HomeMy WebLinkAbout2211 Lindberg Rd - Building .... CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
I~UILIJII~I{~ ',:Kmll' ISSUED: 6/27/2002 PERMIT NO: 13530
OWNER/APPLICANT PROPERTY LOCATION
2211 LINDBERG RD
CITY OF PORT ANGELES
P. O. BOX 1150 Lot: PARCEL#1 SURVEYV11 P44
Port Angeles, WA 98362 Block: [] Long Legal
360/000-0000 Subdivision:
T: S: Parcel No: 063013211000000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Pod Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $0.00 SFD Units: 0 Commercial: 0
Project Type: DEMOLITION SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
DEMO BUILDING
PERMIT FEE'S WAIVED BY M. QUINN
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $0.00
Plumbing: $0.00 AMOUNT PAID: $0.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct, All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANN]TN G\FO PJv[S\ t [02.15 [4/2002]
I(oaS Environmental I~ontractlnO
P.O. Box 312
Phone 360 249-5540 ~/J[ i4G;,-333-3546
F~x 360 249-3475 www. kdsenvironmental.eom~I e-mail kdsenv~olynet n
JUN 2 5 ~"~
1,
INVOICE CITY OF PORT ANGEL£S
COMMUNITY D£V£LOPMENT
Attention: Lou Haehnlen Date: June 24, 2002
Company: City of Port Angeles P.O. #
Address: PO Box 1150 Invoice: 02400
Port Angeles, WA 98362-0217
Job # Service Qmmtit~ Rate Total
02500 Asbestos Abatement of the property located at: $1,500.00
2211 Lindberg
Port Angeles, WA
W.S.S. Tax (8.2%) $123.00
TERMS: NET 10 TOTAL $1,623.00
D". t~.o ~
Labor and Industries ' ~ ( NOTICE O~
Industrial HFSiene Compliance
(l~ionai add~ses and phone ASBESTOS ABATEMENT
nu~ ~ p~s* 2) PROJECT
THIS NOTICB MUST BE ~IVi/D NO LATER THAN 10 C~ ~.~{DAR DAYS PRIOR TO TH~ START DATE
COlvlPL~-l-~ ,,~ .v. APPLICABLB BOX~ - INCOMPL~i-~ OR n .~ -~61BLI/NOT{ _('n=~ ~ NOT BI/ACCI~-t t:~
MAIL OR FAX TO THE REGIONAL OFFICI~ - ClRCLB CHANOBS ON ~IK) NOTICBS
CONTRA~OR PROPERTY OV/NER
Job Site C.A.S.
JOB SITE FAOLITY
qUANTITY OF ASBESTOS TO BE: [~REMOVED ~'1 F.,NCAPSULATF..D
Ouantit~ ~QC"~ ~ fec~ [~ T~aoon [] Ouuloo~s
[] gu~na [] ~o~=~o~,~ CONTROL MEASUI~S
[] ~ ~ i,,-,,-,~,~ C{ ~ ~ ~ RESPIRATORY PROTECTION
F41 $-0'~-~00 notice of a~besto~ ~t~_ _*~mt project 11.01 For cl~ copte~ ~o to http://www, inLwa.8ov/fonns/
Statement of Intent to Pay Prevailing Wages Page 1 of I
Prevailing Wage Section
Department of Labor &
~ Statement of Intent to Pay Industries
~ Prevailing Wage PO Box 44540
Olympia, WA 98504-4540
(360) 902-5335
Received: Intent Id: Status:
06/17/2002 5869 Approved on 06/17/2002
COMPANY
Company K D & S ENVIRONMENTAL
Information: KDSEN**011 NP
601 040 906
PO BOX 312
MONTESANO, WA 98563
Payment Type: Electronic
Company Electronic
Signature:
PROJECT
PORT ANGELES, CITY OF
Public Agency: PO BOX 1150
PORT ANGELES, WA 98362
County: CLALLAM Multiple Counties? No
City: Port Angeles
Project Name: Asbestos Abatement-Carnegie Library
Con~ract Number: 97-08C
Bid Due Date: 05/08/2002
Award Date: 05/15/2002
Prime Contractor: K D & S ENVIRONMENTAL
Ail Work
No
Subcontracted?
Subcontractors? No
Apprentices? No
$ Amount: $7,210.00 Time and Materials No
Filed by: WILSON, RAYMOND D
WAGES
Number of Owners 3
Journey Level Trades/Occupations
htt~s://transact.wa.aov/LNI-PWlA/lntent/lntentPrint a~n?lD=S86c~ 8/17/09
Affidavit of Wages Paid Page 1 of 1
Prevailing Wage Section
Department of Labor &
Affidavit of Wages Paid Industries
PO Box 44540
Olympia, WA 98504-4540
Received: Affidavit Id: Status
06/17/2002 4504 Approved on 06/17/2002
COMPANY
Company K D & S ENVIRONMENTAL
Information: KDSEN**011 NP
601 040 906
PO BOX 312
MONTES^NO, WA 98563
Payment Type: Electronic
Company Electronic
Signature:
PROJECT
Public Agency: PORT ANGELES, CITY OF
County: CLALLAM Multiple Counties? No
City: Port Angeles
Project Name: Asbestos Abatement-Carnegie Library
Contract Number: 97-08C
Date Intent Filed: 06/17/2002
Bid Due Date: 05/08/2002
Award Date: 05/15/2002
Date Work
Completed: 06/05/2 002
Prime Contractor: K D & S ENVIRONMENTAL
All Work Sub-
contracted? No
$ Amount: $7,210.00
Filed by: Raymond D Wilson
WAGES
Number of
Owners: 2
Journey Level Trades/Occupations
Wage Fringe VV~or How
County
Trade
Occupation
3LALLAM i ASBESTOS ABATEMENT
WORKERS JOURNEY LEVEL $29.67 $0.00 3 16
Apprentice Trades/Occupations
htln~'//trangaet wa onv/I ,]~T[-PWlA/Afflrlavit/A ffldavitPrint aen?ll3=4Af~a A/1 ?/(Y~
Northwest Asbestos Consultants
406 Reed St.
Port Townsend, WA 98368
360-385-0584
huggybear@olympus.net
Date: 6/10/02
Contact: Zenovic and Associates, Inc.
Tracy Gudgel, P.E.
519 S. Peabody St.
Port Angeles, WA 98362
lob Location
and owner: City of Port Angeles
2211 Lindberg Rd.
Port Angeles, WA 98362
~ Bob Witheridge
AHERA - Building inspector / Management Planner '~'
WAMOA- 0042-01 "~
Expires - 11/2/02
Northwest Asbestos Consultants
406 Reed St.
Port Townsend, WA 98368
360-385-0584
huggybear~olympus.net
Date: 6/7/02
Contact: Zenovic and Associates, Inc.
Tracy Gudgel, P.E.
$19 S. Peabody St.
Port Angeles, WA 98362
and owner: City of Port Angeles
2211 Lindberg Rd.
Port Angeles, WA 98362
Regards to re-inspection; The purpose of re-inspection after
removal of ACBM. On 6/7/02, I did a re inspection on the
areas of asbestos containing building material at 2211
Lindberg Rd. in Port Angeles.
The areas needing abatement from the lab results from
the inspection on 5/14/02 had been removed and cleaned
of asbestos. My complements to KD&S Environmental for a very
complete job.
I find this building ready for demolition as according to
the regulations of EPA and Olympic Air Pollution Control
Authority.
Bob Witheridge
EPA-AHERA - Building Inspector / Management Planner
WAMOA-0042-01
Expires- 11/2/02
cc/ City of Port Angeles Permit Center
Olympic Air Pollution Authority
Copy for Demolition Contractor
.... CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
I:IUILUING ~l~/ll[ ISSUED: 6~27~2002 PERMIT NO: 13530
OWNER/APPLICANT PROPERTY LOCATION
2211 LINDBERG RD
CITY OF PORT ANGELES
P. O. BOX 1150 Lot: PARCEL#1 SURVEYVll P44
Port Angeles, WA 98362 Block: [] Long Legal
360/000-0000 Subdivision:
T: S: Parcel No: 063013211000000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO ~,~
Project Value: $0.00 SFD Units: 0 Commercial: 0
Project Type: DEMOLITION SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0 )'"'"
Zoning Use:
PROJECT NOTES
DEMO BUILDING
PERMIT FEE'S WAIVED BY M. QUINN
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $0.00
Plumbing: $0.00 AMOUNT PAID: $0.00
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within t 80 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
.WI
Signata~ o~ ~en~ract~r or ~thadz~d ~gent ~ate S~gnature ef Owner ~if ewner is ~i~derl ~ate
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LiNE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR/CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATEILLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEEP-YNG 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 ~'/' ~,~)~ f~'~/.~ BUILDING