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HomeMy WebLinkAbout935 Georgiana St - BuildingPREPARED 1/25/11 8 26 59 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/25/11 ADDRESS 935 GEORGIANA ST SUBDIV TENANT NBR OMC I T DEPT CONTRACTOR PHONE OWNER OLYMPIC MEDICAL CENTER PHONE (360) 417 7170 PARCEL 06 30 00 5 8 0195 0000 APPL NUMBER 10 00001229 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 1/25/1 BLDG FINAL January 25 2011 8 23 44 AM 1pangrle ROB 460 1284 BUILDING FINAL ADDED THREE WALLS A DOOR (ONE OFFICE INTO TWO) PLEASE INSPECT BEFORE 3 30 PM COMMENTS AND NOTES C E RTI F I 4TE OF. �CUPANCY Cit j of'�P Y A t i W ,.�o t An B uld.��ng >D�a��ision pivision Wit. This certificate is issued(' suant to the requirements-of Section 11 =iJof the 2009 International Building Code certifying that a ethen2ime ofissuance this structure was in compliance with the various ordinances of the City regulatin illiziddingoonVOictiofrousefo the folltrik Business name Business address J Property owner Classification. r 7 Dept: (YO.wne r Georgiara"aSt:. Olympic MetlicaI Center Property owner s address. 939 Carolirie" Automatic fire spr Per1IBC Use occupancy n Business Occupant load. Per A:01 1C :Table %1 =0 Building permit num e '8b Type of construction. mp c Med.icafCept Ith. Sery No 2 11/04/10 Date Post on the premises in a conspicuous place. his",certi ailfi ot.be removed except by the Building Official. _Li ,k g CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING 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 Application desc ADDING THREE WALLS A DOOR (ONE OFFICE INTO TWO) Owner OLYMPIC MEDICAL CENTER AKA CC PUBLIC HEALTH SERV #2 939 CAROLINE ST PORT ANGELES (360) 417 7170 Structure Information 000 Construction Type Occupancy Type WA 98362 Permit BUILDING PERMIT Additional desc ADD 3 WALLS /DOOR Permit pin number 176016 Permit Fee 151 75 Issue Date 10/22/10 Expiration Date 4/20/11 Qty Unit Charge Per 4 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total 14 0000 /0-2S -4° I 6 Gc k T Forms /Building Division /Building Permit 000 ADDING 3 WALLS DOOR (ADDING OFFICE) UNKNOWN BUSINESS OFF /PRO /MED /REST BASE FEE THOU BL -2001 25K Charged Paid 151 75 98 64 4 50 254 89 10 00001229 724461 935 GEORGIANA ST 06 30 00 5 8 0195 0000 OMC I T DEPT COMM REMODEL COMMERCIAL OFFICE 5500 151 75 98 64 4 50 254 89 Contractor OWNER COMMERCIAL (ADD OFFICE) Plan Check Fee 98 64 Valuation 5500 (14 PER K) STATE SURCHARGE g.),907 Credited 00 00 00 00 Date 10/22/10 Due Extension 95 75 56 00 4 50 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING. Joists i Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting T Forms /Building Division /Building Permit IFINAL Date 1 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. Accepted by 1 FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electric:al 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 I Q 1 -2c -1 nr r Pick up Cc+ 11 2.6 Applicant or Agent: S i+ o N 1 gob t Owner 0 /i1 vw O k. m ex1, r C.i ✓t Z 6)51%1' 1 Address: 7 Z J A1 I Caro/1M Si City' Poe'r Architect/Engineer Go Contractor State License Address: c 4 Olt. A S A City PROJECT ADDRESS F3 G e, lit:LA T,F,GAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WO Residential Multi family Commercial it Repair RK. New Constr Addition x'Remodel Sign BRIEF DESCRIPTION OF THE PROJECT S `7 i,JCLUS -Plmr ce.\s °ham o COMMERCIAL/RESIDENTIAL. Occupancy Group. No of Stones: Lot Size: Existing Sq. Ft. Total lot coverage No fturYtkn q or V'1e�avtic PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes T•1FORIvIS\BldgPermitfonn.wpd Applicant: BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your :.pplication and site plan MUS1`B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Re -roof Stove Move Garage Demolition Deck Other s STZF/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION S:SOO ro? �Ki h 1 j-wo s Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq Ft. No Other Subdivision. c{60 2 gy Phone: '^41 7/7 C7 Phone: 1-1/7 76O% 0 FOR OFFICIAL USE ONLY Date Rec. (0 "243' 10 Permit 10 Date Approved Date Issued: Zip. O (o Phone: L/ 7 7/ 71 Exp L" Phone: Zip ZONING omc I: Doff Date. 10 lidit S OT F APPROVALS PLAN BLDG DPWTJ FIRE. OTAFR. hey yh+ 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. 1F 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 tune 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 wntten request by the apphcant (see Section R105.3.2 of the International `Building /Residential Code, 2003). No application can be extended more than once. I hereby certify that 1 have read and examined this application and know the same to be true and correct. 1 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. Permit 10 t2.- �o,zo id k€ DJ aek ese- in Y 1 Formsi 3Ading Division/Notes (nom A me,s n -o NOTES rn 0 0 y (Q 0 co N i 5 CD CD 0 Ad.a4eS5 e S (b: `135 Geary i c "4 5+ 9 1, New 3' 0 I.) Do. eZ Shelf 52 AFF 9' 1 5/8' CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- nations and other data sh F vent the building official •rrom thereafter requ� n of errors in said Oar specific and othe r, or from preventing uilding ions being carr' in thereunder when in of all codes and of this jurisdiction. 1 e9 :j13 L Approval Date ce___A— W co FU I] Z xN r Top Pic-At -Veks +ern Z 16 a .F (C OG W 5 �8 6(a6 t tA1 Ib d r N-\-0 J P`a ik)c" L) v4o.0 a-y t/v Zv PREPARED 10/14/10 8 12 51 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 935 GEORGIANA ST TENANT NBR OMC I T DEPT CONTRACTOR OWNER OLYMPIC MEDICAL CENTER PARCEL 06 30 00 5 8 0195 0000 APPL NUMBER 10 00001186 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 10/14/10 SUBDIV PHONE PHONE BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 10/13/10 TIME 15 21 13 October 13 2010 3 19 46 PM 1pangrle ROB 460 1284 C OF 0 FINAL OMC I T DEPT AFTERNOON PLEASE CALL ROB 10 MINUTES BEFORE YOU GET THERE SO HE CAN WALK WITH YOU DURING THE INSPECTION COMMENTS AND NOTES (360) 417 7170 PAGE 6 DATE 10/14/10 06,5& COAN 2g GCV L Y (y\ (yAn Rer ,DRT,, CERTIFICATE OF OCCUPANCY APPLICATION PLEASE PRINT IN INK Check one New business in P A. Change of ownership only? U Moving location from within P.A.? ri Zoning C 0 BUSINESS NAME_ °PLC. '.'f Business address 935 o q,cX cL Mailing address r (c<ra1,,,,.. Phone number 6 ra a I7 71 D Opening date J0-13 Days hours of operations 7 S 3 c i. Business owner's name D 1-i,,,,.,,,, &I a ,c4( 4-c( Contact phone(LO) II/7 7/70 Business owner's address 1 q3 re ra St 1 v.- ..C2s. idA i q c Brief description of business L Jeers L.r'r' d 04",( 4,,.¢.5 Property owner's name(D /w6-) L 1 1 r (e n4e.f Contact phone (3 &0' L/ I7 717 0 or Y) 7/k) Property owner's address /contact r. nn ppr¢A-r.yat.E cr.0 -1--c ,.,we or R0 GL, to BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Yes No Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways ramps bathrooms electrical heating /cooling /ventilation systems etc) Work planned FIRE DEPARTMENT phone 417 4653 C(TY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Changes to a fire sprinkler system or fire alarm system? Yes No Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 4623 l6 00 s1� Square footage of business') Is business moving within the PBIA? Yes No CITY CLERK phone 417 4634 Second -hand dealer /pawnbroker business? Yes No Will there be dancing at this business? Yes No A City of Port Angeles Business License is required fur Taxi, Peddlers, Second -Hand Dealer Pawrbro.ker Dance Hotel -Motel Fireworks Ambulance and Tattoo Boeinesses. Pige1of2 Bldg approval by 011 Fire approval by on PBIA notified on City Clerk approval by on Permit t°4 $(c) FEES Certificate Inspection $100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by on q Number of off-street parking spaces available for mployeesand customers? (A parking plan may be required.) Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planne PLEASE NOTE. NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 -4812 Is site work planned (new or re- located sewer or water service excavation grading or filling. work in City right -of -way new driveway openings site drainage parking lots downspouts, irrigation syste backflow devices etc) Yes No% Work planned PUBLIC WORKS WASTEWATER phone 417 -4845 PWW approval by on Date 1 3 Print Name PWE approval by IJ on lb I V Ai° c--, wt S Will waste other than domestic household waste be discharged into the sewer system? Yes No L If yes what will be discharged Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 T' \Forms \Building Division \Cerli icale of Occupancy ,ppl∎c lion (2010) doc Please sign up for utility services at the cashiers' counter I hereby apply fa' a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. iZo h ct (70t Signature Page 2 of 2 PLEASE PRINT IN INK C Check one New business in P.A. Change of ownership only? Moving location from within P.A.? g Zoning C 0 BUSINESS NAME_ 0 t q- Z 'T Pep* Business address 9 3 C o P c j i c t n ct. 5't' Mailing address 4 3 q Cara I Jt& Phone number 6 o 7r fa Opening date 10 i3 Days hours of operation er dais 7-S" Business owher's name ©ly ✓►'1.A ;c41 Ce, k-ef Contact phone(aLO) lit? 7/7 Business owner's address 34 (Ai-01 AA_ S 4- r IJA 2'1,4' L Brief description of business °L Deo 6A-+ry„..1— (,,e5 Property owner's nam Property owner's address /contact FIRE DEPARTMENT phone 417 4653 Square footage of business? CITY CLERK phone 417 4634 e l ern, /olte.-) CERTIFICATE OF OCCUPANCY APPLICATION Permit k O $(o CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 $100 (360) 417 -4815 fax (360) 417 -4711 t, ML) 0) BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Yes No Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways ramps, bathrooms electrical heating /cooling /ventilation systems etc) Work planned Changes to a fire sprinkler system or fire alarm system? Yes No Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 4623 /6 a0 51� Is business moving within the PBIA? Yes No Second -hand dealer /pawnbroker business? Yes No X. Will there be dancing at this business? Yes No A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance Hotel Motel, Fireworks, Ambulance and Tattoo Businesses. 016A. ea.? (e evkir Contact phone .(3601 1 117 7/70 or yj7 7/63 r- 54-, PD/tA`^eial. .Sc.0411Uqj.,er or Rob In f A Page 1 of 2 FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee charged for Downtown locations Bldg approval by PBIA notified Fire approval by t< Q on 10 City Clerk approval by 51-4 on 1 10 3 ''^-C COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by 51k on 10- 1 10 Number of off- street parking spaces available for mployees and customers? 7, (A parking plan may be required.) Signs? (wall-mounted o unted freestanding projecting awning A -frame etc Signs planned PLEASE NOTE NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles Work planned PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 -4812 Is site work planned (new or re- located sewer or water service excavation grading or filling work in City right -of -way new driveway openings site drainage parking lots, downspouts irrigation system backflow devices, etc) Yes No,' PWW approval.by on PUBLIC WORKS WASTEWATER phone 417 -4845 N Will waste other than domestic household waste be discharged into the sewer system? Yes No E If yes what will be discharged CaI rr for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter I hereby apply for a Certificate of Occupancy I acknowledge that 1 have read this application and state that the information 1 have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. Date Print Name T \Forms \Building Division \Certificate of Occupancy Application (2010).doc Q g b cL (VM, Si Page 2 of 2 PWE approval by KV on 1 O 1 x,-10 4 .~. 05/05/08 Re-issue date t be removed except by the Building Official. J:> \J'3 \Sj G) ~ c.2 -/ ~ po ~ e" FOR OFFICIAL USE ONLY: Dale Rec.: Pcrmi'#: 707? Date Approved: ~ ~ DateIssued: /O/. ~h ELECTRICAL PERMIT APPLICATION The Electrical Permit Application must he filled out completely. Please type or print in Ink. Uyou bave any questions, please call (360) 417-4735 Fax number: (360) 417-4711 Applicant and/or Agent: IhvJ des (1lW1ll1Ut'c.Aft'otVf>hone: Property Owner: Pax# % 7 ~D2/Z Phone: Address: Contractor City: License #: Exp: Zip: Phone: Zip: Address: City: Credit Card Holder Name: A1J[,k <;. Billing Address: /0 L R.o.s.s 'L..,U. Credit Card Numbersr Permit Fee: .3/? ~ ~W1t/1ltlAJ'(-Af--/'OFVS I,ue.. City itJR.f&rr/.r< Zip: 9~.J'6 ~ Exp. Date: / / .. VlSA_ MC L . PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: 7~-s B~~~SUmli~c;gAAC-) ZONING CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: o Residential 0 Multi-faillily 0 Commercial 0 Mobile Home Electrical Permit fees are based on WAC 296-46-910 /ft4 I BRIEF DESCRIPTION OF THE PROJECT: Electrical Heat Load Additions Servlee Information o Baseboard o Furnace o Heat Pump o Fan-Wall KW KW KW KW o IUs... o Ov...head S~ce o Temp S~ce o Und...ground S~ce Voltage: Phase: 0 I 0 3 S~ce Size: Feed... Size: Comments: J hereby certify Ihar I have read atld eJ(amined thif application and know rhe sam. 10 b. troe ond correc/. and I am ulIthoriud 10 upp~y Jar this permit. I "nderstl/fld il is IIoT The Ciry's legal respon.rihility /n delemiinc what permits are reqllir"d; it remairu; the applicanT's r<.\pvn.<ibility 10 cklermine what p<rmil., are rcquired and To obrain such. rW.llol..,..l [.eIll.ooI Crulil Card Holdee's Signature: ~ ~ // Date: 7-lb';OJ