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HomeMy WebLinkAbout811 Georgiana St - BuildingPREPARED 8/07/09 9 27 38 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/07/09 ADDRESS 811 GEORGIANA ST SUBDIV TENANT NBR P A KIDNEY CENTER CONTRACTOR ALDRICH ASSOCIATES INC PHONE (425) 483 1313 OWNER NORTHWEST KIDNEY CENTERS PHONE (206) 292 2771 PARCEL 06 30 00 4 2 0010 0000 APPL NUMBER 09 00000348 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 7/07/09 JLL BLDG FRAMING 7/07/09 AP July 7 2009 9 04 29 AM 1pangrle TOM 206 396 0293 FRAMING (JOIST REINFORCEMENT) PA KIDNEY CENTER PLEASE CALL HIM FIRST HE HAS TO MEET YOU ON SITE THERE ARE FRAGILE KIDNEY PATIENTS HERE AND TOM HAS TO REMOVE SOME PLASTIC TOM WORKS HERE AT NIGHT July 7 2009 4 31 07 PM jlierly BL99 01 8/07/09 L BLDG FINAL VL el■ August 7 2009 8 17 30 AM pbarthol TOM 206 396 0293 PERMIT PL 00 PLUMBING P IT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 7/07/09 JLL PLUMBING ROUGH IN 7/07/09 AP July 7 2009 9 32 12 AM 1pangrle TOM 206 396 0293 ROUGH IN PLUMBING (WASTE ADVANCE IN THE NORTH AND WEST WALLS) PA KIDNEY CENTER PLEASE CALL HIM FIRST HE HAS TO MEET YOU ON SITE THERE ARE FRAGILE KIDNEY PATIENTS HERE AND TOM HAS TO REMOVE SOME PLASTIC TOM WORKS HERE AT NIGHT July 7 2009 4 31 07 PM jlierly PL99 01 8/07/09 J. PLUMBING FINAL %I August 7 2009 8 22 01 AM pbarthol TOM 206 396 0293 COMMENTS AND NOTES PREPARED 7/07/09 9 42 02 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/07/09 ADDRESS 811 GEORGIANA ST SUBDIV TENANT NBR P A KIDNEY CENTER CONTRACTOR ALDRICH ASSOCIATES INC PHONE (425) 483 131, OWNER NORTHWEST KIDNEY CENTERS PHONE (206) 292 2771 PARCEL 06 30 00 4 2 0010 0000 APPL NUMBER 09 00000348 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 7/07/09 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SO COMPLETED RESULT RESULTS /COMMENTS PL2 01 7/07/09 BLDG FRAMING July 7 2009 9 04 29 AM 1pangrle TOM 206 396 0293 FRAMING (JOIST REINFORCEMENT) PA KIDNEY CENTER PLEASE CALL HIM FIRST HE HAS TO MEET YOU ON SITE THERE ARE FRAGILE KIDNEY PATIENTS HERE AND TOM HAS TO REMOVE SOME PLASTIC TOM WORKS HERE AT NIGHT PLUMBING ROUGH IN July 7 2009 9 32 12 AM 1pangrle TOM 206 396 0293 ROUGH IN PLUMBING (WASTE ADVANCE IN THE NORTH AND WEST WALLS) PA KIDNEY CENTER PLEASE CALL HIM FIRST HE HAS TO MEET YOU ON SITE THERE ARE FRAGILE KIDNEY PATIENTS HERE AND TOM HAS TO REMOVE SOME PLASTIC TOM WORKS HERE AT NIGHT COMMENTS AND NOTES q7D CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000348 Date 4/27/09 Application pin number 290788 Property Address 811 GEORGIANA ST ASSESSOR PARCEL NUMBER 06 30 00 4 2 0010 0000 Tenant nbr name P A KIDNEY CENTER Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 25000 Application desc ADD TREATMENT STATION RECESSED SCALE SINK Owner Contractor NORTHWEST KIDNEY CENTERS ALDRICH ASSOCIATES INC 700 BROADWAY 810 240TH ST SE SEATTLE WA 981224302 BOTHELL WA 98021 (206) 292 2771 (425) 483 1313 Structure Information 000 000 ADD TREATMENT STATION SCALE SINK Construction Type UNKNOWN Occupancy Type BUSINESS OFF /PRO /MED /REST Permit BUILDING PERMIT COMMERCIAL Additional desc TRTMNT STATION SCALE SINK Permit pin number 144501 Permit Fee 417 75 Plan Check Fee 271 54 Issue Date 4/27/09 Valuation 25000 Expiration Date 10/24/09 Qty Unit Charge Per Extension BASE FEE 95 75 23 00 14 0000 THOU BL -2001 25K (14 PER K) 322 00 Permit PLUMBING PERMIT Additional desc MOVE SINK ADD SINK ETC Permit pin number 144527 Permit Fee 98 00 Plan Check Fee 00 Issue Date 4/27/09 Valuation 0 Expiration Date 10/24/09 Qty Unit Charge Per Extension BASE FEE 50 00 3 00 7 0000 EA PL- PLUMBING TRAP 21 00 1 00 7 0000 EA PL -WATER LINE 7 00 1 00 15 0000 EA PL SEWER LINE 15 00 1 00 5 0000 EA PL MED GAS PIPE EA >5 OUTLETS 5 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 515 75 515 75 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 fora period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that 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 perfonnan& of construc (ag../ /0 c i DA\ AXAk k-- m_:IL.:—.) Date Print Name Signature'f Cont ctor Qr Aythorized Agent Signature of Owner (if owner is builder) f6S4v C. (.44705. �.„4 T:FormsBuilding Division/Building Permit BUILDING PERMIT INSPECTION RECORD IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall I Foundation' Drainage Downspouts Piers I Post Holes ((Pole Bldgs PLUMBING Under Flooi Slab Rough -In 1 Water Linel(Meter to Bldg) Gas Line 1 Back Flow Water AIR SEAL'. Walls I Ceiling 1 FRAMING' Joists Girders Under Floor Shear Wa11 Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar I INSULATION Slab 1 Wall Floor1/ Ceiling MECHANICAL. Heat Pumpl/ Fumace FAU Ducts Rough -In Gas Line 1 Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 1 1 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping I SHORELINE. FINAL Date Accepted by FINAL Date Accepted by I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE I I Inspection Type Date Accepted By Electr 417 -4735 Construction R W PW Engineering 417 -4831 Fire i 417 -4653 Planning 417 -4750 Buildin 417 -4815 T Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Page 2 Application Number 09 00000348 Date 4/27/09 Application pin number 290788 Plan Check Total 271 54 271 54 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 791 79 791 79 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FonnsBuilding DivisionBuilding Permit Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes! (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line, (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Int'erior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. PLANNING DEPT Separate Permit #s Parking Lighting Landscaping Date 7 I 7 l oq Inspection Type Electrical Construction R W PW Engineering Fire Planning Building Accepted By Comments -sw 7L-L FINAL Date o Vv 1 Accepted FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE 417 -4735 417 -4831 417 -4653 417 -4750 417 -4815 Date Accepted By $I� IOq I J LL 0 W s G9 p (4/22/2009) Linda Pangrle RE Port Angeles Kidney Center Page 1 From Linda Pangrle To Lee Kopf Date 4/22/2009 8 14 AM Subject: RE Port Angeles Kidney Center Great. Thanks. Lee Kopf <Ieekoofackarch.com> 4/21/2009 5 21 PM Linda, There is no mechanical work no added ductwork or diffusers. I will send a check for the $98.00 tomorrow Thanks Lee Original Message From: Linda Pangrle fmailto.Loanorle( citvofoa.us1 Sent: Tuesday April 21, 2009 10 AM To Lee Kopf Subject: RE Port Angeles Kidney Center Hi Lee, If Trent will issue an over the counter electrical permit, then a fourth set of plans isn't needed Will there be anything mechanical being added or altered? Will there be any new or altered ductwork, diffusers, ventilation fans, wall heaters etc? If so, please tell me what the changes are. If not, then all I need is the check for $98.00 for the plumbing permit. Thanks, Linda Lee Kopf <leekoof(ackarch.com> 4/21/2009 10 AM Linda, Our electrical contractor has talked to Trent, Electrical Inspector at Port Angles, and confirmed that the electrical can be an over the counter permit. There is no new HVAC work in this project. Therefore, we will send you another set of plans and a check for $98 for the plumbing permit. Let me know if this is correct and we will send the plans and check right away Thanks Lee Original Message From Linda Pangrle fmailto. Loanarleancitvofoa.usl Sent: Monday April 20, 2009 4 PM To Lee Kopf Subject: Port Angeles Kidney Center Hi Lee, Please provide a fourth set of complete plans (building, plumbing, mechanical) along with the electrical plans when applying for the electrical permit. We request the fourth set of plans for certain health care facilities, which includes kidney centers. I talked with the plumbing contractor Richard, at Stirrett/Johnsen Inc. He verified what plumbing changes will be done, and I updated your building permit application with his information. The plumbing permit is $98.00 Richard stated you'll pay for that permit. After I receive the mechanical plans, I'll let you know how much the mechanical permit will be. You can pay for them both at the same time. (4/22/2009) Linda Pangrle RE Port Angeles Kidney Center Thanks for your help in getting the electrical and mechanical plans submitted as soon as possible. Linda Pangrle Permit Technician City of Port Angeles 321 E. 5th St. Port Angeles, WA 98362 360 417 -4815 360 417 -4711 FAX IpanarleCa citvofna.us Page 21 C L A R K 0 S TRANSMITTAL To Building Permit Technician Date 321 E. Fifth St. Fax Number Port Angeles, WA 98362 of Pages Attention Linda Pangrle 360 417 -4815 (including transmittal) Project 811 Georgiana Street Alterations to Project 05074 Port Angeles Kidney Center April 22, 2009 Sent by mail courier UPS FedEx facsimile e -mail Hand delivered Qty Date Description 1 04/22/09 Check for $98.00 for Plumbing Permit Remarks Reference 09 -348 Building Permit for 160 SF of interior alterations at the Port Angeles Kidney Center, 811 Georgiana Street. The attached fee is for the Plumbing Permit. There is no HVAC work in this project. The Electrical Permit will be over the counter Please call 206 838 -1701 or e -mail leekoof( ckarch.com if this is not correct. By Lee Kopf This transmittal contains confidential information and is intended for the use of the recipient named above. If you have received this document in error, please destroy it and notify us at 206/652 -0722. CLARK/KJOS ARCHITECTS, LLC Tr rmidal PA Building Depanme 04 22 09 710 Second Avenue, Suite 800, Seattle, Washington 98104 telephone 206/652 -0722 fax 206/652 -0720 (4/20/2009) Linda Pangrle Port Angeles Kidney Center Page 1 From Linda Pangrle To Ieekopf @ckarch.com Date: 4/20/2009 4 43 PM Subject: Port Angeles Kidney Center Hi Lee, Please provide a fourth set of complete plans (building, plumbing, mechanical)' along with the electrical plans when applying for the electrical permit. We request the fourth set of plans for certain health care facilities, which includes kidney centers. I talked with the plumbing contractor Richard, at Stirrett/Johnsen Inc. He verified what plumbing changes will be done, and I updated your building permit application with his information The plumbing permit is $98.00 Richard stated you'll pay for that permit. After I receive the mechanical plans, I'll let you know how much the mechanical permit will be. You can pay for them both at the same time. Thanks for your help in getting the electrical and mechanical plans submitted as soon as possible. Linda Pangrle Permit Technician City of Port Angeles 321 E. 5th St. Port Angeles, WA 98362 360 417 -4815 360 417 -4711 FAX Ipangrle @cityofpa.us Look Up a Contractor Electrician, Plumber or Elevator Professional License Detail Page 1 of 2 CO Return to List Start a New Search II Printer friendly General /Specialty Contractor A business registered as a construction contractor with LEtI to perform construction work within the scope of its specialty A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance Business and Licensing Information Verify Workers Comp Premium Status Name STIRRETT /JOHNSEN INC Phone No (360) 692-6128 Address 5555 WESTGATE RD NW Suite /Apt. City State Zip County Business Type Parent Company Business Owner Information o Hide All Name Role STIRRETT, LEE A JOHNSON, BRIAN STIRRETT, LEE A AGENT STIRETT, STEVE PRESIDENT SULLIVAN, SEAN VICE PRESIDENT Information in Spanish I Topic Index I Contact Info Search 1 Home Safety Claims Insurance Workplace Rights Trades Licensing Find a Law (RCW) or Rule (WAC) Get a form or publication 0 Help SILVERDALE WA 98383 KITSAP Corporation UBI No. Status License No License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 Effective Date 01/01/1980 01/01/1980 01/01/1980 01/28/2002 01/28/2002 mi Bond Information Bond Bond Bond Company Account Name Number HARTFORD Until 6 FIRE INS 52BSBDV5098 05/01/2006 Cancelled CO UNITED 5 STATES 6102407115 05/01/2004 Until 05/01/2006 FIRE INS Cancelled Check for Dept. of Revenue Account 600060695 ACTIVE STIRRJ`281B6 CONSTRUCTION J CONTRACTOR 1/26/1972 5/1/2010 J GENERAL UNUSED Expiration Date Effective Expiration Cancel Impaired Bond Received Date Date Date Date Amount Date $12 000 0003/20/2006 $12 000 0004/09/2004 https./ /fortress wa.gov/lni/bbip/Detail aspx 4/20/2009 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 LrZ xOPf cG4d -cA-d .arP /Tr p r Phd Property Owner i ca-f' Phone Property Owner's Address /s�► r 9� /ZZ Contractor �w y sf �A/ V..47' Phone Contractor's Address ,pt, 4.9- r f 6,O2/ License 41 eD is •2o2i''J Expires E -mail Re -roof Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Existing (sq. ft.) Proposed (sq. ft.) Z2 Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type PROJECT ADDRESS fill es y _44e r/1 //o rf For City Use Only Date Received LI I -01 ermit ate Approved 7ol1 46-1 /7D/ y.cZ77/ P, R KI'c ne. GA- CIO Parcel Number ArAtej /4/ ,ey /�,�J7 Lot, Zoning P Type Brief Description. o Fire t iai Multi- family Commercial Industrial Check all that apply veir th ea4L y -Z0 New Construction P IUvyt lol net Nad o 5; move 5iv∎K, ad& an 0 X`igevl 11 utlek Addition 4 a.dd' a rev'ev'se osmo U111-4- (w;ki, c:Araln) X Remodel DD T/eeOrlizg/7rli_' SY-/7 fYA c`'� f,Ae‹ ❑'Repair Demolition NO (Yl echant`c&1 rAtliA 4/es Per P -may i ern ill. Ka p+ House garage other J tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove other per sq. ft. TOTAL VALUATION .747. Total footprint of structures sq ft. Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to workin n proje, Dated i7 Print Name 6 X21 Signature T:For uil ing Division /Bldg Permit CZ/ph/C.. /k'J /frre»//lt7S/ GG e Zs „/7 S° 2150 'M!f/L ZrAv/°r•Vir.,efeeri. nowt T Permit V 61-34 0-The, he, Go'--e ;t-P urn O,3o ooyz ©000 3030 giticx2 .09 to qtr NOTES i in3 v►I t vee.4 2 f a VY 15 S G, 'SR 4 r 1' a esg r te_ From: Origin ID: LKEA (503) 224-4848 Jen Johnson-McLaren CLARK/KJOS ARCHITECTS 710 2nd Ave Seattle, WA 98104 r V P v to u c 5ai r\e- (c n i 1 Forms /Building Division/Notes C L A R K TRANSMITTAL To Building Permit Technician Date 321 E. Fifth St. Fax Number Port Angeles, WA 98362 of Pages Attention Linda Pangrie 360 417 -4815 (including transmittal) Project 811 Georgiana Street Alterations to Project 05074 Port Angeles Kidney Center Sent by mail courier UPS facsimile e -mail Hand delivered Qty Date Description 1 04/14/09 Three (3) Sets of Drawings AO 1 Al 0 A2.0 1 04/14/09 Building Permit Application 1 04/14/09 Check for $693 79 Remarks April 14, 2009 FedEx Application for Building Permit for 160 SF of interior alterations at the Port Angeles Kidney Center 811 Georgiana Street. Per telephone conversation with Linda Pangrie the total permit fee will be $693 79 Please call 206 838 -1701 or e -mail leekonfackarch.com if this is not correct. Mechanical and electrical permits will be applied for separate of this application. Thanks. so l ol -hiked w iT Lee- K —ken have Nn e_ (Yte PL E lec, c.�w�Fvac -_S .0 fo Nn A ne PrUml��h�e C co r Lo it be. i rrafi- -�3ahn sem CoY S R■chcr is. 36 30$- 20 87 7 ±nc By Lee Kopf This transmittal contains confidential information and is intended for the use of the recipient named above. If you have received this document in error, please destroy it and notify us at 206/652 -0722. CLARK/KJOS ARCHITECTS, LLC T sin, al PA Budding Depa une 04 14 09 710 Second Avenue, Suite 800, Seattle, Washington 98104 telephone 206/652 -0722 fax 206/652 -0720 PREPARED 6/13/08 9 48 06 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/13/08 ADDRESS 811 GEORGIANA ST SUBDIV TENANT NBR DR KIRK THOMPSON CONTRACTOR L B R CONSTRUCTION INC PHONE (360) 452 1232 OWNER KIRK L MAUREEN THOMPSON PHONE PARCEL 06 30 00 4 2 0010 0000 APPL NUMBER 08 00000692 COMM REPAIR PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 6/12/08 JLL BLDG FRAMING TIME 02 00 6/12/08 AP June 11 2008 4 44 07 PM 1pangrle DENNIS 461 2733 FRAMING 2 00 PM OR LATER THE PERMIT IS INSIDE ON THE WALL June 12 2008 4 42 50 PM jlierly BLI O1 6/13/08 JL BLDG I 20 0ION TI8E 02 pa ngrle June 13 2008 9 07 48 AM 1pa DENNIS 461 2733 'BLOWN IN INSULATION' AFTER 2 00 PM COMMENTS AND NOTES PREPARED 6/12/08 10 22 18 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/12/08 ADDRESS 811 GEORGIANA ST SUBDIV TENANT NBR DR KIRK THOMPSON CONTRACTOR L B R CONSTRUCTION INC PHONE (360) 452 1232 OWNER KIRK L MAUREEN THOMPSON PHONE PARCEL 06 30 00 4 2 0010 0000 APPL NUMBER 08 00000692 COMM REPAIR PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 6/12/08 BLDG FRAMING TIME 02 00 June 11 2008 4 44 07 PM 1pangrle DENNIS 461 2733 FRAMING 2 00 PM OR LATER THE PERMIT IS INSIDE ON THE WALL COMMENTS AND NOTES OF PO T v Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application desc REPAIR DAMAGE CAUSED BY AN AUTOMOBILE COMMERCIAL OFFICE 26500 Owner Contractor 08 00000692 Date 6/09/08 596520 811 GEORGIANA ST 06 30 00 4 2 0010 0000 DR KIRK THOMPSON COMM REPAIR KIRK L MAUREEN THOMPSON L B R CONSTRUCTION INC 811 GEORGIANA ST 618 S PEABODY STE H PORT ANGELES WA 983623511 PORT ANGELES WA 98362 (360) 452 1232 Structure Information 000 000 REPAIR DAMAGE CAUSED BY A CAR Permit BUILDING PERMIT COMMERCIAL Additional desc REPAIR DAMAGE FROM A CAR Permit pin number 128017 Permit Fee 437 95 Plan Check Fee 00 Issue Date 6/09/08 Valuation 26500 Expiration Date 12/06/08 Qty Unit Charge Per Extension BASE FEE 417 75 2 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 20 20 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 437 95 437 95 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 442 45 442 45 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 t ame to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specifi:: he -in or not. The granting of a permit does not presume to give authority to violate or cancel the provisio f any state or local I..w reg ating construction or the performance of construction. Date Print Name Signature oftontractor or Authorize Agent Signature of Owner (if owner is builder) T.Forms /Building Division/Building Permit (10 /01 /07).wpd 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 BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE /PELLET CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT M's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION 'R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT .4,L7 -4750 BUILDING 417 -4815 T Forms /Budding Diyision /Building Permit (10 /O1/07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. DATE ACCEPTED (c)—I 2 -0 YES NO �u- SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT 1 FINAL FINAL CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT 1 BUILDING COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED YES NO O 09 1 csa P 5 I I I I I k- I PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Heat System ,irbther Floor Areas Basement 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other T Forms /Building Division /Bldg Permit Appl. 2006 Code doc 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 ?c,t Property Owner z- 44 2X" Property Owner's Address g Contractor /Engineer )eorl- ce 1,Q „L,q Contractor /Engineer's Address License r' _72 QC/)Z I CJ Pr..15 a Total footprint of structures sq ft. T Lot size L B2 Cons-f'wcl-r`o Expires Residential (Commercial Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type ,JL t dQ3? Signature co 1 Heat pump wood burning stove gas fireplace pellet stove other ee bQiti e, OIoN b t /��Tan�o2 r j Existing (sq. ft.) Proposed (sq. ft.) For City Use Only Date Received 6 I 'OR Permit Date Approved Phone hone 7LS z 2 /Z ()A' Lot Zoning Multi family Industrial per sq ft. TOTAL VALUATION 2 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 understand that it is my responsibility to determine what permits are required, and to obtain permits t projects. Date 1 dP Print Name OA J-/ t '- ::>_ ,_ I ,..r"" _.< ' '" CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . . . . REQUEST Date ;) - I 5 - 0 C Time 7 t/ t /741 Received by T E/\ lC I....... Iv. (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) )r J IE, 6- E v K 6- I A IV.4 TE/fRY w. 17~1~/f Phone No Permit No II) 10 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other ~ t!v/' i?iv t?'- INSPECTION NOTES '7 ~ I 5" - 1'0 I ~ ' '7 /, /1 A/' By A"\ t- ;'/ Inspected Date a:::. Time . t/. ./ v, ,n /.- Remarks )J E I.J... i' I w -17 € I( 5' E R i/ I L- E _ _ __ ___ ---r, ~ ~ ~ I) t:;: ~ ~ ~ fl', ~ 1- ~ lu ~ ~ ~ f\ 1\:, -~~--~~--~. [j D n [] X- " - YES ~ NO 7J RESTORATION REQUIRED ~ 91 ~ o ~ ~ '" 1\', - 0 --, "" c: c (; ~ f I I't- IV ,1 ------~ ! I] SURFACE RESTORATION' SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Repaired by City o Repaired by Permittee o No Damage Found Work Order # C COMPLETE ~ INCOMPLETE o Other IS$t-7 Nc-::: /;1/ S I ,I 5 P,:K' I /v r;; lJeE c:-p tr.nntinlJp. nn rp.Vp.r~A ~idA if nAr.A~~;uvl 'r"ll.AT~' $B ~ Lll 1 ur t'UI\.J f'\f'iUr:.LC':> PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 PUBLIC WORKS CONSTRUCTION Issued: 9/23/96 LC Permit No: 431 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ DR. KIRK THOMPSON/R.ANDERSON 811 GEORGIANA E 618 S. PEABODY Lot: 12, 13 Port Angeles,WA98362 Block: 37 Long Legal: 360/452-1205 Sub: NR SMITH PROJECT INFO-------------------------------------------------------------------- Work is INSIDE traveled road Value Work: $0.00 Plans Required: YES Contractor: LBR CONSTRUCTION Start: Finish: Performance Bond Required: N/A Proof Insurance: Amount: Work to Perform: INSTALL * Watermain * Sanitary Sewer / / / / $0.00 * Storm Drain Underground Tele/Ele * Misc PROJECT NOTES-----------~------------------------------------------------------- (3) 3/4" water meters @ $575.00 ea. (1) system user fee for both san. and water based on 3/4" meter size full st cut for stm drain+san sewer PROJECT FEES ASSESSMENT--------------------------------------------------------- R/W Excav: * Sidewalk: Curb/Gutter: Driveway: * Dwy Culvert: Street Cut: * Other R/W: Fire Hydrant: Res Water Serv: * 5/8" * 3/4" 1" Comm Water Serv: * 1" 1 1/2" 2" Oth Water Serv: * Water Sys Dev: * Receipt No: Inspection Fee: $40.00 $0.00 $0.00 $125.00 $0.00 $600.00 $0.00 $0.00 $0.00 San Sewer SFR: * San Sewer MFR: Add unit: 2 Other San Sewer: * Sew Tap Wye/Man Tap: Sew Cap/ W/M Removal: Alter/Repair Sewer: Storm Drain Tap: * Catch Basin per ea: * Sewer System Dev: * Milwaukee Dr. Sew Assess: R/W Use Perm: D.R.A. : Admin Costs (D.R.A): Misc: $80.00 $0.00 $10.00 $0.00 $0.00 $0.00 $125.00 $120.00 $963.00 $0.00 $0.00 $0.00 $0.00 $0.00 ------------------------------ ------------------------------ $1,725.00 $0.00 $1,324.00 TOTAL FEE: AMT PAID: $0.00 BAL DUE: $5,112.00 $5,112.00 $0.00 Separate Permits are required for electrical work, utilities, private and public improvements. This permtt becomes null and void ~ work or construction authorized is not commenced wtthin 180 days, ~ construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or ~ required inspections have not been requested wtthin 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 permtt does not presume to give authority to violate or cancel the provisions of any state or local iaw regulating construction or the performance of construction. Date Sionature of Owner (~ owner is builderl Date Sinnature of Contractor or Authorized Aoent '~'~ fid~~ J -~ "-iir..." CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET, PORT ANGELES, WA 98362 ELECTRICAL PERMIT PERMIT NO 6808 ISSUED: 12/02/1999 OWNER/APPLICANT DR. KIRK THOMPSON/R.ANDERSON 618 S. PEABODY Port Angeles, WA 98362 360/452-1205 T: S: PROPERTY LOCATION 811 GEORGIANA E Lot: 12,13 Block: 37 ~ Long Legal Subdivision: NR SMITH Parcel No: CONTRACTOR OLYMPIC ELECTRIC 1805 TUMWATER PORT ANGELES, WA 98362 360/457-5303 ARCHITECT N/A , 98360-0000 360/000-0000 PROJECT INFO Project Type: TEMPORARY SVC. Occupancy Type: Occupancy Group: Electrical Heat: D Baseboard D Furnace D Heat Pump D Fan Wall o KW o KW o KW o KW $0.00 Project Value: Construction Type: Zoning Use: CO D Riser D ~ Overhead Service ~ Temp Service Underground Service Voltage: 120,240 Phase: ~ 1 D 3 Servi ce Size: 200 Feeder Size: 0 PROJECT NOTES TEMP. SERVICE FOR REMODEL, ADDITION OF KIDNEY TREATMENT CENTER FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Misc Fee: TOTAL FEE: AMOUNT PAID: BALANCE DUE COMMENTS/ACTION NEEDED $54.00 $0.00 $0.00 $0.00 $0.00 $54.00 $54.00 $0.00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEI'TIID COMMENTS YES I NO DITCH ~ :rnTCOVER . ~ 77lZ79ii lJ:!NAT I I I GENERAL COMMENTS: P'N-1I02.J,(4I96) . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. S~ 36 2//S/7'~ DATE Site Address: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. 3 3 ELECTRIC HEAT o BASEBOARD KW ~ FURNACE KW /0 l}d" HEAT PUMP KW ~ tJ FAN/WALL KW _ o RESIDENTIAL ~ COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE ~ RISER o OVERHEAD SERVICE o UNDERGROUN SERVICE VOLTAGE: '.Z D fJ 1 rf> 03 SERVICE SIZE .;$?JO AMPS FEEDER SIZE,...::;;7r0r;J AMPS DetailslDescription: --.L1/Ff..{) c!J/J!!U J!?q. ;;J' - CGvt;/f: . /c9-ht-1 ~//CJJ} /~ ~tf' ~.r . .3 ~;kL Q /O~ ~ /7~ / (;2 t Ad W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER ~ Ditch Inspection O.K. ~ROUgh-in/cover O.K. JI1.~~O.K. to connect service /WLFinalo.K. Site Address: r Permit/Receipt No. 5G3k> New Meters 4- . Notify Port An eles ity Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Build~mit. PHONE 457-0411, EXT. 224. !~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ rf' ~ S Electricallnspeclor Permit Fee ~/ WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall ,...-_ OLYMP1C PRINTERS INC. ~ '/" . . ~ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 . PERMIT NO. S(/P3c ~ 17I'f(, DATE ELECTRICAL PERMIT Site Address: Sq. Ft. D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: ELECTRIC HEAT D BASEBOARD KW ~ D FURNACE KW D HEAT PUMP KW D FAN/WALL KW _ D RESIDENTIAL D COMMERCIAL D NEW CONSTRUCTION D REMODEL D ADD/ALTER CIRCUITS D SERVICE UPGRADE/REPAIR XTEMPORARY SERVICE D RISER g OVERHEAD SERVICE D UNDERGROUND SERVICE VOLTAGE: D116 D316 SERVICE SIZE FEEDER SIZE AMPS AMPS DetailslDescription: I, , /~~, W.S. No. SERVICE SIZE CAPACITY: D O.K. D NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D OVERHEAD SERVICE APPROVED D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. D Rough-in/cover O.K. ~ O.K. to connect service D Final O.K. Site Address: Installer: /, c (;)~ New Meters Notify Port Angel City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. P r-; ~ NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT ~ ;;s:eJ , $ Electrical Inspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PAINTERS INC. ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , , , . , 16- 00000274 pate 2/26/16 Application pin number , , . 208048 Property Address . . . , 811 GEOPG7ANA ST ASSESSOR PARCEL NUMDFZ; 06 -30 00- 4- 2- DR10 -R000 Application type description ELECTRICAL ONLY Subdivision Name . , , . . , Property Use , . , , . . . Property Zoning , , . . . . . COMMERCIAL OFFICE Application valuation . . , . 0 - - l- ^`^ ^ -- -- - - - -- Application desa Reception desk ------------------------------------------__°_--------- --------- -------- - - - - -- Owner Contractor -------- ------ -- -- - - - - -- ------------------------ THOMPSON KIRK L /MAUREEN SIMPSON ELECTRIC B11 GEORGIANA ST 243036 W HWY 101 PORT ANGELES WA 983623511 PORT ANGELES WA 98363 (360) 457- -9270 Permit . . . , . , ELECTRICAL ALTER COMMERCIAL Additional dese 1 -4 CIRCUITS Permit Fee 86.00 Plan Check Fee .00 Issue Date 2/26/16 Valuation 0 Expiration Date 8/24/16 Qty Unit Charge Per Extension BASE FEE 86.00 Fee summary Charged Paid Credited Due Permit Fee Total 86.00 86.00 ,00 .00 Plan Checic Total 00 OD 00 .00 Gxand Total 86.00 86.00 .00 00 REPORT SALES TAX on your excise tax form to the City of port Angeles (Location Code 0502) PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or EIectrical Contractor X Date., G:IEXCHANGEIBUILDING 1 B�7dl Divisionletriaepreiiru>u �' `" -- 321)mst ilk SUM -- P-a Rot 1110 f JP(O Angelm ®Waa hj"w, 9 r M. 0) 4X7 -473 'F= 417 -4711 hake: G k MuMftMft Gr cMMwTcwlx * Firm Raw IIIIOy Be PW" r5 Ef9*=I Mm ft" if4'C unakwoll Ifte t .i►� %r BtIRd"rtlgS�tt3= r �—,-, — _ - -_ - -- ilMipHarr of OM i 11MiAni' i�mr�an r taoM�� [n%m�at�aO . i+iar Pi �2 -{) CS y` 1., _[ IrI? r° ■■N ++acne 'ICF° r' 'Q- Phow FeIC ni#� 4�i ii TIM [ft IMIn�' �p� b�r.ul�Cltergel. S�2Q4AmIx, $93200 •^ � ,,,,,, �2D9.40bAmp $160a GOf 100D Amp $ 2MJM w wall a ra r 10b0Amp. $410" Br�M rsr�tvur Sonice f=eeder $ 6.00 ^ „_ Ommis CirmdW O Swim ARWar $ 74M _ $ ......, ..... _ _ Each AddiGorral Brandy QmuR $ 5A0 Branch Ckcuft 1.4 $ 96.40 $� Tamp, $w" Feadar 200 A" $ 10-00 Temin. S iFeeder2M -400 Aw $121M .� Term.9w4mFWcW4M Amp, $ IUO0 _ -- Temp. 6etwlci3lti 1000 Amp. MAO OO $� ICItOP$W $ 96.00 ; SigrrlQu9irre $ WDO 9rt8k Cdr d Frw –lluiO Fempy $ 64A I C r br a t rrar ►r �rrst laOEl sf— � $ Nate: $5,001hr es t aMbnal 1900 sf P newa6ieBedkdi:=W -5KVA Sydwn vTLm $113.00 TNMrrGat $ MOO NO& $5.00far'esch adflaW T- Sid Owner as deRnW by RCW.192&261: (1) OrrrerwM com the sWMm for hwo years aW this eladn'cal t is tirraira6d., (2) Cdr b mq.tinE![I m hire an eleW=I cuiftdor IF ahrnre said ley Is far sale, rent or lease. Permit expires atiec six mrndhs of bask Imponft 'z. 'Aftreadlog the above siaierrmk i ilmby oaOy lam gw awmer of the above nnumd property er a kem*d dedricat o Owft= I am l the e*CWMI lrtsiaiMa M or attetatiin In Omnplimm With the akch cal Isw% N.t .C., RCYIr. Chnplur '19:28. WAG. Chapter 296.468, The (liiy► of ltrt Angetes Munidpal Code, and UE,W4, pedifiic afts and PAMC 14,.A5 050 m9wding Eledtical PwW ,Appl *s. of owner, r: 0 tvuh © (teak A =6 -- – o7�atr1o7x