TESTING FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: PLAN REVIEW $50.00 Plan Check: $0.00 Misc Fee 2: INSPEC/TESTING $100.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $150.00 Plumbing: $0.00 AMOUNT PAID: $150.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cance the provisions of any state or local law regulating the work specified in the permit. Signatur~o'~C~ntractor or Authorized Agent Date Signature of Owner (if Owner is builder) Dat----~ FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type I Date Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test #1 Above ground piping inspection/pressure test i Piping pressure test psi ~Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test psi LP-gas final Time initiated UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS: 2/15/00 PORT ANGELES FIRE DEPARTMENT 102 East 5th, Port Angeles, WA 98362 360-417-4653 Fire Sprinkler System Plan Review Project Name: Olympic Medical Center Address: 321 Chambers Installer: Fire Systems West Telephone: 253-833-1248 TypeofSystem: Wet R-3 [] R-1 [] Corn [] Date: December 19, 2001 Perrait #01-10 We have checked this plan and find that it conforms to the requirements of our ordinance with the following exception: 1. Provide an additional head in order to provide coverage for the southeast comer of Room 120. Additionally: 1. All systems including underground mains, shall be installed by a state licensed and certified company as prescribed in WAC 212-80 and the system shall be installed as per applicable NFPA 13, 13R, 13D. 2. All controlling valves shall be provided with tamper supervision consisting of devices that will cause a trouble alarm on the fire alarm panel and/or annunciator. (R-3 exempt) 3. All electrical components shall be compatible with the fire alarm system voltage and as per PAMC and Washington Administrative Codes. 4. In all occupancies that require the fire alarm zones and/or annunciation, the extinguishing system shall cause a water flow indication in conjunction with zone of origin. 5. All systems will require witness underground flushing, hydrostatic tests for system, and underground pipe schedule inspection by the Port Angeles Fire Department prior to being covered. (R-3 and R-1 require design sprinkler flow.) 6. Before final acceptance of the system, an inspection will conducted by the Port Angeles Fire Department to ensure the system installation complies with NFPA 13. [] Contractor Reviewed by [~ Building Department [] Fire Copy Date 12 FP-9 Pagelof I BUILDING PERMIT - APPLICATION m~s~**: r~- ~, -~ I PJesse t~e or priBt In ink. Ir ~ou b~e me/qu~sflon~ pi~sc ~n 417-481S App]ic~lt,~d/orA~ent:.-F'I~ ~"¢STE'tvIS WEST/PAUL ~,O~E- Owing: ObYN~OIC IV'tEDI,"AL ~ENT~-I~.. t Adding:2.1~] FRONTA(~E 12.O~O N, City: ~AC IF~C 1.4~_A . Zip: 9g 047 I.,~,~AL 'D~:'RJ.~I'JON: Lob Bloe~ -- SubdivJsi(~ ~ COUNTY PARCEL NUMBER: , ~ Card HoMer Nsme~ C~dit Otrd~ F.~p. DfC: . ~ MC 'FYPK OF WORI~ ~]~, KA'ALUATIOIq: id ~ Ranodcl ~ Demolition ~ Dec~ SF.~$._~__.~.-$ ,, '~ Rf~r u S~n [] TO~AL VALUATION $ f 5~ ~/~ ~' ~0 No.o~$teriez .... l~tsi~e:' ' %LotC~vere~.. - '¢,...% N~M: ,' .,., - ~ ~by~ B~. ~p~ ~ ~ ~t~ ~ ~417~15 ~ ~. ~TION O~ P~ ~W: E no ~ ~ ~ ~ 1~ ~ o~ ~ of ~H~ ~ ap~ w~ ~ ~ S~ 107.4 ~e ~o~ B~ ~, ~ ~). Ho ~Jic~ ~ ~ ~ ~ ~ ~ r~lb~ ~ ~ ~ ~ ~ ~ ~ W ~ ~k . Paul Boze From: Lou Haehnlen [ihaehnle~ci.port-angeles.wa.us] Sent: Friday, November 02, 2001 8:09 AM To: Paul Boze Subject: Re: fire sprinkler permit application We have sent by fax a copy of our permit application, you can send your plans by mail or carrier, we will let you know the fees and you can remit when you pick up the permit. If we can be of further service please contact us at City Hall or call (360) 417-4815 or by e-mail. Sincerely, Lou Haehnlen, Building Official ..... Original Message ..... From: Paul Boze <PaulB@firesystemswest.com> To: <permits@ci.port-angeles.wa.us> Sent: Thursday, November 01, 2001 2:19 PM Subject: fire sprinkler permit application > Hello- > Fire Systems West has been contracted to install the fire sprinkler system > in a building addition to Olympic Medical Center > at 321 Chambers Street, in Port Angeles. We are working on the plans and > would like the following information regarding the fire sprinkler permit: > > 1. Can you send us a copy of the permit application? > 2. Are the permit/plan review fees required at submittal of plans or at > pickup? > 3. May we mail (or UPS) our plans and permit application to you? > > Thanks you for the information. If you wish to mail or fax the forms to me, > our address is > > Fire Systems West, Inc. > 219 Frontage Road North, Suite B > Pacific, WA 98047 > fax 253-735-0113 > phone 253-833-1248 > Fire Systems West 219 Frontage Road North, Suite B · Pacific, Washington 98047-1023 · (253) 833-1248 · (253) 735-0113 LE'I-rER OF TRANSMITTAL DATE: 12/11/01 ]Job #2-11-8413 TO: City of Port Angeles A'I-rENTION Plan Review 321 East 5th Street RE Olympic Medical Center Remodel Port Angeles, WA 98362 939 Caroline Street P~ort Angeles, WA 98362 Buildin~l Permit # 12575 WE ARE SENDING YOU: [] Attached [~Under separate cover via the following items: [] Shop Drawings [] Prints [] Plans [] Samples [] Specification [] Copy of letter [] Change order [] 5 __ SHOP DRAWINGS $ _ HYDRAULIC CALCULATIONS 1 Pe_rmit Application L THESE ARE BEING TRANSMITTED as checked below: [] For approval [] Approved as submitted [] Rest~brnit copies for approval [] For your use [] Approved as noted [] Submit copies for distribution [] As requested [] Returned for corrections [] Return corrected prints [] For review and comment [] [] For bids due [] PRINTS RETURNED AFTER LOAN TO US COPY TO SIGNED: Paul Boze Lou ~aehnlen: Buildi~APpiic~iio~vi~w~-An~ p~rmit foiiO~-~J~s _ .7._.. From: Ron 13ecker To: Lou Haehnlen Date: 11/27/02 8:32AM Subject: Building Application Review. And permit follow ups. 9-30-02 Item#3.903 W. 9th Street. Let me know if they are putting in a fire sprinkler system and need a backflow device. 11-12-02 Item#1. 3636 Aviation off Airport road. Is there a fire sprinkler system going in. Let me know if backflow device is needed. 11-25-02 Item#5. 902 E. Front. Let know if they are putting in a fire sprinkler system,a lawn sprinkler system,or soda dispenser machines. So I can have them put in backflow devices. Permit follow ups: t239 W, 7th was tested and passed on 5-24-02 2007 W. 8th was tested and passed on 9-18-02 1112 Caroline was tested and passed on 11-21-02 ,./ 1520 E. Front (Frugal's) Lawn sprinklers Tested and passed,6-8-02 Two soda dispenser machines,tested and passed 6-27-02 ::: .:....,:::..".:. :~. ..;,:.(. i'.<.i ...",~.: >. ~ >.>.<..... .:". :'.,": :.{'.;,~~:. ~:.. . ;:. - - . ;. L ". ). ;::' :':.::.,\~~:. ". : '. 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CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15408 c, -,;? < . ? ,/ Port Angeles, Washlngton__......m.__mm__..__...::._____...._______m__.m.____, 19..__.::: In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address ..__j./!..?____.Cd.~e"~.""""'=....._______.___.._____...__ Occupancy....A.~e..~.__...___....____..__.. ~:::~.~:~::~~~:::2h:~~~~~;.;.~:::~=k::;;;e:::::..__~~~:n~~::..::::::::::...:....::::::::::::::::::::::::::::::::::::::::::::::::::::: Light Outlets...........no......_..................... Heceptacle Outlets___............................ Dryer, KW!....__..___________.._______________..____ Range, KW......... Water Heater: KW___._________.....__..__.__....____.m_____ <? I' J3 jj Heat: RW......L.L......................:................ Motors: size, yolts and pbase: /.;J 0 /_o;'~'V Service, volts .......................::..:........... :;3 No. wires ....................................... Size wires~;.A/......._.. Main fuse ...._................................. ..> Enclosure _.............................m...... Type of wirIng: Entrance Cable ..............._............. Rigid Conduit ............................... Metallic TUbing ........................... Current transformers: No. & Size.............._......_................. Ser. No..................................._.......... Ser. No...................._...........___............ Ser. No................................__............ Type of Wiring: Armored Cable ........n.................... Non.Metallic ................................. Knob & Tube.................................. Rigid COOldult ....m....m__.............__ MetalUc Tubing ........................... Race,,'ay .._...................................... Circuits, Light....................................... Utility............................................. Heat Range ............................................. 'Vater Heater ............................... 1\iotor _........................................... Dryer _.........._................................._.... Furnace .........................._............m Remark:~tal__=~~..=~~~.:;:=~.::__._____C~__;:__....~;;~__..~.:::::.______m______._____.:~:~:____..__..__:.__:.....:::...:...:.:__. Permit Fee $.----.--.----.----.-------....--.----. .nnn.~~.n.n___h.u.uun.un_.n..nnn..n.u._un.uuun.n_uuunnun._.n..nUn.U..hUn..n_..n....nun.uuh..._h.Unh.nnn.nnnnnu.un f! ;2 , By Jt.C..~.....~(c-.:.~/0.~,..-:-i_.,:._::~:- Treas. Receipt No...______.___...___.________ NOTICE-Current must not be turned on until Certificate of Inspection bas been issued. If work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION z ( J;:r- (:J 13 , . ELECTRICAL PERMIT N? 15408 Date called II fns/..Jn.Cf?.~--::!.Jr:g.~~J!n...m.nm_m.m.......mm__mm.mnnmn ~::~~:::yc::~::~::.g~~~~::::::::::::::::::::::::::::.:::::::::::..:::::::::::::..:::::::::::::::::::..::::....::::.::.::::..:::=:::..::..::::::.... I!" 3-72 Olympic Printers, Inc. Total Load ..........................................................................................