HomeMy WebLinkAbout431 E Front St - Building
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5th Street, Port Angeles, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application typ~"description
Subdivision Name
Property Use . . . : '
Property Zoning . . . .
Application va'luiiti6ri.'\
07-00000774 Date 7/02/07
599062
431 E FRONT ST
06-30-00-5-1-4280-0QOO- ,
FIRE ABANDON TANK INSPECTION
o
Owner
Contractor
',,'1'1"'"
TOMBS TTE STANLEY A/H B
PO BOX 69735
SEATTLE WA 981688735
PETTIT OIL CO.
638 MARINE DRIVE
PORT ANGELES
(360) 457-9404
WA 98362
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
UNDERGROUND TANK RES
300GL TANK ABANDONMENT
105965
15.00 Plan Check Fea. __
7/02/07 Valuation
12/29/07
.00.
0,
Qty Unit Charge Per
". "BASE FEE ." ,
Extension
'" 15. do., '0'"
-',;.
",..~.,.~: .
\.!, ~
Fee summary
Charged
Paid
Credited -., ,," IDue",. ...
, ~
Permit Fee Total
Plan Check Total
Grand Total
15.00
.00
15.00
15.00
.00
15.00
.09,,_, ._, ,,,09.__
,00 ,00
.00 .00
. ,"..... "',,- ",' -~". ,,,.....
-_to';..:';-
...: .', -~.:: '; " . t': \
. ,-'
,';." !
;2
~,_.,~'. ..,,""~.. . - '....,:.. * ""'.0'....... .... '.};; ..... ,.:....
'r" t ,"
..,:",.
,..-...l'
~.., .
.... " .
~1: ::_:
-'1> '
.,'.:t'.,,
"""1;
,
. _.~. _.'.____0. _ ~
",:"
,-1 .'
h_~~Ij'ry~t~:_ .
, /O/~~~~:"9~",,,>, -"' ,>
... .~..., -:..,..
,.. '"
,...". .".~
,
,:.~._-."~,, AAJ
~ ,- ~~ . :~>;.. , . \: .
'''':'. t.;
"",,
~ r \ .
. ,.,'
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced; or if required inspections have not been requested with
180 days frof!1 the .last inspection. I hereby certify that I haveread and examimd this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cantel
th~ provisio~s of any ttate or 10callaw regulating the work specified in the permit. , .
.:. ):;t);;-:;;::IJ~:L:/' ";/},'"0.'./)'';:,,,, :,.. 7" h ~7' ,:' "., ':~~-~-:-'-.'-'-;--<-~~,,-"" ~ '-.
, 'L...R/U/f (//Yl ,/~n ~, . ,--A-"''' -. ",
Sig6~a,ttire of-(~0I1iraci~r6r Authorized:Agent.__ Da{~, "~~SJgnature of Owner (if Owner is builder) -,.: <
, ,.' ,<;'
..;: "::
,,;
'~~
Date
, .--'-;-
-+~~:: ::;~
::~' _ :'~j;-. ~'i:t;i~~~~~i-.,.t.';~;'~:~;l-"-'j.._~. _~~'__
::..... -;;:.". .
. ..'-", , . .
:- _: ,',~;,;-b~~~U~';~~i" ~~,~~~_
.. ~ ',,~ '~.;'l~i;;~
')
FIRE PERMIT INSPECTION RECORD
Ca11360-4l 7-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate
or conceal any work before inspected and accepted. Post permit in a conspicuous location.
~
~
~
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
~
Inspection Type Date Passed Comments
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
Alann final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test # 1
Above ground piping inspection/pressure test Piping pressure test pSI
Tank (container) inspection Time initiated
Test #2
Appliance inspection Piping pressure test pSI
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final ()1~O'2.-oq K.I).1)
PERMIT OTHER (specify)
permit final
\'-
~~
~
~
~
j
~
\,'
)
\~
'-..
~ GENERAL COMMENTS:
2/15/00
.","!"'
.
PORT ANGELES FIRE DEPARTMENT
Abandonment of Residential Fuel Storage Tank
1 , 1 00 Gallons or Less
Application for Permit
(1)7' 771
Please call the Fire Marshal's Office at 417-4653 for assistance with the processing this permit.
I Site Address: 43\ E 1rvn~ I
Name of Applicant: ~ ' .,. ) Date:
01 L 7 - ../-- f
.TTI
Address: I '/11- OO~6
b3 5 1YI~ 10~ Telephone: #7 <( 1/ j L ~
I
Site Owner: I~ 1;,7tW Telephone: 20{, - ~7~ -- 1-707
Permits are issued at the City of Port Angeles Permits Counter located at City Hall,
321 E 51\ Port Angeles, W A.
Permit fee $15.00 paid to the City of Port AngelE(s Fire Department. Date paid:
Date Issued:
(-2-- 7
Date Issued:
Issued by:
Additional Comments:
I have read and understand the requirements of this application.
Applicant's Signature:
FP - 25 A (Revised 12/9/04)
Page 1 of 3
Section I - Required Information
Applicant is required to fumish the following information on the space provided on the next page.
1. A site plan showing the number, size, and location of the underground storage tank with
reference to the existing home.
2. Specify the type of liquid which was stored in the tank.
Section II - Requirements and Limitations
Issuance of a permit is subject to compliance with the listed requirements and approval by a field
inspection of the Port Angeles Fire Department. Residential underground storage tanks may be
abandon in place or removed.
1. There shall be no welding, cutting, or other sources of ignition in the area while abandoning
operations are in progress. Welding or cutting on tanks require a separate permit from the
Port Angeles Fire Department.
2. Removal of all flammable and combustible liquids from the tank and all connecting lines
shall be pumped out. Please use a hand pump or other means to remove remaining
flammable or combustible liquids as far as practical.
3. If the tank is removed and stored on site temporarily, the tank shall be placed in a secure
location and blocked to prevent movement. The tank would be required to be inerted prior
to being transported. The hole created by removing the tank shall be filled with a suitable
material (earth, sand, etc.).
4. There are three options for the abandonment of residential fuel storage tanks. All three
options require that the tank is first completely pumped out.
Option # 1 - The tank and all associated fill and vent piping can be removed completely. This
is generally the best method, however it is also the most expensive.
Option #2 - The tank fill and vent pipes are removed, then the tank is filled completely with
an inert mixture such as a sand slurry. If Option #1 (complete removal) is not chosen, then
this method is REQUIRED if the tank is within 5 feet of a property line, driveway,
sidewalk, swimming pool, deck or building foundation.
Option #3 - The tank fill and vent pipes are removed below grade and capped. The tank is
left in place. Ifusing this method, the applicant must read, understand and sign the following
statement:
"In using this method, I understand that the void created by the tank
may cause a collapse ofthe adjacent ground ifthe tank rusts out over
time." ,
Applicant Signature: IdlJ ()J '1}~
7~2-- 7
Date:
FP - 25 A (Revised 12/9/04)
Page 2 of 3
N
~\~ \
~'te Diagram
~fJ
c:}-Gf .--
L--=-----
---
--
t~
I )
r
I V~
I
5
--
N t.
E:
----- ........ ....--'
.-----
--------
--
J-j-
To be completed by Fire Department .
Method of abandonment:
( ) Tank removed
( ) Tank filled with inert mixture
( ) Tank vent and fill lines capped below grade
FP - 25 A (Revised 12/9/04)
Page 3 of 3
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15867
port Angeles, washlngtonmm__.L.:::..z=-__....m..m_m._..._..___.m__m. 1~G.
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted t~lectrical work as listed below.
Address __m_<f...!/mf:___(~m~".2________m_____.nn_.nn.__m__ Occupancy__,AJ~__.m__m__n_m.m_m___
Owner mm$~__.e"~__~"',..."'_,rd.~---m(Wc;TenanL----n-mm----m----m-----mm---nmmm-__.m____.m.m
Wiring Contractor ___~::~~...ezd2f.?f.P."Qd..I__"___:._.____ By__________m__mmm__________.....m____m__.._______.._m____
Light Oullets_________..__..______.._______~.__.... Service, volt, ../:??L2.E(2...._.. Type 01 Wiring:
R ta Ie Outlets No. wires .......~j....---....7.. -c::'..___.... Armored Cable ..............................
ecep c ......__.._____...._____.......
SI I o/tfp Non.Metalllc ....._...m__...................
Dryer, KW..n.n_n........_.___.....____._________ ze w res...h"::~.........~............_..
/ --J1!J(:;1 4 Knob & Tube....___...______._______....__...
MaIn fuse ..m__........___....m:.....__.......
Range, KW.___hh______...___.______....__________.
Motors: size. volts and phase:
Rigid Conduit ................._...
Metallic TUbing m.___
Current transformers:
No. & Size.___.m___.__mm____.___
RIgid Conduit ___._...___....__....__________
Metallic TUbing __m____mm............
Raceway ......................................._
Circuits, Light................m____.___............
Utility ............________...______..__.....__.___
Wa.ter Heater:
Enclosure m.m__5m________.___m...__
Type of wiring:
Entrance Cable ....__.....m._.............
KW._____________..._._.._.....-u..__..___...___
Heat' KW___....!.C!:..?.!>..___iJ./2________.__
Heat _______..___._____....................._......
Ser. No....._......_____._...______..__....___.__._._
Range .__......_................n....__...___.....
Water Heater ___m..m................___.
Motor ___..........._.........____....___..___.....
Ser. No......._......__.....................______...
Dryer..._n__...___....._...........__.....___...__....
F urll8ce .........................'_.....__.....__.....
Ser. No.....____...______..______.._...._....___.....
Remark:~ta:__~~:~~:.=..,.::.::::..nn--.~r..__.:.~;~~.::..---.--~2<_m_mm.~::::__::_-__:....::......::_:.::..::::::
...~____....... (_ .A~
-;~~;~n;~~mm------m-----------m;~~~~.n;~~~;~~nnnm--mm-nm------n.--!l2!J/57~m2m,.,......----
$__n.__.m___.m_mmnnmnm. NOhnhmm__mm__m..n By .____l..__.L_o....'f0mmnm.m.m.'mmmm:L~,
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due noUce must be given the Inspector so that work may be inspected berore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15867
Address........_............._...............__.___._._.__...__.._..........................................._......._._.._.....___......_.....Date..............._......_.................._......_.._......
Owner ____..............................._......_.._......_........_._...._.................._...__.........___..__.....__....__. Tenant............................___.....................................
WiringContractor..........................._............................__._____.............._...__.....__..____._.____n.._.._.__.__n.By.__.............................._............._........____..
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con.
c~aled due noUce must be given the Inspector so that work may be inspected betore concealment.
,
,
\