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Home My WebLink About328 E 5th St - Building't MX. PORT ANGELES DEPARTMENT' &_;ECONOMIC DEVELOPMENT BUILDING DIVISION 32r:EASP5TH'STkEET '-PORT ANGELES:WA'983 62 -i. Appalcat ion 'Wuniber 12-I :p.o:69 Is7,.. :Da :ApPlicatIon.,pin.;.niiniber .67208' property Address :3.2:8 ,;5TH _ST, 'ASSESOR.:-PARCEL.MOISER =06. 'TO DO 0. j 9:910'11000 .Tenant,•ribr, .naine ;,V -,,I,, ''fbion.iitTp7Y. Applicat-ion. :type :ciescraptIon --4pLUMBWG RMIT c_Subdivrei'on,i-Namet•t--,:, 1. ..7: Property -Use. ,t,"" 'PropertS ,:ZOi ling --4CONMERCIAL ,6P.P.i, et" ed"o '5,0; Aocaton..,:cordeoo2). ;Apriiication;' 4„:". Application :deed', IRRIGATION ;WAT'ER. .BACKFLOW PREV -DEV Owner :Contractor'' 'CITY KOF PORT ;ANGELES ATTW: 71 2P :o'',..15-1(.. 'A/t1GELES'5.• 'WA ?983°63 FtaditiOnda; :49c 'Perm 'pin riumber Perrn±t s; Expi:ratlon Dte tigi-k,-4 64e dc"Total Grarid T�tal k :PL7/133ING':-pERm ;till-. WAt ti2 .:BAC:irElici14- :184259, 77, .4. C 10 Y..41444 1; •,-•r 't a 7 r7 t e 7 5. 1:Jnit .per REP OR: T SALES TAX. pnyourtiate,e'xbise;thiYorm ..,,lothe'Citrof 100; 5 7271Ail-tchea 4/2l/11 Valuation '4 V: i 0- 49 ii`.6: 4? 1-PL-WATER :1.1;,TE- .-.1 '4 -t ...4.;„., p_ -;0.0, 1. ;0000. EA- LPL :-!LAWN- iSP14,7LR BCKF'.1.)14j Pall 00 ;-P';eeze:#nimary_:,,,_ 1= a. ".ii "Char4ed-F 4 >a .."1: Permit Tot 00 :t-te''x',47A'04.-.4- 0 Li: -0' 4 4. ..A,.. ;O:cr i7 c)-'ii. ..op: 4:a t Separate Permits.are requiredfor electrical work SEPA Shoreline ESA utilities private and public imprbvements. This;pertnitbeCornes: -null and void if work-or construction authorized is nottcommenced within1 80 days if construction or work issuspendedor4bandoned for4a#010db3;180'cdoss4aher tieSted within 180 days libm the: AastinapectidOte0by:certifSrAriatihavetead.:and=examined-thp;applibation and knowlhe'zarne'AO:be'true and correct Allprovitions' of laws qand,*.dinandegoi.r.ertninbAhis4bazolworkWill:ibe,comoliea*ith!whether specified in or-hot: The granting of a permit does', TiqfrOifesup cance theprovisionsof any s tate or local l construction or tile :performance of htOti ,aogruoe' lr-cr 4 ,-It. q: •'',i: 4 44 -.0;4 F=,&'14 0 q ':L,. ,z- ,6. x ,..,4 -41.- 4 Ar 1..„ ir MI: kr:Met:kW on, "1'7 r-u-v.--.-.- Date Print Name' Signature of Contra0Or or AuthorizeaA6entr Sigripture,ot (if is builder) Pt t ti T:Forme/Building Division/Building Permit 41- Jr: kr. sr. NAME OF PREMISES. C I a l 0X 7 A 4 /,ce�f cc'A4fri U,t/ ARDeN SERVICE ADDRESS 3 1 G S /EE LOCATION OF DEVICE. 1 J s U/,/ 11 4 I 14/ 4- eit(' t v ASSEMBLY //V I L. K I /V 5' q 5l/ ,1 4 Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY' YES P40 IS ASSEMBLY INSTALLED CORRECTLY') YES EKE DATE OF INSTALLATION A I'm l/ mUNKNOWN❑ Initial Test Repairs Details Final Test COMMENTS REDUCED PRESSURE PRINCIPLE ASSEMBLY RP RPDA DC 0- DCDA PVB Air Gap DOUBLE CHECK VALVE ASSEMBLY SVB AVB CHECK VALVE #1 I CHECK VALVE #2 I RELIEF VALVE I PVB /SVB Leaked r] Leaked W/ Did Not Open AIR INLET Closed Tight Did Not Open Held at psi Opened at psi Held at psi Opened at psi Cleaned O Replaced Held at v ;Psi Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division Cleaned Q AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO Closed Tight Held at Cleaned Replaced Replaced 3 psi Buffer YES NO Opened at psi 14/.5,( /I i f i E,12, V SS's =P /4? f WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Replaced Official Use Only Asscm.# Received CHECK VALVE Leaked Held at psi REPAIRS Cleaned AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES TYPE OF HAZARD.' A IZ/ Pt ?I' Line Pressure 7 psi Held Backpressure YES Er<J0 #2 Shutoff Held YES 13 NO Relief Valve Exercised YES 0 NO Date.Time Tester Signature ��y, Cert. Test Kit Passed Failed ITtial r 1,1 h r t'� k Yom` Test 'C4 116 176C �'�►tY �cr'.7 7 f 4'J Repairs Final Test 1 r j r (k E`,✓ ,ice -1-1 4 M i .i L S f. Owner CITY OF PORT ANGELES ATTN YVONNE P 0 BOX 1150 PORT ANGELES (360) 417 4601 Qty 1 00 1 00 Permit Fee Total Plan Check Total Grand Total 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 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 IRRIGATION WATER LINE /RISERS/ BACKFLOW PREV DEV Unit Charge 0000 0000 WA 98362 Fee summary Charged ��2f Zol! kichard P on, 11 00000357 672008 328 E 5TH ST 06 30 00 0 1 9910 0000 COMMUNITY GARDEN PLUMBING PERMIT COMMERCIAL OFFICE 800 Contractor OWNER Permit PLUMBING PERMIT Additional desc IRR WATER LINE BACKFLOW Permit pin number 184259 Permit Fee 00 Issue Date 4/21/11 Expiration Date 10/18/11 Per EA PL -WATER LINE EA PL -LAWN SPRNKLR BCKFLW PREY Paid Credited 00 00 00 00 00 00 00 00 00 Date 4/21/11 Plan Check Fee 00 Valuation 0 Due 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. Extension 00 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 0 If 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 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 Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Comments FINAL Date 1 2501 Accepted by t�\� FINAL Date Accepted by -4 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By —0 Electrical 417 -4735 C Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PREPARED 4/20/11, 16 05 38 CITY OF PORT ANGELES PLUMBING PERMIT Please present this receipt TOTAL DUE a n APPLICATION NUMBER 11- 00000357 328 E 5TH ST 1 FEE DESCRIPTION AMOUNT DUE Scgi v\Y 1\0 fPoo- PAYMENTS DUE RECEIPT €/t PROGRAM BP820L 64 0 e Q Omm icy! G' cure5 t ekl 64 WO I ine. 4 P0ubCe�c.h b A c14 w r treAte -Aeli o te^i the cashier with full payment Ar �a a Richard Bonine 4 From Linda Pangrle Sent: Wednesday April 20 2011 4 33 PM To Richard Bonine Subject: Community Garden Permit #11 357 Attachments. Community Garden Permit #11 357 pdf Hi Richard, Today Kim Weimer submitted a plumbing permit application for the community garden Please see the 2 -page attachment (permit application fee due sheet) Kim said you would pay for the permit. After you pay the permit fee, please come see me to sign and pick up the permit. Call Ron Becker at extension 4886 when you are ready to have the backflow prevention device inspected When you want the water line inspected by Jim Lierly, please call me at extension 4815 to set up an inspection Thanks, Linda 1 Applicant Property Property Contractor Contractor's License PROJECT ADDRESS Parcel Number u Co 3 6 Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System y Other Floor Areas Basement 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed fl O r t ilieitA je �q c 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 L. Owner G/',1 Owner's Addre 3z/ r r _C /-h� 0-C P64- It Addres 3 g 6_7z4 Lot Zoning 000 qq !6 Residential r House garage other <<t r�Q rats E -mail Expires L� nli P (ei2i1 F.rrGr /files f Y-74'e LS Existing (sq. ft.) Proposed (1g. ft.) 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 ff hone Phone Multi family )(Commercial Industrial Heat pump wood- burning stove gas fireplace pellet stove u other TOTAL VALUATION For City Use Only Date Received M -2-o- I\ Permit 11 -3S Date Approved 3Go 360 -4/7 -4 5 S7 34cs- 4l7-45 tear off re -roof lay over one layer per sq ft. Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks 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. 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 t worki on projects. Date 4. 2 Print Name 1/C.'/k7 Ale /G!i/ Signature ��e- -----1- T Forms /Building D /Building permit application patios 6 th '429 Clallam County Assessor Treasurer Property Details 57669 CITY OF PORT ANGE Page 1 of 2 Clallam County Assessor Treasurer Property Search Results 57669 CITY OF PORT ANGELES for Year 2011 2012 Property Account_ Property ID' 57669 Legal Description. LOTS 3 AND 4 BL 199 SURVEY V25 P20 Geographic ID• 0630000199100000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 89 Open Space N DFL N Historic Property' N Remodel Property' N Multi Family Redevelopment: N Township Section: Range: Location Address. 328 E FIFTH ST Mapsco' PORT ANGELES, WA 98362 Neighborhood: Exempt Ref Region 5 Map ID• 2 Neighborhood CD• 50985200 Owner Name. CITY OF PORT ANGELES Owner ID 46739 Mailing Address. ATTN: YVONNE Ownership 100.0000000000% PO BOX 1150 PORT ANGELES, WA 98362 Taxes and Assessment Details Property Tax Information as of 04/20/2011 Amount Due if Paid on. Exemptions: EX NOTE. If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due First Second I Half Half Base Base Year Statement ID Taxing Jurisdiction N Amt. Amt. Penalty Interest Base Paid Amount Due 12011 152365 ST SCH STATE_ SCHOOL $0.00 $0 00 $0 00 $0 00 $0 00 $0.00 2011 152365 CC -GEN COUNTY CLALLAM $0.00 $0 00 $0 00 $0 $0 00 $0.00 2011 152365 SD #121 SCHOOL DISTRICT #121 $0 00 $0 00 $0.00 $0.00 $0 00 $0.00 2011 152365 CITY PORT ANG CITY OF PORT ANGELES $0.00 $0.00 $0.00 $0 00 $0 00 $0.00 i 2011 152365 PORT PORT OF PORT ANGELES $0.00 $0.00 $0 00 $0 00 $0.00 $0 00 i 2011 152365 NTH OLY LIB NORTH OLYMPIC LIBRARY $0.00 $0 00 $0 00 $0.00 $0.00 $0 00 2011 152365 HOSP #2 HOSPITAL #2 $0 00 $0 00 $0.00 $0.00 $0.00 $0.00 2011 152365 WSMET PK DIST WILLIAM SHORE MET PARK DIST $0 00 $0.00 $0.00 $0 00 $0.00 $0 00 2011 152365 CITY_ _STORMWATER CITY STORMWATER $36 00 $36.00 $0 00 $0 00 $0.00 $72.00 j 2011 152365 WEED CONTROL WEED CONTROL $0 82 $0.81 $0.00 $0 00 $0 00 $1.63 2011 152365 TOTAL. $36.82 $36.81 $0.00 $0.00 $0.00 $73.63 2010 40654 ST SCH STATE SCHOOL $0 00 $0.00 $0_00_ $0 00 $0.00 $0.00 2010 40654 CC -GEN COUNTY CLALLAM $0 00 $0 00 $0 $0.00 $0 00 $0 00 2010 40654 SD #121 SCHOOL DISTRICT #121 $0.00 $0.00 $0.0_0 $0 00 $0 00 $000j 2010 40654 CITY PORT ANG CITY OF PORT ANGELES $0.00 $0.00 $0 00 $0.00 $0 00 $0 00 2010 40654 PORT PORT OF PORT ANGELES $0 00 $0 00 $0.00 $0.00 $0.00 $0 001 2010 40654 NTH OLY LIB NORTH OLYMPIC LIBRARY $0.00 $0 00 $0.00 $0 00 $0.00 $0.00 2010 40654 HOSP #2 HOSPITAL #2 $0 00 $0 00 $0.00 $0 00 $0.00 $0.00 2010 40654 WSMET PK DIST WILLIAM SHORE MET PARK �DIST $0 00 $0 00 $0 00 $0.00 $0.00 $0 00o, 2010 40654 CITY STORMWATER CITY STORMWATER $36.00 $3600 $0 00 $0 00 $72.00 $0 001 I http. /websrv8 clallam.net /propertyaccess /Property aspx ?cid =0 &year =2011 &prop_id =57669 4/20/2011 s ~. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPME!'ff - BUILDING DNISION . 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000206 Date .100156 328 E 5TH ST 06-30-00-0-1-9910-0000- DEMOLITION .3/31/05 COMMERCIAL OFFICE 4651 owner Contractor CITY OF PORT ANGELES P. O. BOX 1150 PORT ANGELES WA 983623003 MORRISON EXCAVATING INC P. O. BOX 3051 PORT ANGELES WA 98362 (360) 452-7179 ------ Structure Information DEMO SFR Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . SINGLE FAM & CONGREGATES -----~---------------------------------------------------------------------- Permit . . . . Additional desc Permit Fee Issue Date Expiration Date DEMOLITION. DEMO SFR 47.00 3/31/05 9/27/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE Extension 47.00 --------.----------------------------------------~--------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 51.50 51.50 .00 .00 G.) ~ 'l1 ~ ~ ( Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements.TJ;Iis Pf!l111it'becomes null and void if work or construction authorized is not commenced within 180 days; if construction or work is Suspet1ded or. abandoned for a period 01180 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 goveming this type of work will be complied with whether specified herein or not The granting of apennit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or theperfonnance of construction. ~JUV~ 3-3/"ClS Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\II02_IS building pennit inspection recordOS.wpd [1/4I2ooS] :,','" , .,' ",.'",,,.' ..',' 'T" ","C',," .,', ,"', .,,' ,"',' " ",""."', I . ,," " o S-- ~ t". BUILDING PERMIT INSPECTION RECORD , . I '. ,." CALL 417-4815 FOR BUILDINCUNSPECTIONS.C:ALL 4174735 FOR ELEqrRlCAl. INSPECTIONS. , , .'. '.,. C:ALL417-4807 FOR PUBLIC WORKS UTlLmES :. ".... ". PLEASE PROVIDE A MINIMtJM24 HOUkNOTICE. IT IS UNLAWFUL TO COVER;INSULATE,pRCON,CEALANY WORK BEFORE INSPECTEDANJ) ACCEfTED. ,POST PERMIT IN A CO~~fICUOUSLOC4'110N, KEEP,PERMrPiCARD AND APPROVED PLANS AT JOB SITE. DATE .... ACCEPTED' ,"'" i I YES t NO .. . . I I SEPA: i i '. ." 'e" --:- -= f-" , _-ESA:._-_.-t~-- --I-------~- , h'j.. . . ,SHOREI;INE: I " . <F1NAliINSIlECl1ONSJU:9UIRED PRIOR TO OCCU~~9'I1!~~;" '., " ,'. ,', ;,," .... .... DATE D" " YEs NO COMMERCIAL ,,[ INSPECTION TYPE FOUNDATION: FOOTINGS WALLS " FOUNDATION P~ ' POST HOLES (POLE BLOGS.) , PLUMBING. ,; UNDERFLooRlSLAB ; DRAINAGE l DOwNsPOUTS . ' . " . ROUGH-IN . WATER LINE '(METER TO BLOG) GAS LINE BACK FLOW l WATER ,.' , '. ' I ' I .. AIRSEAL WALLS CEILING FRAMING.' JOISTS I GIRDERS I I ' I I , . , SHEAR WALI..!HOLD DOWNS , WALLS lRooF l CElLING "., DRYWALL(lNTEIUOR BRACED PANEL ONLY). T.BAR " .,',", INSULATION SLAB WALL l FLooRl CEILING MECHANICAL HEAT PUMP l FURNACE l DUCTS GAS LINE ' WOOD STOVE l PELLET l CHIMNEY COMMERCIAL HOOD l DUCTS MANUFACTURED HOMES FOOTING l SLAB BLOCKING & HOLD DOWNS ,/ .. i I ! i I i I I , i , 1 " , I~ .' I .' '". I ~' ~ ", SKIRTING I PLANNING DEPT. SEPARATEPERMIT /#'s . lblGlmNG LANDSCAPIJIiG ... " . .. . RESIDENTIAL , , ELECTRICAL - LIGHT DEPT. ; CONSTRUcTION R. W.l PWl ENGINEERING ." FIRE 417-4735 fucnUcAr:' . LIGHT DEPT CONSTRUCTlON'- R. W. \ P!,lENGINEIfRlNG i FIRE DEfr:' ,.. . ::'i L 417-4807 417-4653 417-4750 ....1..-- Ll~__as- A:JV /<.:';'l PLANNING DEPT. . ... BUILDING I, PLAN:NINGDEPT. I ., BUILDING 417-4815 T:\Policies\1102_15 building pennit inspection record05.wpd{tl412005] ,",...;'._" " . .,,,'r" ~ .. '." '.: '''', ",';' ,"":i, COMMENTS ..' " . j " , .; i DATE ! " . '; ACCE,PTED;.. YES ,NO " . '. : "\ I \ T',,, ; " ' , 'j , . ,. ,;; :P~EP.ARE])-311.37(j 5;"16:06:-29. CITY OF PORT ANGELES PAYMENTS DUE..RECEIPT PROGRAM BP820L APPLICATION NUMBER: 05-00000206 328 E 5TH ST FEE DESCRIPTION AMOUNT DUE TOTAL DUE 47.00 4.50 51. 50 DEMOLITION STATE SURC!-L7)..RGE Ii U:..n f fJ- S 1 Lj ~? 92. 0- s / 8- 415 0 (}-D~i1 PI< 0D2- Please present this receipt to the cashier with full payment. .' ..ENOY:IC & ASSOCIATES CMLENGINEERING .. '. . ... ".LANJ:)slIRvEYINGcv [ffilE~lE~WlE~ l JUN-4 2~1- CITY OF PORi ANGEl.;::.': ! DepL~L2.~!::rm;.~il\' !-,~,:' "::': ; . INCORPORATED 519 South Peabody Street, Suite 22 Porr Angeles,WashingtoIl 98362 (360) 417-0501 Fax (360) 417-0514 E-mail: zenovic@o!ympus.net May 26, 2004 City of Port Angeles Attn: Michael Quinn, City Manager 321 East Fifth Street Port Angeles, W A 98362 SUBJECT: Site Inspections for Lots 3 and 4, Block 199, TPA and Lot 15, Block 199, TPA. Dear Mr. Quinn: This office has performed a visual site inspection on the above referenced properties as requested by the City of Port Angeles. The purpose of this inspection was to assess possible environmental concerns that may exist on the three subject properties based on only a visual inspection of the sites. Following is a description of the subject properties: Lot #3 - 128 East 5th Street, Port Angeles This lot is located on the south side of East 5th Street. The subject site contains a two story building which appears to have been constructed for use as a single family residence. The structure is of wood framed construction and sits on a post and pier foundation. At the time of the inspection, it appears that the lower floor may have recently been used as an office and the upper floor appears to have been used as an apartment. There is no common access stairway between the floors. The flooring on the lower floor is mostly wood with some areas containing old sheet vinyl flooring and tiles. The upper floor is carped except for the bathroom which contains vinyl flooring. The finish on the walls and ceilings is painted gypsum wallboard or lath and plast~r of various colors with painted wood trim. The exterior wood siding is painted white. The wood joists, posts and sub floor are all black in color and mold is suspected. There were no signs of any heating ducts throughout the structure; the current heat source appears to be electric baseboard heaters located in the various rooms of the structure, both on the first and second floors. The structure has two brick chimneys which appear to have been abandoned in place. Although a structural evaluation was not requested, it was noted during the inspection that the floors sag and there is probably differential settlement. The wood staircase leading to the upper floor also is in very poor condition with some rotten wood. Ul N 00 ('0 . Crt r A small wood-framed shed is located along the east property line approximately 30 feet north of the alley. This structure isin a state of disrepair. The shed appears to contain only some garbage. ~ Page 2 City of Port Angeles May 26, 2004 Lot #4 -126 East 5th Street, Port Angeles This lot is located on the south side of East 51h Street and is just west of Lot No. 3. The lot is empty and is covered in grass. There are no signs of previous structures on the site. A review of City of Port Angeles records found no records of construction on the site although good City Building Department records begin in the 1970's. There were no obvious signs of any underground tanks on the subject site. Lot No. 15 - 321 East 6th Street, Port Angeles Lot No. 15 is located directly south of Lot NO.4 noted above and is separated from Lot NO.4 by a paved alley. The subject site is covered with grass and a couple of trees. There are signs of a previous residence on the site with what appears to be portions of a foundation showing and a sidewalk remaining on the lot. There is a water meter within the City of Port Angeles Right-Of-Way and what appears to be a water shutoff valve encased within a 4" nominal concrete pipe on the site. There were no obvious signs of any underground tanks on the subject site. Based on the limited site reconnaissance, there are several items recognized as possible environmental concerns. Due to the age of the existing structure on Lot No.3, it is likely that lead based paints were used on the structure and that asbestos containing materials are found within the structure. These items would require addressing prior to beginning any new construction, remodel, or demolition activities. An asbestos survey would be required and any asbestos found would require abatement by a licensed abatement contractor prior to any construction activities following applicable state laws. A lead paint survey would be required before demolition debris could be disposed of in the City of Port Angeles Landfill. Although not found in the limited site reconnaissance, the possibility exists that underground storage tanks could be located on any of the three sites. Due to the lack of records in regards to underground storage tanks, typically heating oil tanks for single family residences, it is unlikely these tanks would be found except possibly during site disturbing activities. Since the possibility of tanks does exist, there is a potential environmental concern. The level of remediation required is dependent upon the proposed use of the side. The surrounding area appears to be mostly residential in nature, but no review of records was done to determine if any sites in the area have any documented environmental concerns such as underground storage tanks or commercial activities which may create environmental impacts on the three subject lots. It is also known that there are a number of underground storage tanks along Lincoln Street which have been identified during research for other projects. These tanks could have some impacton the subject site although most of these site are probably either far enough away or are down gradient ofthesubjectsite.There is however some possibility of ground contamination on the subject sites. A review of public records might provide additional information pertaining to possible environmental concerns on the subject site or surrounding neighborhood but it is not within the scope of our services. Page 3 City of Port Angeles May 26, 2004 3 Based on our reconnaissance, it is the opinion of this office that the site contains the typical environmental concerns found on typical residential sites throughout the older portions of the City of Port Angeles. With the limited scope of work for this project, visual inspection of the subject sites with no testing or research of records, it cannot be said for certain that ground contamination, as noted above, will not be found during site disturbing activities although it does not appear to be a high risk. This report is based on the limited scope of work requested by the City of Port Angeles and it is not warranted that the report cannot be superseded by future environmental, legal, geotechnical or technical developments. Please feel free to call me if you have any questions or concerns. ;g~ Tracy Gudgel, P.E. fc: IN 04170 .~~~::~:~~~:,.,~'!!~~l~ 'I:::::J . '1 From: To: Date: Subject: Ken Dubuc Roger Vess 5/24/04 11 :09AM address information Roger, The Fire Department has checked the following addresses for tank and incident information: 328 East 5th and 323 E 6th We had no records for those addresses. thanks, Ken 5' From: To: Subject: Roger Vess Brad Collins Lead/asbestos testing As you requested, I solicited abatement survey prices from local Engineering firms. The only local company that I could find that does this kind of work is Zenovic & Associates, and they don't even do the testing in-house. Zenovic's uses a company from Port Townsend. It is my suggestion that we use Zenovic's proposal to complete the survey that we have requested. The cost & time involved to request other survey's from Seattle or Bainbridge Island companies would not save the City any money or time. Roger Vess Permit Tech c, From: To: Date: Subject: Dennis Dickson Brad Collins; Trenia Funston 10/19/048:32AM Re: testing for house across the street Brad, Thanks, I understand that a written proposal has been requested from Zenovick.Please advise when rec'd. >>> Brad Collins 10/18/04 06:30PM >>> Trenia and Dennis, Yes Gary was contacted and said that he does not do this type of testing and that there are few, if any, locals who do. Roger was following up on getting a proposal(s). Brad >>> Trenia Funston 10/18/04 09:17AM >>> Brad, Dennis asked if you checked with Gary Brooks about testing the old house on 5th Street. Anything done yet? TF cc: Roger Vess 'J From: To: Date: Subject: Brad Collins Dickson, Dennis; Funston, Trenia 10/19/045:18PM Re: testing for house across the street Will do so. >>> Dennis Dickson 10/19/04 08:32AM >>> Brad, Thanks, I understand that a written proposal has been requested from Zenovick.Please advise when rec'd. >>> Brad Collins 10/18/04 06:30PM >>> Trenia and Dennis, Yes Gary was contacted and said that he does not do this type of testing and that there are few, if any, locals who do. Roger was following up on getting a proposal(s). Brad >>> Trenia Funston 10/18/04 09:17AM >>> Brad, Dennis asked if you checked with Gary Brooks about testing the old house on 5th Street. Anything done yet? TF cc: Vess, Roger 1 From: To: Date: Subject: Brad Collins Funston, Trenia 10/18/04 6:30PM Re: testing for house across the street Trenia and Dennis, Yes Gary was contacted and said that he does not do this type of testing and that there are few, if any, locals who do. Roger was following up on getting a proposal(s). Brad >>> Trenia Funston 10/18/04 09:17AM >>> Brad, Dennis asked if you checked with Gary Brooks about testing the old house on 5th Street. Anything done yet? TF cc: Dickson, Dennis; Vess, Roger '1 From: To: Date: Subject: Dennis Dickson Brad Collins; Trenia Funston 10/19/048:32AM Re: testing for house across the street Brad, Thanks, I understand that a written proposal has been requested from Zenovick.Please advise when rec'd. >>> Brad Collins 10/18/04 06:30PM >>> Trenia and Dennis, Yes Gary was contacted and said that he does not do this type of testing and that there are few, if any, locals who do. Roger was following up on getting a proposal(s). Brad >>> Trenia Funston 10/18/04 09:17AM >>> Brad, Dennis asked if you checked with Gary Brooks about testing the old house on 5th Street. Anything done yet? TF cc: Roger Vess 10 Fr ;o~ ,R:iTr~' , 'N:, iG~""" iE'~':L: E;,!S' I ~,.~ i</" "...:. · ":"!" i' '--!"': ,~~ , . .N",'_'_",_' .......,_. .~-<<,.~. WAS H I N G TON, U. S. A. DEPARTMENT OF COMMUNITY DEVELOPMENT Zenovic and Associates Mi. Tracy Gudgel, P.E. 519 South Peabody Street #22 PortAngeles, W A 98362 RE: '328 East Fifth Street- Lead Paint.and Asbestos Survey Dear Tracy: The City has received your proposal to perform a lead paint and asbestos study ~t 328 East Fifth Street, Port Angeles in preparationto demolish the residence. Please proceed with the testing andsrirvey at this time. ,Per your proposal, the report will be expected by November 11,2004, fora fee not to exceed $850. " , Roger Vess, Permit Technician, willbe avaIlable for questions ahd is in possession of the keys to the structure. Please contact Roger when inspections begin at 417-4712. Sincerely, ~Ta&v , Sue Roberds " ,',"" Assistant Planner' ~~Vess , Dennis Dickson cc: EAST FIFTH STREET · PO ,BOX 1 150 · PO,RT ANGELES, WA 9,8362-3206 PHON,'E:360-417-4750 · FAX: 360-417-471 1 · TTY: 360-417-4645 E-MAIL: PLANNING@CI.PORT-ANGEi..ES~WA.USORPERMITS@CI.PORT-ANGELES.WA.US ~ PORT ANGELES CITY ATTORNEY 321 EAST 5TH STREET PORT ANGELES, WA 98362 (360) 417-4530 . FAX (360) 417-4529 .lJ1J@lJ!JO,(ff) LETTER To &fJ~ JlJJl1lla~2 7Jful--GL riUi-(/I~Z Date /~/ fL 2/0"'-1 ::J;2f] t: 5~ )!o,/4L S-a-ii)'Y!jf- (/ Subject .3/(J-J1gS - 5CJt/ - ..v/SO ?K 60 z.. D Please reply D No reply necessary PEN PRINT, INC. received. Please feel free to call me if you have any questions or concerns. Sincerely, -::r~I'PE fc: IN 04000 '" ~ lA G n '1 L j] 14 ler INCORPORATED Statement City of Port Angeles P.O. Box 1150 Port Angeles, W A 98362 W?1 IE ~ \Eli ~ AUG 3 0 2004 CITY OF PORT M~GELES t f (',. ... '''''-[;'/ Development Dep . 0 .<~,~.~:'/ ',\:".-_..~.' Prnior-t ;" .._J_....L DATE 12/31/2003 TRANSACTION 3Z-f~, r~ 05/31/2004 Balance forward -- 17-'1 E. ,)1>- 04170 -15th Street- INV #3440. Due 06/30/2004. AMOUNT 360.00 CURRENT 1-30 DAYS PAST ~11-60 DAYS 61-90 DAYS PAST OVER 90 DAYS DUE PAST DUE DUE PAST DUE 0.00 360.00 0.00 0.00 0.00 519 South Peabody Street, Suite 22 Port Angeles,Washingwn 98362 (360) 417-0501 Fax (360) 417-0514 E-mail: zenovic@olympus.net DATE 8/13/2004 BALANCE 0.00 360.00 AMOUNT DUE $360.00 z- Lt- oS- SlA.,"€- 1 --\. .. e.. '^- a.. - b- ~ .~~ .~ 1J.s'o._5 lo::>~ ~~ ~6 ~~~ ov.:.i i.U h~ i- A~ -t #- -f- 0 fCLY fke.. \D.~ f~ \ ~ ~st 1-0..' . I T ja.\Je.. ~\,Q.y"-{ ~ it: SOiA. {~€- ~per cJ;~ V\.bte ; A (LOPi o{ {\,~ i2~c..~~5.o...r't:- I ~ -th~ {~le_ 12~Q.~ 'k ty \d-\,\t5 , ~. ~ '\ ~)\ -X...t0 \~,.. .,~( c,J"- c~.. (' "\ V\ -r'~ \ }.\ (r1.) r\ ' w'- '--'\~ \ " ,f.J ~ '--- ........"':\ t,.) .~ ~ Cr, ~ '-' Cl 1\. 0 .?- .-. ""\ ..,...-. .--"\ ',............\.,- . .".-ti ,r ,-. C._../. ___ \ 2;--'/.J ..:,;"V:: tJ) ~~,tA/'r' '1" ~ ~')~ n ~_,~~ 4f ~ ,\,\50 Pf~~_#i ~~ ~ ~~&~ &b . ':?qJ-Oo~ ,~,-\fi} ~ }1/ \ ~~6 J wf-- .p ! ~i lrmrn ':lj ." !ftt,!~' Vii:f1r!' ::1%flrr~:1 ~}iffiJi ':I-i) : i' I I'. 'I' t~:~~l~l)~t~ Lf -ILl ~~~I~~N, ELES! WA 9~362' lit! !, 'I' l' , , Ij~~$,,~l, i !!~ltV 'DUNCI COOfEN , ~ : , Ii ~H\ CNCL Ii :i ~02 I,: ,'I ,'j i: j:' m:::~ Vr~I~~~i w~~t iiCKET ."b.! tl-9; ~lV~ ! I NUAL ~oss f. i 21 ~401 LB ~ i' ,,' I ! I ~fJ~L , T, 'S! ;.J I 2sJsliJ .' ,', r i I b I', J 98362 D~ ENF. DATE I~: 01/05/2 05 TI ~ I~: 14:2~:25 DATE OUT: 01/05/2 05 T IE 04T: 14:2~ r H j rN~9UNO 'TICKET Nmp r; l 01~930147 I ',' , ' : i I' I . ~'. ,.; ,i: h i. :~~.~.~GR, SS, 1 T. I _ ~3U)0 tB ~ANu~t''T{~: E' ~.! ~65B0' B , ',', , r, ' NET WEIGH~ f 6520 B I, ' ~ n f ~ I Qt~ Q~scriptiQn 8,.26 CITY COHHI'i' n ~~ W. UTILItl! ! N~T CHAR6~ A~OUN I 'D i I" Ii , . "! ; J?h.-W- Ii :x~'--~~---n------~ir-:-~--"' r--- 'r :1 : I j:[ l. \ 'I, 'JLI --~ -..;,---._.~.U._)'.J.. "___. .._ 3 i: I, ii '-'I A~}1 n~ 61!~ '77 49~ 4 660 11 , I I . i ! I i: I i I I I~ I i: CITY OF PORT ANGELES ,CITY OF POlt:T ANGELES UlNDFW': P. O. BOX 1150 , PORT ANGELES, WA 98362 i r - " I BILL TO: 128119 1 ' CITV COUNCIL CODE ENF' VehIcle 10: CITY CNCL ' ' RE'fenmce: 002 ! I I i DATE IN: 01/0512005 TIMLIN: 13: 4.1:40 " DATE OUT: 01/05/2005, TIME ,OUT: 13: 40 ' .I~BOUND TICKET NUlIlben ' 01-93011B '.j , HANUALGROSS WT. HANUAL TARf WT. NET WEIGHT 23000 LB 740' tif:~~ 23740 LB '- Q y Description' 0.37 CITY COHH AllIount 27.63 ,~~W.UTILIT lo;':.,,-',' '., . NET CHARGE AMOUNT: 2.21 29.84 ~c:.-. . . / / / / ' ! /, , i i !' I IY r I I I i I ! i I i i I : I ~ I I I I / ( ~ MOro:~:~~~~2#~~::~' INC. N~ 3255 DATE J - s ... 0 S- SOLD TO 1:/ f'1 c; f P.I.J ADDRESS JOB WORK ORDER# ;-'[/1 S~ -5 . T. STOMER'S PURCHASE ORDER # DESCRIPTION PRICE AMOUNT 3 C>Ct? qg ~ ~ fl"\ ,,0 0) ~ TDf-+t ~ D" NET 15 DAYS -11f2% INTEREST ON PAST DUE ACCOUNTS RECEIVED BY: ~"*- ~ ~ /&/~ ./' Brad Collins - Fwd: Lead/asbestos testing From: To: Date: Subject: Brad Collins Dickson, Dennis 10/21/043:55PM Fwd: Lead/asbestos testing Dennis, Here is our documentation regarding the characterization of the Zenovic & Associates asbestos removal study as a sole source proposal. If you need anything else, please let me know if you need anything else before you authorize us to contract with Zenovic & Associates. Brad >>> Roger Vess 10/21/04 11 :43AM >>> As you requested, I solicited abatement survey prices from local Engineering firms. The only local company that I could find that does this kind of work is Zenovic & Associates, and they don't even do the testing in-house. Zenovic's uses a company from Port Townsend. It is my suggestion that we use Zenovic's proposal to complete the survey that we have requested. The cost & time involved to request other survey's from Seattle or Bainbridge Island companies would not save the City any money or time. Roger Vess Permit Tech Page 1 ~ uJ ")J ~ rl\ tit ~ Brad Collins - Lead/asbestos testing Page 1 . . , . From: To: Date: Subject: Roger Vess Brad Collins 10/21/0411 :43AM Lead/asbestos testing As you requested, I solicited abatement survey prices from local Engineering firms. The only local company that I could find that does this kind of work is Zenovic & Associates, and they don't even do the testing in-house. Zenovic's uses a company from Port Townsend. It is my suggestion that we use Zenovic's proposal to complete the survey that we have requested. The cost & time involved to request other survey's from Seattle or Bainbridge Island companies would not save the City any money or time. Roger Vess Permit Tech Brad Collins - Re: testing for house across the street Page 1 ,.-" ,J From: To: Date: Subject: Brad Collins Dickson, Dennis 10/21/04 12:25PM Re: testing for house across the street Dennis, We just received the Zenovic proposal with a cost of $850 to do the study. I believe that estimate is reasonable and that Roger's efforts to obtain other proposals have proved fruitless. Therefore, I recommend that we proceed ahead with Zenovic on the asbestos removal study. What budget account does it get assigned? Brad >>> Dennis Dickson 10/19/04 08:32AM >>> Brad, Thanks, I understand that a written proposal has been requested from Zenovick.Please advise when rec'd. . >>> Brad Collins 10/18/04 06:30PM >>> Trenia and Dennis, Yes Gary was contacted and said that he does not do this type of testing and that there are few, if any, locals who do. Roger was following up on gatting a proposal(s). Brad >>> Trenia Funston 10/18/04 09:17AM >>> Brad, Dennis asked if you checked with Gary Brooks about testing the old house on 5th Street. Anything done yet? TF Brad Collins - Re: testing for house across the street Page 1 From: To: Date: Subject: Brad Collins Funston, Trenia 10/18/04 6:30PM Re: testing for house across the street Trenia and Dennis, Yes Gary was contacted and said that he does not do this type of testing and that there are few, if any, locals who do. Roger was following up on getting a proposal(s). Brad >>> Trenia Funston 10/18/04 09:17AM >>> Brad, Dennis asked if you checked with Gary Brooks about testing the old house on 5th Street. Anything done yet? TF cc: Dickson, Dennis; Vess, Roger ,- Y':;;,~i~'i~f';:"':!l ;;'--, """.,~- :i;'.',/' , ""',f-;i'~:~':"!i:f?:'':-:~t':J '(;~)- :'}" :~. ':""~ ,.., ;--:___0.""%'" '."rr.~':~'~f'" ..t,:",""01 ,4 , " .. I }2--8' 6.St-1--~_ ~. ...."........ (..........",.+1' . .'+ .'> '\. " "'.1 ~ q /v:rle'~' pp 'tr, .f:~. (LV, ~ , J., f. I J fe, " ,I ~7 ~i<s -1-:.'5:'" ~~ ' _~:. 'V'.""'',;, i, ~~, . . /f/ ~?e~. 7\ '. ~. 3eOOT :f3SbO ." l / ,'" i.i. . ;- I I I " 'i~;Jt,~,: .e5~~.'V'" !l.. . 1-4_ ,', .. '. ,. "1" ." ',; "';1 1 "'!;~~ <Z1,}-.....;de;] "F> .! ~~, . J=> I I $~!:r~ ,~feLS '- $71(~91~ OftVkA. {~ {:~fc'iO $ '3,8~,~:jt~ilf,2:'+~ . I .,1 ,','!C'. I;':':' ;:;,j" ."- '.~< .1 ,~ ". ":-~. -",i ~:'T." ~" (L.eL'.\ to! (,1 . ;fO~ b-zJ ~;;,.< . r'.." " .' > . ~j ';;" c,,] ',,: ..." "i5... ,,: Brad Collins - Re: 328 E. 5th St. Property From: To: Date: Subject: Glenn Cutler Collins, Brad 9/20/04 11 :30AM Re: 328 E. 5th St. Property Brad, Public Works & Utilities is not responsible for the City Hall structure or parking lots. As I have mentioned to you in the past Building has taken the lead in the past for demolition of derelict structures. I consider this to be a similar situation. Funding needs to be addressed to Yvonne. She has funds available for the demolition the same way she had funds available for the purchase. If you need assistance on setting up a job order PW&U or Finance staff can assist.....Glenn >>> Brad Collins 09/20/04 1 0:46AM >>> Glenn, Becky Horton needs a project number to pay a bill to Zenovice & Associates for services in purchasing the 328 E. 5th Street property. Since the property is expected to be a parking lot for City Hall, I would think that it should be handled the same as other parking lots. Community Development does not manage any City property, and I am not sure what type of project number we should assign. Do you want DCD to assign a project number? Brad cc: Horton, Becky; Kheriaty, Linda; Quinn, Mike o ~ ~ ~ ~ORTANGELES Date: September 9, 2004 WAS H I N G TON, U. S. A. DEPARTMENT OF COMMUNITY DEVEL To: Mike Quinn, City Manager, and Dennis Dick Brad Collins, Community Developmen irecto~ Estimates for Demolition of 328 . 5th Street From: Subject: Attached are three estimates for demolition fthe City owned structure at 328 E. 5th Street. Comparison of the estimates for demolition only (not' cluding permit fees, dump fees, asbestos/lead removal, and taxes) are Morrison ($3000), RJ Servi s ($3500), and Crescent Development ($3825). With other costs such as those listed above but excl ed from the estimates, we can expect according to the Morrison estimate another $2200 plus. Tr a Funston and Keith Bogues know the procedures for asbestos and lead (hazardous materials) re val and should be able to direct the demolition project. Besides the demolition permit issued b~ e Building Division, an ORCAA air pollution control permit may be needed also. I don't beli e the permit fees and the dump fees should be waived per standard fmance policy. To proceed, weed authorization to spend the necessary funds for first the asbestos/lead removal (for which e don't have an estimate but which is a requirement) and second for the remaining demolition contra and fees. cc: ~e ent Heads V enia Funston eith Bogues ~~ ~"R.e/"oJ ,e ~ '"- : \, 1 ""-0 + ...... ~ r ~o,,~ c..- +- .. ot ';"~+ ~ kf'-q l'. h~- ~,-~\~,,-S ~Dv.r .f!.:J ~I.\QIV 7>Q.. &'1 . &- __ '1/Wof ~/' "",e.. ~ ,~ ~ I Ij/~ ~ j~ ~\ ! ~DjZ /!..I ?oA-i D')<:. tV De fY/O 2 IL ,101. /;;1 5Ttt 5 f- 1'6 tit IB tcJ - 5 ~OO ~ ':NC kdes k~J' Pee~ to ff --!v~fY ~f) f:'D F'"L~/ ~ fQ~~ by [{Jy Aug-26-04 09:0BA . eif!tceJ-TNC. 514 Efving Jacobs Road Port Angeles, WA 98362 (360) 457-1420 FAX 457-9724 PROPOSAl. & CONTRACT August 26,2004 City of Port Angeles Building Department Ann: Jim T ,ierly 417-4711 Project: House Demolition Demolition of house across from City Hall. with hauling off debris to City Landfill. City is responsible for all permits and dump fet:. $3,500.00 Terms: Prices - Plus Sales Tax Paid in full upon completion and bi1l1ng. 1.5% interest on unpaid balances over 30 days. Accepted: Sign Copy & Return Submitted: er 1. Wheeler, Presid~~t' ..... ...- Specializing in Excavation · Conventional & Alternative Septic Systems P_O@ Cresce.nt Development Inc. r& Estimate P.O. Box 41 Joyce, W A 98343 Date Estimate # 9/8/2004 23 Name / Address City Of Port Angeles 321 East First 8t. Port Angeles, W A 98362 Project Description Qty Rate Total Demo building on 5 th street for new parking lot. 3,825.00 3,825.00T Demo, haul and clean up. Does not include permits or dump fees Does not include testing or abatement. Thank you for the opportunity to bid on your project. Subtotal $3,825.00 Sales Tax (8.3%) $317.48 Total $4,142.48 1<,' "~,tr~\ ';,.:,:1;',''1:'-'1'" ~,<'f/=-'ie'\'1 ,\-" "',~;'''< @) ""'0~1 Feet Vertical Datum = NA I'D 88 Horlwntal Datum = NAD 83/91 N Area Map This map Is not Intended /0 be used as a legal description, " This map/drawing Is produced by the City of P~rt Angelesfor its own use and purposes, Any other use of this map/d~awjn~ ~h~~ :~t ~;~~e~~tri,bi/ityof the City, :;;s:-.)~~'t~'i;,:ill._-4~~t'.';-;'~~2? L-"'\;::' 15017 OLYMPIC REGION CLEAN AIR 12/07/2004 12/10/2004 Application-Asbestos rem A i I I ! / '\ . /"\. /\ ~ . :',,, .,. -+-' .. \\ '. '--nJ~.LQ.<'~1L~~~ 'i- C.~LJfZ. i .." __ .. II"JI ......1"10 --------------------------- ) '~II 0/0 4- 08~U 125.00 From: To: Date: Subject: Scott McLain Roberds, Sue 12/7/0410:31AM Demo of house across from City Hall Sue, Landfill fees will be waived for the City to demo its house across from City hall. This material will need to have a waste disposal application completed before it is accepted at the landfill. Scott McLain cc: Cutler, Glenn De f>1 () '2 tL , 1oI.1:-'} IJ;1 'P G) ( l1tDjZ /!../,Sc.~A' C/;X: , qjgjd,/ 5TfTSf- //50-7/79 II /1 "",',f J,.a 'w ,//' ';!"~ ,1"'.'iJ' l'b t/1' 12 tel .- 5 ~C>O ~ /NC ~cle5 ki/Jijf Pet.J) to ff ~~ ~f)E?U " +-~~/ " ? fJc2~d-~ I by tAJy -- ---l P(Jl Aug-26-04 09:0SA . eif/tceJ-rNC. 514 Erving Jacobs Road Port Angeles, WA 98362 (360) 457-1420 FAX 457-9724 PROPOSAl, & CONTRACT August 26,2004 City of Port Angeles Building Department Ann: Jim T ,ierly 417-4711 Project: House Demolition Demolition of house across from City Hall, with hauling off debris to City Landfill. City is responsible for all permits a~d dump fee. J' I Terms: Prices - Plus Sales Tax Paid in full upon completion and billing. 1.5% interest on unpaid balances over 30 days. S3,SOO.OO i-~ clCfO.SD 4s:3~ CJ O. 5D Accepted: Sign Copy & Return Submitted: er 1. Wheeler, Presid~~t' .,-.-- Specializing in Excavation · Conventional & Alternative Septic Systems "'IIIl Cre~cent Development Inc. \ --P.O. Box 41 Joyce, W A 98343 (J Estimate Date Estimate # 9/8/2004 23 Name / Address City Of Port Angeles 32 I East First 8t. Port Angeles, W A 98362 Project Description Qty Rate Total Demo building on 5 th street for new parking lot. Demo, haul and clean up. 3,825.00 3,825.00T Does not include permits or dump fees Does not include testing orii'lllitement. , . i Thank you for the opportunity to bid on your project Subtotal $3,825.00 Sales Tax (8.3%) $317.48 Total (--~ $4,~:4~... ) ,n__u ____ 12/21/2004 14:16 FAX 360 491 6308 -. ,......-.- .. Date: . . Amended; 0 :, ~o LU e13E@ A. 4. B. ORCAA l4J 002 ~ed- 2940 B limited Lane NW Olympia, WA 98502 Phone: (360) 586-1044 ~ax: (360) 491-6308 www.ORCAA.org DEe 1 4 2004 NGELES Permit Application for an Asbestos Project Asbestos Removal Demolition Maintenance Other: Phone: (360) 417-4750 Ci : Port Angeles State: WA Contractor Owner/CEO: Zi : 98362 Phone: 360 769-7175 Mailin Address: 2702~A Street State: WA Zi ; 98402 253 779-4020 City: Tacoma D. Site Address: 328 East Fifth Street Project Manager or Contact Person: Sue Roberds E. '" Asbestos Surveyor No. of Structures: o Mat') Presumed: AHERA Building Inspector Name; Bob Witheridge F. Demolition Information: Demolition Contractor: G. Asbestos Project Information: H. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Pax: ~ ~ Ci : Port Angeles Date Asbestos Survey Conducted: 1 11/04/04 AN AHEMSCf1If'1iY ISRSgUJREDBJtFOJ:E&DEM0U110N Certification No.: PIlOJECr.i WAMOA 0042-04 10/13/05 No. of Structures: 1 ~\ ~ .::r 0) ~ Start Date: ASAP Prhn "0'''1: hft,' tntu "","1"1: "Jdnr:t~ ill ImJC J t)1J lid tJ/:torm. Jf "DI,,'nK Mm,. ~lkr "Dmt c1Ji,-, J,purl"."", I~ Assured Quality Environmental No. of Structures: (see Start Date: back if> 1) 1 NONREFUNDA'RT.E FEE 12/21/2004 14:16 FAX 360 491 6308 ORCAA 14J 003 'the Olympic Region Clean Air Agency is the local air pollution authority for ClaUam, Grays Harbor, Jefferson, Ma.~on, Pacific, and Thurston COllnties. The Olympic Region Clean Air Agency's Regulation 1, Article 14, requires advance notification be submitted to the Agency, on Agency-provided forms, for any asbestos project and for any demolition project, regardless of asbestos content, involving any strucmres. Notices of Intent should be mailed or hand delivered to the Agency (address on reverse side) with the appropriate project fee. An Agency representative wilJreview the notification, and if it is completed correctly a copy will be returned by mail or fax within 3 to 5 days to information provided in box C and box J. The remrned copy will be your valid notification. You must have an approved pennit prior to job commencement. J. Demolition Contractor: Assured Qual" Environmental Owner/CEO: City of Port Angeles 'Phone: 360 417-4750 Mailin Address: P.O. Box 1150 Ci : Port Angeles State: WA zi : 98362 Fax: 360 417-4711 GUIDELINES FOR SUBMITTING AN APPLICATION TO PERFORM AN ASBESTOS PROJECT Enter all applicable information accurately and completely. Incomplete Notices of Intent will be returned. Box A. Chcek all appropriate project type. Box B. Enter the legal property owner information. Box C. Enter the asbestos contractor information, or "not applicable" eN/A) for demolition prqjects when no asbestos~ containing materials are present. For a Residential Dwelling asbestos removal project, list the property owner doing the asbestos removal (include property owner's mailing address). Box D. Enter the asbestos removal or demolition site address. For a Residential Dwelling asbestos removal project where the property owner's mailing address differs from the site address listed in Box D, a letter must accompany the Notice of Intent verifYing that the structure located at the site address is currently being used a.~ the property owner's domicile. Multiple asbestos/demolition projects involving more than one StructUrfl must be submitted in accordance with the ORCAA Regulation 1, Section 14.05(a)(S). .Residential dwelling (ORCAA Article 14, Section 14.03 Definitions) means any non-multiple unit building containing space for uses such as living, sleeping preparation of food, and eating that is owned, used, occupied, or intended or designed to be occupied by One family as their domicile. This term includes houses, mobile homes, trailers, houseboats, and houses with a "mother~in~law apartmenf' or "guest room:' This ferm does not include structures that are demolished or renovated as part of a commercial or public project. Nor does this term include any mixed-use building, structure, or installation that contains a residential unit, or any building that is leased or used as a rental. Box E. Enter the asbestos survcy information or check material presumed (for asbestos projects only). An AHERA building inspector must conduct an asbestos survey prior to any demolition project (i.e., the wrecking, razing, leveling, dismantling or burning of a strucmre, making the Struclurc pennanently uninhabitable or unusable). A copy of the survey results shall accompany the application. Box F. Enter the dcmolition project information. If the Struclure is to be used in a training f11'e, list the fire department responsible for conducting the bum as the demolition contractor in Box J. If the propcrty owner has been ordered to perform a demolition by a government official, submit a copy of the order from the appropriate official. Box G. Enter all asbestos project information or enter UN/A" for demolition projects with no asbestos removal required. All multiple structure asbestos projects must be submitted with a work plan. map of the structures. comvlete site address. Me and amount of asbestos material to be removed from each structure. AHERA asbestos survey. and work schedule. Box 8. Check appropriate project categories in boxes 1 through 8. Asbestos project fee does not include dcmolition project. An additional $25.00 is required for a demolition project. Emergency notifications must be submitted with a letter from the property owner explaining the necessity for thc emergency. Emergency demolition notifications must be submitted with a leuer from an authorized government official or a licensed structural engineer documenting that the structure is in imminent danger of collapse. Box Y. Sign the notification certifYing the accuracy and completeness of the information provided on the fonn. Box J. Enter demolition contractor mailing infonnation (on back). Mandatorv amendments are required for changes that increase the project type, job size category, the types of asbestos materials to be removed and work schedule changes. A $25.00 processing fee is required for all amendments* (1st and 2'ld amendments havc no fee requirement). r.- ,....." -4..... -lo< ...- ... ..... r ".M For technical assistance, Or inquiries concerning n frit;a ~ ..' ..... ........ :. ..~ ~:: PERMIT# ~o 6\~ . i APPROVEO~ ~ ~ . CONDITIONALLY APPROVED en at (360) 586-1044 Rev. 07/07/04 . NOT APPROVED FOR COMPLIANCE WITH ORCA IT N 1 BY: :1. ~: y ; j ~ " ': ',; ;':.::117~f{ , qt; ~ORT ANGELES WAS H I N G TON, U. S. A. DEPARTMENT OF COMMUNITY DEVELOPMENT December 7; 2004 Assured Quality Environmental 2702-A Street . Tacoma, W A 98402 A TTN: . Jennifer Tiffany RE: 328 East Fifth Street, Port Angeles, W A Asbestos removal Dear Tiffany: Per our telephone conversation this Il}oming, please prepare to perform the asbestos removal work frOln the residence at 328 East Fifth Street on'December 20, 2004. Your crews will need to check in at the Building Division in the main lobby of City Hall, 321 East Fifth Street, Port Angeles, to obtain entry to the site and to let the Building Inspector know of their . ,. presence. 'Per your earlier bid, the work will be done for no more than $500 plux tax for a . totalof$541.50. The City is responsible for the appropri~te,ORCAA permits. and dump :. fees. I faxedyou a copy of the ORCAA permit application this morning, and am inciudinga hard copy with this transmittal for your files. . ~ (.,.N <? ~ tt-r ,,'<P, ~ ,v,.. ,'--( If you have any questions, please don't.hesitate to contactme. We will see your crews then on December 20, 2004. WnCerelY, . .. " /).. '-._,...~./ '.~ ,G" ,.LA.- 7. C~-"i(.~J-U)o6o../ / 1'~" Sue Roberds Assistant Planner ! ~ Date: Initial 2940 B Limited Lane NW Olympia, WA 98502 Phone: (360) 586-1044 Fax: (360) 491-6308 www.ORCAA.orq Date Application Received Amended: 0 Completion: 0 Annual: o $500 Agency Use Only Permit Application for an Asbestos Project A. Proiect Tvpe: I 1. ld Asbestos Removal 4. 0 Encaosulation I 5. EI Demolition B. Property Owner: City of Port Angeles Property Owner's Mailing Address: P.O. Box 1150 C. Asbestos Contractor: Assured Quality Environmental I 2. U Renovation I 6. 0 Emergency 3. U Maintenance 7. U Other: City: Port Angeles Contractor Owner/CEO: Phone: ( 360) 417-4750 State: WA I Zip: 98362 Mailing Address: 2702-A Street Phone: ( 360) 769-7175 City: Tacoma D. Site Address: 328 East Fifth Street Project Manager or Contact Person: Sue Roberds E. EI Asbestos Surveyor No. of Structures: o Mat'} Presumed: I State: WA Zip: 98402 Fax: ( 253 ) 779-4020 City: Port Angeles State: WA I Zio: 98362 1 11/04/04 Phone: ( 360) 417-4750 Was Asbestos Found? EJYes o If No, Attach Survey Expiration Date: Date Asbestos Survey Conducted: WAMOA 0042-04 10/13/05 (N ~ Itl ~ ~ ~ AHERA Building Inspector Name: Bob Witheridge F. Demolition Information: Demolition Contractor: AN AHEM SURVEY IS REQUIRED BEFORE ALL DEMOLITION PROJECTS Certification No.: No. of Structures: 1 Is tart Date: ASAP U Training Fire (List Fire Dept. as demolition contractor below) o Ordered Demolition (attach copy of Order) Prillt lIome here; ellter mailing address ;11 box J 011 back ofform. /ftraillillg burn, e1Jter lIome offire departmeJJt here Assured Quality Environmental Phone: (36g) 769-7175 No. of Structures: (see Start Date: Completion Wk. Days/~)r W Th F Sa Su back if> 1) 1 ASAP/~/;?oi?~ D~~/.:J%r Hours: ~ / Will all asbestos material be removed by Total Quantity to be Removed: 113 Square Feet Linear Feet project completion?EJ Yes 0 No Thermal System Insulation: I U Boiler/Furnace Ins. I U Duct Ins. I U Pipe Ins. Other: Surfacing Mat'l: I U Fireproofing I U Paints I U Plaster I U Textured Coatings Other: Misc. Mat'l: I LJ Cement Bd. U Cement Pipe I U Flooring Mat'l I 0 Roofing Mat'l Other: H. AsbestoslDemolition Project Categories: Notification Waiting Period G. Asbestos Project Information: 1. I.:jResidential Dwelling Asbestos Removal Project 2. ~Demolition 3. less than 10 linear feet or less than 11 square feet 4. Ii2 10-259 linear feet or 11 - 159 square feet 5. 260 - 999 linear feet or 160 - 4,999 square feet 6. 1,000 - 9,999 linear feet or 5,000 - 49,999 square feet 7. 10,000+ linear feet or 50,000+ square feet 8. Annual Permit (Limited removal, additional nermits, contact ORCAA) 9. Emergencv Proiect 10. Amendments (no fee for 151 and 2nd amendment) I. I do hereby certify that the information contained in this notification, and supplemental data described herein, is to the best of my knowledge accurate and complete. I shall not cause or allow any asbesto1\ project or demolition activities to begin until the appropriate waiting period has elapsed. Signaturer ~.. fl^ ....'\. ( ~fj · Print Name: P1Y'~A1t,"",\ }J. (011~w~ T 1...--77 Rev. 07/07/04 Date: I z.../, ) O'f Representing: Ie ;.t.. .,.f'l.~ ~e' ... I .L .....__51./ r' r "/ "'--""'"l Prior Notice 1 0 Working Days Prior Notice 10 Working Days 10 Working Days 10 Working Days 10 Working Days Prior to start of New Year Prior Notice Prior Notice Payment received date: Reviewed date: Reviewed by: Permit Number: Date faxed/mailed notification to applicant: For Compliance With Regulation 1, Section 14-Asbestos Agency Use Ollly NONREFUNDABLE FEE C $25.J $25 $25 ( $100 ~ $250 $500 $1,000 $500 $50 $25 . . ... The Olympic Region Clean Air Agency is the local air pollution authority for Clallam, Grays Harbor, Jefferson, Mason, Pacific, and Thurston Counties. The Olympic Region Clean Air Agency's Regulation 1, Article 14, requires advance notification be submitted to the Agency, on Agency-provided forms, for any asbestos project and for any demolition project, regardless of asbestos content, involving any structures. Notices of Intent should be mailed or hand delivered to the Agency (address on reverse side) with the appropriate project fee. An Agency representative will review the notification, and if it is completed correctly a copy will be returned by mail or fax within 3 to 5 days to infonnation provided in box C and box J. The returned copy will be your valid notification. You must have an approved permit prior to job commencement. J. Demolition Contractor: Owner/CEO: Assured Quality Environmental City of Port Angeles Mailing Address: P.O. Box 1150 Phone: ( 360) 417-4750 City: Port Angeles I State: W A T Zio: 98362 Fax: (360) 417-4711 GUIDELINES FOR SUBMITTING AN APPLICATION TO PERFORM AN ASBESTOS PROJECT Enter all applicable infornlation accurately and completely. Incomplete Notices ofIntent will be returned. Box A. Check all appropriate project type. Box B. Enter the legal property owner information. Box C. Enter the asbestos contractor infonnation, or "not applicable" (N/A) for demolition projects when no asbestos- containing materials are present. For a Residential Dwelling asbestos removal project, list the property owner doing the asbestos removal (include property owner's mailing address). Box D. Enter the asbestos removal or demolition site address. For a Residential Dwelling asbestos removal project where the property owner's mailing address differs from the site address listed in Box D, a letter must accompany the Notice of Intent verifying that the structure located at the site address is currently being used as the property owner's domicile. Multiple asbestos/demolition projects involving more than one structure must be submitted in accordance with the ORCAA Regulation I, Section 14.05(a)(8). *Residential dwelling (ORCAA Article 14, Section 14.03 Definitions) means any non-multiple unit building containing space for uses such as living, sleeping preparation of food, and eating that is owned, used, occupied, or intended or designed to be occupied by one family as their domicile. This term includes houses, mobile homes, trailers, houseboats, and houses with a "mother-in-law apartment" or "guest room." This term does not include structures that are demolished or renovated as part of a commercial or public project. Nor does this term include any mixed-use building, structure, or installation that contains a residential unit, or any building that is leased or used as a rental. Box E. Enter the asbestos survey information or check material presumed (for asbestos projects only). An AHERA building inspector must conduct an asbestos survey prior to any demolition project (i.e., the wrecking, razing, leveling, dismantling or burning of a structure, making the structure permanently uninhabitable or unusable). A copy of the survey results shall accompany the application. Box F. Enter the demolition project information. If the structure is to be used in a training fire, list the fire department responsible for conducting the bum as the demolition contractor in Box J. If the property owner has been ordered to perform a demolition by a government official, submit a copy of the order from the appropriate official. Box G. Enter all asbestos project information or enter "N/A" for demolition projects with no asbestos removal required. All multiple structure asbestos projects must be submitted with a work plan, map of the structures, complete site address, type and amount of asbestos material to be removed from each structure, AHERA asbestos survey, and work schedule. Box H. Check appropriate project categories in boxes I through 8. Asbestos project fee does not include demolition project. An additional $25.00 is required for a demolition project. Emergency notifications must be submitted with a letter from the property owner explaining the necessity for the emergency. Emergency demolition notifications must be submitted with a letter from an authorized government official or a licensed structural engineer documenting that the structure is in irnminent danger of collapse. Box I. Sign the notification certifying the accuracy and completeness of the information provided on the form. Box J. Enter demolition contractor mailing information (on back). Mandatorv amendments are required for changes that increase the project type, job size category, the types of asbestos materials to be removed and work schedule changes. A $25.00 processing fee is required for all amendments* (1 sl and 2nd amendments have no fee requirement). For technical assistance, or inquiries concerning notification and amendment status contact Dean T. Nguyen at (360) 586-1044 Rev. 07/07/04 ;"!j 1 MEMO DEPARTMENT OF COMMUNITY DEVELOPMENT Brad Collins Director 417-4751 Sue Roberds Assistant Planner 417-4750 Scott Johns Associate Planner 417-4752 Roger V ess Permit Technician 417-4712 Jim Lierly Building Inspector 417-4816 $_500_+'$100.'OR:GA:A-notif.-+$-l5~demO-=_$::625~-?-~ $1,350 $1,350 ~ ~ ~ j 0, 'Or- ORTAN ELES U. S. A. DATE: December 6, 2004 TO: Brad Collins, Director FROM: Sue Roberds, Assistant Planner RE: 328 East Fifth Street Attached to this memorandum are three bids and the inspection results regarding the removal and disposal of asbestos laden materials from the structure located at 328 East Fifth Street, which the City owns. The low bid did not include the ORCAA fees ($100) for notification and ($25) demolition but, with those fees included, Assured Quality is still the low bid. The bids line up as follows: KCB, Inc. $ 678 +$100 ORCAA notif. +$25 demo $ 803 rAssured-Q;;;;l~ KDS Environmental All of the contractors are licensed by the State of Washington. I presume that we will wish to contact Assured Quality and ask them to begin the removal process as soon as possible. Please let me know if you would like me to continue with this processmg. ~~ ...-'Sue Roberds, Assistant Planner Attachments j Nov 23 04 10:28a K C B INC ASBESTOS CONTRACTOR PHONE # (360)830.so22 FAX" (360)830-5020 . [RilE ~ IE ~ WIlE r~ I DEe - 6 2004 I CITY OF PORT ANGELES Dept. of Community Development P.O. BOX 220 SEABECK, WA. 98380 QUOTATION -VALID FOR THIRTY DAYS- ATTN ~~ GuDtfz.d DATE: //- a,?j-o/ FAX: ::f~o t/ I 7 O!;',I!/ ADDENDA: TO: ZeAloU/~ 01 4~stJc, Quoted by ~ PROJECT: ~26 eft! ...... - 9E.~b :l-. Yit--c ~ toe /..{7.2i") l-vP5T~J"f/2$ U/vl)J/l. /'l4/l vu-r::- /J~ ld-I'l I 13b8 /O/TtI-f/IAy6, J2&./llcu:/AC, ~CP.t?~r: ..l)/~R>$n-c. A/-.2 /' . , ,LI7 um-tJ ,4/ft..c /.0 t!~~;'./i, Pr. /f?-?7 J.vlo n:-. '. to l{ ~ ~/t./.Lr)k {' & Is ~ - 7JI-e. Go AtE.:;, r I "'b-/-8 - L/ ~-t~ ~'603 p.2 Tacoma (253) 5n-7J7S er 23, 2004 Sc:allIe (206) 763-7177 rffi fE (G fE ~ WI fE ~ I DEe - 6 2flllII I CITY OF PORT ANGElES Depl. of Community Development General Contractors Specializing in ~d RmJovaI. Interior Demolition and Mold Ranediation Port Orchard (360) 769-7175 Fax (253) 779-4020 UALITY BNVIROI'IME:rITAL INC. 2702 -A- St. · Tacoma. WA .93402 Tracy . rdge! Zenovic & Associates Inc. RE: City of Port Angeles, 328 56 Street, Port Angeles, W A Dear Tracy, Assured Quality Environmental, Inc. is pleased to PJ::~vide the following bid for the work at the above-mentioned project. if' Base Bid: Asbestos abatement of appro . square feet of vinyl tile the sum of S5OO.00 (es:cludes sales tax). *Note: Assured Quality Environmen Services upon request. Exclu ions. I Dem lition dud. I. Locating, Cutting and Capp. 2. Hazardous or Dangerous Ma en s other th 3. Shoring, Bracing, or any Structural Suppo , 4. Building Permits or Street Use Permits. 5. Removal & relocation of Salvage Items. .' 6. All Erosion, Drainage and Landscaping. 7. All Security for the site. Oarifications 1. Electricity and water to be provided by 0 2. Work to be completed in multiple mob' . 3. Bid is based on a mutually acceptable co 4. Proposal is good for thirty (30) days. ~ Bonding is available. C~;) Asbestos material dispoSi!l and COntractor required air monitoring is included. 7. This proposal will become incorporated into the contract documents. vide Additional Hazardous Material Abatement moo otherwise. working hours. and conditions and work schedule. ~ ~~ 1f! ~. ~ ~ ..-." j . er r' - ,," j +~/~/{p/CJI- ~d~ $)00 :71' OI\Lt1./\ ~ '-9 $~ ~ oRC'.AI\~- NUV-(~C~~~. ~(:1( r~UM:N W ~~SIUb / I t:J (f ~'dt:Jq . 1 ~: :a ;;Jbt:J~q'j;;j4 ,~ J60-385-~ TO: 13604170514 K.lki t:NV It<l.J''1l1:.N t AI.. P.t ....Ati:. t7l _ .W~lllIf ",11..1I1IIIIIII ~:&60~~ fa JGO 2~! ....~wtI _1,!aUom P.O. BoJt312 U6 Fla& It. S. U\Il' 11""'1 WA,. HXI l~ .-.i1 ~ PllO.POSAL 04-1128 U: AsbatOl AbatelllmW28 E. ~. POn Anpla \ KDAS Envitoamental ConttadiDg pt~ to pcrfurm asbestos ~f~ as per Local. State, and Federal Regulations and provide tho following to perfonn the describtd work: 1. 2.. 3. Labor Materials Equipment 4. Notification Fees S. J..aMfil\ Fees 6. Air MOJlitcriD& W1SHA Described WOJk: 1. Re1noval. traosportaUon and disposal of approxitlLlltely 113 square teet of asbestos tlooriag. Total: $1~50.00"'. .~id price inc1udes aU labor, materials, equipmcut, air monitorin& applicable DOtificatioA - tnIUpOIIItion, landfill. and iDIurance, but does not incIu4e appIictble tales tu and IaUIDttS ODe (1) mobilization. I ImtS Environmental ~ T7?1fe-~. i3oC:r IV (..u 11- ()ON1"UCftJJt. ~ lCDSIlN*eollNP tUDU'roI CER1'JIIJC;(IDf..m ri: ~ pOR.,. A~ ~O~~ ~~ .~~ ~~- ~ ~WJ W DA--()4-~ rORT ANGkLES LANDFILL \V ASTE DIsrcDSAL ArrLICA TION I ~ . To: City of Port Angeles, City Engineer 321 E Fifth Street P.O. Box 1150 Port Angeles, Washington 98362 Phone: (360) 417-4803 FAX: (360) 417-4709 NOTE: All questions must be answered for waste to be approved. 1. Generator Information: Company Name: Mailing Address: C/ZJ/r7P~ta AtIlb5GES" -/b. 8/{..f" . s-o Pe;.n r AN t..& u;. S ,~A . 9~h'2- . I Rn 44..-2 1J~ ~/7-q7/~ PU/L-OI#V~ PIiM?'j,;:;"t'i.N _'3:2~ k 6zb gt: A /l)?,€.Gt I" . ~ . Contact: Phone: Project Name: Project Location: 2. Other Contacts (if applicable): Consulting Firm: Z!:.-M. JIl \J I L Contact: Phone: 9) 7 - 0:>"'0 I Contractor Name: r~jV):AJow(J\./ $ AS"S"cx:.1 AT € S " ) /\1G. Contact: Phone: laboratory: Contact: Phone: ~UL 4JMa.ATOYG/~), //1/0. / ftOLLJ.- TI./77/~ , 'L..o6- 547-0)00 ~ . . - - _.. ---._0_..__- _._. ..- -_n__.__h .__. _.. _ .... -- .hU ____ _____ Cily of POlt AIlUC/uS . LillllHl1l Wasto Di:jpo~al Appliclltion Pal/o 1 ~ ~ ~ tt\ ~ (/) .1 .--- -- "3. Source of Waste: Check Ihe appropriate box below and brieny describe Ihe projecl, process, and/or cleanup Ihat will or has produced Ihe wasle requiring disposal. Include Ihe gasoline service slalion number (if applicable). . CERCLNMTCA Remediation Agency Contact: Independent Remedial Action - UST Removal Unused Chemical Producl Spill ;-< Other Source: ~~I?rL1. ~ .fA-I"TI1\1~ BtllLQ)dV? 7-0 6/5;; 'OLIS '$~ -.......,- , ' . ~ 4. Waste Material Composition: . (check all that apply and Include percent of total) Soil % Foundry Slag _% Concretel Asphalt % Dredge Sediments _% Preserved Wood % ?< Debris LOO% Coal Ash % Other (list) Wood Ash % % - - % ---- NOTE: Total must equal 100%. .' I 5. Waste Material Contaminants: (check al/ that apply) X- NOTE: Gasoline Metals Heating Oil Used Motor Oil/Waste Oil Other Petroleum Product JJ"2(~ ~ 6"i-~t-. ~ a.--.J PCBs Diesel Solvents Unused Motor Oil Other ~>T~1f) ~YL T <:.. L-Y:; LE,4~ A-.s~s l'c=> 7"\\ (/1{ A~'f-r"?"<!) Unknown -- ._-'~._"'. -_. _.. -----.... .. ---- .-_.-. --..-.-. .-. Supply any MSDS information with application, if available. ------ ._ _h__. City or Port AII{l(!lo~ Landfill Wasto Dbpo:;al Applictltiun Puno . 2 [ ,- . . " 'e' . - '. 6. Estimated Quantity of Waste for Disposal: -----.---- --- ~5:' Cubic yards / .3 C) Drums / Tons (estimate both) Tons (estimate both) Other NOTE: Estimated quantity for disposal must be within 20% of the quantity actually disposed. (10% for projects OVer 7,500 tons or 5,000 cubic yards.) 7. Frequency of Disposal: -4- One time Monthly Annual Other 8. Waste Sampling: Proper characterization of the waste for disposal requires the collection of representative samples. The methods and equipment necessary for obtaining representative samples of a waste, and the frequency of sampling, will vary with the type and form of the waste. Check the appropriate box and briefly describe how and where the waste was sampled. Include site maps with sampling locations If possible. Number of COMPOSITE samples ~ & number of discrete samples per composite 'I Number of DIS~RETE samples ~ } ~ ~,;1.,-,.c; ( vuth"f.., ) ). (")4"")2,.:) ..- CO.o/lllJ>os,1'-€. ~'^'Pl.< j'}# Ix 171O:t'.c-ulJ-t.. '7""1~IVL - I't.- -;:1.1/..(~ a'1J I '\J-?'<fA.~--r.. (jJ"",,~"-r.6) ?-x:.- y ;CA/.J~I.-..../C: NOTE 1: Unless prior approval has been granted by Port Angeles, the following sampling frequency will be used: 0- 2S 25 - 100 101 - 500 501 - 1000 1001 - 2000 >2000 cubic yards cubic yards cubic yards cubic yards cubic yards cubic yards = 1 composite sample 3 composite samples 5 composite samples 7 composite samples 10 composite samples 10 plus one sample for each additional 500 cubic yards = = = = = NOTE 2: One composite sample shall contain a minimum of three/maximum of five discrete samplos. City of Port Angelos. Landfill Waslo Disposol ApplicullUll PlIOO . 3 .9. Waste Analysis: --.. --~- - ---- .. The "Dangerous Waste Regulations" (WAC 173.303) shall be ulilized to determine the appropriate analytical requirements for waste characterization. Ecology Publication #91-30 (Revised April 1994) "Guidance for Remedialion of Petroleum Contaminated Salls" shall also be used to characterize pelroleum contaminated soils from UST releases. Submit all laboratory analytical results, ONOC data, and Chain of Custody sheets along with this application. (NOTE: The laboratory must be accredited by the Washington Slate Department of Ecology.) a) List all analytical test methods used: FiPA-/J,I,J/01JQ(j b) Provide a narrative as to why the above analytical methods were selected: t:>u~ ~ AC-t j'}P ~-'/"'1....z."',,;~ 11+~~ lAiA-.{ L(k/"'L~ 1A~(j 1.),40.{6 ,!J/.lltU l' VS",a rw S?'~7"<J~ I NOTE: Additional sheets attached: )c YES NO 10. Soil Classification: (....FOR PETROLEUM CONTAMINATED SOILS ONly....) Based on the analytical data and Ecology Publication #91-30, the soil classification is: (check one) Class 1 Class 2 Class 3 Class 4 Calculated Hazard Index 11. Dangerous Waste Affidavit: Based on a review of the analytical test results, sile history, and the applicable regulations, this waste is classified as: (check one) 1'1( Neilher Dangerous Waste (OW) nor Extremely Hazardous Wasle (EHW) Dangerous Waste (OW) and Waste Code: extremely Hazardous Waste (EHW) and Waste Code: --- .- --...----..- . --- - .....---.---..-...... City 01 POlt ^"!}(~I(!s laudlill Wasto DiSPosal Appllcillioll Pooo 4 ;. I" . . 12. Certification: We, THE UNDERSIGNED. certify that this application is true to the best of our knowledge. All infonnation provided is correct and the endosed analytical results represent the proposed waste materIal to the best 0 OUf abilities. ~4' -r' C Ul]t."4( Printed Name "2 -</\.It) \.h c. Company f ~{'/~Z-5 . ~ ;f-./( 11-, ~-[)V Date ;'. .... . ; '. . "~';~l~.... .. ~.:/. N.IPOlICY _P\ 1000_ 6W\ 100Q _0 l.wPO Cily of Por1 Angelos. LOlldfill Wu:;lo Disposal Applicotion Punn 5 , \ NVL L.aboralories, Inc. & ' 4708 Aurora Ave. N., Seattfe:WA 98103 AIHJ\ I Tel: 206.547.0100, Fax: 206.634.1936 AlHA -IH .:..~--=-, Analysis Report ACCREDITED www.nvllabs.com #101861 LABORATOftYI .. I I4J 0011002 I 11/09/2004 TUE 12:48 FAX 206 6341936 NVL Laboratories. Inc. i Toxicity Characteristic Leaching Procedure.. Lead (Pb) ! Client: Zenovic & Associates, Inc. Batch #: 2416137.00 . Address: 519 South Peabody Street, Suite 22 Matrix: BJ.k Port Angeles, WA 98362 Method: EPA 131117000BI Attention: Mr. Tracy Gudgel Client Project #:04372 Project Location: 328 East 5th Sl Port Angeles Samples Received: 1 Total Samples Analyzed:1 Results Results in I in mg/L ppm i < 0.5 <0.5 I Lab ID 24091532 Client Sample # 04372A RL mg/L 0.5 Sampled by: Client Analyzed by: Holly Tuttle Date Analyzed: 11/09/2004 DRAFT \. mg! L =Milligrams per liter ppm = parts per million Note: Method QC results are acceptable unless stated otherwise. Bench Run No: 24-1108-8 RL = Reporting Limit I '<' = Below the reporting Limit ! I Page 1 of 1 I Look up a Contractor, Electrician or Plumber License Detail Page 1 of2 Topic Index I Contact Info Trades Ii Licensing I Find a Law or Rule I i .Get a FormorPublkation I Look Up a Contractor, Electrician or Plumber General/Specialty Contractor A business registered as a construction contractor with L&I 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. License Inform...aaon______. /license ASSURQE982NH --~ i Licensee-Name ASSURED QUALITY ENVRNMNTL INC Licensee Type CONSTRUCTION CONTRACTOR UBI 602215666 Verify Contractor Premium Statu.-S Ind. Ins. Account Id Business Type CORPORATION Address 1 2702 SOUTH A STREET Address 2 City TACOMA County PIERCE ... State WA Zip 98402 Phone 2535727175 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 8/8/2002 Expiration Date 8/8/2006 Suspend Date Separation Date Parent Company Previous License ASSURQ.S.2.23.RC Next License Associated License ~ ~ ~ t I j Business Owner Information Name Role Effective Date https://fortress.wa.gov/lni/bbip/detail.aspx ?License= ASSURQE982NH 12/6/2004 . Look Up a Contractor, Electrician or Plumber License Detail Page 2 of2 , FAWCETT, ANTHONY PRESIDENT 08/08/2002 Bond Information Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date ACCREDITED SURETY a #2 CAS CO 10019648 07/31/2004 $12,000.00 07/27/2004 CUMBERLAND CAS a #1 SURETY CO MB904301201 07/31/2002 07/31/2004 $12,000.00 08/08/2002 Savings Information No Matching Information Insurance Information Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date EVANSTON #4 INS CO 03ELFOO095 03/15/2004 03/15/2005 $2,000,000.00 03/22/2004 EVANSTON #3 INS CO 02ELFOO095 04/15/2003 04/15/2004 $2,000,000.00 04/28/2003 EVANSTON INSURANCE #2 COMPANY 02ELFOO095 03/15/2003 04/15/2003 $2,000,000.00 03/17/2003 EVANSTON #1 INS CO 02ELFOO095 03/15/2002 03/15/2003 $2,000,000.00 08/08/2002 Summons / Complaints Information Tax Summons I Cause Warrant Dismissal Complaint Complaint Judgement Judgemen Complaint Number Id Plaintiff County Date Date Amount Date Amount L YNNWOOD #1 032090421 DISPOSAL PIERCE 09/08/2003 07/07/2003 S 1,994.46 $0.00 SlarLa.l'Lew5_earch Printer Frie~dly Version About Lal I Find a job at Lal I Informacion en espano! 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Access Agreement I Privacy and security statement I Intended use/external content policy I Visit access.wa.gov Staff only link https://fortress.wa.gov/lni/bbip/detail.aspx?License= ASSURQ E982NH 12/6/2004 ~ Look Up a Contractor, Electrician or Plumber License Detail Page 2 of2 " SPENCER, MITCH A P ARTNER/ MEMBER 03/21/2001 FAWCETT, ANTHONY PARTNER/MEMBER 02/11/2002 Bond Information Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date CUMBERLAND CAS & #2 SURETY CO MB904300902 03/19/2002 07/31/2002 $12,000.00 03/18/2002 GRANITE STATE INS #1 CO 26-06-80 03/19/2001 04/02/2002 $6,000.00 03/21/2001 Savings Information No Matching Information Insurance Information I Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date EVANSTON INSURANCE #3 CO 0315021157 03/15/2002 03/15/2003 03/18/2002 AMERICAN INT'L SPECIALTY #2 LINES 9350744 03/15/2001 03/15/2002 05/30/2001 AMERICAN INT'L SPECIALTY #1 LINES 031901126 03/19/2001 03/19/2002 03/21/2001 Summons / Complaints Information No Matching Information Start a New Search Printer Friendly Version About Lal I Find a job at Lal I Informacion en espanol I Site Feedback I 1-800-547-8367 ~... (" Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the <.:. .;..,:.. . ngcon state of Washington. Access Agreement i Privacy and security statement I Intended useiexternal content policy I Visit access.wa.gov Staff only link https://fortress.wa.gov/lni/bbip/ detai1.aspx?License= ASSURQA991 D 1 12/6/2004 Date: Job Location: Owner: Contacts: Subject: Inspector: Northwest Asbestos Consultants 406 Reed 8t. Port Townsend, W A 98368 360-385-0584 northwestasbestosconsultants@cablespeed.com 11/04/04 328 5th St. Port Angeles, WA 98362 City of Port Angeles Zenovic and Associates, Inc. Tracy Gudgel, P.E. 5 19 S. Peabody St. Port Angeles, WA 98362 Demolition Bob Witheridge AHERA - Building inspector / Management Planner WAMOA - 0042-04 Expires - 10/13/05 ~ ~ ""' ~ Q/) ':i Scope of work 1) Inspect for asbestos containing building materials (ACBM). 2) Survey, sample and record suspect materials. 3) Report to Tracy Gudgel of Zenovic and Associates, Inc. with results of testing by Clayton Services. 4) Copies for owner City of Port Angeles, Olympic Region Clean Air Agency and on site for demolition. Inspection Report The inspection started with a visual survey looking for Asbestos Containing Building Material (ACBM). Sample results are as follows: Sample #1: Sample #2: Sample #3: Sample #4: Sample #5: Sample #6: Sample #7: Sample #8: Kitchen top layer and bathroom bottom. 12"xI2" floor tile with mastic. White with turquoise. Kitchen floor vinyl with mastic. Bottom layer. Brown and orange. .. Bedroom top layer and bathroom bottom layer. Floor vinyl with mastic. Brown. Bathroom top layer. Floor vinyl with mastic. Cream. Living room chimney mortar. Second floor bedrooms. Center area ceiling tiles. Second floor kitchen. floor vinyl with mastic. Dark brown. Second floor bathroom. Floor vinyl with mastic. Cream. Sample was sent to lab. See results. ASBESTOS BULK SAMPLEDA T A Northwest Asbestos Consultants 406 Reed St. Port Townsend, WA 98368 360-385-0584 northwestasbestosconsultants@cablespeed.com To Clayton Services ~ 10/29/04 lob Location: 328 5th St. Port Angeles, W A 98362 Contacts: Zenovic and Associates, Inc. Tracy Gudgel, P.E. 519 S. Peabody St. Port Angeles, WA 98362 Samnle #1: Kitchen top layer and bathroom bottom. 12"x12" floor tile with mastic. White with turquoise. Samnle #2: Kitchen floor vinyl with mastic. Bottom layer. Brown and orange. Samt;>le #3: Bedroom top layer and bathroom bottom layer. Floor vinyl with mastic. Brown. Sample #4: Bathroom top layer. Floor vinyl with mastic. Cream. Sample #5: Living room chimney mortar. Sample #6: Second floor bedrooms. Center area ceiling tiles. Samt)le #7: Second floor kitchen. floor vinyl with mastic. Dark brown. Samt)le #8: Second floor bathroom. Floor vinyl with mastic. Cream. Inspector: Bob Witheridge AHERA - Building Inspector / Management Planner WAMOA - 0042-04 Expires - 10/13/05 Please call with test results when completed. See attachment. Thank you, k)~~ Bob Witheridge, EFM NDV-03-2004 12=413 CLAYTON GROUP SERVICES 2067634189 eLlpytoli AS~':~~:::LEDXl~ ~: , '1iiJ '''G'it'Ot P 5 E R V ICE 5 A~ked Labora~ry Project #: a MiqimoI'I\I'&1 sf. Saiw zlS I , SnId"W,l.NI!4 Nambft" of SaInplesi (105) 163<7$4 Cli~t ~am.e: ~ol1hWest Asbestos COJlSultants Contact:Bob Witherldge fob 'Location: .8 East 5th Street, Port Angeles, W A POl1ob#: , " LAn~D SAMPLE: NESHAP and ABERA ngulaUolls require layen be analyzed and reported sepll'ately. , ' -J Y .. 't1'll'ft i U TS. QJJmlt FIBERS S~LB #: ~ : . LdU_ . ~ '31319.1A : SOU\J.CE: lZ'1XtZ" Floor Tile !.:QCATION: Kl~en, tnp layer p.e1 37319 Retu.r 8 900.75 9 No Asbestos DetlCted ASUSTOS TYPE PERCENT OTHBR MATERIALS MiTBRlAL DESCRIPTION: ~ite ptlbtt tm ~M fJIUI bh4e p1lm4.'" A~ Vinyl Fillet and B1nder Faint NM6~ } 'Q' S.\MPLE'#: 1 ~ ," !A:Iti 37319.1B ~ S9uRCB: Mette I, ~ L~ TION: Kitchen, top layer 1 OTHER FIBERS LAYER 2 SULTS: ) Cctlulase Synlhetie No Asbestos Detected. ASBESTOS TYPE PERCEN't l , MATBRIALDESCRlPTION: ( . ; q.,r,.,ItIu ~ I , O'I'ijER MAjERIALS Filmr & Binder NtM: LA , 1 SAMPLE ft.: (2 ~ ~ 37319.2A ; SQ'1:JRCE: Viliyl , , ~TION:.eo, bottom layer : SHAP and ABERA regulations reqmlayers be analyzed and reported separately, _ _ _ r _ ) LAYERl T : ' O'tfIERFlBERS No Asbestos DeteCUd ASBF..srOS TYPE PERCENT OTHER MATERIALS ^wopte Vinyl Filler and Sin~ Paint , . i' I , MAl'JllUAL ngS):RlPTrON: ~ p.t OIIwtrW tmd bllltl pirud l'layl /'I_I l' I 1: % %, . 35 .' <65' Trace . ' " % , 3 . , 5 % '9.2 .' , , " t , , % ~ .35 '. 6G '. :5 ',' ANALYZED BY: Jude Cummings DATE: 11~ SAMPLED B~ 1 COMPANYi . UcEIVBD B~: Bob Witheridge DATE: 1012912004 Nonhwest Asbestos Consultants Ginnit Psathos DATE: t 1/112004 'l1 'Clll)'\lla 10 MIDlIi<<<i b7;NJ&TIN\'l.AP, ~ion ~ liM,...t.Io doa IOI:~ tlnilorlcrnmt I1.r NVLAt'<<....,. CJtba ,iMnDnont--.,. Alllndk IdpIa It'ClDII1tcdla~.mcdood "~0211~ 1Mi). MaI)'tCl.w~1Itroqb inlI:rllldfllml~qaIilf_pnIpm1li:neri6GaliaB. Tbepllfillll wm.l1Ip<RldlilaftilJllbDodflll ~..... ~ byVolvine 0l1lU ~ IljO Paint CauaIi"JiaoiDdlcated. Tet......I1...pc.:..d~ anIy ",1be~f1!\lmlaIo4by rhe~ro ~ ~ ~ot"""'_4J>1lPiblybe --.Illy PUl. ~_tlC8Ali~~_1xr ~ ThH~~ IUI! Ixr ~ .....14lu ClIrIMy, w11/1OUJ C!iylOll Gl$Ip lktt/i=tpmmllicn, a.- ..~: ~JOliIt:. AIllCIl'iIofDd CtocRtoUltIlllalo.l: ~ os. Q....lliWive-.12I 1'i.,oli.., Ao:cRu1Il... "~~op'lYllilc MlIct_ QoaIiJativ... 02. ~ 01' ^ lI'lll:e _ .r....1lB ~4ofined ..........._Iiben rllllJK\ ia...... orul5_ ~ ~iDthis_W1ilbe,,,plln'I'IiI"""', . . NOv-ro-2004 12:41 CLAYTON GROUP SERVICES ~,;. I '~n""ASBESTOS BULK SAMPLE DATA -ir- \.I , . NVLAP LAB CODE #101106-0 . . '0 ROll P S J; R V teE S Aecredlted t.aboratory . Af36 B. Woqialll W6)' tf. SlIirc 115 ScIlI1e. WA,9I134 (1OliJ w.'13lU Client Name: Northwest Asbestos CODSIIlta>>t$ fob .Location: 3~8 East 5th Street, Port Angeles, W A . I 2067634189 . P. 02 Log #: 37319 'i"Writyr Project #: NuDlber of Samples: Replar B 900.75 , Contact Bob Witherldge POIJob#: t $~LI:: #: (i 1 ~ 37319.28 SOURCE; Mattie , , . , LOCATION: Klicheo, botmm layer , f !lflJER FIBERS LA 'Y.ER :z RESULTS; ) ~11u11l5C No Asbestos Detect_' ASBESTOS TYPE PERCENT OrnER. MATERIALS Ffiler &. Binder i ~TERIAL DESCRtP110N: ~r""'" IIIl!1.fil~ " t tHt.: , , LAYEUD SAMPLE: NESBAP and AHERA regulations require I.yen be analyzed and reported separately. SAMPL1'" 11#: (2 ~ ) LAYER 1 RESULTS: 'OTHERF1BERS - ~ Cellulose ~ 373\9.3/\ ~ . . .. SC?URq: Vi.",l ~ATiON; Klfdlent bottom layer No Asbestos Deteded ASBESTOS TYPE PERCQ1: ; I ~TEiU~ DeS~ON: ';( ., t4~.ad 8'WI' ..611 witII bIiIcIr. aspbtzItic: Jibf'tlus ~mB 19idI ~ CCJmu., fIIItl..mC OTHER MATEIUALS Filler & Binder ~haIt FiDer Ik. Bin~ Vutyl Filler and Binder " NOIe: U,.,1JIe,. ~ MlUlieltH'ilHlJmhHd ~ . S~#:(il I I.a.I; 37319.JB . SOURCE: Not Noted . . LOCA.TIQN; ~tdaeo.. bottom layer ( LAVER 2 RESTJJ.~: QTHER. FIBERS ) Cellutose No Asbestos Detected ASBESTj)S ~ rERCENT Q.lJiER. MATERIALS Filler &. Binder MATERJAL nBSbuPTION: .. , .l OJI-wbit. CilmpI'isud JHlw4er , I I ~: , . % 5 % 95 , ,( , . , % ' , ..2S , , , : " % : $ " 35 " . 3S , " % ; s '. 1 't % I 95 I " . ; 1 , . , " Bob Witheridge ANALVZEDBY: JudeOunmings DATS: 11/212004 .. ~~. SAMPLlID B~ : ~, .: COMPANYf REcEIVED :a~ DATE~ 10/2912004 Northwest Asbestos Consulta.nm DRAFT PukillS LAP i ~t, ~lP1!'llIl$'l"hIM.A', ~ IlylllVl.AJ''' nCllI..p;ol.C<I~Ily'f'(VL,U Qr""Y odIor~llpICV~ JJ1ba1l<....."p. __psiia___...;\hlllOl\Md Iir~~.oao ~ l'Va), /mIII7dI:I1n;~1brou&k _&II iaIra~QdIiV~~ fOt ~ ~pcI'C;M~ rllplllU<l.....bind.. ~ YlWI 4IIIrinIalls\r.ltwl"""'....... ~ by him: ~ ir indiClWll!. T_...w l'l!IlI>RI"lmllll: ClDIy ID lb. ~..bmi""" \l71ht t1ieut IJOClI\YIIlII. TtIOC _ otllllllcMs -w pmallly be....'" l'LN. I:IMm:lbnlIlOpliIl'll ftlIUlII_ lis gumaAlId. nill1lpUllbaII noL be rll)ll'Dlblad HCIJll in ill 1lI1~. wiIllIIuI ~ GJOup Scmcar pmainiaD Entr ~ Chly8Qllt=. MI. W Qocl<laIM~ o..lilali_.Q). o._'~"".12/1ftmalne.^CliDcliutIlllll ~Iiflr ~ QIlIIIiaIliv.- ~ o-.lKlIIiw~O.i ^............... or.m..-ls derUl8ll '" _10 twwlillm r-a ia ~f1i... JIlOIIMI. AItoeMI ra..d ill IbiI...Dl/Jlt..;u Ie 1Ip<lI'IIld. .~. ,/ Gimrit Psacho$ DATE: 111112004 N0lJ-03-2004 12:41 CLAYTON GROJP SERVICES .1:' . '1Inrt"D ASBESTOS BULK SAMPL~ DATA f:'l" , ~ fIlJ tAl. NVlAPLABCODEl'#101lf6..0 . ' l: I , '. (i R 0 JJ P S f R V ICE 5 Accredited Laboratory .e:~W'I\I':IG.&II~aI5 , SeIaIc, WA9I1!4 (~ 71G<?:!66 Client 'Name: Northwest Asbestos COD&ultants " , robLocation: 3~8 East 5th Street,. Port Angeles, WA 1 SAMPLE #: ~ " , ~ :J7319.4 . SOUR.CE: Vi~l .. , LpcA l1ON: BeclnollJ, top layer 1 , i , , ! ~;T~AL DESCRIPTION: LAYERED ti4(."" _ "",,; wItA ttlll.1I1Ifl gregt rlbNw biu:ii,.,,,,,,it bro. rIUUtie '. . 1/ ) RESULTS: Laycnr Homogenized for Alllll)li:is No Asbesttn Detected ASBESTOS TYPE PERCENT NIJfe: liRa"" t91q(1Tt1te Itf.IUficfiw lI,4tWd1Ull tIIUIlpi& 2067634189 P.03 Log #: 37319 PrIority: ReguJa.r B Project#t 900-'75 Number of Samples: 9 Contact:Bob Witkeridge pO/lob#: ornER FIBBRS CeUl,1}osc OTHER MATERIALS Filler & Binder Vinyl Flller and Binder LAnDD SAMPU: NKSllAP and AHERA regulations require layers be anl\Iy.led and reported separately. I . s~#:~: ) LAYER I RESULTS; OTImRFIBERS I.al.!i 31319.5A ; ~~YRCB: VtD.yl . '. . I LQ~ TION: B~tOOm. top layer No Asbestos Detected ASBESTOS mE; 'ERCENT I I . MAmtAL D~PT10N; . ", " ~ J:P- "'"yI . ! , MIle: l,. I r ~~~LE#:~I . ~ 37319.SB : I ~pRCB: ~e , I LOCA nON; B:;throom. top IIYeI' I ~ ~ , ! MAT.muA.L~ON: t.. mt4Rtic ) ) LAYER 2 RESULTS: No Asbestos DeteCWl ASBE&TOS TYPE P~RC~NT Note: I' <, . I SAMPLED BV: , I 'COMPANX: , ( ~ BY; GiJmio P$II.Chos O'IHER MATERIALS FOWl Vmyl Filler and Bitlder OTHER FlBERS Cellulose OTHER MATBRIALS Finer " Bind~ t' , % : .. 30 : : % " '35 .. ~S , ; ~, . , 'I , q % Bob Witheridgc DATE: 1012912004 Nortliwest A&bestos Consultants ANAL VZED :BY: Jude CtJmmmes DATE: 11nJ2004' ( ". '. . DATE: 11/112004 T in r ^ ':oa,u.n ~ 1Ill!I1!diad~1NV1.AP. Ac:tnodilaIiOlllo' NYLAP "lIfIll,** ~0INln~1lolVl-Al' CIf cAy adur~...,.. All boIlt _pIa 1fC""""" ill ~wlIhllllllhod... ( JlI'~ 1$82) AIIIlIyJils are ~1hrDupjllll!nllld iD\R Iabarillay qaalifT"S1lI'~PI'\l&TIIIlIlbn~rillcll&iaR TbrIpcmIIl 'I1Il1na1l.'pOmd ~ In! \lIItd \WI CIIIIiIJroWYiHII ""*'- by v........~ wtrifiCllicn II; Poitat~ illml~... Tltt RtIIht ~...r....<mly1l)dlesmupls5llllmiatd by= r.Illl1lllO ~IQft TtBCC _VIlU or...........sd~_mWod bf l'LM. ~ .VI!_bs_bc~ ThitNpClft!lhllll JlO\ "'~tDtIlplill iII~, 1II1'11t~crt)'\Ol\ Grou,$crvi/lOll p!JlIlWian. IlmIr a-: ~'A~ It!4o.1do11~~ QIl6Ilwi_W. ~1:l/T~.wiIlOl~IIIldA.llUl<ljlllylllloe_ QualiaIl-.ll2,QuncibW_.OJ ^ 1I'IrlIt_I<IC_ iI~",_......,,1iLoa t""""in ....~_ ~ '1buId ill lhiI_ ..Ill IMr "'JIClItRI M ,.,.,..,., . ~ I ~. NOv-03-2004 12=41 clAYTON GROUP SERVICES e-':' I. 'lf1Y1D,' n'. ASBESTOS BULl{ SAMPL~ DATA .;!. "\..I . NVLAPL/lB CODE #1011OH ',1 " r " (j R 0 tI P S E It V ICE 5 Aceredited Laboratory . 4a6e.~War.9D.Me21$ " S4IlIlo, W",98tU ( 'hU.,Ji.t Cl~ Name: Northwest Asbestos Consultants , ).. rob' Location: ~ East 5th Street, Port Angeles, W A , f', t ~ . 2067634189 P.04 Log #; 37319 Priority: Regular .II Projed~ 900.75 ~ Number of Samples: " cOntact Bob Wtt;heridge PO/Job#: S~LE#:C5; ': WI.; 37319.6 , SdtiRCE; M~ LOCATION: cbimney, LMJ;lg Room ! I \ ~ ) ULTS: Layers Homogenized for Analysis No Asbestos Detected ASBESTOS TYPE PERCENT O'fHER FmBRS / ./ , .' " i. ~ M~TmUAL DESCRtpTION: LAyEJaD . I1t-lt6fH1int DII Di-wIdU griMy compressd lIIatMl4l OTHER MATERIALS A'lJI"CPle , Filler & Binder I'aint Ntm: " S~LB#:@: , 1 , , IaJt 37319.7 : SOURCE: CeW.. T~ " ,I L~AnON: Fltor 2, Bedrooms ) RE ULTS: Layers Homogeni7.ed for Analysis No Asbestos Detected ASBESTOS TYPE PE:RC~NT ) ''\ l, OtHER FIBERS Cellulose , ~ I, \ MA.TBRIAL DE~T10N: LAYERED , ' ., I' ~"' pUR'.. ""!' jlb11111S CllrlJpresse4~' ; OTHER MATERIALS F;t1r:r & 9Dlder Paint .: Note: SAMPLE: NE5BAP and A8ERA regulations requb'e layers tie analyzed ud reported separately. l,AYER t . SULTS: 9THERFIBBltS LAYE ~ S~~LE #: C?l , j !..A.a1i 313t9.8A ~ , f ~T.JkCB: Nc$ Noted r upcA11ON: ~or 2, Kitchen ! ) Cellulose $yntber:ie '- No Asbestos Detected ASBESTOS TYPE PERCENT Q1HER MATERIALS Fnter '" ijindr:r Foam . . , . l ~~.DEpIPTION: . " , f 1itM:kfolJ1llllllll ~ fIUI3tU: N,*: I i.. ..~ . I % . \ % " , 40 " "45 . . , 1S t" 'I ; : ! '.~ % : I, 90 " ~ ~ % j 'S ' :' '5 : \ " 'J fl, ..J % , 1 .. 3 > " % .1 '36 , ':~,. .. ~ . 'J~ ", DATE: 11/212004 ~ . " 1. ~~LBD B'f: Bob Witheridge DATE: 10/29/2004 ANALYZED BY: Jude Olmrnmgs ';. C()MPA~: Northwest Asbe$tos CQDS,uItmts D A. UT , I' . · DJ-'1'LI.~' ~~ B~: GUmie Psathos DATE: 111112004:. 0"'- ~ . .c~ iI-..dill!dbtNISTINVLAJI. ~1IIion byNVLAPcIooo IlaI iadi_~lbrliVl.Jll crMIYOIIIft~ ~ AD lIuOo:llIIIIlpIoI_~..~'tilIIlIIIlItoI . 1lI'~~~ 1911). AaII)'re$-~lkaupimoclllllu-.1abaralaIJ1jIllIIiIJ _~ft>r.mlhtltOll, 1'MpctCo;lI\"'_~*-__CID rodiIlr'II9Il- '~b7 Ylll_..... nrif"-*1lT i'l'ON ~It IMICIICd.TCIl raw. ~rdPWoaIylO I/lc~~b;p Wtdienl.IOaa,Ial, ~_ ot....-wllQlllibly... mlMdb;p '1M. ibmfinarpiw nauh IilIIIlCf. beJUilrlllIald. 'l'hD ltPIlrt~ bOl"'~ cacq,lla lIB mlim;, ~CiIYlOII GIoDupScmeGJper1IliIslan. BnwR.lR: ~ J.mIifit.tIlld(';*~,,",,- QuaI__M. Quettilali_.1211'nlDa1ite. AaciMIira :oDd .bIlInpJryllile 1Sbss_ QaaliIaIi....02. Q-nWi.... 03 A _ MIolM\ of IIIlcSIIlf IJdtflae!.. OM to \WI> libOllI bmd fa....lIliclo _18. ~ fWII4 _'" ~ wOl bt~1I "'trJu', " r -.1 NQV-03-2004 13:03 ClAYTON GROUP SERVICES C" .: "I~ .. ASBESTOS BULK SAMPLE DATA ~....~ '-": ~ n NV(,.AP LAB CODE #10U06-G .' . . ' ~ G ROO P S E It V Ice 5 Acuedited Labontnty . , ~!.MaqiMlWfY~Sui"':US , s.u.I11e, w...lIS'I~ !*) 16!.T$is4 'CUent Name: "orthwest Asbestos Consultants I. ; Job:Location: ~8 East.5th Street, Port Angeles., WA ,! 2067634189 P.01/01 Log #: 37319, Prlority: ReguJal' B ProJett #l: 900.75 Number of Samplesl , Contact:Bob Witherldge oo/JoI>#: S~L~ #: C! ~ ~ 37319:8B ' ~9uRCB: VInyl L~ nON: FIDor 2, Kltcbe.D OIHER FIBERS LAYER 2 TS: ) Asbestos Contllillillg Material (ACM) ASBESTOS TYPE FERq,NT ChrysotUe 4 Q..TflER MATERIALS AssrePlc vinyl Filler and Binder I ' ~TBIUAL DijSCRIPTlON: . Iii'!wn tm4 gn;y"yt l'i11lls: . SAMPLE #: (7 , ~ ~ 3731UC ~OURCE: M.tic , ~nON; FI.... 2. Kltdlen - LAYER 3 OTHER FIBERS ULTS: ) Cellulose No Asbestos De/edel! AS{IESTOS mE PER.CENT OTHER MAJ100ALS Asphalt Filler" Binder MisceUaneous Particl" ~TJIUAL DESpIUPTION: , BIt,d; 1ISP'4Itk .. NoR;: i , SAMPLS #: (8 ~ l.4ll.!: 37]19.9 , SOURCE: Via" with Mastic , . LOCAI1QN; FI~ol' 2, Bathroom OTHER. FmERS ( ) eenulosc Laycn; HomOgCDized Tor Analysis No Asbestos Detected (\SBa1'OS TYPE PERCENT OTHER MA TE1UA.LS Fines' k Binder l?OjUtl. Ymyl FiUer and Binder I,' . MATBRrJJ. DEScRIPTrQN~ LAYEIum 1f!1U* iUUl b""~ri.yl willi. gretm JiIwtIus btldcing ruulbrown mtUtii: tmd lfIhite JHlwUr \ NtJtt!: ~AMFLED B~':' Bob Witheridgo DATE: 10/2912004 ,COMPANY: Northwest Asbestos Consultants t R.BcBIv'l!D BY: Ginnie hachos , j ~ Ii ICCnlIfillll~ ~)yNVLAJ' "'*'\'lr.lndir.om.--)y ~ <If ""Y....S"-.....,. All buIt SIIDpls _.-l)'Dlll;a~wldolNlbool 1lP~Uo02G bcrl9t2). A1III)'NJ....~""""""'~"lwt~~""""'"II\I&>'M1tl'<<wI~ ""'~~~lIboooe...llaoodllll..&lnmdriolml ~"'-l>1.-o1_. ..,I/lAdIM l!y .alMCwlltioa ia 1tldlcIIcd.. Ten ~ ltpQrICClsdal<;* 101Il1:~ l1IbIDitllld br 11m climL IOCl~ Trleumolld. otllllCl1lOB -W ~ klllilleclby PU.f, 1IIetefilnI~ fIIIIIlI_ 'ba.....- 'Jbio npart oW 1I<ll bo.......... ia RUMMy. widMlucQa.y1an ClaupSeniaspenuissiaa. BnorR.ls ~1tr. AmI:IIlIeIll4 ~tI1IcII!lII QUBliaa:i-.o.!. ~ 12 1'I'rmu:1lile, Aaill<llillO IIId Arululpbylllce IIIlItPlr. QllaIdldv....1Il, QulllUk1nlW~lI3 A _ _\ ot....... ill detlDe4111 _111 ....1!bla fGuad m lIlrIIellide _ AIIbna:Is tolpwllll WI_ ~ lIOtqlOl'led . -n...., j i 'I. I J )' I' f T J. i 1, 1 % " 30 66 . , , , , , % J. 6 l J i I ~ "j '9 _ 5 " 'j 1 I :1 I 1 % .! 48 -j f , j I ~ 'j 'I 12 'I 1$ 1 I 1 I i I , , DATE: 11/1/2004 DA TB: 111112004 I j' 1 ANALY.ZBD BY: Jude Cnmmmgs TnTAI P.lil1 i I " i I ~ ,- \ Summary of Inspection: This survey includes all areas of inspection with the report results from Clayton Environmental Testing Labs. Sample #1: Sample #2: Sample #3: Sample #4: Sample #5: Sample #6: Sample #7: Sample #8: Kitchen top layer and bathroom bottom. 12"xI2" floor tile with mastic. White with turquoise. No asbestos,detected. Kitchen floor vinyl with mastic. Bottom layer. Brown and orange. No asbestos detected. Bedroom top layer and bathroom bottom layer. Floor vinyl with mastic. Brown. No asbestos detected. Bathroom top layer. Floor vinyl with mastic. Cream. No asbestos detected. Living room chimney mortar. No asbestos detected. Second floor bedrooms. Center area ceiling tiles. No asbestos detected. Second floor kitchen. floor vinyl with mastic. Dark brown. 4% Chrysotile asbestos. Approx. 113 sq. ft. Second floor bathroom. Floor vinyl with mastic. Cream. No asbestos detected. All asbestos containing building material with a reading of 1% or greater is to be removed by a certified abatement contractor which follows the rules of the EPA and governed by Olympic Region Clean Air Agency. This report is not a guarantee that all suspect of AC.B.M. were found. The possibility of concealed material exist and may be found during, demolition. Please contact NWAC for further inspection if needed. After the facility is completely cleaned out a walk through and inspection is required by the original AHERA building inspector (NW Asbestos) after abatement, then a copy of the letter certifying that abatement has been completed needs to be received by the City of Port Angeles Permit Center and Olympic Region Clean Air Agency. Thank you, J)e1b~ Bob Witheridge, E.F.M. c .", 111II From: To: Date: Subject: Roger V ess Glenn Cutler 3/30/052:31 PM City lot on 5th ~j Glen, You asked me to find out what are contract covered for the house demo at 328 East 5th. I am sorry it has taken me so long to get back to you. The cities contract with Morrison Excavating was to demo and remove the house at 328 E 5th Street, it did not include site clean up and soil restoration and leveling. So it looks like the city will need to contract with someone or have city crews clean, fill, grade & seed the site. Roger Vess Permit Tech. CC Dennis Dickson cc: Dennis Dickson <J.) ~ ~ ~, j 04 :1' o ~ ~ ~ ~ORTANGELES WAS H I N G TON, USA DEP ARTMENT OF COMMUNITY DEVELOPMENT Date ~ ~ ~ ~ September 9,2004 To Mike Qumn, CIty Manager, and DennIs DIckson, Property Manager Brad Collins, Commumty Development Dlrector~ EstImates for DemolItIOn of 328 E 5th Street From. Subject: Attached are three estImates for demolItIOn of the City owned structure at 328 E. 5th Street. Companson of the estimates for demolItIOn only (not mcludmg permIt fees, dump fees, asbestos/lead removal, and taxes) are Momson ($3000), RJ ServIces ($3500), and Crescent Development ($3825) With other costs such as those lIsted above but excluded from the estimates, we can expect accordmg to the Mornson estrmate another $2200 plus. Trema Funston and KeIth Bogues know the procedures for asbestos and lead (hazardous matenals) removal and should be able to dIrect the demolItIOn project. BeSIdes the demolItIOn permIt Issued by the Buildmg DIVIsIOn, an ORCAA au pollutIOn control permIt may be needed also I don't belIeve the permIt fees and the dump fees should be Waived per standard finance polIcy To proceed, we need authonzatIOn to spend the necessary funds for fust the asbestosllead removal (for wruch we don't have an estrmate but WhICh IS a reqUIrement) and second for the remaImng demolItIOn contract and fees. cc / Department Heads V Trema Funston KeIth Bogues I/uast€. l:::>JSpO>~ -A-ppIICA-TIOh /1~\ ..r Vd.{)jZ (2.1 ~or-i Dr)( De f"IO '2 u / 1ei/N'} 57ft 5 f Ie;, t/1' I B tel - 5 ~OO ~ ,'Ne heles kV"'f Perl} ~ :JF .~ fl1I(? ~ f) Z)U ~ fQ~"::::> /J by / C:t if 'J Aug-26-04 09:0SA P.Ol ~ ~NC. 514 Erving Jacobs Road Port Angeles, WA 98362 (360) 457-1420 FAX 457-9724 PROPOSAl, & CONTRACT Augu~t 26, 2004 City of Port Angeles BuHdmg Department Ann Jim Llerly 417-4711 Project: House Demolition DemolitlOn of house across from CIty Hall, WIth haulmg off debrIS to City Landfill. CIty IS responsible for all penmts and dump fee;:. $3,500.00 Terms. Pnces - Plus Sales Tax Paid In full upon completIOn and billtng. 1 5% Interest on unpaid balances over 30 days. Accepted. Sign Copy & Return Submitted. Specializing in Excavation · Conventional & Alternative SeptIc Systems Crescent Development Inc. Estimate POBox 41 Joyce, WA 98343 Date Estimate # 9/8/2004 23 Name I Address City Of Port Angeles 321 East First 8t. Port Angeles, W A 98362 Project Description Qty Rate Total Demo building on 5 th street for new parking lot. Demo, haul and clean up. 3,825.00 3,825 OOT Does not include permits or dump fees Does not include testing or abatement. Thank you for the opportunity to bid on your project. Subtotal $3,825 00 Sales Tax (8.3%) $317 48 Total $4,142.48 " i ~ '~ ',,- i'" ". "'~ ',,-, ;.1' ...., 32S ;/ l j t '^, I t 0- ~ ';.90 ro'li q, ~ Feet Vertical Datum = NA VD 88 Horizontal Datum = NAD 83191 N Area Map This map is not intended /0 be used as a legal description. This map/drawing is produced bl' the City of Port Angeles for its own use and purposes. Any other use of this map/drawing shall not be the responsibility C?f the OIl' CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT " N~ 17711 3_1/ ',u, I ~ ~ Port Angeles, WashlngtOll...m.._...m.....____..m..__....____..__m.....____n_, 19.nnm In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment ln, on, or about any building or other structure in the City of Port Angeles, per- mission Is hereby granted to do electrical/work as listed below. . / Address ....nnXn.:::::nXm.n.?mmn:ooo:~L.n..nn.mnnnn..ooon.n OccupanCy.n.;.:l~.:t:.:.:e:..._.ooon...n__..__.m.. ~:=:~.~~~::~~~.:::::::::/~:Z:~~::;.:3::!:.:::::~~~::.,~~~~~~;::::::::::::::..-..:.-:::::::::::=::::::::::::::::::=::::::::::::::::::: '4 &, Light Outlets....__.......Z.....h....h.._.._..... Receptacle Outlets...__L___..__.m.___....... Dryer, KW.........___.....__...__....____.____.____ Range, KW h__h______n___n_____....__________.._. Water Heater: eJ,X KW.m'hnnun.m.n..u.mmnnm. um. e /l/? ~ /j,{;:; Heat: KW.uum.mUUmhUUuuu.uum.m..L.:J-" Motors: sIze, volts and phase: ,..( ~CuL~~uY:uum..mumuh..mu.u.u I / Total' wad____........h_.........h_.. /" ../ .',-- Service, volts ........___............................ 3' No. wires ......n._............................. d Size wlres........_.........................._.. /("",;.-" ,"'1 MaIn fuse ___._mh:.....:.......m..._......__ J Enclosure mm.......hmmm.....m____m Type of wiring: Entrance Cable ............................. Rigid Conduit mumummUUhU.UUU Metallic Tubing mu,uu'um. Current transformers: No. & Size...................__________ Ser. NO...........................h______.....______. Scr. No. ..........._.....................0.__.____._. Ser. No......................................._____.. Ser. No. ................._________.____............. Type of Wiring: , Armorea Cable .............................. Non.Met8.IlIc ........._._.....__..__..__.._0.. Knob & Tubeh.............................._ RIgid Conduit hUm.UUmmU____..mu Metallic Tubing ....m.._.m_m......... Raceway ________....__..._............._......_ Circuits. LlghLm..hmm.uuuumm_um. Utlllty .hum..mmmmum.uuumumm Heat ......................................._.._.. Range ............................................. Water Heater m_____m.hm__.h......... Motor ..._.......___................_............. Dryer.................................................. Furnace ..........0..............'.._.._______...__... Remarks: .nn~n____n____.__nn..m.nmnmn.__..mh.ooon__.__hn..nh__.m.nnnnnnn.mnmn.___..n...nm..mmnmmmmmnmmn Total .0......___________....._____..____.___ ..u.nnnn.nuhu....hnnnnnun.nnnu.un....h..._......n.n..u.nn__n____.u.h.d....__.___nn__n__nuu__..d.n..nnn.n______unu__.u.un.h~ Permit Fee __nu_n_n___nUUUnU.hU....h_._nn_.nuuUnn.nUhUU.._._n..U..._n_~nn.nnu.u..n_..__...un.n_n.n.u.U.h_nhn__.nu.uun..u..__.UU.U" Treas. Receipt No...___............._...._..._ 'c/ /,'. / / J / / .-( -I'~- . ""',(-r .., By u,.~__u..l_nn_nnn_nn.nuu.n.....~_nnu~n.~_-=n__n..u_ $.___........m..m.m.__.ooo._.___. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con. cealed due notice must be given the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ,t Address ELECTRICAL PERMIT N~ 1 77 1 1 Owner ........____h_.._____....__h_.._.______._.._......_......_..____.......0.........0._0......____._.....___.__.....__...__ Tenant....h_________.____..._uu..........______.____...__________...... Date..._......__........._.................._....._.....__.... Wiring Contractor ..................................._......................................................__.._...____.______......._.___ By.__..._.............._........._.____......................... NOTICE-Current must not be turned on until CertIfIcate of Inspection has been issued. If work is to be con. . cealed due notice must be given the Inspector so that work may be inspected before concealment. " \; 1M Olympic Printers, Inc.