HomeMy WebLinkAbout312 E 8th St - Building
if~OIl'r~_
,,~~~
^~
...~
~
"'<~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation
03-00000371
312 E 8TH ST
0630000270330000
DEMOLITION
Date
4/07/03
3550
Owner
Contractor
PENTAGON PARTNERS
330 E. FIRST ST STE
PORT ANGELES
1
WA 98362
DON LOVE TRUCKING
431 LISEL LANE
PORT ANGELES
(360) 457-4071
DEMO EXISTING SFR
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
WA 98363
Structure Information
Construction Type . . . .
Occupancy Type . . . . .
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
DEMOLITION
47.00
4/07/03
10/04/03
Plan Check Fee
Valuation
.00
o
BASE FEE
Extension
47.00
Qty Unit Charge Per
Fee sununary Charged Paid Credited Due
----------------- --------r- ---------- ---------- ----------
Permit Fee Total 47.00 47.00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 47.00 47.00 .00 .00
()J
--
?
'\t(
,
~
'i
S-
C/)
:-/.
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, ulililies, 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 w rk as commenced, or if required inspections have nol been requested within 180 days from the last
inspection. I hereb certify that I ave read and examined this application and know the same to be true and correct. All provisions of
laws and ordinance governing t s type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to giv thority to vi ate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
T:\PLANNING\FORM$\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING IJ\SPECTIONS. PLEASE PROVIDE A MIJ\IMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INS)'ECTlON TYPE DATE T ACCEPTED COMMENTS
r YES T NO
FOUNDATION:
FOOTINGS
WALLS
FOL':"JDA TION DRAJ:'>lAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I .
PLlIMBING
UNDER FLOOR I SLAB
ROUGH-TN
WATER LINE
GAS LINE ,
BACK FLOW / WATER
AIR SEAL
W ALL$ I I
CEIUNG I T T
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
I-BAR
I~SULATlON
SLAB T
WALL I FLOOR / CEILING I I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD I DUCTS
PW lfTILlTlES I SITE WORK (Engineering Division) SEPARA IE PERMIT #'s:
W A TERUNE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. $EPARA IE PERlvlIT #'5 SEPA:
PARKl:'IIGfLlGHTING ESA:
LANDSCAPING SHORELINE:
FJ~'AL Il\SJ'ECTJO:'-iS REQlHRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 FJ.ECTRICAL
UGHT DEPT
COJ\.'STRUCTlON R.W./ PW/ CONSTRUCTION - R.W.
ENG]NEERING 4]7-4807 PW / ENG]NEERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 ~ PLANNING DEPT.
Bl:]LDING 4]7-48]5 Y-?O.o:s k.J / / BUILDING
T:\PLANI\'ING\FORMS\1102.15 [4/2002]
~ORTANGELES
WAS H I N G TON, U. S. A.
PUBLIC WORKS & UTILITIES DEPARTMENT
April 4, 2003
Don Love Trucking
431 Lisel Lane
Port Angeles, , W A 98362
WD74-0 3-01
RE: Port Angeles Landfill Waste Disposal Application, WDA 03-09; Building demolition.
at 312 and 314 East 8th Street
We have received your application for disposal ofbuilding demolition debris from the referenced
site and reviewed the testing results for lead content. Based on the testing results the debris
appears to be acceptable for use in the landfill. A copy of your approved application is attached.
This approved application must be shown to the landfill scale attendant at the time of disposal.
Please be advised that this disposal application is only for the materials and quantities listed in
the application. Materials not listed or in excess of the quantities noted may require separate
applications and approval.
Please call if you have questions.
Z:~~
Gary W. Kenworthy, P .E. tJ
City Engineer
Deputy Director of Engineering Services
GWK:tf
EneL WDA 03-09
Copy: Ken Loghry
Zenovic & Assoc
N:\FWKS\ENGINEER\WDAPPUC\03-09. WPD
FILE: Landfill Solid Waste Disposal Applications
321 EAST FIFTH STREET. P. O. BOX t 150 . PORT ANGELES, WA 98362-0217
PHONE: 360-417-4805. FAX: 360-417~4542. TTY: 360-417-4645
E-MAIL.PUBWORKS@CI.PORT-ANGELES.WA.US
IN.
......
~
fl
w
......
......:t..
~
~
;\:
~
r'
..
e
e
e
-..
WDA-O~-D1
PORT ANGELES LANDFILL
WASTE DISPOSAL APPLICA nON
To: City of Port Angeles, City Engineer
321 E Fifth Street
P.O. Box 1150
Port Angeles, Washington 98362
NOTE:
Phone: (360) 417-4803
FAX: (360) 417-4709
All questions must be answered for waste to be approved.
1. Generator Information:
Company Name:
Mailing Address:
Contact:
Phone:
Project Name:
Project Location:
fJ0/0 toc.M.. "1:t.;dt..-J6
/L./se.I.-
451 us~ (-1Wi.
~~ kJ6"><us WIA 9&6 z..
I
bD'VI\. Lov....
1.1 5/-4-D7' ~()6-o3ZA
Ift,dS'< ~~.v - 2- ~
:? (.Ln.. f' et i ?, /l( c. P/"" $"7'.
2. Other Contacts (if applicable):
Consulting Firm:
Contact:
Phone:
Contractor Name:
Contact:
Phone:
Laboratory:
Contact:
Phone:
2'...vvdv'/c:.. f ~""""i ..L.vc.
?...,.c.'1' CtLJ<1<f<.
l-f17-0S"'61
DbroJ4.-cv... ~~...,c
.d a-J to v<o-
Lfr7' "v71
NUl &~av4""~ .lNG,
/J.owf ~71UL
,
::w 6 ....547 ~6IOt')
City of Port Angeles - Landfill Waste Disposal Application
PaQe -1
e
e
e
"
,.
3. Source of Waste:
Check the appropriate box below and briefly describe the project, process, and/or cleanup that
will or has produced the waste requiring disposal. Include the gasoline service station number
(if applicable).
CERCLNMTCA Remediation Agency Contact:
Independent Remedial Action - UST Removal
Unused Chemical Product Spill )c Other Source: ()u,~
~t'/~t; 6/r;U4!; ~ ~<;. &...,,,,, ,,~..{) .
4. Waste Material Composition: . (check all that apply and Include percent of total)
Soil % Foundry Slag _%
Concrete/Asphalt % Dredge Sediments _%
Preserved Wood % K Debris ~%
Coal Ash % Other (list)
Wood Ash % _%
_%
NOTE: Total must equal 100%.
5. Waste Material Contaminants: (check all that apply)
Gasoline
Solvents
Unused Motor Oil
Other ~-1t,) hi" ~ ~
-7e..J ~
Metals
Heating Oil
Used Motor Oil/Waste Oil
Other Petroleum Product
PCBs
Diesel
x
Unknown
NOTE:
Supply any MSDS information with application, if available.
City of Port Angeles - Landfill Waste Disposal Application
PagEl-2
e
e
I
. '
6. Estimated Quantity of Waste for Disposal:
15
Cubic yards /
Drums /
'Iv
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:
A...
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 .5
Number of DISCRETE samples /D
1'"'\~12.4- ~ -.J4SI".c. ~......,... ,or ~"''''t ''''-Of- 7....r.,~1 4 w(!, 1 '21'" F....~.-'c;
.
k kJ'o""'..... 1'...._
o3di14- - Co_,oDi .." ~....... 4/- /It.. ....,.. sk-, .f''i-''-""c(r,d..L. ..8<-_) /IG
~....1'''''''''1 C 1.V(l 2)( ;:~_._,t) Ik (1I'\..J~;t:.4(.J1'L r....'-
)
NOTE 1: Unless prior approval has been granted by Port Angeles, the following sampling
frequency will be used:
0-25
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
samples.
City of Port Angeles - Landfill Waste Disposal Application
Pag_e - 3
"
e
e
I
9. Waste Analysis:
The "Dangerous Waste Regulations" (WAC 173-303) shall be utilized to determine the
appropriate analytical requirements for waste characterization. Ecology Publication #91-30
(Revised April 1994) "Guidance for Remediation of Petroleum Contaminated Soils" shall also be
used to characterize petroleum contaminated soils from UST releases. Submit all laboratory
analytical results, QA/QC data, and Chain of Custody sheets along with this application.
(NOTE: The laboratory must be accredited by the Washington State Department of Ecology.)
a) List all analytical test methods used:
n;If /3l( /")ODO,!,
,
b) Provide a narrative as to why the above analytical methods were selected:
DrA ?;; A-61/. 0,.<
!.hao ~ /...,"'''
Sr-WC-7'..I<<.S T4l.i&f IS H/(NI L..JkyltDuo ~4-f..".
,....,4-5 U,A<> CaJ 7'tf'-t. 5"y'~
.
NOTE:
'X YES
Additional sheets attached:
NO
10. Soil Classification: (""FOR PETROLEUM CONTAMINATED SOILS ONLY"O)
Based on the analytical data and Ecol09Y 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, site history, and the applicable regulations, this
waste is classified as: (check one)
't--
Neither Dangerous Waste (OW) nor Extremely Hazardous Waste (EHW)
Dangerous Waste (OW) and Waste Code:
Extremely Hazardous Waste (EHW) and Waste Code:
City of Port Angeles, Landfill Wasts Disposal Application
Pag,s ' 4
."
e
e
e
,
12.
Certification:
We, THE UNDERSIGNED, certify that this application is true to the best of our knowledge. All
information provided is correct and the endosed analytical results represent the proposed waste
material to the best f our abilities.
~i t.:u(l,~<'
Printed Name
"6:zA/llVIC ~
Company
klTCJo__{
1I-'/-o-S
Date
I
:,,:,:;:,::;:
::,::::':;:
:::.,.:.,.:.:
:-:':"::':'
....:'.',::;::,::;:;:::;::::::::::,:,::::::::;:;::::::::::::::::::::::::::::::~:
...., ::;
.;.:.,.:".,-:.;
N:\POLICY _P\1000_ SW\1009_ 01.WPO
City of Port Angeles - Landfill Waste Disposal Application
PaQe - 5
H~~-~l-~~~~ ~~;~b
NVL LH,tj~
~k:Jbb~41~~b
t-'.~~
NVL Laboratories, Inc. .
4708 Aurora Ave. N., Seattle, WA 98103 AIH"-
AIHA-IH ~~~
Tel: 206547.0100, Fax: 206.634.1936 Analysis Report #101661 ACCR&DITED
www.nvUabs.com L.ABORATORY
Lead (Pb) TCLP
Client: Zenovic & Associates, Inc.
Address: 519 South Peabody Street, Suite 4
Port Angeles
Attention: Mr. Tracy Gudgel
Project Location: 312 E. 8th & 314 E 8th St. Port Angeles
Batch #: 2303853.00
Matrix: TCLP
Method: EPA 1311/7000B
Client Project #:03087
Samples Received: 2
Total Samples Analyzed:2
lablD
23025003
23025004
Client Sample #
0312A
0314A
Rl
mgl L
0.5
0.5
Results
in mg/l
< 0.5
< 0.5
Results in
DDm
< 0.5
< 0.5
Sampled by: Client
Anaiyzed by: Holly Tullle
Date: 04/01/2003
DRAFT
mgJ L =Milligrams per liter
ppm = parts per million
Note: Method QC results are acceptable unless stated otherwise.
Bench Run No: 23-0331-8
RL = Reporting Limit
'<' = Below the reporting Limit
Page 1 of 1
H~~-~~-~~~J ~~.J~
f'lVL LHO:l
~~DDJ"+~~JD
r.~J
,
NVL laboratories. Inc.
4708 Aurora Ave N. SeaHIe. WA 98103
Tel: 206.547.0100 Emerg. P_r: 206.344.1878
1.888.NVLLABS (6855221)
Client Zenovic & Associates, lne.
Street 519 50u\ll PeabodY Streel, Suile 4
CHAIN of CUSTODY
SAMPLE LOG
BATCH ID
2303853.00
NVL Sa"'" Number
CI_Job Num..... Cy3<JI/?
TOlal Samp.... Z.
Turn Around TIme 01-Hr 024-H1$ 04J;1ays
o 2-Hrs 02 Days ~Days
o 4-Hrs 03 Days 06\0 10 !:Savs
_callorTAT_1h>Il24Hrs
Emailaddress ~r'~ l)~ AJ€"-
Port Angeles
PfoIect Menager Tracy Gudgel
PnljcctLocstion 3/2.t€. fAd t 3N n.. €I".!' ~
fht-~ ~n.u<-~
_ (360) 417-0501 Fax: (360) 417-0514
!D A.~ loa Air 10 PCM (NIOSH 74(0).0 TEM (NIOSH 7402) 0 TEM (AHEM) 0 TEM (EPA tlMlll) OOOler
10 _.... Bulk i 0 PLM (EPAI6OOIR-~31116) DPLM (EPA Point Count) 0 PlM (EPA Gravimetry) 0 TEM Bulk
o other Types
of Analysis
I Det. limit Matrix RCRA _Is 0 All 8 1 Othe< _Is I
! !il'iiPm (MSI 0 A" Fill... OPaont Chip$. 0 Arsenic (As) 0 lead (Pb) 0 AU 3 I
I 0 ppb (GFAA) 0 Drinking wafer 0 Pain! Chip$. (Area) 0 Barium (8.) 0 Mercury tHO) 0 ~ (eu)
, 10 Dusl/w'pe C! Wasre Wale' 0 Cadmium (Cd) 0 Selenium (Se) 0 NI<:kel (Ni) \
o So~ _ 0 Ctvomiurrr(Cr) 0 Silver (Ag) 0 Znc (Zn)
o Fiberglass 0 Nulsa""e Dust 0 Rotameter Calibration 0 Other (Specify) I
o Silica 0 Respirable Ou", 0 MoldlFungus
METALS
oT""" Metets
IirfClP
Condltion of Package: 0 Good 0 Damaged (no spilage) 0 Severe damage (spHlage)
Seq.' UbJD Client Sarnple Number ComrnenIS AIR
1 I">:!> IAA f{.~. tZ._u.~
2 ".,~/~A i'tI>46ll. f'A-,. .e..s.....-:s
3
.
4
..
5 ,
i -
6
7 ,
8 ,
9
10
11 i
12 -t l=
13
14 -----r- -..-
--i=- _\ .--.-,
15
C<>mDanv
i z...."... :-i:'-.
~~
# I/l.---
p~ ~ /WvtKS
TOTAL P.03
TOTRL P. 03