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Home My WebLink About436 E Front St - BuildingPREPARED 11/22/10 8 26 38 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/22/10 ADDRESS 436 E FRONT ST SUBDIV TENANT NBR CHRIS AND KATHRYN LUCK CONTRACTOR PHONE OWNER CHRISTOPHER G LUCK AND PHONE (626) 441 2468 PARCEL 06 30 00 5 1 1900 0000 APPL NUMBER 10 00001336 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 11/22/10 JLL BLDG FINAL November 19 2010 4 16 52 PM 1pangrle MIKE 461 2815 BUILDING FINAL SIGN (FREESTANDING SIGN ON THE SW CORNER OF VINE ST FRONT ST COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 40 SQ FT FREESTANDING SIGN Owner CHRISTOPHER G LUCK AND KATHRYN E LUCK TTES 317 OAKLAWN AVE S PASADENA (626) 441 2468 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 115 0000 PER .S F /S OR.PROJ SIGN 25 SF Special Notes and Comments November 16 2010 4 52 16 PM sroberds The proposal will recognize an off premise free standing sign in the CA No land use issues are anticipated Fee summary Permit Fee Total 115 00 115 00 00 Plan Check Total 00 00 00 Grand Total 115 00 115 00 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 has 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 con truction. r' k ;No- 1(, 0 C6ael �eV 76 T Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 CA 91030 10 00001336 679568 436 E FRONT ST 06 30 00 5 1 1900 0000 CHRIS AND KATHRYN SIGNS RESIDENTIAL HIGH DENSITY 100 SIGN 40 SF FREESTANDING SIGN 177378 115 00 11/18/10 5/17/11 Charged Paid Credited Contractor OWNER Date 11/18/10 LUCK Plan Check Fee 00 Valuation 100 Due Extension 115 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) cf\b\ 0 \P4 2 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) FOUNDATION. Footings Stemwall Foundation Drainage Downspouts 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 Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I I ESA. Landscaping I I SHORELINE. T•Forms /Building Division /Building Permit FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Comments FINAL Date Accepted by 1 FINAL Date Accepted by Date Accepted By Electrical 417 -4735 I I CA Construction R.W PW Engineering 417 -4831 I I Fire 417 -4653 I I 5 Planning 417 -4750 I I Building 417 -4815 I I 1(2 I P A NNW Contractor /Engineer's Address License Sign #1 Sign #2 Sign #3 Sign #4 $47 00 x $85 00 x $115.00 x Date I l/l 6 /10 it SIGN PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent LUCK Fa fl1 4 'Mug ka+Gley nt Lock i rro5-keh ?id (o210 -y. I -21+1 25 Property Owner LVCi(< F wi I LY K4 c. I.uck as Trv5ke. Ph ne 5q 0 (oq q4- 021.1 Property Owner's Address 3 Oakl am) n 4k So Posac to 1 CO (4103r) Contractor /Engineer Mgr A-PPLI G--I t, 3 Phone Project Address So ictiae cornor of on 51 avdl Vine (crt Lf 3(0 Er Fro rvF(S'fre_d Business Name AdVtf (GU rrt if) cl) OLy Alp (C PO vJei'ZSP0 R Parcel ?Number ()IDS 0005 Ilq 000006 Lot Zoning Submit an 8 4 "x 11 "site plan three sets of plans that include. Type of sign (wall- mounted, projecting, freestanding, illuminated, other Placement and sq. ft. area How the sign will be securely attached (Engineering specs may be required for freestanding signs) Separation,distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements. Sign Type Brief Description. (Type, location, sq. ft.) f'ireestind lnq Po sf t panel 6IQn `)a 5'F3' g6 5q{ q6 e Fri S+ r fhe sign airtc:;0,a p.x tin -th 1ac �c� +�b� It tS 0. 'Haan y Dr e vJBuS sign for Bonn Bakker- y per-mil-44 4t firr7 q 5 fl -l-, i 24 s; Totals (Unit charges Unit Charge Quantity multiplied b _guantitiesl GRAND TOTAL C p p Existing sign(s) area H sq. ft. Proposed sign(s) area Building facade area (height t t' ft. X width ft.) sq. ft. (If a building has more than one business in it, only measure the area of the building facade that is used by the business applying for this permit.) I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects Print Name Iiaa-f Iia.(ri E Luck- cts TV05) er Signature C 5f-o j hey c 1X,14 45 VS T:Forms /Building Division /Sign Permit Application.aoc Expires For City Use, Date Received 1i 5 -1O Permit its --IS (Date Approved 1 fl Sign(s) ,50 Type of Sict Valuation PU All signs less than or equal to 25 sq. ft. Wall sign or marquees, over 25 sq. ft. Freestanding sign or projecting sign, over 25 sq. ft. Make Checks Payable to. City of Port Angeles Credit Cards (Except American Express) are accepted sq. ft. Total sign(s) area sq. ft. P G 401- 405 t7 415 BLOCK g L. B STRATTON' S SUBDIVISION S tl T62 E,. �f D0 0 f(flC via q�3b2 cS� G CP NORMAN R. SMITH'S SUBDIVISIOP IC‘ 0 00 0 ao This sketch is provided. without charge. for your information. It is not intended to show all matters related to the property including. but not limited to. area. dimensions. easements. encroachments or location of boundaries. It is not part of. nor does It modify the commitment or policy to which it is attached. The Company assumes NO UABILI'IYfor any matter related to this sketch. Reference should be made to an accurate survey for further information. Clallam County Assessor Treasurer Property Details 33 CHRISTOPHER G AND K. Page 1 of 4 Clallam County Assessor Treasurer 61433 CHRISTOPHER G AND KATHRYN E LUCK TTES for Year 2010 2011 Property Account Property ID Geographic ID 0630005119000000 Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L WMP Open Space N Historic Property N Multi Family Redevelopment: N Township Section Range Location Address. 436 E FRONT ST Mapsco PORT ANGELES WA Neighborhood Cycle 5 Comm Map ID Neighborhood CD 20953140 Owner Name CHRISTOPHER G AND KATHRYN E LUCK TTES Owner ID Mailing Address. 317 OAKLAWN AVE Ownership SO PASADENA, CA 91030 Taxes and Assessment Details Property Tax Information as of 11/15/2010 Amount Due if Paid on. Ml. Year Statement ID Taxing Jurisdiction 61433 Legal Description. SMITH NORMAN R LOT 1 BL 19 Agent Code Land Use Code 91 DFL N Remodel Property N Exemptions. 2 37935 100 0000000000% NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due First 'Second 1 Half Half i iBase Base 1 Amt. Amt. Penalty Interest Base Paid A 2010 44146 ST SCH STATE SCHOOL $80 14 $80 15 $0 00 $0 00 $160.29 2010 44146 �CC_GEN COUNTY CLALLAM T $42.64 $42.65 $0 00 $0 00 $85.29 2010 44146 PORT PORT OF PORT ANGELES $6 00 $5 99 $0 00 $0 00 $11 99 2010 44146 PORT ANG CITY OF PORT ANGELES $98 75 $98 76 $0 00 $0_00 $197 51 2010 44146 SD #121 SCHOOL DISTRICT #121 $103 81 $103 81 $0 00 $0 00 $207 62 2010 44146 NTH OLY LIB NORTH OLYMPIC LIBRARY $12.40 $12.39 $0 00 $0 00 $24 79 2010 44146 HOSP #2 HOSPITAL #2 w $17 50 $17 49 $0 00 $0 00_ $34 99 2010 44146 WSMET PK DIST WILLIAM SHORE MET PARK DIST $5 56 $5 57 $0 00 $0 00 $11 13 2010 44146 CITY STORMWATER _CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00_ 6 2010 44146 WEED_CONTROL WEED CONTROL $0 82 $0 81 �$0 00 $0 00� $1 63 1 2010 44146 TOTAL. $403.62 $403.62 $0.00 $0.00 $807.24 2009 614332008 ST SCH_ STATE SCHOOL $93 53 $93 53 $0 00 $0 00 $187 06 2009 614332008 CC -GEN COUNTY CLALLAM $47 33 $47 34 $0 00 $0 00 $94 67 12009 614332008 PORT PORT OF PORT ANGELES $6 70 $6 71 $0 00 $0 00 $13 41 2009 614332008 PORT ANG CITY OF PORT ANGELES $103 82 $103 84 $0 00 $0 00 $207 66 12009 614332008 SD #121 SCHOOL DISTRICT #121 $115 66 $115 66 $0 00 $0 00 $231 32 http. /vpn.clallam.net• 8084 /propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =6 11/15/2010 (10/20/2010) Linda Pangrle Fwd Re Sign at Front &Vine St. __._____v.�._ Page-1 -!I From: Linda Pangrle To keluck @srmassociates corn Date 10/20/2010 2:24 PM Subject Fwd Re Sign at Front Vine St Also I noticed you have your zoning listed as CA on your sign application The zoning is really RHD Please amend your application Thanks Linda Pangrle 10/20/2010 2.22 PM Hi Kathy Your north property line appears to start approximately 3 1/2 feet south of the south edge of the sidewalk Your east side properly line appears to start approximately 15 feet east of your retaining wall Those figures come from looking at our GIS maps which may be 1 or 2 feet off A survey is the best way to find the specific property lines My supervisor Sue Roberds and I discussed the placement of the sign She stated that no setback is needed The sign may be placed anywhere on your property as long as it is entirely within your property line boundaries and not on the right of way I hope this is helpful Linda Kathy Luck <KELuck @srmassociates.com> 10/19/2010 5.32 PM okay Linda can I assume my property line is at curb or sidewalk? do you know what setback is required? Is it from property line? I can work on getting rest of info Kathy Original Message From Linda Pangrle To Kathy Luck Subject Sign at Front Vine St Sent Oct 19 2010 4 40 PM Hi Kathy I received your faxed information Thanks We need some more information I noticed on the County Assessor's website it states that the legal owner is 1(10/29/2019) Linda Pangrle Fwd Re Sign at Front Vine St. Page 21 Christopher G and Kathryn E Luck TTES 317 Oaklawn Ave So Pasadena CA 91030 Is that still accurate? If so then please amend the sign application to show the above For the property address on the sign application we need a specific address The sign will be on the property of 436 E Front St won't it? If so please write that specific address on the application We need some details about the footings (length width and height) Will they be made of concrete? How will the posts attach to the footings? Write these details on your plans that you submit We also need to know how high off the ground the bottom of the sign will be If the land slopes then what are the ranges (example the bottom of the sign will be one foot off the ground on the south side and two feet off the ground on the north side or whatever) How do the posts attach to the sign (screws /nails /etc We need specific details dimensions showing where the footings and edge of the sign will be placed How many feet or inches away from your north east property lines will the sign be placed? At the very least give us a measurement from the retaining wall on the east and from the south side of the sidewalk on the north edge of your property We want to be sure the sign is entirely on your property and not in the right -of -way Please provide those details Thanks Linda Sent from my Verizon Wireless BlackBerry Oct 19 10 11:26a Kathryn Luck 5 1 7 Qaklawn Avenue South Pasadena, CA 9 1 030 Please deliver to To. Linda rangrle raxNo 5 60 -4 17 -47 I Number of Pages sent (including tk1s cover sheet) 5 Re Sign at front and vine street See attached. Kathrcgn E. Luck FAX TKAN5MITTAL PRIVACY NOTICE 626 -441 -4716 p 1 tele,kone (626)1-1-1-2+68 fax (626) +41-471 6 Iceluck @srmassociates.com THIS MESSAGE AND ATTACHED DOCUMENTS, IFANY IS INTENDED ONLY FOR THE ADDRESSEE AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED CONFIDENTIAL OR PROTECTED FROM DISCLOSURE UNDER FEDERAL OR STATE LAW IF THE READER OF THIS MESSAGE IS NOT THE INTENDED RECIPIENT OR THE EMPLOYEE OR AGENT RESPONISIBLE FOR DELIVERING THIS MESSAGE TO THE INTENDED RECIPIENT YOU ARE HEREBY NOTIFIED THAT ANY DISSEMINATION. DISTRIBUTION OR COPYING OF THIS MESSAGE OR THIS INFORMATION ATTACHED HERETO IS STRICTLY PROHIBITED IF YOU HAVE RECEIVED THIS MESSAGE IN ERROR, PLEASE NOTIFY THE ABOVE SENDER IMMEDIATELY SY TELEPHONE AND EITHER DESTROY OR RETURN THE ORIGINAL TRANSMISSION TO THE ABOVE ADDRESS VIA THE U.S POSTAL SERVICE, THANK YOU! Oct 19 10 11:26a Kathryn Luck October 19 2010 City of Port Angeles Attn. Linda Pangrle 321 East Fifth Street Port Angeles, WA 98362 Dear Linda, Kathy Luck (626) 441 -2468 keluck @srmassociates.com KATHRYN E LUCK Re Small free standing sign at Front and Vine 626 -441 -4716 p2 I bought the two residential lots at 432 and 436 East Front Street in 2007 There is a house at 432 East Front and the corner lot, at intersection of Front and Vine is a vacant lot. The corner vacant lot does have a small sign facing Front Street on which Olympic Powersports advertises their business a on Peobody Street. At the time I purchased this lot, I was told by someone at the City that since the sign was erected so long ago, it was classified as legal, but that if I wanted to enlarge it or change it, I might have to re -apply for City approval. This past August, I received a letter from the State Department of Transportation that said I needed to apply for a sign permit from the State. The State requested that I move the sign 10 feet though so it is not within 100 feet of the giant billboard on the north side of Front Street, currently advertising the casino After application and payment of $300 fee, the State has issued me a metal permit tag to display on the sign. So, with all of this in mind, I am trying to move the sign 10 feet and comply with all City requirements. In our discussion, you have indicated I need to complete a sign application, which is attached. I do not have a survey of this property, nor do I hope to incur the expense. I have contacted a sign company Wade Leinaar of OlySigns, who is willing to relocate the sign 10 feet away from its current location, on the hillside of 436 East Front Set (the vacant lot) The current sign is two wood posts set in concrete and we would propose moving and installing in the same manner on my corner vacant lot. I would really like to get an indication from the City that there are no further issues with moving the sign, before I incur that cost. Can you look over this application and let me know what else you might need from me. If it is satisfactory I can forward it all in the mail with my check. I will be up in Port Angeles the week of Nov 8 12.2010 and happy to meet on -site ifvou wound like. Thank you. Oct 19 10 11:26a Sign #1 Sign #2 Sign #3 Sign #4 Kathryn Luck SIGN PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent 101- rt- i-r,\N LU c_16 Phone 2-to 4 2-y b'3 Property Owner L( K WC ,V. as 11)5+ Phon 6210-31 C') t cJa- Property Owner's Address c 4 aai E Fra t St 'Pow CLviae 1N` 0. s (0 Z Contractor /Engineer 00 S iGti S Wade. Lei nac P one 3(,:e 19 -5a4 Contractor /Engineer's Address i F ',,a)c( le Rock P 6 9 `6 License cz, c-ici 5 J Expires Project Address eOf rtev' (Smdtiwe.'A e f Fv wit of 14 ,vl Iv /Sect'# Business Name 618vef.,1 AeAr 0 t t rv►i) lc. .esp0 Parcel Number x I i9 000000 Lot Submit an 8 "x 11 "site plan five sets of plans that include. Type of sign (wall- mounted projecting freestandin9/illuminated, other Placement and sq ft. area How the sign will be securely attached (Engine Separation distance between the bottom of pr See 'Chapter 14.36 Sign Code of the Cf Sian Tvoe Brief Description. (Type, loc ion, sq. ft.) ?are s■q ap prat L wide, ci- t7erc,i1 ink, ■a tc, p Pa-1,l Totals (Unit charges Unit Charae Quantity/ multiplied by auantitiesl Type of Sign $47 00 $85 00 $115 00 x x T:Forms/Building Division/Sign Permit Application.doc 626 -441 -4716 For City Date Recei -d Permit Date proved Zoning C A se Only ing specs may be required for freestanding signs) jecting and freestanding signs and the surface below of Port Angeles Municipal Code for sign requirements. Sign(s) c Valuation (re ioeahat cob@ All signs less than or equal to 25 sq ft Wall sign or marquees, over 25 sq. ft. Freestanding sign or projecting sign, over 25 sq ft. GRAND TOTAL Make Checks Payable to City of Port Angeles Credit Cards (Except American Express) are accepted p.3 4AtJ Existing sign() area 7- sq. ft. Proposed sign(s) area 29' sq. ft. Total sign(s) area Z-4 sq. ft. ade area (height ft. X width ft.) sq. ft. (If a building has more than one Building fa business it, only measure the area of the building facade that is used by the business applying for this permit.) I have ead and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects Date 1 )1` J 10 Print Name K�'1�. YZ 1 Signature (9/27/2010) Linda Pangrle RE. Vine/ Front Street Sign Abatement File 8 -1 10 W m Pa 1;1 From Sue Roberds To Pat O'Leary Date: 9/27/2010 2 38 PM Subject: RE Vine /Front Street Sign Abatement File 8 -1 10 CC: Linda Pangrle Thank you Pat. Our very efficient Permit Technician is Linda Pangrle, loanorleCalcitvofoa.us, or phone at 360 417 -4815 Sue On 9/27/2010 at 2.20 PM, in message DC88C435795FC04EA8463FE469D270FF0102517E Calhaolvmmail05.WSDOT.LOC> 'O'Leary Pat' <OLearvPCalwsdot.wa.aov> wrote: Hi again Sue, OK, I'll move forward and issue the permit. In the award letter I'll let them know they'll need to contact the city regarding update on the city permit. Can you give me name /contact info for your staff who will do the update? Thanks in advance, Pat From:Sue Roberds fmailto:Sroberdsacitvofoa.usl Sent: Monday September 27 2010 2:14 PM To: O'Leary Pat Cc: Linda Pangrle Subject: Vine /Front Street Sign Abatement File 8 -1 10 Dear Pat: The location of the sign does not pose a problem as a nonconforming sign. The size and location are not changing. But, your application information identifies the applicant as Kathryn Luck, not Bonnie Kelly who was our applicant. We do need to have the correct information for our property records. I don't know that we would require a new sign permit, but we will need to have the applicant stop in to correct the record with our Permit Technician. If you could let her know as part of your process, I will also let the Permit Tech know Thank you, Sue Roberds Planning Manager City of Port Angeles, WA (360) 417-4750 sroberdsCo citvofoa.us On 9/27/2010 at 7.57 AM, in message DC88C435795FC04EA8463FE469D270FFO102516DCalhoolvmmail05 .WSDOT.LOC> 'O'Leary Pat' <OLearvPewsdot.wa.00v> wrote: Morning Sue, Kathryn Luck has now applied for a WSDOT permit on this sign. As part of my review I want to double check that the permit you sent me is still valid and no other City permit is required for this sign. Thanks in advance for taking a minute to look at this, Pat O'Leary WSDOT Highway Advertising Control Program 1' 4 I (9/27/2010) Linda Pangrle RE. Vine /Front Street Sign Abatement File 8 -1 10 Page 2 (360) 705 -7296 From:Sue Roberds rmailto:Sroberds(citvofoa.i_js1 Sent: Wednesday August 11, 2010 12.44 PM To: O'Leary Pat Subject: Re: RN Vine /Front Street Sign Dear Pat: Thank you for the contact information. Here is the sign permit info for the sign we conferred about. Sue Roberds Planning Manager City of Port Angeles, WA (360) 417 -4750 sroberds(citvofoa.us eSafe2 scanned this email for malicious content from unrecognized senders IMPORTANT Do not open attachments CITY OF PORT ANGELES PUBLIC WORKS BUILDING DIVISION PERMIT APPLICATION Date Received 2 2 i /q.5 Date Issued .j Name I Addr43s ('»v 1 1 Owner Be»LAf I .5r)- I If j- 1 7.4 T c 'Sr Contractor r 1 I r 1 Arch Engr. I Class of Work: U New U Addition U Alteration U Repair U Move U Demolition Description of Work: I Permit Fee Pion Check Fee Investigation Fcc Other Total �n o Occunancv Cretin Occupant Load Type of Construction Occupancy Permit Issued Legal Description: Lot Block Subdivision Land Use Zone Lot Arco Cot Coverage IJSIah Contractor `fit C -b 6e fi oca teJ 4-Ist E h ,5T Type of Permit: I U Building 0 Plumbing Contractor No. I Fixture Type I Fee Valuation S 2../ O 1 I Water Closet 11 I Lavatory 1 11 Bathtub 1 Receipt It li Shower I 11 I Kit�hcn Sink I II Dispo 1 1 Receint H i1 Floor DrainlCFloor Sink 1 J II Clothes Washer\ 1 1 11 Urinal 1 i No. of Stories 11 Wa.er Heater 1 11 Drinking Fountain 1 i I.I Lawn Sprinkler I 1 Vacuum Breaker 1 I 11 Solar Panels 1 t 11 Other 1 I I Sub Total 1 4 II i Permit Fee I So, Ft. e. II Receipt 4 Total ii Mechanical Contractor Sign Type I t FS I 12 I I No. ,I Type of Equipment Fee I 111rminatinn I I■1 n I 1 II "k Elec. Furnace 1 Overall Heicht 1 4 I I II I Pleat Pump I Sinn Height 1 I I 11 1 Oil FpR14Ce Sri, Ft. 1 2�1-' I 1 1I I Kitchen Hbo. Clearance I 1 1I 1 Wnodstove pellet S§e/jnsen 1_ L'tnsl Ure zone i At I II 1 Other Total ��,c.� r Receipt Zp 11 Receipt N Total S" Awrl.IeAi7 l1TIED aY P LANS CNrCKE) II APPROVED poR ISSUANCE BY Special Conditions: .1-7? e,&) $o to ca5 c4 boa Q 6h?,) Glp-' s pt•+vi. 1 S 1 NO SEPARATE PERMITS am required for electrical work, utilities, private and public Impwveme nts, Thus pored talcums null and void if work or oonaltuction authorized Is not commented within IRO day, ifennatructionor work is auapeaded or abandoned for a mind of HO dryx erica work has commenced, or If required tnspentrnu have not been quested within 1Rtl days horn the teat inspection, I hereby certify that I have read and anahoatt mt., applicnllon And know the sane to be true and correct. All provisions of it Ws 1rd ordinances governing 11th type of work will be complied with whether specified Other Construction/P W Pemrits. Itc:oln or not. The gamins of a penult does net pmuunn to give authority In violate or it 'el the provisions of any Stale or 1.x 1 eratsbuetiotl or the proutma M r rtshucllon. Xtnu re it rMcha Avthee ��r/� 7 .r orfvcway S�t e a(Uw•er Ut nvrGt rs ho e 7 it% water I Ili Pa1hT I'L Other 007945 i PI Z 4:44 ti 'INSPECTION TYPE DATE ACCEPTED FOI INDATION yES- .I12. 1~obtines I Walls I Found. drainage I guzzolIcAL Rough In/Light Dept. PI.IIMBINQ.. I Under fluor slab I Rough -in I Water line I p I Back flow/water I Walls I Ceiling O Qi U Joists rirdcrs IQ Shear wall 4 !Walls/ roof ceiling I Drywall I pp I T -bar IIISELAJiQ1L Slab_ 11 floor ccilin- J�(:��L��le Chimney BUILDING PERMIT INSPECTION RECORD CALL 457 -0411 EXT 125 FOR BUILDING INSPECTIONS. PLEASE PROVIDE ,A MIN. 24 HOUR NOTICE. IT IS UNLAWFUL ,TO COVER,, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCbriliD. POST PERMIT IN A CONSPICUOUS LOCATION- KEEP PERMIT CARD AND APPROVED'PLANS AT JOBSITE _J. ITVoodatov I. I7tIctS W. I ITiitniES1.L Waterline meter Sewer Connection 'sanitary Storm Site Drainage/Erosion Contrail r Parking Other I COMMENTS FL bL INSP1EC'I'IONS l2EOUllu PRIOR TO OCCUPANCY I USE Bl,��IP.1�� (i IA __.._.--RAP Y r� 1 MO CQMMItRCIAT. I„I,kTE ,1 lilcc{rical/Light Dept. Electrical/Light Dept. p _Phone Est. 224 C"onatruction -RW PW I Construction RW n c 1 Ext,124 En, fincet ing PW/Enitinccring _I. 4 Fire (Mulii•i'arn, only) Ext. 252 I 'in Dept. IiuiT� i 4 Ext.1 I j Building GENERAL COMMENTS: Mi' 1 tf7,1ttc..14N 0 M�- tP•in Ysa Na 7M Building Permit Application must be filled out completely. Pkase type or print in Ink. If you hart any questions, please coil 457.0414 a d. 125. 0 B. Ownen ca ca L A. Applicant and/or Agents 4/WM Y VA e CM'AAY 5 /�✓l��✓ C. Architect/Engineer. D. Contractors PROJECT ADDRESS: /7' 6 (MY T 4l,�ls ZONING LEGAL DESCRIPTION (on Decd of Sale or available from the County Assessor's Office): —HIY TYPE OF WORK. O Residential 0 New Constr 0 Reroof 0 O Multi-family O Addition 0 Move Cl O Commercial 0 Remodel s O Der, .dition 0 0 Repair ;Sign O BRIEF DESCRIPTION OF THE PROJECT 67',/'( a' v A a' t' 4.71,,iarY COMMERCIAL. Occupancy Group: Lot Area Occupant Load: PLANING USE ONLY Permits Required: Max. l (eight: Setbacks: Site Plan and Use Approved by' Wetland(s): 0 Yea 0 No SEPA checklist required O Yes D No PLAN CIIECI(. FEE' S BUILDING PERMIT APPLICATION DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION License it: Woodstove. Garage Deck BUILDING PERMIT FEE: S DATE PAID: SIZE/VALUATION' sf, S isfei SC S Isf. sf. S /sf. TOTAL VALUATION: Q1L 14N- v. //l/2,91.' r 7 Construction Type: No. of Statics: 96 Lot Coverage: ,.y. DA'T'E PAID: Notes: Zoning: rx• Date: Oth APPLICATION SUBbIITTA1,: Your application and plans must be Complete in order lobe accepted for plan review. Please MI out the „pplk i liun completely and follow the plan submittal checklist on the reverse of this form. The Permit Coordinator can provide,you with melee detailed information on the application and plan submittal requirements. VALUATION Or CONSTRUCTION: Vaivatione for new construction and additions are calculated by the Building Di vlslon,,Departtnent of Public t4.trks, before the application is submitted. Contact the Permit Coordinator at 457 -0411 ext. 125 for asiistance. In all cases, a'valbition (=NIA be entered by the applicant. This figure will be reviewed and may be revised by the Building Divisi: n to comply with current fee schedules, PLAN t'IUECIC FF 1 Your pion check fee is due at the time of the building permit application submittal. AU other permit fees are due at the time of lasut:nce, BUILDING O WNF.R. /AUTHOII1LED AGENT: If the applicant is not the owner, registered architect/engineer or contractor licensed by the State of Washington. a n+,tanzed letter from the property owner authorizing the applicant lobe his/her agent for submitting this permit application and obtaining this permit will be required as part of this submittal, EXPIRATION OF' P1.AN REVIEW: if no permit is issued within 180 days of the dale of application, this application will expire by limitations. The Building Official c,+n extend the time for action by the applicant up to 180 days, on wntten request by the applicant (sec Section 304(d) of the iUniform Building Code Current Edition), No application can be extended more than once, I hereby certify that I have rend and examined !hat application and know the tarns: t.z.ba true pad ccrt, and I am authorized to apply for this prrtait. understand i1 Lt not the City's legal responsibility to detcrminro6lr1rmitx 9/e regk e it remains the applicants responsl• rm: bility to determine what pe rte are required and to obtain such. 7 #7 r" 4ppikatttt r f APPROVALSs PLAN BLDG DP'W TIRE' OTTIER RECEIPT NO. RECEIPT NO. FOR OFFICE USE ONLY: Data Rae— Permit R: Pres•Ap. Completes Data Approved: Phone: e 7 C 5 7r 7 i�� Phone: I' 757 Phone: Phone: Dote: S S S l' L I r... t-^ Z.• ■••4 7 .1 .V"s!fr n••••• ••J 5; h)5 e I 1 1 1 1 1 t ...2L... 1 i ad w c,?../ pp Uk..164. SI Ae• AAA,. I V. .11,1••••.• 0 I 1 1 0 ..0 ....t .2■4•...........1. •F 6......•.“....* I 1 I 1 I I I 1 C 1 Dear Doctor Bettger, This letter Is to confirm our conversation of last week relating to Bonny's Bakery placing a sign on your property on the south -west corner of Vine Front streets In Port Angeles. The Bakery will keep the grass out around the sign, so the area looks presentable. The sign area will be about 24 square feet built on wood uprights set Into crushed stone or cement as required by city regulations. The placement of the sign also falls under city rules which state the sign shall be a given distance from the corner, and not on city right -of -way We agree that the rent will be $120.00 a year with the payments to be made semi- annually Please, sign this document to indicate your acceptance of the content of our agreement. Our thanks to you and Sandra for your support. Sincerely, Edward elly Acceptance Signature 79 e Doctor Betiger f) '4 P *WObe !AmariW.7011041fe 0 Bonny's Bakery Port Angeles, Wa. February 7, 1995 Date i. 4, r February 20, 1995 !n ADDITIONAL BAKERY SIGN ON VINE FRONT 5. SIGN THE CITY OF Fi?r A',GEr. E 8750012026 02/2/'75 BDNNY'S BAKERY Check BONNY S BAKERY 7745/7 425.00 125, dc? b I. V 1 D BETTGER PERMISSION DONE 4 120.00 PER YEAR PAID AT SIX MONTH INTERVAL J PHONE OFFICE 452 -2361 HOME 452 -2176 t. r r TALK TO BETTGER RENTER. MIKE SHIELDS DOES NOT LIKE `r rt POLITICAL SIGNS 436 FRONT DONE DOC AGREES TO NO POLITICAL SIGNS GET PERMISSION IN WRITING FROM MR. BETTGER DONE ti. 2, CITY FILL OUT APPLICATION DONE FEE $25.00 A THE MINIMUM FOR SIGN LESS THAN 25 SQ FT OURS= 3x8 =24 3. STATE APPLICATION NOT NECESSARY IF USE CITY RULES CHECK THIS WITH OLY 4 RON CAMPBELL SIGN 683 -6790 $265.00 for sign PRESSURE TRREATFD POLES INTO CRUSHED GRAVEL GET PLANS CHECKED SUBMIT WITH APPLICATION r te: •rn, 4.4.: y ry 4445M1+1- "r'w``' N TY OF PORT ANGELES Constiaction Plans he Issuance of this permit based upon these plans, specifi- cations and other data shell not prevent the building official from thereafter requiring the correction of errors in said piers specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this urisdic Approval Date fl By AC- Rk ,4)61-4-• J-8i aft' (4411 vo' 9v 'It 40 1: c f" 0riggd I I /h.*. io 4.4 4 0.#1014.16. 110.1."„e•A kitktattgookitteitafigilkiii ...v. h ..wato•■■••••‘.. I I 1 I i 1 .1 I I 7 fit I- 1,1 Dear Doctor Bettger, This letter Is to confirm our conversation of last week relating to Bonny's Bakery placing a sign on your property on the south -west corner of Vine Front streets In Port Angeles. The Bakery will keep the grass out around the sign, so the area looks presentable. The sign area will be about 24 square feet built on wood uprights set into crushed stone or cement as required by city regulations. The placement of the sign also falls under city rules which state the sign shall be a given distance from the corner, and not on city right -of -way We agree that the rent will be $120,00 a year with the payments to be made semi- annually Please, sign this document to indicate your acceptance of the content of our agreement. Our thanks to you and Sandra for your support. Sincerely, Edward ally Acceptance Signature rl Doctor Betiger Bonny's Bakery Port Angeles, Wa. February 7, 1995 'Date 'S{ Permit Pee Plan Check Fee Investigation Fcc Other Total S Building S. n. Occttnancv Croup Occupant Load Type of Construction I Occunnncy Permit Issued Leval Description: Lot Block Subdivision Land Use Zone L Arcs L.ot Coverage rx I- -JSinn Contractor Sign Type I I FS I a 111 :'.minatinn I i Overall Hcieht I 44 Sign Height i I Sq, Ft. I 24 1 1' Owner Bo At'i Contractor Arch Engr Class of Work: Description of Work: Ty I pc Valuation Clearance of Permit: Date Received Name U New Land Ur Zone I Re vt�.aru e ,r srn art vrM w aT at owiti 4-t 1 1 �Wyr V rs lwi 11.74 PRINT Vet. CITY OF PORT ANGELES PUBLIC WORKS BUILDING DIVISION PERMIT APPLICATION /'2 I 4• Date Issued 7 I`7 /lddrela I y 1�hope 15(v7. P. f �y�t -1 17.4 U Building /p Receipt p Receipt ft U Addition 11 U Alteration G N 6e No. of Stories So. Ft. sr Total S -Z. 4 3 e 2. Receipt fi 2,0 2✓ APPI.t :A1 tP ED BY t'i.AN5 P.IrnCkEO AY API'ROVAA r-0R MSSUANCa BY r1 SItilARATE VERMiTS are required for electrical work, utilities, private and public Improvements, This pemrli imams null and void if work or conauuctlon authorised Is not cnnurxnred within 180 days, if tmramrdton or work It suspended or abandoned for a petal of 180 days Oki wok has commenood, or if mquired tmpa tiom have not been rquened within 180 days anon the bat IllAp!Ci kV. n. 1 hereby calf) that I have read and aran:ned IN, application and know the same to be taro and correct. All provisions of h wt 6t1 odic cea governing this type of work will bo complied with whethat speelfied Ircrelit or not. 'iha granting of a penult does not prostunn to give authority to violala or v,'et the prnvt:dons of any mote or 14c I lin m elating canetractioa arils prttmmance nl '.rUtruclion. Sewer Driveway Water I Waler Closet II I Lavatory II 'K Bathtub i{ I Shower II I II I II I Il i I I I Ir i It i ►1 I II I II Receipt a I I I i U Move U Demolition Li Repair Oea.Jek 0 4-U, E .T U Plumbing Contractor No. I Fixture Type Kitche Sink Disooset. Floor Drainloor Sink Clothes Washer Urinal N Wax: Heater Drinking Fountain Lawn Sprinkler Vacuum Breaker Solar Panels Other l Ne. Sub Total Permit Fee Total S Mechanical Contractor No. Type of Equipment Fee Elec. Furnace I Neat Pump I Oil Fuh *ce I Kitchen I Woodstove/Petlet Slat's/Insert Other Constructiott/P W Permits. Other 007945 rn Z M Fee 1 Other Receipt tY Total S Special Conditions: bill 'O'(2.. l ag) N A.) 513 to C,a e-Q W j a W o j iap-a s pet +v.11 s 1 oda CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000506 Date 995556 436 E FRONT ST 06-30-00-5-1-1900-0000- DEMOLITION 6/21/05 RESIDENTIAL HIGH DENSITY 3000 Owner Contractor DOCKENS, JAMES/JANET 432 E FRONT PORT ANGELES WA 98362 (360) 452-7499 Structure Information 000 000 RJ SERVICES 122 S. BROOK PORT ANGELES,WA PORT ANGELES (360) 457-1420 DEMO SFR WA 98362 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date DEMOLITION DEMO SFR 52464 47.00 6/21/05 12/18/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE Extension 47.00 Other Fees STATE SURCHARGE 4.50 z C;j G'\ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 51.50 51. 50 .00 .00 tt-, l' ~ i ~ 'f Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes nu II 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:\Policies\ 110215 building permit inspection record05.wpd [1/4/2005 J BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN I WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF I CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR I CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA: P ARKING/LlGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT. 417-4750 l'L~1'-IING DEPT. BUILDING 417-4815 BUILDING T:Il'ol icies\ I 102_15 huildll1g perrTll t inspectIOn record05. wpd [1/4/20051 BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec ~ -9-1-0 ') Pem1it#:D5 - SOb Fill out COMPLETELY and in INK. Your applicatiorr 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 Date Approved: Date Issued: Applicant or Agent: ..J6. iMJ-V--'!-. .iJe;c......lL...e vvs Owner: .s.--..A~ Phone: '-l S""d.- -, '1 "'t ~ Phone: ...5c?A-D AddTess: '1'3 d.. ~ ~~+ S-t Architect/Engineer: t-J / A . , Contractor .1\ ...L ~ rU ICe..~ City:r-'"JIL\: A\~.2..~ .' Zip: q~3b ~ Phone: State License #: Exp: Phone: City: F'R 0 .JJt. S-=r' Block: I '9 Zip: ZONING: AddTess: PROJECT ADDRESS: Y ~ b (.. LEGAL DESCRIPTION: Lot: I Subdivision: .eLALLAM COUNTY PARCEL NUMBER: RP ("'1.o30<x? S-ll'100 C')O(?O Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: JC'J: Residential 0 New ConstT. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel ~Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: SIZEN ALUATION: o Stove SF. @ $ /SF. = $ o Garage SF. @ $ /SF. = $ o Deck SF. @$ /SF. = $ o Other TOTAL VALUATION $:3 Jl~ D~M-O s 1-fLOC;TU ~~ COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: V ALUATION 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 cunent 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 tinle 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 R1 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determ' e what permits are required ,not the City's, and that I must obtain such permits prior to work. Date: b - a I - 05- T:\Policies\BL-1102_13.wpd Applicant: Jun 14 05 03:20p Jim & Jan Dockens UV'L~"vua ~J;~~ ~AA J6D 491 6308 ORCAA c DIlle: AnlL~nded: 0 l/lidnl Completion: [J I\rumaJ: a $500 360-417-1854 p. 1 IiJOOll002 2940 B Umlted Lane NW Olympia. WA 98502 Phone: (360) 566-1044 Fax: (380) 491-8308 WWW.ORCAAorg tVeDd JUN 1 5 20Wi A. 4. B. sbestos Rcnio~--- ..... '--"- DCfllolitiolL. . '___... Permit Application for an Asbestos Project 7< O..A..J T Mailin Addreu: No. ofStrUCUlrcs: AHERA Building Inspector Name: / ..w AH1;'JlA .\'lfIlr7,7 h; IU&I}./tIt47J turl-Tl"I;' .ITJ.I1I\U1JU)"lnN ,.RrJ)"fi("'rN F. Demolition IACormarioa: DeJnOIition Coatrac:tor: , G. AsbCIcas Projed lufarmatlo.: No.ofStnaotures: Mainlcnancc Other: ----- -,.-....---- Phone: -r Ci : Stllte: Contractor Owner/CEO: Phone: . _Pax~__J.. . -...--....-.... Stale: Zi Phone: D9le Asbe:>to$ SUrYl.'Y Conducted; W s Asbeslos FOund? es o ffNo, A.naeb SUJVc Certification No.: Expiration Date: Stut Traillin!VF. ire (USt Fire DepL il$ demolition COl1tr8ClOr below) Date; 0 Ordered" Oemolition allach copy of Order) rnlCl",,.-/ttp-r"'" rIfdI~ll'"~ar/fr_Jf'lIIlI/I<<tq{AfI''' JfV'tfl.JttIl~ _!In ~11r1rllillHaet1f'1k'...~llfItrJ4/~'e PAID ~?5Z- .JJ7 /~ No. of Structures: (see back if> I) H. I. 2- 3. 4. S. 6. 7. 8, 9, 10. b -J.~ --0,- 1l.dv. 01/07l(J4 CIC. NQ DAlE Phone: ( ) Wk. Days; M T W Th F Sa SU 'al be removtd by Yes Q No ~ONftEFUNO""BU; t<a,:a,: .$25 0525 S25 SIOO $2.50 S500 $'-000 $500 $50 $25 ~ 12-TYVl JUN-20-2005 21:28 FROM:N W ASBESTOS 360-385-0584 TO: 13604171954 P.l Date; lob Location: Owner: Sublect: Inspector: eel .1 Northwest Asbestos CQns .ltants ~06 Reed S. : Port ToWnsend, W 360-385-05 nortbwestasbesto$consultant 6/20/05 I ,1 James Dockens 436 E. Fron~ St. Port Angele$, WA I i James Dock~ns 436 E. Front St. Port Angele$, W A Regards to ~e-lnspectl OJ f . The purpos~ of re-Ins ctlon . the owner. : This area th~t was not been abated and all ready for d$1011tlon Region Cleap Air Agen I I ] ter ACBM was removed by 30/05 inspection report has s ;we left clean. I find this building acto 'ing to the regulations of Olympic and P A guidelines. Bob Wlther1~ge EPA-AHERA!- Building In~pe r I Management Planner WAMOA-00,42-04 i Explres- lO.{13/05 i I I Olympic Re310n Clean FAxeD €"21-oS- ,.3:W- City of Port Angeles P , ! Date: lob Location: Owner: Subject: Inspector: Northwest Asbestos Consultants 406 Reed St. Port Townsend, W A 98368 360-385-0584 northwestasbestosconsultants@cablespeed.com 5/30/05 James Dockens 436 E. Front St. Port Angeles, WA 98362 James Dockens 436 E. Front St. Port Angeles, WA 98362 Demolition Bob Witheridge AHERA - Building inspector / Management Planner WAMOA - 0042-04 Expires - 10/13/05 ~orc G-~ $e~'2-~A ~ '" ~0e \j.:>\-.ei:> \_ - . \- I/.P"":> f() ~. . ~\~ $ 4\P'\ \..00 ('\ \ ,\ \ . ~.JX~y Scope of work 1) Inspect for asbestos containing building materials (ACBM). 2) Survey, sample and record suspect materials. 3) Report to owner with results of testing by Clayton Services. 4) Copies for owner, City of Port Angeles Permit Center, Olympic Region Clean Air Agency and on site for demolition. Inspection Report The inspection started with a visual survey looking for Asbestos Containing Building Material (ACBM). Sample results are as follows: Sample #1: Kitchen, laundry and top layer of bathroom 12"x12" floor tile with mastic. White and gray. Sample #2: Bathroom bottom layer 12 "x12" floor tile with mastic. Brown and gold. Sample was sent to lab. See results. To Clayton Services Date: Tob Location: Owner: Sample #1: Sample #2: Inspector: ASBESTOS BULK SAMPLE DATA Northwest Asbestos Consultants 406 Reed St. Port Townsend, WA 98368 360-385-0584 northwestasbestosconsultants@cablespeed.com 5/19/05 James Dockens 436 E. Front St. Port Angeles, WA 98362 James Dockens 436 E. Front St. Port Angeles, WA 98362 Kitchen, laundry and top layer of bathroom 12"x12" floor tile with mastic. White and gray. Bathroom bottom layer 12"x12" floor tile with mastic. Brown and gold. Bob Witheridge AHERA - Building Inspector / Management Planner WAMOA - 0042-04 Expires - 10/13/05' Please call with test results when completed. See attachment. Thank you, ~~~ Bob Witheridge, EFM 1"1I1'-C~ LJ'_ ~Cla&.""'nft. ASBESTOS B1JLK SAMPLE DATA . _ " '10,3 LU.... rM.APLd(.'IDDBfteI.... "" GROU' SllVI CIS /4..~ --~""lU"" ~a........ .......... .... ..IIIM ()Q8 '7t$o>>li6 Client Name; Nordtwat...... c..... Job ~436 EMt J'nDt St. Port.A.apl" WA. 9I.16'l r- r. D.Lra.a. Let': 3895l ...... -." ~ r.....Il). ...... ~ -...... I~ OLl - ft.... WJIIaeddte JOIJoIiI: ~ IllmaUI ~ SAMPLe ##: 0 ) !aJI.; '8951.1 SOURCB: 1~2" ftMIr"'l'lla" MaItk . LOCAnON: Net.... 1.lI;rIn.... YI i11t fir ~ No.;.fd f-~'MA Ad&fJ'08"1'Yft nacatft wr- 1lA~ ...... ...... ~........... ....0.-. MATBlUAL ntteI"1flofM'laN; LAY.I!:IIItD ""...",.,.... ......... . - w .u .". NMI: f.NIII...........", n r T~ -..... ~ U.l"'~ 1iIIUZJUI ~~B~~ ) LAllJt '19$1.2 ~ 12"XU- ......'186...MMk ~JlON!""'" Cdt · .tWatrr t1aJllf1 T......., (ACII) 1IfP1'O&TYl'& ~ 0......... 15 Il.l"d MA.....t4t.S ............ VillI PIIIIr......... , hU"I"IlItJAr. __11I'IW'D&. LAYJaD V... ....",.""",.. ...."... Lr 'P9 l"'-- '-- Nt1Ic ,.,...............",.. r.~ ~...... 1 '\ ~ 5 ,. 10 ., :zo ~ % 5 % 45 JS ~ SAMPLED BY: ... 'WMIc"14r DATI: SllW2GOS CXJMPANY: ~JlJIbr_ 0--"'- ANALYDD BY; ... ~.... DAD SI2.SIXI05 :R1ICI1YBD BY; 1ta1Ie:1Ba11e DA'I'Ik 5f.IOfJa05 D.JlAIT c.g....____=~ - - ....,.....~I 1:1 1 - I 1"'-.".............-........ ...1rA...."..._~... f" ...... ===.... _!:~~"~It;: -!"~=-~~;;.._.;.-:-,. "'- :---~~-:-'...:.--.. !~~~ ................._,......,..... ............_.. _ r" .=-...............- - l """11.-_ .. ....__~a~~ ,.jQ~._~ ~u.lQ I'" '.a/t,.............r ~ ,......... ..11 r - .A..__..........._.__..........._.... ...........-..................... ~,.. .... "'.. Summary of Inspection This survey includes all areas of inspection with the report results from Clayton Environmental Testing Labs. Sample #1: Kitchen, laundry and top layer of bathroom 12"x12" floor tile with mastic. White and gray. No asbestos detected. Sample #2: Bathroom bottom layer 12"x12" floor tile with mastic. Brown and gold. 15% Chrysotile asbestos. All asbestos containing building materials with a reading of 1 % or greater is to be removed by owner or a certified abatement contractor which follows the rules of the EPA and governed by Olympic Region Clean Air Agency. During building demolition or remodeling, it is possible that additional suspect asbestos containing building material (ACBM) may be found with in a wall, floor, ceiling or other areas not accessible at the time of the survey. Should such suspect material be discovered an AHERA certified inspector will have to sample and test the material to prove it is of non-asbestos. Northwest Asbestos Consultants is not responsible for identification of hidden materials that are not identifiable with reasonable diligence. After the facility is completely cleaned out a walk through and inspection is required by the original AHERA building inspector (NW Asbestos) after abatement, then a copy of the letter certifying that abatement has been completed needs to be received by the City of Port Angeles Permit Center and Olympic Region Clean Air Agency. Thank you, l3o{.~ Bob Witheridge, E.F.M. ~ORTANG~J..ES WAS H I N G TON, U. S. A. PUBLIC WORKS & UTILITIES DEPARTMENT May 18, 2005 Jim Dockens 432 East Front Street Port Angeles, \V A 98362 RE: Port Angeles Landfill Waste Disposal Application, WDA 05-14; Building demolition at 436 East F~ont St, Port Angeles, W A 98362 We have received your application for disposal of building 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. Very truly yours, ~{~~ City Engineer Deputy Director of Engineering Services GWK:tf Encl.: WDA 05-14 Copy: Ken Lol:hry N:\PWKSIENGINEER\WDAPPUC\05-14. WPD FILE: Landfill Solid Waste Disposal Applications 321 EAST FIFTH STREET · P. O. BOX 1150 · PORT ANGELES, WA 98362-0217 PHONE: 360-417-4805 · FAX: 360-417-4542 · TTY: 360-417-4645 E-MAIL: publicworks@cityofpa.us . MAY. 16. 2005 11:31AM NVL LABORATORIES INC 'v'WL laboratories. Inc. _ CHAIN of CUSTODY 4706 Aurora A.,. N. Seattle. W,. 98103.. ~ unlE LOG Tel: 206.647,0100 Emerg. Pager. 206.344.1878 ~l"\Iw.r',}f- Ul88.NVUABS (685.5227) Client lenovic & Associates. Inc. NVL Batch Number ......., street 1519 South PeabOdY Street. Suite 4 Client Jab Nwnber (') ~/6~ Total lamp_ t Port Angeles . Tun1 Around Time 0 1-Hr 0 24.Hrs. 04.,Pays Projool Manager -r/btlcf tf~ 02--HrI 02 Days ~ Days Project Locadon - 1.1.1 t. ~ 5"?j PNl.". ,A.utt<<r'U. 0 4-H1$ 0 3 Da~ 06 to 10 Days Allase CIfI rot TAT leu '""hn 24 HIs f...a IMJdress """'eV ff ~,,,. """~ _-----NO.5588 P. 3 BATCH \0 2506464.00 Phone: (360) 417..0501 fp: (360) 1IS17..0514 o Aw_toS 1M o PCM (NIOSH 70i00) 0 TEM (NIOSH 7"102) [J TEM (AHERA) Cl TEM (EPA Level II) OONr o AabMtos Blfftc o PLM (EPAI6OQIR-93/116) D PLM (EPA Point Count) 0 PUI (EPA GravirnlitM 0 T.EM8ulk METALS ~(AAS) Matrix RCRA MotalS 0 All 8 Other ....... ~~. [i t-Jr Filter 0 P.ak\t Chips o Arsenic (AI) 0 Lead (Pbl U Alia o pPb (GFAA) o Drinking water . 0 Pairlt Chips (~) o BarkIm (~~ CJ Mercury (Hg) CJ Copper (04 LJ Du8t/Wipe 0 waste W8* o Cadmium ~ [] Selenl::J&J) o Nickel (NQ o Soil o Chromium (Ct) C1 Silver o line (Zn) o Other Typa o FbMgIass 0 NuIaance Dust 0 Ro(omeler Cellbrallan 0 Ott\ef '(Specify) or AnalYSIs o SlIic;a Cl Respirable Dust 0 MoIdIFI.RIUS Condition of Packagr. 0 Good 0 Damaged (no IpIUage) n SeV!f'8 ~h (~e) ~. - ~ Seq. . tabID ClIent s...pll Number Com..... AIft 1 {"'} ~ I::S it . ,pu+~ kl# 4__ 0# 2 c, 3 4 6 . 6 7 8 9 10 11 " '2 13 l -- 14 f--- -- 1$ I - --.--_. -- 1;0 \"".....t " {- "ORr.04~ " -l.O~Q~ .~ "~ - ......~~ (J~", -~. ~~- '# ~NtO , , "J ...." . To: WbA- 0 6-411 .> ~ rORT ANGELES LANDFILL \V ASTE DISPOSALAPPLICA TION 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 AU questions must be answered for waste to be approved. 1. Generator Information: Company Name: Mailing Address: . Contact: Phone: Project Name: Project location: ..:)/vVl jJCC.1~5 '-41 2 G. ;: Au1/? <(*-4"1" P(J'27 A..,.J4'<<"H 4P4 .1'6362 , '- ""'Ci~ /.jo~ bvv s YS'7- 4't'8t<6v\ 4~Z-7i.f91(H) J.l.rllJ5.1z &""'OU~~D.J Y "< L /2. ,cA..>-v7" ~.,. I AI) ~ 4v4'€l.'<( ~ - 2. Other Contacts (if applicable): Consulting Finn: Contact: Phone: Contractor Name: Contact: Phone: Laboratory: Contact: Phone: t - - --. ---'--~-- -_. 7-YVrHhL :I AS~L ;;Vc J -;1"~CY' CtA\"( l.f I ) -C6lJ I Uv~""o~ NlL ~47o~6f, :Lvc ~d~1'rW jJ/j-U'1 !#Jt.. - ')"47-- 0 I rx"'"::; -- --------..-. ..-.. - ... -.. ..0_._- _.._ ___0.. . Cily or Port A"ge/os . lilfI<Uilf Waslu Di:ipo:.;al Appliculioll Pallo 1 '. I ~ -- -- ----- - - -- -- --~- --------.-. "----- ----- -------- 3. Source of Waste: . , ~ Check lhe eppropriale box below end brieRy describe lhe project, process, end/or cleanup thai 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 X Other Source: /)" ~L-{ 5 kv--(!,~,Jt; MDJSrL "/'6 ~ /,)~~lJ~~~ . , . 4, Waste Material Composition: . (check aUlhalapply and Include percenl of 101al) NOTE: Soil Concretel Asphalt Preserved Wood Coal Ash Wood Ash Total must equal 100%. % Foundry Slag _% % Dredge Sediments _% % J6 Debris .i1li:L % % Other (list) % _% _% t 5. Waste Material Contaminants: (check all that apply) X' NOTE: Gasoline Metals Heating Oil Used Motor Oil/Waste Oil Other Petroleum Product PCBs Diesel Solvents Unused Motor Oil Other ~7"oi1 k/L L~ fJA,4 ~aP~ Unknown o. _.____...___. _...______. _.________ --.-..--- ------ ----'- Supply any MSDS information with application, if available. Cily of POll AfI{ll!/o~ landfill Wasto Dispo~al Applicnlioll Pouo . 2 ..~ . t i, ,--- -- - ------------.---------- ----.---- - _n 6. Estimated Quantity of Waste for Disposal: 75' /10 Cubic yards / Drums I 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: ~ 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 t & number of discrete samples per composite ~ Number of DISCRETE samples ~-r- .s;~/A4 ~J/l7'i )_ }It 7~1 ~-t.J'l-{LvJ/,-4:) 6 '-D~/t'- a~a<>t 7-'l ~,.o[lt if )t .:1/\)~t<l 'L ~/~J {~Ad,\ ~1<C-t f.e~ \ ~"- 4 ;::/1..,a~t'VC 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 conlain a minimum 01 U"ee/maximum 01 fivo discrete samples. City or Port Angelos - Lundri" Wasto Disposul Appticutioll PU(jO - 3 9. Waste Analysis ..- ---------.---------.--- ---. - --. ----~-- . The "Dangerous Wasle Regulalions" (w1..c 173-303) shall be ulilized to determine tha appropriate analytical requirements (or wasle characterization. Ecology Publication #91-30 (Revised April 1994) "Guidance for Remediation 01 Pelroleum Conlaminated Soils" shall also be used 10 characterize pelroleum conlaminaled soils from UST releases. Submit alllaboralory analytical rcsulls, QNQC data, and Chain o( Custody sheets along with this application. (NOTE: The la,bor.llory musl be accrediled by Ihe Washington Slale Department of ECOlogy.) a) List all analytical test methods used: fiPA 13/ ()70Dc6 . b) Provide a narrative as to why the above analytical methods were selected: ,f\ ( )t? ~ ()I- L-<4.(1 441.- ih.YJ^ are 51"-W?"7"'~ fJ4r.A.J""f ("),I'J 7'~ IS 5=7-"'JC7" <.J/Z.i. jJ D$51.(31L1'?"V I NOTE: Additional sheets attached: x-~ YES . NO 10. Soil Classification: (....FOR PETROLEUM CONTAMINATED SOilS ONLY..) Based on the analytical data and Ecology Publication #91-30, the soil classification is: (check one) Class 1 Class 2 Calculated Hazard Index Class 3 Class 4 11. Dangerous Waste Affidavit: Based on a review o( the analytical test resulls, site history,and the applicable regulations, this waste is classified as: (check one) ~ Dangerous Wasto (OW) Neither Dangerous Waste (OW) nor Extremely Hazardous Waste (EHW) ~ and Waste Code: [xtremely Hazardous Waste (EI1W) and Waste Code: "- - ..----."-- - --- - City of POlt An!I(!/(!S ' Lundflll Wusto Disposal Application Pooo 4 .. . I 12. Certification: ~_f'- 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 ou bilities. --h -7tl4?y ~W- Printed Name %ac/tC- -f As~ ZvL Company ,)~/7-0\ Date . .~ , I. . :~~~~!!~I~t..'.....~;. .. .,,:' N:lPOlICY _P\ 1000_ SW\ l00Q _ 01.WPO City of Port Angelos - Landfill Wusto Disposal Application Pogo 5 ~AY.16. 2005 11:31AM NVL LABORATORIES INC NO. 5588 p 2 NVL Laboratories, Inc. . . 4708 Aurora Ave. N., Seattle, WA 913103 AIHI>o. Tel: 206.547.0100, Fax: 206.834.1938 Analysis Report AIKA . IH ~ www.nvIlebs.con'l #101861 ACC-:::'ITIlD LABO ~ORY Toxicity Characteristic leaching Procedure .. Lead (Pb) Client Zenovic & Associates, Ine. Batch #: 2506464.00 Address: 519 South Peabody Street, Suite 22 Matrix: Bulk Port Angeles, WA 98362 Method: EPA 1311/7000B Attention: Mr. Tracy Gudgel Client Project ':08188 Project Location: 436 E Front St Port Angeles Samples Received: 1 Total Samples Analyzed: 1 Lab 10 25040576 Client Sample fI. 05168A RL mgl L 0.5 Results in mglL < 0.5 Results In ppm < 0.5 - sampled by: Client Analyzed by: Cheston Perry Date Analyzed: 05/16/2005 DRAFT RL = Reporting limit '<' ;:: Below the rvporting Limit mgl L =Mllligrams per liter ppm ;:: parts per million Note : Method QC results are acceptable unless stated otherwise. Bench Run No: 25-0613-10 Page 1 of 1 t f Ths Building Permit Application must be filled A. Applicant and/or Agent: p e t B. Owners 11 /l'kY ur+ w 4 4rWs C. Architect/Engineer. D. Contractor: BUILDING PERMIT APPLICATION DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION 7 PROJECT ADDRESS: i /4 th7f/47.., /f ZONING LEGAL DESCRIPTION (on Deed of Sale or available from the County Assessor's Office): TYPE OF WORK. SIZE/VALUATION O Residential sf S /sf. S O Multi- family sf S Isf. S O Commercial sf S Isf. a S TOTAL VALUATION: S ekag2 O New Constr O Addition O Remodel O Repair O O BRIEF DESCRIPTION OF THE PROJECT 6 /Cy t, t' 7 Reroof Move Dc:, Jiition Sign COMMERCIAL. Occupancy Group: Lott Area: Occupant Load: out completely. Please type or print in ink. If you hare a 44x, Y J i License Woodstove U Garage O Deck O PLANNING USE ONLY Permits Required: Max, Il.tig!tt Setbacks. Site Plat and Use Approved by v`r etiand(s): 0 Yes 0 No SEPA checklist required?' O Yes 0 No PLAN CHECK FEE 3 DATE PAID' BUILDING PERVITT FEE. S DATE PAID' Construction Type: No. of Stones: Lot Coverage: Notes: Zoning. Date: Otha- mrn FOR OFFICE USE ONLY Date Rec.. Permit t: Pre -Ap. Complete?: Date Approved: ny questions, please call 457.0411, as. 125. Phone: 1 r 7 C Phone: Phone: APPROVALS: PLAN BLDG DPW FIRE OTHER RECEIPT NO. RECEIPT NO. APPLICATION ST..13 11TTA1 Your application a nd plans must be complete in order to be accepted Mr plan rev :ew Please NI out the applfcytiun conapictely and follow the plan submittal checklist on the reverse of this form. The Permit C aordinutor can provide. you with erre detailed information on the application and plan suhm^ttal requirements. y VALUATION OF CONS ('R1 CTION valuations for new construction and additions are calculated by the Bpiiding Division, Department of Public V. J ics, before the appl;eauon is submitted. C Intact the Permit Coordinator at 457.0411 ext 123 for assistance. in all eases, a•valuation amount trust be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. PLAN t'(IECIC FEE: Your plun check fee is due at the time of the building permit application submittal. AU other permit fees are due at the time of Issucrtce BULLDLNG O WNFR'AUT HORII. AGENT If the appiicant is not the owner registered architect/engineer or contractor licensed by the State of w ashington, a .w 'tanzed lrter from me properry owner authorizing the applicant to be his/her agent for submitting this permit application and obtaining this permit will be required as part of this submittal. EXPIRATION OF PL.A N REVIEW If no permit ie issued within 180 days of the date of application, this application will expire by limitations. The Building Official c.tn extend the urea for action by the applicant up to 180 days, on written request by the applicant (see Section 304(d) of the Uniform Building Code urrent EEalitiont No application can be extended more than once. I hereby cernfy that I have read and examined this npplictx'ton and know the same tribe- true and curxect, and I am authorized to apply for this permit. 1 understand a is not the City's legal responsibility to determiner rmits q/e rege ire it remains the applicants respond. bility to Sect mine wha pe fir us are required and to obtain such. Dante; f Owner Boat Contractor Arch Engr Class of Work: Description of Work: Type of Permit: I Valuation Permit Fee I Plan Check Fee Investigation Fee Other Total S Building So. Ft. Occupancy Group Occupant Load Type of Construction I Occupancy Permit Issued Legal Descrintion: Lot Block Subdivision Land Use Zone a Lot Coverage LJSign Contractor Sign Type I PS Iil:.minatinn 1 1 )vergli licight I Sian Height I t Sit. Ft. I 2./4 r Clearance I 1 L Land lice Zone L Aed Tot »I E ,-,e. CITY OF PORT ANGELES PUBLIC WORKS -P. BUILDING DIVISION PERMIT APPLICATION Date Received 2 /2 1 4.5 Date Issued 73 I Address U New U Addition U Alteration iniertrl CI Building 2. AMU 4- Att pt: BY PLANS cm :cm CK _J.,. ay APpaovao tba ISSUANCE BY /3 Phone I Lie. No. I Z I I --1-0 6e. 1o ca..�e� b E rF OAiT Receint k Receint M No. of Stories So. Ft. 1 I' I I I I I I I i I I I I Receipt N 2i J Plumbing Contractor No. I Fixture Type 1 I Water Closet I Lavatory 1, Bathtub I 'Shower I Ki iten Sink I DisposZel` Floor DrainN.Floor Sink Clothes Washe Urinal Waver Heater II No. A I Type of Equipment II 1. Elec. Furnace 1.1 i n II Oil Fu I II I Kitchen Hoc t I II I Woodstove/Pellet Sthve/Insert I II I Other 1 II 1 I 1 1 Receipt It Total Ste` r Special Conditions: *1 6N f=pm, BO /JA5 Vah W (ow Ai® P s p rM sto SEPARATE. PERMITS are royuired for electrical worm, utilities. private and public improvements. This permit becomes null and void If work or construction authorised Is not commented within IRO days, if 'onamaction or work Is suspended or abttndomed for a pelind of ISO dsye aRet work has comsne,wed, or if required inspections have not been requested within IRO days from the list hooactian. t hereby cenlff that I have read and earoraf Ihl, application and know the sane to be true and correct. All provisions of h ws i.rd nillr vanes governing this type of work will hn compiled with whether specified Other Construction/P W Permits: heroin or not. The granting of a permit does net presume to give authority to violate or ,r, •el the provisions of any state or Ioc I lacy regutruing coatsduction or the performance 01 C 'nsttuction. '1tg'•41Wr voweN 0[ Audit .1,i ,t 1 1wra tit I IN PRINT lA Sewer Driveway ttfaiti Water Li Repair U Move U Demolition —1 Drinking Fountain Lawn Sprinkler Vacuum Breaker Solar Panels Other Contractor Other 007945 rn� I Fee I Sub Total I Permit Fee I Total Fee I It i. a BUILDING PERMIT INSPECTION RECORD CALL 457-0411 EXT 125 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIN. 24 HOUR NOTICE. IT IS UN LAWF.UI ,TO COVER, .INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACLtviED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVE PLANS'AT JOBSITE 'INSPECTION TYPE DATE ACCEPTED FOUNDATION YES_ I3 FobtingS Walls Found. drainage i I I RLECTRICAL Rough in/Light Dept. PISIMSINQ,- dcn tivor /s P, Rough -in Water line Z Back flow /water a sEA1. c p Wails Ceiling I. Egamits 4 Q Joists girders (,D 1 Shear wall 14 Walls/ roof ceiling g Drywall I 02 T -bar ItiSi. LA71GIL L Slab Wall floor ceilin ta r .----12---.. l_ AlIctiAtillCAiJ Chimney W >odsrovc/Pi;ilet I I a_riin -4 _r .T y Ducts +Yy 1Ynt :rline i meter__ a ,I Sewer Connection s anitary AC Storm Site Drainugetrosion Control Psrtcing Other phS 1 COMME'NTS'--: Conswction -R W FW 1- 1 Construction RW Ext. 12L„ Enfirreera2g_� P ineering a Tire (MuIN• tam. only) ,A Ext. 252 Fire Dept, Ext. 125 Building GENERAL, COMMENTS. In;• PRINT, INC. 1744 I INSPECTIONS REQUIRED PRIOR 1'0 OCCUPANCY USE ItTSI j0 E COMMERCIAL I DATE I 13lectrical/Lighl Dept. Electrical/Light Dept. Phone Ext. 224 1., -1 q �r Yal t i si ti .,-a. 4 ,X t Na 9' t+ .R r1 ii I i t tii A r February 20, 1995 U }L 3•". ADDITIONAL BAKERY SIGN ON VINE FRONT 7 t7 fft 1n D BETTGER PERMISSION DONE il C 7 ,t PER di 4 r7 $120 00 PE YEAR PAID AT SIX MONTH INTERVAL PHONE OFFICE 452 -2361, HOME 452 -2176 n 7 n rt 4 TALK TO BETTGER RENTER. MIKE SHIELDS DOES NOT LIKE POLITICAL SIGNS 436 FRONT- DONE 5 SIGN THE CITY 1f, P95001202(, '2/21/9 'g Y• BONNY S NAKI:f'Y Check SONNY S BAKERY 7' d'5/ 7 dc"' 'F A13: f �p •0 j O i' DOC AGREES TO NO POLITICAL SIGNS e 1 7 GET PERMISSION IN WRITING FROM MR. BETTGER DONE :1 a u 0 ,I 2. CITY FILL OUT APPLICATION DONE fil c f FEE $25 00 A THE MINIMUM FOR SIGN LESS THAN 25 SO FT OURS 3x8 =24 3 STATE APPLICATION NOT NECESSARY IF USE CITY RULES CHECK THIS WITH OLY 4 RON CAMPBELL SIGN 683 -6790 $265 00 for s n PRESSURE TkREATED POLES INTO CRUSHED GRAVEL GET PLANS CHECKED SUBMIT WITH APPLICATION .4� in1 f- fi 1 t f 7 *r••::1c.xcrM 'f,�, A!+� ro .�.5+7aa• r_.ys'�3'r�r�or" -v, *�S'r' er C. 1c 4. ti I *9 #3 ".3 I 4 6 1.. ..r, f i sl I) ,IN et, 4 C. t .1, *t.‘( .3 t ',4 0 41, 0 te Vt 1' 6.'“*144.:' 4 ..1" 4 ".t. y 0 P ,4, kl 9'0- 1 V :0 t t i 4 4 1 ',94 4- '1 4 4 j, 4 •6 II,. ,,,^4 'V '-r l i e, V".0 t 9 .t• tit, v, 9 1.' d 9 #V 1:4 11 r 4 a 09 ,t ,1: t q 43 er4 4 tryg C a 10 3. 4, r 3 4.3 '44 O c o 4 g4 4 3. 4.7 a VC41 a• 1 4 y 4 II I 4.4. 0.• 3' 4 ,47 41 e f 0 4 37 '74 T It r- 4 a Jr a I. 4 6. 4 lb 4 k '4 't 1 OA", 1, a o 3 :74' i' 4 1' .-1 o' n, 4 -t.: i Ir 0 AV -1 9 4.. i'. o r 9 9 5 S 4 4 r n C 9 4 u Q.P 3 4 :A 1 3' to 4 .11 •r• 14, 4 4 a, .474 n c.4 P o't .4 SdIatikr J ,er II a :78 I) t4; l• 3 3. ;94 9. '1 5 3' g 4 r t .3 Cit wao :I a, 9 i 0 P 3 4 3, 4, a 1; 1, 4 asawlael r 34, *.3 4143 13 r;r, ft' 0,7 t .44 t 7\ 5, V 43. t fr Sincerely 4 I Edward elly Dear Doctor Bettger, ,w r This letter is to confirm our conversation of last week relating to Bonny's Bakery placing a sign on your property on the south -west corner of Vine Front streets in Port Angeles. The Bakery will keep the grass cut around the sign, so the area looks presentable The sign area will be about 24 square feet built on wood uprights set into crushed stone or cement as required by city regulations The placement of the sign also falls under city rules which state the sign shall be a given distance from the corner, and not on city right -of -way We agree that the rent will be $120 00 a year with the payments to be made semi- annually 0 0 Bonny's Bakery Port Angeles, Wa.,,av February 7, 1995 Please sign this document to indicate your acceptance of the content of our agreement. Our thanks to you and Sandra for your support. Acceptance Signature C. ,.e,0 i Doctor Bettger 'Date 44 Fl .4 6 +i• I ztl Imo ac pin‘ S. f 1f