HomeMy WebLinkAbout3131 Regent St - BuildingApplication Number 08 00000614
Application pin number 086444
Property Address 3131 REGENT ST
ASSESSOR PARCEL NUMBER 06 30 15 1 3 0550 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning
Application valuation 0
Application desc
Replace hot tub
Owner Contractor
WINN JOHN /KRISTA
3131 S REGENT ST
PORT ANGELES
OWNER
Permit EL HOT TUB
Additional desc
Permit pin number 127076
Permit Fee 46 00 Plan Check Fee 00
Issue Date 5/23/08 Valuation 0
Expiration Date 11/19/08
Fee summary
WA 983623747
Qty Unit Charge Per
1 00 46 0000 ECH EL R HOT TUB ONLY
Permit Fee Total
Plan Check Total
Grand Total
Charged Paid Credited
46 00 46 00 00
00 00 00
46 00 46 00 00
Date 5/23/08
Due
Extension
46 00
00
00
00
W
U
INSPECTION
TYPE DATE
DITCH
SERVICE
ROUGH IN
FII�
AL
COMMENTS
7/zo/
'7 /zsW0q 9
EL F CTRHCAL
RESULTS INSPECTOR
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 07 00000802
Application pin number 724032
Property Address 3131 REGENT ST
ASSESSOR PARCEL NUMBER 06 30 15 1 3 0550 0000
Tenant nbr name JOHN T WINN
Application type description DEMOLITION
Subdivision Name
Property Use
Property Zoning
Application valuation 750
Owner Contractor
WINN JOHN /KRISTA OWNER
3131 S REGENT ST
PORT ANGELES WA 983623747
Structure Information 000 000 DEMO 830 SQ FT DECK AT SFR
Date 7/09/07
Permit DEMOLITION
Additional desc 830 SQ FT DECK
Permit pin number 106419
Permit Fee 50 00 Plan Check Fee 00
Issue Date 7/09/07 Valuation 0
Expiration Date 1/05/08
Qty Unit Charge Per Extension
BASE FEE 50 00
Fee summary Charged Paid Credited Due
Permit Fee Total 50 00 50 00 00 00
Plan Check Total 00 00 00 00
Grand Total 50 00 50 00 00 00
0
rJ
W
Vv
F
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
fora 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. Al 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. d
Signature of Contractor or Authorized Agent Date Signature of Owner (if or is builder) Date
T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOP ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM z4 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
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 l
PLANNING DEPT 417 -4750 1 r nl
1 BUILDING 417 -4815 1 V/ 'r
T- \Policies\1 102 15 building permit inspection record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
ACCEI'TED
1 YES 1 NO
SEPA.
ESA.
1 1 1 SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
FINAL
FINAL
CONSTRUCTION R.W
PW 1 ENGINEERING
1 FIRE DEPT
PLANNING DEPT
1 BUILDING
COMMENTS
DATE ACCEPTED BY.
DATE ACCEPTED BY.
DATE
ACCEPTED
YES 1 NO
July 9 2007
NG
W A S H I N G T O N U S A
Public Works Utilities Department
John Tim Winn
3131 Regent Street
Port Angeles WA 98362
RE. Port Angeles Transfer Station Waste Disposal Application, WDA 07 -32 demolition
material from deck at 3131 Regent Street
We have received your application for disposal of building demolition debris from the referenced
site and reviewed the information submitted. The debris appears to be acceptable for disposal
at the transfer station. A copy of your approved application is attached. This approved
application must be shown to the landfill scale attendant at the time of disposal Wood material
is to be disposed of at another source.
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
Very truly yours,
J AP-7/1 a
Stephen Sperr P.E.
City Engineer
Encl. WDA 07 -32
Copy Claudia Stromski
N: \P W KS\ENGINEER\ W DA PPLI C\07 -32 W PD
FILE: Landfill Solid Waste Disposal Applications
Phone 360- 417 -4805 Fax 360- 417 -4542
Website www cityofpa.us Email publicworks @cityofpa us
321 East Fifth Street P 0 Box 1150 Port Angeles WA 98362 -0217
Fbe'l
b -fl 4 v -1- 3
y pORT g C N
MKS Aso
To City of Port Angeles City Engineer
321 E Fifth Street
P O Box 1150
Port Angeles Washington 98362
NOTE.
1 Generator Information
Joh►
Company Name
Mailing Address
Contact:
Phone
Project Name
Project Location
2 Other Contacts (if applicable)
Consulting Firm
Contact:
Phone
Contractor Name
Contact:
Phone
Laboratory
Contact:
Phone
City of Port Angeles Landfill Waste Disposal Application
PORT ANGELES LANDFILL
WASTE DISPOSAL APPLICATION
All questions must be answered for waste to be approved
Phone (360) 417 -4803
FAX. (360) 417 -4709
r* v \JA Q R3 tn
L.3‘
000 61-3
1,U 7 07 2_
Page 1
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)
4 Waste Material Composition
Soil
Concrete /Asphalt
Preserved Wood
Coal Ash
Wood Ash
NOTE Total must equal 100%
5 Waste Material Contaminants
NOTE.
CERCLA/MTCA Remediation
Independent Remedial Action
Unused Chemical Product Spill
Gasoline
Solvents
Unused Motor Oil
Other
Unknown
(check ail that apply and include percent of total)
c
(check all that apply)
Agency Contact:
UST Removal
Other Source
Foundry Slag
Dredge Sediments
,.Debris
Other (list)
Metals
Heating Oil
Used Motor Oil /Waste Oil
Other Petroleum Product
Supply any MSDS information with application if available
City of Port Angeles Landfill Waste Disposal Application
Diesel
PCBs
Page 2
6 Estimated Quantity of Waste for Disposal
Other
7 Frequency of Disposal
NOTE 1
One time
0 -25
25 100
101 500
501 1000
1001 2000
>2000
Cubic yards
Drums
Number of DISCRETE samples
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
Monthly Annual
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
r
o-e_cr__
cubic yards
cubic yards
cubic yards
cubic yards
cubic yards
cubic yards
City of Port Angeles Landfill Waste Disposal Application
Tons (estimate both)
Tons (estimate both)
Other
1r\ 10
Unless prior approval has been granted by Port Angeles the following sampling
frequency will be used
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
Page 3
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
b) Provide a narrative as to why the above analytical methods were selected
NOTE. Additional sheets attached YES
Soil Classification *FOR PETROLEUM CONTAMINATED SOILS ONLY
ased on the analytical data and Ecology Publication #91 30 the soil classification is (check
one)
Class 1
Calculated Hazard Index
Class 2
11 Dangerous Waste Affidavit:
NO
Class 3 Class 4
Based on a review of the analytical test results site history and the applicable regulations this
waste i classified as (check one)
Neither Dangerous Waste (DW) nor Extremely Hazardous Waste (EHW)
Dangerous Waste (DW) and Waste Code
Extremely Hazardous Waste (EHW) and Waste Code
City of Port Angeles Landfill Waste Disposal Application Page 4
12 Certification
We THE UNDERSIGNED certify that this application is true to the best of our knowledge All
information provided is correct and the enclosed analytical results represent the proposed waste
material to the best of our abilities
Wastq1 Generator Signature
\lnlnn
Printed Name
Company
Date
Z,A7
iof
Port
Aee>
of
royal <pativrl ate:
N:IPOLICY_P\1000_S W\1009_01.W PD
City of Port Angeles Landfill Waste Disposal Application Page 5
Applicant or Agent:
Owner \nh.rm
Address:
Architect/Engineer
Contractor
Address:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 4815 FAX(360)417 -4711
City
State License
City
PROJECT ADDRESS J h .j
LEGAL DESCRIPTION Lot: Block.
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
Residential New Constr Re -roof Stove
Multi- family Addition Move Garage
Commercial Remodel Demolition Deck
Repair Sign Other
BRIEF DESCRIPTION OF THE PROJECT
COMMERCIAL/RESIDENTIAL. Occupancy Group
No of Stories: Lot Size: Existing Sq Ft.
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
T•\FORMS\B]dgPermitform.wpd Applicant:
BUILDING PERMIT APPLICATION
v
Phone.
Phone -3Coo 1- o
Zip
Subdivision.
Phone:
Exp
Zip
G
T" ��1 2ZONING
Phone:
STZE/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION '7
(DP scA fee. r ..1<_
Occupant Load. Construction Type:
Proposed Sq Ft. TOTAL Sq Ft.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
hereby certify that I have read and examined this application and know the same to be true and correct. 1 am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I
must obtain such permits prior to work.
Date: C-''( 6—)
FOR OFFICIAL USE ONLY
Date Rec. 1 07
Permit 07— $OZ
Date Approved: (•`7— Q/
Date Issued: (t
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
it
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4 -00 1" <1030010,
15%
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ELECTRICAL WORK PERMIT APPLICATION
Job wired by
o Electrical Contractor )X(Owner
Installation description
o Commercial ~Residential
Electrical contractor name
License number
Date Expires
o New
o Altered! Addition
\Y
~
a
lV'
c-
l'
~
Purchaser's mailing addre-ss
City
State ZIP
Rtf tkilnj
will i:>e II.,
Hr,'t- T,)\' Ni3 W tvS
~A ~A'\.c,Ji',^~ ll1(C..L~h
Telephone number
FAX number
Pre~es own~nam4
J/,)~N \ ['1'\0 ./
Address of inspection I
~L"?' l R G9b-N\-
CHR \ i\-
oR\- ,J1dP.-<; wf\-
"hone number to schedule inspection:
08
l..hp,J
s\.-
MAY 2 1 2008
9\1302:.
UGHTDEPT.
Owner as defined hy RCW19.28.26/:(J) Owner will occupy the slrucfure/hr tlFO
years aper this electrical permit is fina/i=ed. (2) Owner is required to hire an electrical
contractor if ahove said property is for sale. rent or lease
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.2R, WAC. Chapter 296.468, The City of Port Angeles Municipal Code. and
Utility Specifications.
Date: S "2..(-01:}
Card
Signature of owner, electrical contractor or electrical administrator
-
x
<
Expiration Date
of card
Electri al_Load_Additions and or subtractions
)(NO LOAO CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
S~rvice Information
CJ Overhead Service
o Temp Service
CJ Underground Service
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
S.AM.E DAY INSPECTI.ol'kCALL BEFORE 7:00 AM 360-417-4_ill
ROUGH-IN " TIIERMOSTAT ,- SERVICE
1J:2A Jcfi:, ~ Dak
[)at~ f Approv,:ij By Date Approved By '- Appro\'~d By
,- FEEDER
~A~ DITCH
"- Date Appfov~d By Dal~ Approved By Dale Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
.
.
.
Permit/Receipt No.
13~3
') 10 '.:20 9
N il the Department of City Light by Street Address and Permit Number when ready for inspection. Work
musj not be covered or electrically energized before inspection and O.K. for covering or service has been given
by th Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224.
1 /i9-J,l/L-~ .' NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT J'/6 ~
-i Inspector Amount paid
WHITI- file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall
OLYMP,f PRINTERS. INC.
Sitel ddress:
I
I
Inst, lied By:
Own r/Business:
Resiaential
Heat KW
Baseboard 0 Furnace/Boiler
Heatpump 0 Other
Commercial/Industrial ioad
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Det ils/Description:
I
---j
I
-1
---i
j
~
I
~
I
w.s.1 No. Service
Cap I city: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
b(R ugh-in/cover O.K.
o 01 K. to connect service
~FI al O.K.
I
Site ~ddress3
Inst' er:
f<-e.-r.-
ITJJ
CITY OF PORT ANGELES
LIGHT DEPARTMENT
PERMIT NO.
1:3 (;3
Ii.) /51 o/cf 7
, t
ELECTRICAL PERMIT
DATE
D READY FOR
INSPECTION
License Number:
D WILL CALL FOR
INSPECTION
P~~
o New Construction
~ Remodel
tfService update/alter/repair
o Overhead
o Underground
Voltage
01.0' 03.0'
Service size
o Temporary
Amps
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list beiow)
R'9~
fr-~9-V~
L/ ):tu
JC/i9'1
Size
Comments
Date
Hold for: 0 Easement 0 Letter
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Nt!
17107
Port Angeles, washlngton...jI:~..:?J~::=._._...___.___n.....n___., 19..:?t'
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-
4ssion is hereby granted to do electrical work as listed below.
Address .~.J.L._.__~r..~~____nnnn________________ occupancY_~dA?.~~.mnn____nn________
~::~~-o~~~~~~~~~~~;~~::::::::::::':.'.~::::::::::=:::::::::::::::::::::::::::::::::::::
Ltlht Outtetsu__uum/yu_mu_u__u_. Service. volts ---,/:i!.Y-:?-t.!!?.- Type 01 Wiring:
R" t 1 Outlets ~ 0 No wires _:r -', Armored Cable ........h......____.__....._
D;::~ :; ~.mmmn?:::::::::::-_-:::::-::::::- SI:. Wlres:::;pd?7!.'~~~;?~~~::~~~ Non.Metallic ..................-.--...---.....
,/ :l. . R"'~ Knob & Tube__..............h.............._
Ra)ge, KWn__hmJ.____mm__m___ Main luse _uu~-- ___u.u_uuuu_
'-" Rigid ConduIt muummmu_u.m_mn
W).ter Heater:./ Enclosure ______m..............._...m..__....
y~~
He"K:~:_::)r..JJfL:.:::::::::::
Metallic Tubing ._nh_..h.....n______...
Type ot wiring:
Entrance Cable ......____......______.......
No. & Size..________.................._
clrc:::.e::;~~:::::::E..:::::~::::::==:~
Utility uu___7~mu___m__.m_mmm_
Heat .__..L.~......................_......
:;...
Range ......________.._................_.._._......
:;?
Water Heater ............__.................
Metors: size, VOltB and phase:
RIgId ConduIt ____________
t4:::::::::::-::::::::::::::::::
Metallic Tubing .._____
Current transtormers:
Ser. NO.....__.___.h.........._...........______..._,
Motor ........................._........_..........
Drycr...___.~..h.......__......__..._.....__
Furnace .. ........................_.__._...h__......
Ser. No. __........................__._.______........
Ser. No. ..____...............................__.__...
Total Load_.___..___...._...._........ Ser. No........_........._...__...____________...... Total .--?:.-~(;...........----------...
Remarks: ._m__.nn_'?~=2a.._t_,(.~~_"""_n_nh_____(;.O<:'!2_"'~~n./.n___n___.___.___.m.._____________.______n_________mn__.______n
:::::::::::::::?ff--::::~:::::::::k:::~fi;;,:J:l::::::::::::=:::::::::::::::::::::::::::::::::::::::::::::::::::::
:'~~3:~.an___.___n___ ::~~.~:n:~.~:~.~~..._... By -:z..ezff!/~i~,-.1!~~--'
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cea :ed due notice must be given the Inspector so that work may be inspected betore concealment.
---
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
)
ELECTRICAL PERMIT
N?
17107
Address
Date..........._.....__.._.........._.._.._......_.._......
OWIler .............._....................___.._._____...._.__._.........h.........._..____...........__.___.h__.__.........._____ Tenant.__.__n.........__..___.....__n_u...._....h__n...._....____h..
Wir~ng Contractor ..................................._n_._......._____n_...._.............._............______..__..__..._....._.._.____. By..........................................._........__._____..
:NqTICE-Current must nDt; be turned on unUl Certificate ot Inspection haa been issued. It work Is to be COD-
ceal~d ~ue notice must be given the Inspector 80 that work may be inspected before concealment.
r I
1M Olympic Printers, Inc.