HomeMy WebLinkAbout1030 W 9th St - Building CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5' Street, Port Angeles, WA 98362
Application Number 11- 00000500 Date 5/20/11
Application pin number 613500
Property. Address 1030 W 9TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 0140 -0000- on your state excise tax form
Tenant nbr, name JOHN HANSON y
Application type description FIRE ABANDON TANK INSPECTION to the City of Port Angeles
Subdivision Name
Property Use (Location Code. 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 1000
Application desc
ABANDON IN PLACE 300 GAL HTG OIL TANK
Owner Contractor
JOHN HANSON R J SERVICES INC.
1420 W 12TH ST 514 ERVING JACOBS RD.
PORT ANGELES• WA 98363 PORT ANGELES WA 98362
(360) 477 -9915 (360) 457 -1420
Permit UNDERGROUND TANK RES
Additional desc ABANDON IN PLACE 300 GAL
Permit pin number 186254
Permit Fee 15.00 Plan Check Fee .00
Issue Date 5/20/11 Valuation 1000
Expiration Date 11/16/11
Qty Unit Charge Per Extension
BASE FEE 15.00
Fee summary Charged Paid Credited Due
Permit Fee Total 15.00 15.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 15.00 15.00 .00 .00
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 examined 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 compied
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisi s of any state or local law regulating the work specified in the permit.
5/,
ignature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date
FIRE PERMIT INSPECTION RECORD
Call 360- 417 -4655 for fire inspections. Please provide a minimum 24 -hour notice. It is unlawful to cover, insulate 0
or conceal any work before inspected and accepted. Post permit in a conspicuous location. Q
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
Inspection Type Date Passed Comments
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough -in inspection C
Alarm final W
0
LP -GAS Completed by Contractor:
Underground piping inspection /pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test psi
Time initiated
Tank (container) inspection Test #2
Appliance inspection Piping pressure test psi V\
Time initiated
LP -gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable /combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final 5f 23t It <<,OD
GENERAL COMMENTS: S
2/15/00
seat Abandonment or Removal of a Residential Fuel
Storage Tank (1,100 Gallons or Less)
T t Permit Application
CITY OF PORT ANGELES For City Use Onfy:
Attn: Building Permit Technician Date Received .7 2-0 11
321 E. Fifth St., Port Angeles, WA 98362
(360) 417 -4815 Building Division Permit 503
(360) 417 -4711 Fax
Applicant or Agent J c r((cA Phone 1 /5? Y&
Property Owner j h Phone c(c),- 97p/5
Property Owner's Address
Contractor Phone y-5`7-
Contractor Address S /Y• t rt, °T ES i
License Expires
PROJECT ADDRESS 10 3o W °OA
Type of liquid stored in the tank /c r o e
Tank size (in gallons) 712-
Total project valuation Atao
Requirements Limitations:
Issuance of a permit is subject to compliance with the listed requirements and
field inspection approval by the Port Angeles Fire Department 360- 417 -4653.
All tanks must be completely pumped out. Remove all flammable and
combustible liquid from the tank(s) and connecting lines. Use a hand pump
where practical.
Residential underground storage tanks may be abandoned in place or removed.
There shall be no welding, cutting, or other source of ignition in the area while
abandoning operations are in progress.
Welding or cutting tanks requires a separate permit from the Port Angeles Fire
Department 360- 417 -4653.
If the tank is removed and stored temporarily on -site, it shall be placed in a
secure location and be blocked to prevent movement. The tank shall be made
inert prior to transporting. The hole created by removing the tank shall be filled
with suitable material (earth, sand, etc.).
Check which option will be used to abandon the tank:
1) Tank fill, vent piping, and tank completely removed.
2) 4- Tank fill vent piping removed.
Tank filled completely with an inert mixture such as sand slurry.
Page 1 of 2
Site Diagram:
Show the number, size, and location of the underground storage tank(s) with reference
to the existing home and nearby street(s).
W ��r
cc-
r:1)
I have read and understand the requirements of this application.
Date (9v f
Print Name (70) e- J w L- mac-- 6 1-‘
Applicant's Signature
To be completed by the Fire Department
Method of abandonment:
Tank removed
Tank filled with inert mixture
T:Forms /Building Division /Abandonment or Removal of a Residential Fuel Storage Tank Permit Application.doc
Page2of2
Clallam County Assessor Treasurer Property Details 58939 JOHN E HANSON for Page 1 of 2
Clallam County Assessor Treasurer
Property Search Results 58939 JOHN E HANSON for Year 2011 2012
Property
Account
Property ID: 58939 Legal Description: LOT 8 BL 301
Geographic ID: 0630000301400000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi Family Redevelopment: N
A 1 -el
Township: Section:
Range:
Location U
PORT 1
Address: W NINTH ST Mapsco:
PORT ANGELES, WA 98363 `/y V
N
Neighborhood: Cycle 5 Res Map ID: 3 _vv
Neighborhood CD: 10955130 e
Owner
Name: JOHN E HANSON Owner ID: 28978
Mailing Address: 1420 W 12TH Ownership: 100.0000000000%
PORT ANGELES, WA 98363
Exemptions:
Owner
Name: JOHN E HANSON Owner ID: 28978
Mailing Address: 1420 W 12TH Ownership: 100.0000000000%
PORT ANGELES, WA 98363
Exemptions:
Owner
Name: JOHN E HANSON Owner ID: 28978
Mailing Address: 1420 W 12TH Ownership: 100.0000000000%
PORT ANGELES, WA 98363
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 05/20/2011
Amount Due if Paid on:_ NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
First :Second
i 1 Half Half
`Base Base
`Year I Statement ID I Taxing Jurisdiction Amt. Amt. j Penalty ifnterest Base Paid Amount Due
1 2011 153566 ST SCH STATE SCHOOL $167.50 $167.50 $0.00 $0.00 $167.50 $167.50',
12011 153566 CC -GEN COUNTY CLALLAM $92.48 $92.46 $0.00 $0.00 $92.48 $92.46 1
2011 153566 SD #121 SCHOOL DISTRICT #121 $218.95 $218.95 $0.00 $0.00 $218.95 $218.95;
2011 153566 CITY PORT ANG CITY OF PORT ANGELES $213.47 $213.46 $0.00 $0.00 $213.47 $213.46 1
1 2011 153566 PORT PORT OF PORT ANGELES $13.02 $13.01 $0.00 $0.00 $13.02 $13.01
i 2011 153566 NTH OLY LIB NORTH OLYMPIC LIBRARY $38.78 $38.78 $0.00 $0.00 $38.78 $38.78
2011 153566 HOSP #2 HOSPITAL #2 $37.96 $37.95 $0.00 $0.00 $37.96 $37.951
2011 153566 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11.54 $11.53 $0.00 $0.00 $11.54 $11.53'
2011 153566 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $36.00 $36.00
2011 153566 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0 00 $0 82 $0 81
2011 153566 TOTAL: $830.52 $830.45 $0.00 $0.00 $830.52 $830.45
2010 41852 ST SCH STATE SCHOOL $165.82$165.82 $0.00 $0.00 $331.64
$0.00
I
http: /websrv8.clallam. net /propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =58939 5/20/2011
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll..DING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00001203 Date
.076838
1030 W 9TH ST
06-30-00-0-3-0140-0000-
RE-ROOF
12/27/04
RS7 RESDNTL SINGLE FAMILY
2300
Owner
Contractor
HANSON JOHN E/LYNDELLK
2139 W 7TH ST
PORT ANGELES WA 983631619
OWNER
Permit BUILDING PERMIT - NO PR FEE
Additional desc
Permit Fee 106.75 Plan Check Fee .00
Issue Date 12/27/04 Valuation 2300
Expiration Date 6/26/05
Qty Unit Charge Per Extension
BASE FEE 92.75
1. 00 14.0000 THOU BL-2001-25K (14 PER K) 14.00
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due c:::>
----------------- ---------- ---------- ---------- ---------- \j-l
Permit Fee Total 106.75 106.75 .00 .00
Plan Check Total .00 .00 .00 .00 G
Other Fee Total 4.50 4.50 .00 .00
Grand Total 111.25 111.25 .00 .00
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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 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.
~-
(2
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\PLANNINGIFORMS\l102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN 1 I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS I GIRDERS
SHEAR W ALLiHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNGILIGHTING 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 R. W. I PW I CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 z.. -~ -0.0:;; ,JLL- BUILDING
T:\PLANNINGIFORMS\1102.15 [11/1412003]
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