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Home My WebLink About1303 Golf Course Rd - 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: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000970 Date 610470 1303 GOLF COURSE RD 06-30-13-2-3-0110-0900- DOROTHY SCHMUCK FIRE ABANDON TANK INSPECTION 8/20/07 UNKNOWN 400 Owner Contractor DOROTHY SCHMUCK 307 MOUNT PLEASANT RD PORT ANGELES WA 983629331 (360) 452-5513 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 500 GAL TANK UNDER SLAB 109330 15.00 plan Check Fee 8/20/07 Valuation 2/16/08 .00 400 BASE FEE Extension 15.00 Qty Unit' Charge 'per Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 15.00 15.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand 'Total : .00 .00 ,0 ~ 15.00 15.00 ~ <9 'C?{,_/ '<2> ~ '0:> 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 from the last inspection. I hereby certify that I have read and examimrl 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 can'cel Ihel!iiJ; )stal~O:l!lla regUla~~ ;ork specified in the penni!. Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date ---I o FIRE PERMIT INSPECTION RECORD ..j , Call 360-41 7-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate ...,S) or conceal any work before inspected and accepted. Post permit in a conspicuous location. -J C) KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 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 # I Above ground piping inspection/pressure test Piping pressure test pSI Time initiated Tank (container) inspection 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 2-2.7,67 K.bD PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments ~ o uJ GJ o -' -p f: c: ~ 70 ~ ~i ~ ~ , GENERAL COMMENTS: ~ 7'\ \ 2/15/00 \j .... PORT ANGELES FIRE DEPARTMENT Abandonment of Residential Fuel Storage Tank 1,100 Gallons or Less -;\\- () 'I ,.. <\,\ () Application for Permit Please call the Fire Marshal's Office at 417-4653 for assistance with the processing this permit. I Site Address: /31)3 5~ 61?/-?{!.!Jv/J.)C AA Name of Applicant: A TTI 'T () L Address: /'? t1. A ,/\ R fC -/0 jV1 AI/lit;) f.J .. Site Owner: fJ(J~1I S c fJ. #I ()C Ie... Date: Telephone: '16/" 0096 Telephone: 9'SJ. - $S /3 Permits are issued at the City of Port Angeles Permits Counter located at City Hall, 321 E 5th, Port Angeles, W A. Permit fee $15.00 paid to the City of Port Angel~s Fire Department. Date paid: Date Issued: IItrLue ~'i()d. 00 ~ ~ .~ !F{)() gpJ.JlOA/ " Date Issued: Issued by: Additional Comments: I have read and understand the requirements of this application. Applicant's Signature: ? -dIz-! O~ .-r;? >'- FP - 25 A (Revised 12/9/04) Page 1 of 3 .... Section I - Required Information Applicant is required to furnish 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 y "1eft 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 of the adjacent ground ifthe tank rusts out over time." , Applicant Signature: f .dJJ()J r/l~ J, g"~o-7 Date: FP - 25 A (Revised 12/9/04) Page 2 of 3 '" . Site Diagram , , pf{\ \ \) /;~~~ a-A fJJN ~ l~Ar::- ,\ 15 ,5L.f1b o vt;~ f-rf8 ref \'" vi' fp\ Q '<:- ~ ~ ~ , ~ 'b ~ \ a \ 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