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HomeMy WebLinkAbout1502 Bldg M E Lauridsen Blvd - BuildingPREPARED 6/06/11 9 23 30 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/06/11 ADDRESS 1502 BLDG M E LAURIDSEN BLVD SUBDIV TENANT NBR PENINSULA COLLEGE CONTRACTOR MCKINSTRY ESSENTION INC PHONE (206) 762 3311 OWNER WA PENINSULA COLLEGE PHONE (360) 417 6553 PARCEL 06 30 14 2 1 0000 0000 APPL NUMBER 11 00000193 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 6/06/11 PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 5/09/11 JLL 5/09/11 AP ME99 01 6/06/11 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 6/06/11 BLDG FINAL June 3 2011 9 26 33 AM pbarthol Richard 360 509 3149 June 3 2011 4 30 11 PM pbarthol MECHANICAL GAS LINE May 6 2011 1 10 58 PM 1pangrle RICHARD 360 509 3149 GAS INSPECTION' SCIENCE TECH BUILDING May 9 2011 3 43 06 PM jlierly MECHANICAL FINAL June 3 2011 9 29 02 AM pbarthol Richard 360 509 3149 June 3 2011 4 30 28 PM pbarthol PLUMBING FINAL June 3 2011 9 29 48 AM pbarthol Richard 360 509 3149 June 3 2011 4 31 04 PM pbarthol COMMENTS AND NOTES PREPARED 5/09/11 10 01 37 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/09/11 ADDRESS 1502 BLDG M E LAURIDSEN BLVD TENANT NBR PENINSULA COLLEGE CONTRACTOR MCKINSTRY ESSENTION INC OWNER WA PENINSULA COLLEGE PARCEL 06 30 14 2 1 0000 0000 APPL NUMBER 11 00000193 COMM REMODEL PERMIT ME 00 MECHANICAL PERMIT REQUESTED SP DESCRIPTION TYP /SQ COMPLETED RULT RESULTS /COMMENTS ME6 01 5/09/)1 SUBDIV MECHANICAL GAS LINE May 6 2011 1 10 58 PM 1pangrle RICHARD 360 509 3149 GAS INSPECTION SCIENCE TECH BUILDING COMMENTS AND NOTES PHONE (206) 762 3311 PHONE (360) 417 6553 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Low voltage control Owner WA PENINSULA COLLEGE 1502 E LAURIDSEN BLVD PORT ANGELES WA 98362 (360) 417 6553 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 95 9000 ECH EL LIMITED 1ST 1500 SQ FT Fee summar Permit Fee Total Plan Check Total Grand Total ELECTRICAL ALTER COMMERCIAL 183376 95 90 4/06/11 10/03/11 Charged 95 90 00 95 90 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G' \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 11 00000295 Date 4/06/11 980555 1502 BLDG M E LAURIDSEN BLVD 06 30 14 2 1 0000 0000 ELECTRICAL ONLY PUBLIC BUILDINGS PARKS 0 Contractor WPCS INTL INC SEA OP 18538 142ND AVE NE WOODINVILLE (425) 483 2677 95 90 00 95 90 Plan Check Fee Valuation Paid Credited Due 00 00 00 RESULTS 5/z 40i 43tio 4c.\ WA 98072 0 0 0 Extension 95 90 00 00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Gtr RIQz Les Zo6 `t!Z 3d05' INSPECTOR. Date Plan Review a Be q fired, PI se Comp to EI ct al Plan evie Information Sheet Job Address: ain't Vo lVtC1 �Y`t f nC )f" Building Square Footage: Description of above I elk) VQkie)..flf', C1 Ih jP k1CQ twirl Owner formation Name: Mailin Addre City: peVt Phone: License Exp. Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 -1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub ItCR s: 0 2tI1 X kiI V tr fe,i State: Zip: Fax: Unit Charae $119.90 $145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 $110.30 $148.70 $167.90 95.90 88.20 95.90 63.90 63.90 $119.90 $102.30 56.00 $110.30 35.20 73.50 $110.30 Dated: 2tL PHONE 425.483.2677 FAX 425.402.9708 MOBILE 206.412.3009 EMAIL fred.smith @wpcs.com RECEVE APR 0 2011 ELECTRICAL INSPECTIONS Information 540) ce. M CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 11 1 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* Contrac Name: I, Mailin. Add •ss: City: ii.! II Phone rr1 License Exp. State: I I F Fax: 1 II Total (g_ti Multiplied by Unit Charge] $95.go ci 5 4 0 Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator W P C S INTERNATIONAL INCORPORATED 18538 142ND AVE. E NE ,.WOODINVILLE WA 98072 FRED SMITH SUPERINTENDENT/WPCS SAFETY COMMITTEE SEATTLE OPERATIONS w w w w p c s c o r n C ®V vv International Incorporated Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS PARKS Application valuation 0 Application desc 4 circuits Fans and VFD Owner WA PENINSULA COLLEGE 1502 E LAURIDSEN BLVD PORT ANGELES WA 98362 (360) 417 6553 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS 11 00000245 Date /22/11 710985 1502 BLDG M E LAURIDSEN BLVD 06 30 14 2 1 0000 0000 ELECTRICAL ONLY Concractor ELECTRICAL ALTER COMMERCIAL 182790 81 30 3/22/11 9/18/11 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Charged Paid Credited Signature of owner or Electrical Contractor X G• \EXCHANGE \BUILDING OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES WA 98363 (360) 457 5303 u Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 3 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 81 30 81 30 00 00 00 00 81 30 81 30 00 DATE. Plan Check Fee Valuation RESULTS 0 0 0 Eytension 7 50 7 80 Due 00 00 00 INSPECTOR. 5 /3110 AV s f3►1 E1 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date r 0 V r 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 ENERGY UPGRADES SCIENCE TECH BUILDING M Owner WA PENINSULA COLLEGE 1502 E LAURIDSEN BLVD PORT ANGELES WA 98362 (360) 417 6553 Structure Information 000 Construction Type Occupancy Type Permit Additional desc Permit pin number 182097 Permit Fee 2017 05 Issue Date 3/18/11 Expiration Date 9/14/11 Permit Additional desc Permit pin number 182394 Permit Fee 199 10 Issue Date 3/18/11 Expiration Date 9/14/11 Qty Unit Charge Per 14 00 10 6500 EA T:Forms /Building Division /Building Permit MECHANICAL PERMIT 11 00000193 Date 3/18/11 134146 1502 BLDG M E LAURIDSEN BLVD 06 30 14 2 1 0000 0000 PENINSULA COLLEGE COMM REMODEL PUBLIC BUILDINGS PARKS 277137 Contractor MCKINSTRY ESSENTION INC 5005 3RD AVE S SEATTLE (206) 762 3311 000 R UNKNOWN BUSINESS OFF /PRO /MED /REST BUILDING PERMIT COMMERCIAL Plan Check Fee 1311 08 Valuation 277137 Qty Unit Charge Per Extension BASE FEE 1020 25 178 00 5 6000 THOU BL -100 001 500K (5 60 PER K) 996 80 Plan Check Fee 00 Valuation BASE FEE ME STOVE /FIREPLACE /MISC APP Permit PLUMBING PERMIT Additional desc Permit pin number 182402 Permit Fee 61 00 Plan Check Fee 00 Issue Date 3/18/11 Valuation 0 Expiration Date 9/14/11 Qty Unit Charge Per Extension 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. bavIct onneadri WA 98134 0 Extension 50 00 149 10 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type 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. Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 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 (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 I I Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Comments IFINAL Date Acceoted by FINAL Date Accented by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page Application Number 11 00000193 Date Application pin number 134146 Qty Unit Charge Per BASE FEE 1 00 10 6500 EA PL -FUEL GAS PIPE 1 5 OUTLETS Special Notes and Comments The Fire Department has reviewed the project application and has no comments Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total STATE SURCHARGE 4 50 Charged Paid Credited 2277 15 2277 15 00 1311 08 1311 08 00 4 50 4 50 00 3592 73 3592 73 00 Due 2 3/18/11 Extension 50 00 11 00 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) 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. 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 (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 Inspection Type Date Accepted By S-cl- It I FINAL Date 1;y I Accepted by OIL-- (FINAL PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Comments Date 6 6- I t Accepted by at FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 A— City of Port Angeles Permit Application Building DwlclonlElectrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax:1390)417.4711 Date: 3 //9 1 2 Single Family Dwelling Mulli- Family or Commercial" Commercial Addition Alteration Remodel Repair' Plan Review May Be Required, Please Comics Electrical Fen Review Infor llo Sheet Job Address: IS" a L gL s� h J N ,2 L a b M Building Square Footage: r Description of above gL PI G C B MO D /S �FLS A4 d in ti /l O'/ e M'w Fof Owner Inflgqr�ation Contractor Informs ry Name: veil r 4Sd /4 Name: 9` 974-07,4$4;, 6� i, ,e. Mailing A ress: t s6 �.�t�� Ste Mailing ddfds: /ti11 t �L4 City' Stale, INr9 Zlp: City: Stale: g/r Zip: f Phone: Fax: Phone: _y1 •Cars, Fax; 1%5 4- -Pie'j License Exp. License I Exp. 42 Z e Y a 7, Unii hang S 119.90 145.50 5 204,60 S 262.20 372,50 S 2,50 5 73.50 S 2,60 5 92.70 S 110.30 6 148.70 167.90 S 95.90 E 88.20 95.90 S 63,90 63.90 $119,60 102.30 110,30 5 35.20 S 73.50 S 110.30 S 56.00 Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years after Ible electrical permit is finalized. (2) Owner Is required to hire an eiectrlcei contractor if above said property Is for sale, rent or lease. Permit expires after six months of lest inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical Installation or alteration In compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC, Chapter 296468, The City of Port Angeles Municipal Code, and Utility Specifications, Signature of owner, electrical contractor or electrical administrator Caeh Check Date. 3 //9/// 1.00/1.00 0 133dSNI A113 Vd F Total (Ow Multiplied by Unil Charoe) Service/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401 -000 Amp, Service/Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder S o Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp Temp. Service/Feeder 401 600 Amp. Temp, Service/Feeder 601 -1000 Amp. S Portal to Portal Hourly Sign /OuUlne Ughyng Signal Circuit! Limited Energy Commercial. Additional 1500 $5.00 Signal Circuit/ Limited Energy 1 8 2 Family Dwelling Signal Circuit/ Limited Energy Multi-Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square FL S Each Additional SOD Square FL or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat S 67,30 Total Credit Card ft RECEIVEu„„)„, MAR 2 1 201 �p,.� ELECTRICAL INSPECTIONS 03 3I.438[3 OtdWAYO 86VE ZSV 09E XV3 -lb 60 IIOZ /81./E0 For Th 5005 3 Avenue South Seattle, WA 98134 206 762.3311 206 762.2624 Fax WE' TRANSMIT instry le 01 Your Building Attached Under Separate Cover VIA Hand Delivery Courier Mail Fax Email THE FOLLOWING: CI CI Transmission Status CI CI Correspondence Project Directive Submittals Request for Information Schedule Drawings O&M Manuals Information As Required Review Comment For Approval Request for Proposal Distribution Price Proceed Response required Yes No Date Number of pages Transmitted (including transmittal sheet) 0 Linda, Attached you will find the following: (1) Mechanical Permit Set (1) Mechanical Permit Set w/ Wet Stamp (1) Structural Permit Set (1) Structural Permit Set w/ Wet Stamp Also included is a check for the plan check fee. Thanks. Date Subject To Attention Phone Dave Robinaugh Signed 206 832 -8352 Phone TRANSMITTAL Transmittal No. Project Name. McKinstry Job No. 8 March 2011 Peninsula College Permit Drawings The City of Port Angeles (Building Permits) 321E 5th St Port Angeles, WA 98362 Linda Pangrle 360- 417 -4815 (.t/\ CC II 002 Peninsula College Phase 1 C10177 Fax 360- 417 -4711 Linda Pangrle From Sent: To Subject: Attachments Linda, Dave Robinaugh [DaveRo©McKinstry corn] Friday March 04 2011 4 55 PM Linda Pangrle RE. Peninsula College Science Tech Energy Upgrade David Wegener I am not sure who the propane supplier is I have attached the contact information for David Wegener He should be able to answer all your questions about the propane supply There are no backflow prevention devices being installed for this project. Thanks. Dave Robinaugh, LEED® AP m 206 714 5141 I d 206 832 8352 I f 206 716 3538 McKinstry Consulting I Construction I Energy I Facility Services www.mckinstrv.com From Linda Pangrle jmailto.Loanarle(acitvofoa.usl Sent: Friday, March 04, 2011 1 35 PM To Dave Robinaugh Subject: Peninsula College Science Tech Energy Upgrade Hi Dave, Thanks, Linda Pangrle Permit Technician City of Port Angeles 321 E 5th St. Port Angeles WA 98362 360- 417 -4815 360- 417 -4711 fax Ipanarle( citvofoa.us c kR q IJu -f -caked t�v id c' He'I review Pro Pane, a kw') yes baGkflow ckanies IrbacK ry io e- ma; N� s& ck ►1 should a U be_ or or e_ Pe�rlmit- Do you know who will be the propane supplier for this project? Please provide me with the supplier's personal name, business name, phone number(s), and e-mail asap If you don't know who the supplier is, then please provide me the contact information for your contact at the college regarding this project asap Do you know of any backflow prevention devices that will be installed as part of this project? If so, please tell me the type(s) and quantity(ies), and if the water lines to the backflow devices are >2' or not. This email is the property of McKinstry or one of its affiliates and may contain confidential and /or privileged information. If you are not the intended recipient or have received this e-mail in error please notify the sender immediately and delete this e -mail Any unauthorized copying, disclosure or distribution of the material in this e -mail is strictly forbidden. 2 Linda Pangrle From Linda Pangrle Sent: Friday March 04 2011 1 35 PM To davero ©mckinstry corn Subject: Peninsula College Science Tech Energy Upgrade Hi Dave Do you know who will be the propane supplier for this project? Please provide me with the supplier's personal name business name, phone number(s), and e-mail asap If you don't know who the supplier is, then please provide me the contact information for your contact at the college regarding this project asap Do you know of any backflow prevention devices that will be installed as part of this project? If so, please tell me the type(s) and quantity(ies), and if the water lines to the backflow devices are >2' or not. Thanks, Linda Pangrle Permit Technician City of Port Angeles 321 E 5th St. Port Angeles WA 98362 360- 417 -4815 360- 417 -4711 fax loanarlec citvQ Da.us 1 CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant i VklitknODA Property Owner aim vault" Property Owner's Address Is62 E Vi t dso,., 1 1 �s Contractor 1 -r' C, -4 -to,r. yvtr_ 'Phone Contractor's Address' ?yam P 5QA1/4\, J 6 i 6V License F 44 2 Expires iz -q i 1 E -mail PROJECT ADDRESS Parcel Number Project Type Brief Desc Check all that apply New Construction Addition Remodel Repair notion. Residential Multi- family Commercial Industrial 11�t P� r o covorI Colts o-r Fop vn f I VF> s avvd mt, V vosolat,ty -AA 1.ltvJ lovvt mn i411 t win ad St`r c-. 4 ecitmwvlocf.t Ex-414;0A Demolition Seq. CrfirkthP vprarr e s okty, i2A Re -roof ti Hou garage other tear off re roof o lay over one layer System Pm 5 Heat pump wood burning stove gas fireplace pellet stove other YOther ePaAly Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of propose struct es Will a lawn sprinkler syste •...e installed? Will a fire sprinkler syste be I tailed? BUILDING PERMIT APPLICATION Print in ink i 15 Blvd ,?e,1-4- Avtcia{ Science STech ex tLoo Zoning Ex sting (sq. ft.) Proposed (sq. ft.) ft. Occ .anc .roup Occup load Con uc' n type Signature Pho Phd Total footprint of structures sq ft. T L t s' e sq ft. Lo Site Coverage the amount i pervious surface on a par I including structures paved drivewa and other impervious surfa s (see PAMC 17 94 135 f r e emotions) For City Use Only Date Received —4 -)1 I Permit (1— 111 to Approve E li Zrle q —s 2bt( —14 6 vas C01" J per sq ft. TOTAL VALUATION 274A of •edr••ms of fu. •aths #of. al_•aths erage sidewalks patios overage 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 determi what permits are required, and to obtain permits pri�to worki on projergts. Date J -1X Print Name ,t (�UK� A T Forms /Building Division /Building permit application U Permit# il- 9 3 Rom,rn.e, Iy II T Forms /Building Division/Notes NOTES w J1f2fAsx 0 t,o 3 Yq I, e.oz_ /244-71-4S 0 0/11C A01.-;6c NOTES Permit c 1 3 03, Cyn of vN eko V-Q5LAvv, \k J c i siol c imufAmmAu' VcovtA "FWt-x `Q -169. '\mina -461nn v l h �a \ou \\a-+vna 2Xkov`4v\G 6 e \oo ,:or- 1- 'V Q tQ i UYmh* Cv- Ix tk 01 -s s (0'11 aaS 1 Mood -C► 634r c.ov wl 61 U e, d^ �i -�,��4 to k \r All (S)1z\--e9- VecovnidaS aYd arc- +c-A -4 k v8wkw Wv-c- exlnews4- m, avwv,n 1 2 cY; v \-va uvvi e/-4 Yee o)Q.v.A kipoCo TSiN, A (J51111 wF C OAS an r�u v►ti� J T 1vvek7t1 view �vv t 4„. lrts v e ,,ve,t, 1mbs, 1h s k11 (S) Inx t., c- 0k o o,v ems,,, 1'nr•w, s Msk dnvty lt-Ai st e. e.cik sZxln,e).6-1- --ran 7--- QmAAN e £Y c' y(2.7-\ V1/t.Oh S Q 1 64A)S -GAAS a n exlniwsl- c s >o U stn k `Ci 51 "1 av, ecln.Nvs- iplcvwwk (1, W V VU( 1(1m, r .2),",v64, rt�1 ti w� \m2 `1J3w\V 1 Ayr) (Pun^0 J V T Forms /Building Division/Notes J J J Pro IF cx)e, O (L A aes Per bOw■ 3 /I41()Ato rtewfanks, bo■lai -ot J r only n a a ro �h s o� c e. n or- J oZ 'n e,w a a s P fve_s -}-a s 66,64A-tow ktow P v-evev h o J r clrqOr 1 r 6tuci valve- `&vice. s L. 3 -10 -11 Per hone, call uu k u huc, s �dl ke cp., 4 ski 41 fiA s- v Iroac Application desc Fire hydrant meter Owner Contractor STATE OF WASHINGTON GEN ADMIN OLYMPIA Signature of Contractor or Authorized Agent T \Policies \1102.15 [10/08] WA 985041000 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00001315 Date 12/14/09 Application pin number 018020 Property Address 1502 BLDG M E LAURIDSEN BLVD MTR ASSESSOR PARCEL NUMBER 06 30 14 2 1 0000 0000 Tenant nbr name EARTH HEAT Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 OWNER Permit PUBLIC WORKS COMM WATER SERV Additional desc FIRE HYDRANT METER Permit pin number 158253 Permit Fee 150 00 Plan Check Fee 00 Issue Date 12/14/09 Valuation 0 Expiration Date 6/12/10 Qty Unit Charge Per Extension BASE FEE 150 00 Fee summary Charged Paid Credited Due Permit Fee Total 150 00 150 00 00 00 Plan Check Total 00 00 00 00 Grand Total 150 00 150 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 fora 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. APPO-z?Ai r 12 Date Signature of Owner (if owner is builder) Date sl c PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T ■Policies \1102 15 [10/08] RESIDENTIAL PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT I BUILDING 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 Fire hydrant meter Maier Hall Owner STATE OF WASHINGTON GEN ADMIN OLYMPIA Qty Unit Charge Fee summary Charged Permit Fee Total Plan Check Total Grand Total T' \Policies \1 102 15 [10/08] WA 985041000 Per 150 00 00 150 00 09 00000839 942484 1502 BLDG M E LAURIDSEN BLVD MTR 06 30 14 2 1 0000 0000 PRIMO CONST PUBLIC WORKS UTILITES UNKNOWN 0 Permit PUBLIC WORKS COMM WATER Additional desc FIRE HYDRANT METER Permit pin number 151951 Permit Fee 150 00 Issue Date 8/19/09 Expiration Date 2/15/10 BASE FEE CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor OWNER SERV Plan Check Fee Valuation Paid Credited 150 00 00 00 00 150 00 00 Date 8/19/09 Due 00 00 00 00 0 Extension 150 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 conssructi Of/oe( Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T' \Policies \1102 15 [10/08] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 PERMIT INSPECTION RECORD YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING