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HomeMy WebLinkAbout09209 Ci of Port Townsend Development Services Department � �T0 AJ n Notice PERMIT NUMBER OWNER JOB LOCATION Inspection of this structure has found the following violations: W t You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call for inspection. �- Date � Inspector V L DSD Main Office 60) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE City of Port Townsend Development Services Department C rrection Notice PERMIT NUMBER Q D — 20� OWNER 02q �Z1� IX1 JOB LOCATION Inspection of this structure has found the following violations: LC_- o C If 41 Ai A l You are hereby notified that no more work shall be done upon these premises until the above violations are corrected, unless noted otherwise. When corrections have been made, call for inspection. Date Inspector DSD Main Office (360) 379-5095 INSPECTION REQUEST (360) 385-2294 THIS NOTICE MUST BE KEPT WITH APPROVED PLANS ON SITE QoarTo�ys CITY OF PORT TOWNSEND o DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT 9��wa CALL THE INSPECTION LINE AT 360-385-2294 BY 3:00pm THE DAY BEFORE YOU WANT THE INSPECTION. FOR MONDAY INSPECTION,CALL BY 3:OOPM FRIDAY.fl DATE OF INSPECTION: 2C d PERMIT NUMBER: SITE ADDRESS: CONTACT PERSON: 'IL �j PHONE: TYPE OF INSPECTION: O:E L t QA 114 Tc-__�Q- aj-", r; t � - -Ajq t4 i tje ❑ APPROVED ❑ APPROVED WITH ❑ NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re-inspection before checked at next inspection proceed' g. Inspector \ y��- Date ;7 1 / Acknowledgement Date Approved plans and permit card must be on-site and available at time of inspection. A re-inspection fee may be assessed if work is not ready for inspection. VORTrp�y CONSTRUCTION PROGRESS RECORD sz CITY OF PORT TOWNSEND 0 wA Development Services Department 9 �- 250 Madison Street, Suite 3, Port Townsend, WA 98368 POST THIS CARD IN A SAFE,CONSPICUOUS LOCATION.PLEASE DO NOT REMOVE THIS NOTICE UNTIL ALL REQUIRED INSPECTIONS ARE MADE AND SIGNED OFF BY THE APPROPRIATE AUTHORITY AND THE BUILDING IS APPROVED FOR OCCUPANCY.STAMPED APPROVED PLANS MUST BE AVAILABLE ON THE JOBSITE. PARCEL NO. 948321101 PERMIT NO. BLD09-209 ISSUED DATE 10/30/2009 EXPIRATION DATE 04/28/2010 ADDRESS 834 SHERIDAN CONSTRUCTION TYPE OCCUPANT LOAD OWNER JEFFERSON CO PUBL HOSP DIST#2 PROJECT DESCRIPTION Sleep Center(alteration of five existing rooms) CONTRACTOR OWNER BUILDER LENDER INSPECTION INSP DATE COMMENT INSPECTION INSP DATE COMMENT FRAMING MISCELLANEOUS INSULATION PLUMBING GWB FIRE-FINAL , FINAL BUILDING ( / TO REQUEST AN INSPECTION CALL(360) 385-2294. INSPECTION REQUESTS MUST BE RECEIVED PRIOR TO 3:00 PM FOR NEXT DAY INSPECTION. r t Thomas L. Aumock Consulting Fire Code Inspector 2303 Hendricks Street,Port Townsend,WA 98368 (360)385-3938 Email: taumock©cablespeed.com Fax: (360) 643-0272 PLAN REVIEW MEMORANDUM To: Scottie Foster, City of Port Townsend Development Services Department Fr: Thomas L. Aumock, Consulting Fire Code Inspector, East Jefferson Fire& Re 44_1�1 Dt: 20 October 2009 Re: BLD09-209 Jefferson General Hospital Five Room Remodel For Sleep Center Cc: None I am in receipt of the set of plans for the above-referenced proposal from your office, have reviewed the proposal with the International Fire Code [I.F.C.], 2006 Edition and Washington State Amendments, and applicable N.F.P.A. code sections. The following constitutes this plan examiner's findings and determinations based upon the plans of record submitted. Findings & Determinations: 1. The proposal was reviewed as a three-story mixed occupancy with the main floor work area as a Group B occupancy. 2. An automatic fire suppression system (sprinklers) is not required for this work area [I.F.C. Section 903.1]. 3. An automatic fire detection system [detectors] exists in the corridor for this work area consistent with I.F.C. Section 907.2.6.2 4. Fire extinguisher re-placement shall meet or exceed IFC Section 906 and NFPA Standard 10. 5. During demolition and/or construction, the proposal is subject to general precautions against fire provisions of Chapter 14of the I.F.C. and related sections. Any other applicable or relevant sections of said Code not covered herein shall nonetheless apply to this proposal. 1.0 hours time was logged in the initial site inspection, plan review, and report for this proposal. It is the recommendation of this consulting fire code inspector that the proposal be approved subject to the aforesaid requirements of the International Fire Code. CADocurnents and Settings\freds\Local Settings\Temporary Internet Files\Content.Outlook\G6XJIGGT\13LD09-209 Jeff General Sleep Center.docIO/21/09 11.109/2009 14:36 FALX 3603851421 JH Construction v-a VV\- J rDEC "E NOV - 9 2009 CITY OF PORT TOWNSEND DSD 11 0fl 2009 14:37 FAX 3603851421 JH constl,uction Q 002 ,._� November 9,2009 Dana Michelsen/Jim Skannes .� Jefferson Healthcare 834 Sheridan Street Port Townsend,WA 98368 RE:Jefferson Healthcare Clinic Wing Alterations - Inspection Report Coates Design has made two separate field inspections of the project i under construction:October 13t"and October 28'. light gauge metal framing, insulation and finishes have been installed per the drawings. The observed work is in substantial conformance with the documents. 4: L' r c Should you have questions or comments, please don't hesitate to call or email. Regards, ow x i n I � L 1 Bob Miller-Rhees, Architect, CEFD°AP r. s q .V O J J7 W - uJ C c_ J m CITY OF PORT TOWNSE0 PERMIT ACTIVITY LOG PERMIT# B-L-0 b —ZU� DATE RECEIVED l D SCOPE OF WORK: 1A -", DATE ACTION INITIALS ENTERED INTO CHET L� CHECKED FOR COMPLETENESS V -CFO i--p v►k ►o a � Zoning: Setbacks OK? Lot Size: Building Size: Lot Coverage: FAR OK? Height OK? Parking OK? Critical Area? Demo? Historic Rev? Notice to Title? Lots of Record? o�QORTTo�y BUILDING PERMIT _ City of Port Townsend Development Services Department 250 Madison Street,Suite 3, Port Townsend,WA 98368 (360)379-5095 Project Information Permit# BLD09-209 Permit Type Commercial Tenant Improvement Project Name Sleep Center(alteration of five existing Site Address 834 SHERIDAN Parcel# rooms) 948321101 Project Description Sleep Center(alteration of five existing rooms) Naines Associated with this Project License Type Name Contact Phone# Type License# Exp Date Applicant Jefferson Co Publ Hosp Dist#2 Owner Jefferson Co Publ Hosp Dist#2 Contractor Owner Builder Q- STATE exempt 12/31/2009 Fee Information Project Details Project Valuation $20,000.00 Entered Bid Valuation 20,000 DOLL Plan Review Fee 208.81 Units: Heat Type: PLAN REVIEW DEPOSIT 150 150.00 Bedrooms: Construction Type: PLAN REVIEW REFUND 150 -150.00 Bathrooms: Occupancy Type: B State Building Code Council Fee 4.50 Technology Fee for Building Permit 6.43 Building Permit Fee 321.25 Record Retention Fee for Building 10.00 Permit Total Fees $ 550.99 Ca11385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180 days. Work is verified by obtaining a valid inspection. The granting of this permit shall not be construed as approval tobiolate any provisions of the PTMC or other laws or regulations. I certify that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certify that I am the owner of the property or auth rized age t of the/owner. Print Name Date Issued: Issued By: 10 ,signature X 0/0Date Expires: 04/07/2010 O�poRTTO�y BUILDING PERMIT City of Port Townsend Development Services Department �wnst 250 Madison Street,Suite 3,Port Townsend,WA 98368 (360)379-5095 Project Information Permit# BLD09-209 Permit Type Commercial Tenant Improvement Project Name Sleep Center(alteration of five existing Site Address 834 SHERIDAN Parcel# rooms) 948321101 Project Description Sleep Center(alteration of five existing rooms) Naines Associated with this Project License Type Name Contact Phone# Type License# Exp Date Applicant Jefferson Co Publ Hosp Dist#2 Owner Jefferson Co Pub] Hosp Dist#2 Contractor Owner Builder ()- STATE exempt 12/31/2009 Fee Information Project Details Project Valuation $20,000.00 Entered Bid Valuation 20,000 DOLL Plan Review Fee 208.81 Units: Heat Type: PLAN REVIEW DEPOSIT 150 150.00 Bedrooms: Construction Type: PLAN REVIEW REFUND 150 -150.00 Bathrooms: Occupancy Type: B State Building Code Council Fee 4.50 Technology Fee for Building Permit 6.43 Building Permit Fee 321.25 Record Retention Fee for Building 10.00 Permit Total Fees $ 550.99 Call 385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180 days. Work is verified by obtaining a valid inspection. The granting of this permit shall not be construed as approval to violate any provisions of the PTMC or other laws or regulations. I certify that the information provided as a part of the application for this permit is true and accurate to the best of my knowledge. I further certify that I am the owner of the property or authorized agent of the owner. Print Name Date Issued: 10/30/2009 Issued By: FFRANKLIN Signature Date Date Expires: 04/28/2010 Development Services �O,pORTTO�ys 250 Madison Street ,Suite 3 Fort Townsend WA`98368 �Phone: 360-379-5095 =4619 WAS www.cityofpt.us Commercial Building Permit Application Project Address &Zoning District: Legal Description (or 1 Tax#): Office Use Only Addition: � i SC►-i Y Q_t.� +y Per t 3 l 1 QM is C- - ( LO.6cl —2-0cl 91-C-1 i ,J-S Q 13 ( Block: al 1 �i vac_ �'i N v�� # Parcel# Lot(s): / —g Associated Permits: 3 -)- I• . 0 Project Description: ,1 �' IV Applications accepted by mail must include a check for initial plan review fee of$150 ➢ See the"Commercial Building Permit Application Checklist"for details on plan submittal requirements. Property Owner: Lender Information: Name: A w" e o-� ���/ Lender information must be provided for projects Address: ` \f Q � over$5,000 in valuation per RCW 19.27.095. City/St/Zip: Name: Phone: 0 ?S?6�- JL,),O 6 6 Project Valuation: $ a.O 00 E Email: Construction Type: Lie Contact/ presentativq�\. l Occupancy Rating:L e c�k� CC-lle Name: ` � V \ Address: v ti.c'_v I Building Information (square feet): City/St/Zip: L.JL _` ern , 15t floor Restrooms: Phone: s 0�.00 Qk-f-• oZ�(J� 2Id floor Deck(s): Email: L J oev 3`d floor Storage: Basement: Is it finished? Yes No Other: Contractor: Name: New ❑ Addition ❑ Remodel/Repair Address: Change of Use ❑ City/St/Zip: Phone: Email: Total Lot Coverage(Building Footprint): Square feet: 65 S� % State License#. Exp: City Business License#: Impervious Surface: Square feet: I hereby certify that the information provided is correct,that I am either the owner or authorized to act on behalf of the owner and that all activities associated with this permit will be in accordance with State Laws and the Port Townsend Municipal Code. Print N an Signature: Date: FUNCTIONAL PROGRAM SLEEP LAB The Sleep Lab at Jefferson Healthcare is devoted to providing clinical services to care for patients afflicted by severe or prolonged difficulties regarding sleep. It is dedicated to serving the needs of the community by providing high quality care for the patients, through evaluating, diagnosing, and managing sleep disorders. The Sleep Lab, is a two bed unit including recording equipment. The staff is experienced in the evaluation of various sleep disorders. A control room is located between the two patient sleep rooms. The control room will serve as the monitoring room for the sleep technicians. An office, located across the hall is for the physician to see patients on a regular basis.. Each of the sleep rooms have a private restroom and shower and one is ADA compliant. Each sleep room has a media center with a sink and a television. The on-duty night technician will be responsible for cleaning the medical equipment. This will include CPAP masks, gold cup electrodes, and any additional wires for patient use. CPAP masks, hoses, and humidifiers will be cleaned using a pasteurizer(at H2O temp of 166*F or above for 30min). The sink in the control room is fitted with a vaccum breaker. Housekeeping from JHC will be responsible for cleaning each room including the control room and physician office. This will include cleaning, trash removal and linen changes. The clean linen storage will be across the hall in a closed clean closet. The hospital laundry will provide the linen. The materials management department will deliver supplies. Business hours will be from 8:OOAM-4:30PM Monday-Friday and 7:OOPM-7:OOAM Monday-Saturday. Patients will arrive at the registration area, registration will review their insurance information and the patient will be sent to the Sleep Lab. The sleep technician will then have the patient watch an informational video, review the procedure to them and begin the study. No medications will be administered by the Sleep Lab staff. I, r RnT _ 0 j CITY Of PORT 10' NSNSEND Infection Control Construction Permit Permit No: a Op - Location of Construction: �e c,& Project Start Date: Qc, < aQ� Project Coordinator: V'0-- Estimated Duration: k Vy-,6'"ALA Contractor Performing Work ermit Expiration Date:--4D-- Su ervisor: Telephone:3 35--aao0 ems• (o YES NO CONSTRUCTION ACTIVITY YES NO INFECTION CONTROL RISK GROUP TYPE A:Inspection,non-invasive activity GROUP 1:Low Risk TYPE B:Small scale,short duration, GROUP 2:Medium Risk moderate to high levels TYPE C:Activity generates moderate to high levels of GROUP 3:Medium/High Risk dust,requires greater 1 work shift for completion TYPE D:Major duration and construction activities GROUP 4:Highest Risk Requiring consecutive work shifts CLASS I 1. Execute work by methods to minimize raising dust from 3. Minor Demolition for Remodeling construction operations. 2. Immediately replace any ceiling the displaced for visual inspection CLASS II 1. Provides active means to prevent air-bome dust from 6. Contain construction waste before transport in tightly dispersing into atmosphere covered containers. 2. Water mist work surfaces to control dust while cutting. 7. Wet mop and/or vacuum with HEPA filtered vacuum 3. Seal unused doors with duct tape. before leaving work area. 4. Block off and seal air vents. 8. Place dust mat at entrance and exit of work area. .qQ 5. Wipe surfaces with disinfectant. 9. Remove or isolate HVAC system in areas where work is being erformed. 1. Obtain infection control permit before construction begins. 6. Vacuum work with HEPA filtered vacuums. CLASS III 2. Isolate HVAC system in area where work is being done to 7. Wet mop with disinfectant prevent contamination of the duct system. 8. Remove barrier materials carefully to minimize 3. Complete all critical barriers or implement control cube spreading of dirt and debris associated with method before construction begins. construction. 9. Contain construction waste before transport in Date 4. Maintain negative air pressure within work site utilizing tightly covered containers. HEPA equipped air filtration units. 10. Cover transport receptacles or carts.Tape covering. Initial 5. Do not remove barriers from work area until complete 11. Remove or isolate HVAC system in areas where work project is thoroughly cleaned by Env.Services Dept. is being performed/ 1. Obtain infection control permit before construction begins. 7. All personnel entering work site are required to wear Class IV 2. Isolate HVAC system in area where work is being done to shoe covers prevent contamination of duct system. 8. Do not remove barriers from work area until completed 3. Complete all critical barriers or implement control cube project is thoroughly cleaned by the Environmental method before construction begins. Service Dept. Date 4. Maintain negative air pressure within work site utilizing 9. Vacuum work area with HEPA filtered vacuums. HEPA equipped air filtration units. 10. Wet mop with disinfectant. wtial 5. Seal holes,pipes,conduits,and punctures appropriately. 11. Remove barrier materials carefully to minimize 6. Construct anteroom and require all personnel to pass spreading of dirt and debris associated with through this room so they can be vacuumed using a HEPA construction. vacuum cleaner before leaving work site or they can wear 12. Contain construction waste before transport in tightly cloth or paper coveralls that are removed each time they covered containers. leave the work site. 13. Cover transport receptacles or carts.Tape covering. 14. Remove or isolate HVAC system in areas where is being done. Additional Requirements: Exceptions/Additions to this permit Date Initials Date Initials are J-o'&o by attached me oranda Permit Request By: fl Permit Authorized By: Date: �_ a d Cf Date: Adapted with permission V Kennedy, B Barnard,St Luke Episcopal Hospital, Houston TX, 5 Forms modified and provided courtesy of 3 Bartley, ECSI Inc Beverly Hills MI 2002 OF 9OPT TOE y�o Receipt Number: 09 0885 ,.... .#fW as R�:. WW ReceiptDate 11/03/2009� ' Cashier SFOSTER' S Payer/Payee N me JEFFERSON GENER�4�LHOSPITAL� 3` ?- 3 t da 7 4a Pi : v 4 , _.e * a s a �' q �` Onginal.Fee Amount Fee G'IN �� - «ram Permit#�y parcel Fee Description ugmount Patd Balance�� r. ....«.-.a: ... a#ay.,z .,ba.:;= �2,"�A' s>.:4�."!a `� -w.. ' --i. -ao. ," >,F;.,. ., n .. ..E BLD09-209 948321101 Plan Review Fee $208.81 $208.81 $0.00 BLD09-209 948321101 PLAN REVIEW REFUND 150 -$150.00 -$150.00 $0.00 BLD09-209 948321101 State Building Code Council Fee $4.50 $4.50 $0.00 BLD09-209 948321101 Technology Fee for Building Permit $6.43 $6.43 $0.00 BLD09-209 948321101 Building Permit Fee $321.25 $321.25 $0.00 BLD09-209 948321101 Record Retention Fee for Building Per $10.00 $10.00 $0.00 Total: $400.99 i " OLPrevious Payment History k 'r �z ;,Re�cetpt# y !, Rece t Date _ seeDescn ytton 3 ;AmouPatd H p F p E m Permtt# 09-0834 10/09/2009 PLAN REVIEW DEPOSIT 150 $150.00 BLD09-209 ;Payment � ec;Chk payment Method Number qr fount CHECK 079432 $400.99 Total: $400.99 genpmtrreceipts Page 1 of 1 �pO"T Taw y City of Port Townsend Invoice "- Development Services Department 250 Madison Street,Suite 3, Port Townsend,WA 98368 Date: 30-ocT os (360)379-5095 Invoice# 1157 JEFFERSON CO PUBL HOSP DIST#2 834 SHERIDAN ST PORT TOWNSEND WA 98368-2443 Application No BLD09-209 Project: Sleep Center(alteration of five existing rooms) Application Type Commercial Tenant Improvement Parcel# 948321101 Subdivision.: E!SEN9E!S ADDIT!OP! Bloc6JLct Site Address: 834 SHERIDAN Description Fee Amount Paid/Credit Balance Due Plan Review Fee $208.81 $0.00 $208.81 PLAN REVIEW DEPOSIT 150 $150.00 $150.00 $0.00 PLAN REVIEW REFUND 150 -$150.00 $0.00 -$150.00 State Building Code Council Fee $4.50 $0.00 $4.50 Technology Fee for Building Permit $6.43 $0.00 $6.43 Building Permit Fee $321.25 $0.00 $321.25 Record Retention Fee for Building Permit $10.00 $0.00 $10.00 Total Fee Amount: $550.99 Total Paid/Credits: $150.00 Balance Due: $400.99 Page 1 OF?ORT)O� � yin o Receipt Number: 09 0834 t WA4� ;ReceiptrtDate . 10/09/2009 ;; Cash er SWASSMERt Payer/Payee Name JEFFERSON�C�O PUBL HOSP DIST#2, �._..,. za. :, 7.,7 KM T xN, �� Ongtnal Fee Amount ; Fee ; w Pe�m�t# Parcels Fee Descriptions Amount Paid y Balance .NO BLD09-209 948321101 PLAN REVIEW DEPOSIT 150 $150.00 $150.00 $0.00 Total: $150.00 PrevrousPaymenf Mistory ' � Receipt# Receipt Date". �.. Fee. z �.pt� 1. � . .r', Amount'_iP''aid °4 �Prye mit#. �a Payment CheckO� Pa/•�••ent '.' 61,00 Method , Number ;� Amount . Al CHECK 078911 $150.00 Total: $150.00 genpmtrreceipts Page 1 of 1