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720 Marine Dr - Building
CITY OF PORT ANGELES L DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000818 Date 7/02/12 Application pin number 151376 Property Address 720 MARINE DR ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -0- 9715 -0000- REPORT SALES TAX Application type description COMM REMODEL on your state excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning INDUSTRIAL HEAVY (Location Code 0502) Application valuation 2000 Application desc TENANT IMPROVEMENT, ADDING WALLS Owner Contractor PORT OF PORT ANGELES CLALLAM.BUILDERS EXVTNG INC �j PO BOX 1350 2353 E 6TH AVE ft 6 PORT ANGELES WA 98362 PORT ANGELES WA 98362 WWW"`������/// (360) 808 -4225 0 .t Structure Information 000 000 Construction Type UNKNOWN Occupancy Type BUSINESS:OFF /PRO /MED /REST Permit BUILDING PERMIT COMMERCIAL Additional desc TENANT IMPROVEMENT Permit Fee 95.75 Plan Check Fee 62.24 Issue Date 7/02/12 Valuation 2000 Expiration Date 12/29/12 Qty Unit Charge Per Extension BASE FEE 50.00 15.00 3.0500 HND BL- 501 -2K (3.05 PER C) 45.75 Special Notes and Comments The Fire Department has reviewed the project application and has no comments June 28, 2012 2:30:53 PM sroberds. Work involves interior remodel. Double fee as work was done without permit by licensed contractor. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 95.75 95.75 .00 .00 Plan Check Total 62.24 62.24 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 162.49 162.49 .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 construction. 7 Z-1Z Plalt_1P 1 :t .5 7/ 1„--- Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 R Public Works Utilities 417 4831 Backfiow Prevention Inspections 417 4886 e•� IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. c.4 POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type L Date Accepted By Comments 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 FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling /a' 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 FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 10 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 t,4 Planning 417 -4750 Building 417 -4815 8 *i T iilrlinn nivicinn /Ri iilrtinn Permit N W 0 W F a 10 N In N N •1• N d m O co N O 0 O H N 40 0 0 7 w M N A t U S a L H U w m (0 H U A 0 H w w .0 10(11 m oo 01 10 w L.) 10 u) a a r U o Ha Lo a Z F h H In 10 H N.n H q z N .yi F H O V) N 1 o m W UU 7. co oao N F 01 01 E o N O N 0 H w 4 7 U o o H o 0 o a N a E H H 2i U H U N o N 0 a H F a z. c a u W n -0 U c0 •H F G, .n N w 000 (9>•2>•(.9 a w oq Ucncn gHWHq cn[. 1400X 001 cohphp (0h wow w a a E W .r) H 0 U 7. E o 10 0 O U 01 (1 0 E z cn m 0 H W m m Ara. W 000,1 Z r2 04 Kt z m 2 co H v co cn a 10 00 q w (0 0 o H 0 0 a a O O 0 W W N N N N W a F M O O a k H H H \z �a O W a 14)40 oo of I.0 o- U 0 o H 002 O O O o d E F w o r m W a a U a U 0 a w a a 0 m 0.1 q F W W V) U H H 2 w o az F a 0 a> a F w ua m W U 4 0 0 01 a a E 11 0.017 C H r ww KC as a q 0 N N 0 O CO O U 0D 0 H N 0 E N H U H W W C W W M MOO W U a a H n a a o a z Ha H en H N Q O CO ('l H O cn N H o [n u u z w o H P (7 N� W N 4 z X z H a E 0z U O O H o 0 H H H a H\ aO 0 a m a as w 00 UU10 Q.--( W W V) 0 X q 41 41 0 a 021 h wow z a a H W cn H Pi X z U ti 10 w 00 P4 as n a0 u acn 0 a H o z O o Ha of 0041 CO z W a co N S ul a0 W oo [a] a a 0 0 o D w w N CM 41 aH0ID to H H H H1 (D o a U1 N w OWN 041,1 Lc) r U ao.a oba o r a U a O U r o •a •w a a o fA PI a0 w az H a a r 0 H w ua X w H Q z z a a a M w u Q O U O W 0 a N m TCITY HE OF O T NGELES For City Use Permit fa-- n C1 co W A S H I N G T O N, U. S. F.---1 1 Date Received: 4 'j 321 East 5th Street Port Angeles, WA 98362 Date A roved: 2F s l ',Ii P: 360- 417 -4817 F: 360- 417 -4711 l hcatuzo @cityofpa.us 1 i Building Permit Application Projec dress: 7.2- r r le- Dc I ∎U e-- Pori vx ,e `I -Q o Main Contact: o Phone Z -CU \r..1/01 F ya 25 Property Name �4_ Th,4 In:,n rtil� (?\,11 I ))P �t �W�) Phone l 52' .5 l J Owf V Mailing Addres J Email 3,r A- 6 m li ,ne- jr \i I L l .W.01 1,4- Ci I 9157.3 S to '1- y Contractor Name 1, Phon 0 Mailing Address Email aa- 2,353 F `'t 40-e- .N L(oo14 Oki I i I/ ii ?J- ILA WA c-Z Contractor License Expiration: C L ig 2t_. xw Project Value: Zonin Tax Parcel cog-71_5 Ct) 7?G Lot 1 Lr 0--30-00- Ova do Type of Residential Commercial Industrial Public Permit Demolition Fire Repair Reroof (tear off /lay over) For the following, fill out both pages of permit application: New Construction Remodel Addition Tenant Improvement Mechanical Plumbing Other Existing Fire Sprink r System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes Con rU r CD "lam D, Project SCI k- r 4 r A i o 2 s Ge3 Description I have read and completed the 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. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned, and the fees forfeit. Date Print Name Signatur c ,ge c 7 )Th co vi.co pl Yll,y,s,^ 1 1 ttiAlidit b ,.r rs.. %A,. 0 1,--1 in.e ik) \o„. 1 (9 6 t /e/ Ci rt y t.;,, I, ?coN.e ii\,) 1 r k),01 „Q„ 1/4A.,.. p, I. 0 tl t,3 r 0.4 t a ,40. 0 ,,ki' 2 I 3, 3 I ,.`,n'g 1. rx'c= .3p\ 2;\ t F •S t".1 It CITY OF POR ILI t. ELES Construction P I. The Issuance of this per it based upon these plans, sf cations and other data eall not prevent the building o' v, 0 k Irk.' from thereafter requirin: the correction of errors in plans, specifications an r other data, or from preve binding operations bei :carried on thereunder wht 1 1 violation of all codes a d ordinances of this jurisdii Approval Date 0 if By f m sv v RECD t I. of F,g fir y •p k d r y I. a r ,rY "Y .r _'A ,'l. Il f'.l J 1 _,}�iJ N 2 5 pp 1 t f i }yam 2012 �Jr `w• �A A�.)� t }t. 't 3�r� Lr 11 JJ CiI 1. Q CITY OF PORT ANGELES BUILDING DIVISION I f k DATE. 6.27.2012 Clallam Builders Inc. PROPOSAL DATE PROPOSAL# 2353 East 6th Ave. Port Angeles Wa. 98362 6/25/2012 1293 BILL TO (360) 808 -4225 CeII Phone Westport Shipyard jthroop @olypen.com Attn Phil Beirnes Marine Drive Port Angeles, WA. 98362 P.O. NUMBER TERMS REP PROJECT See terms below JST Blake office partition QUANTITY DESCRIPTION PRICE EACH AMOUNT This includes all labor and material to Stick frame in 2 walls to partition off 2 rooms. 2,000.00 2,000.00T Port Angeles 8.40% 168.00 !6 fi• al id rg in n. Thank you for your business. Total $2,168.00 Contractors or Tradespeople Printer Friendly Page Page 1 of 2 General /Specialty Contractor A business registered as a construction contractor with LEtI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name CLALLAM BUILDERS INC UBI No. 603209377 Phone 2532684899 Status Active Address P 0 Box 328 License No. CLALLBI887LK Suite /Apt. License Type Construction Contractor City Port Angeles Effective Date 6/12/2012 State WA Expiration Date 6/12/2014 Zip 98362 Suspend Date County Clallam Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status CLALLC*0440S CLALLAM Construction General Unused 9/10/1996 9/5/1999 Archived CONSTRUCTION Contractor THROOLCO55PB LAYMAN Construction General Unused 10/2/1995 9/5/1996 Archived CONSTRUCTION Contractor CLALLBE021RD CLALLAM BUILDERS Construction General Unused 12/4/1998 6/8/2012 Expired EXVTNG INC Contractor Business Owner Information Name Role Effective Date Expiration Date THROOP, JEFFREY S President 06/12/2012 THROOP, DEAN L Secretary 06/12/2012 Bond Information Bond Bond Account Effective Expiration Cancel Impaired Bond Received Bond Company Number Date Date Date Date Amount Date Name 1 Navigators Ins 46BCO27841 06/12/2012 Until $12,000.0006/12 /2012 Co Cancelled Assignment of Savings Information No records found for the previous 6 year period Insurance Information Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date https: fortress .wa.gov /lni /bbip /Print.aspx 6/25/2012 Contractors or Tradespeople Printer Friendly Page Page 2 of 2 Security 1 National NA102678100 06/12/2012 06/12/2013 $1,000,000.0006 /12/2012 Insurance Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https: fortress .wa.gov /lni /bbip /Print.aspx 6/25/2012 October 31, 2006 Fred Hill Matenals P 0 Box 6 Poulsbo, WA 98370 RE. Fred Hill concrete batch plant 720 Marne Dnve, Port Angeles In September 2003, a right of way use permit was issued for the installation of improvements within the Third Street nght of way These were required by your development .plans. The improvements included paving of Third Street, which has not been completed. At the time of the application Third Street was an unimproved gravel street. As part of the site improvements as submitted by Quadra Engineenng and approved by the City of Port Angeles, Third Street was to be improved to asphalt or concrete pavement. The improvements to Third Street was delayed at your request to utilize end of batch concrete. Even though the concrete batch plant operation did not go as projected, the improvements (by Fred Hill) to Third Street are still required. Pubhc Works Engineenng is requesting a proposed schedule on a completion date for the improvement. Please respond by November 17, 2006 If you have questions please call. Gary KenwNhy, PE City Engineer Deputy Director Engineering Services File: Building Division cc: Mark Madsen, City Manager Glenn Cutler, Director of Public Works Utilities GK/tf W AS H 1 N G T O N, U S A. Public Works Utilities Department 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 OCT RIECEOVE' 3 12006 CITY OF PORT ANGELES Dept. of Community Development Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . Application valuation 07-00001463 Date 12/10/07 144268 720 MARINE DR 06-30-00-0-0-9715-0000- ELECTRICAL ONLY INDUSTRIAL HEAVY o Owner Contractor BLAKE SAND & GRAVEL INC 490 SOUTH BLAKE AVE SEQUIM WA 98382 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 Permit ELECTRICAL TEMPORARY SERVICE Additional desc Permit pin number 117374 Permit Fee 46.00 Plan Check Fee Issue Date 12/10/07 Valuation Expiration Date 6/07/08 .00 o Qty 1. 00 Unit Charge Per 46.0000 ECH EL-TEMP SRV - 0-100 SRV FDR Extension 46.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.00 46.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.00 46.00 .00 .00 ..J ~ :3 } (t> ~ [INSPECTION ELECTRICAL TYPE DA TE: RESULTS: INSPECTOR: DITCH SERVICE . ROUGH - IN I')./IZ./tn ~ . ~ FINAL COMMENTS: '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL 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 07-00001008 Date 750656 720 MARINE DR 06-30-00-0-0-9715-0000- ELECTRICAL ONLY 9/14/07 INDUSTRIAL HEAVY o Owner Contractor BLAKE SAND & GRAVEL INC 490 SOUTH BLAKE AVE SEQUIM WA 98382 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE OLY. EL./ 60A TEMP 110064 OLYMPIC ELECTRIC 40.00 Plan Check Fee 9/14/07 Valuation 3/12/08 .00 o ~ '\:)., Qty Unit Charge Per 1.00 40.0000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.00 ~ ~ C C" Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 :00 Grand Total 40.00 40.00 .00 .00 R .... COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION .RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO IlIT( :H R )I I( TH_IN I CUVbK SbRVICb , - FINAl 19-10- /)'1 1J71 /1 GENERAL COMMENTS: PW.lI02.1S 14'961 This certificate is issue certifying that at the ti regulating building c .~. '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL 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 07-00000732 Date 309152 720 MARINE DR 06-30-00-0-0-9715-0000- ELECTRICAL ONLY 7/30/07 INDUSTRIAL HEAVY o Owner Contractor BLAKE SAND & GRAVEL INC 490 SOUTH BLAKE AVE SEQUIM WA 98382 OWNER Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW COMMERICAL MERIT EL/ TSUNAMI WARN SIREN 105205 MERIT ELECTRIC 75.00 7/30/07 1/26/08 OF SPOKANE Plan Check Fee Valuation .00 o .~ ~ \) Qty Unit Charge Per 1.00 75.0000 ECH EL-COM 0-100 NEW SRV FEEDER Extension 75.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 ~ ~ ~ \::) r COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION .RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEP'TED COMMENTS . I YES NO UUCt1 III U Ir T~-IN / I )\.'.....11 _ '-'....... T .LJ.L' SERVICE J<TN AT 1o-!JI-I"J7 I LrS-.. )1 GENERAL COMMENTS: PW-I\02.1S (4'96) P~rson5 Cons~d-i()n (0rnu O. ROUTING SLIP ^~ Certificate of Occupancy ~ - $50.00 Certificate/Inspection Fee DATE Address of Propo d B siness 'rr'1 I)}~i\/ Applicant r5 (j t1 ~ {} Address f () AS-',{ I 7:3 () ~U11I\f.r- luA '1 ?31 () Phone: business..253.~7b -[3qj. home C""'y-e P3'e t\ h e t+ 1 G, m Brief description of proposed business: C on~ +r Ll (+I'r'"rJ\~ ~ € {cf tl-p[--r'cp --f; r S(:th IS+: B \I" ,. 0 r1 ~ K~;p I Ct (e me n +-S ,/ r i +Cj ~+ 7:Jv r r- A, \se Ie,s legal Description: . lot (p c+ 7 t.,;/~ 1'7 Block Cl 'g 0(- q / Subdivision Current Use of Property: ~~C.lA 11 + Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? Construction changes . . . . . . . . . . . . . . . . . . . . . . . . . . Electrical changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mechanical (heating, cooling, stoves) ............. Plumbing changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . New or relocated signs . . . . . . . . . . . . . . . . . . . . . . . . . New septic tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New sewer service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Admission charged to patrons ................... Is this a home occupation? . . . . . . . . . . . . . . . . . . . . . . Excavation of filling of lots. . . . . . . . . . . . . . . . . . . . . . . Work done in City right-of-way .. . . . . . . . . . . . . . . . . . Is there sufficient off-street parking? . . . . . . . . . . . . . . . New driveway openings ........................ A grading plan for site drainage . . . . . . . . . . . . . . . . . . ~ (parking lots, downspouts, etc.) . . . . . . . . . . . . . . . . . . Are the existing streets paved? . . . . . . . . . . . . . . . . . . . Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . Is there curb and gutter? . . . . . . . . . . . . . . . . . . . . . . . . Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO -~ X x -~ -- -1L_ -~ -~ -~ - --X.. y ==V' ~- _ -':L ~ x' ----LL _ )( -- ~- I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.IA (o/IZ/675 -I<.~ ~BU New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . Transfer of Business location . . . . . . . . . . . . . . . Change of Ownership .... . . . . . . . . . . . . . . . . . New Building ............................ Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business. . . . . . . . . . . . . . . . . . . . . . . Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . THE FOllOWING Will BE REQUIRED: PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation ~Fire ~ Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other Date: Signed: L/~lY}e4. ~~z.. rt- o ,..J I 0- )6"' ) ('J ) ) vt ) -J b 3 ~ -" ::s (b \7 :') n ~ a 3 ~.~ -- ~ Comments / Conditions "S. 11 }16 / PeA )'.;,owS vJ/ Sette hi LlJcy' 4n~~ jec t S/'j'q ~"Yll Ci*J trF PA ..5 o J IS N \ o -J " .' ':,1" . '.i ~ ! .' I :'1' :;j' '.1, :"1 ..,. ::j '"I. i 12/06/2007 17:15 PAGE 01 '. 3604523498 OLYMPIC ELECTRIC ..... . Ol-140~ . ELECTRICAL WORKPERl\fiT APPLICATION Job wired by rJliJeetrJca' CODtraetor [J Ow.er ......" rlQll'gelion doJ~tion ;r:"ColDIDerdal C R..,deJItIaJ Sleclrical OOl'llrocCor nlmc ~1.l:"r. e:t--",?'nL . mDiJi"i' .drircu I.j 2 J /? TV-"'fL:l//'9 r,G/{' c~ Stale ZIP -rr ~;'?/ V:-7- 7FJt5..z TcI;~h_~nc number FAX number ~, J .:, ~ C-/,;-7-5:""7cJ] O/S.:L-JY7..r ,'rr:~ owner's Dime n::?/7~ ~/.?...I'''''-u.cn;?/'7 Addrtll or IDlpecdoa U: 7~ /li10A"- . Cll~rr- ~ ~ ~ J, "r PbODC D~mbC'r 10 It' dub lupectloul '117 -7J'6t:::l Ownrr lIS d~fl"rd bJ' RCJf'./9.28.J6J.(1) Owllflr will occupy JAr IlnlCtllrr /or lWeI yt!DrI oft<r thll d<<l'/otJI ".,.dlll j/na/Inl!. (1) Owl." II nvuf",d ID htr< a. e1ffirlcal ~f1rJ&1Dt' 1/.'" I4U pl'OptJ1y I.J Jor Jale, I"'(!JII 0' IftUe. After rc:Idinalhe ,bove ltalomtrd, 1 _by canif}lthat I 1m thE! owner or the llbove lUZIled properl)' or & UeeDle4 t:lcmiQJ eOn\ractar. I 1m mlkl"l tho elec:crlcll inltll.l- IlIion or alteration ih oomplilUIC., with the electrical lawl. H.E.C.. RCW. Chapter I SJ.2.J. WAC. Chapler 296-4&B. The Cily of Pon ^",elu Municipal Collel lnd Utili!)' SpeclficatiCl'OJ. SIEDICUre Dr OWDer. electrical contractor or electric.' administrator X".n .//?--- ~." Date:W7/.?7 L.lcense number DIU! BlC.pircs ~LY.MPE-CM') PI tJ New D AlterodJAddlUD. /t;lc;7" /?1 A /' /;7 f/"~:.-o:.,,- [J QIoh [J Chec1c II ID'&dit Card VISll Mastercard Disoover Card # - - . ------------_._-~ ExpirationD8Ie ofcard (- IDap~)I~n f$e S 'T/.. ~ SM'\Ilco JnformEltlon '-II:-() lDOt,. a NO LOAD CHANGES o B..eboll1d _ I(W o Furnace' _I(W Q Overhead Service o He.t Pump _ Ton _ LAR a Temp Service Q F8I1-Wall _ t<W D Underground Service SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 Vollage ,2 <(V' Ph..... il , D 3 Servlce SI>e: Lc22. FeGder Size: ROUGH-IN " / 11IERMOSTAT / SERVICE l)-.ll Ap...tlJ By .J " Du. ~oe, Du. .\opnJ\'Ml8)' / , ..... FINAL DJI'CH I FEEDER I~/~ ~D I J ./ 0110 AllllftlVodB1 PIlr ""'""""By InlpCClioc . Alea. Building or I!qulpmentlnspectcd Actio1t Takeu Blootries! Date: Inspeetcl'J' ...... , ~ . .J DATE (2. OWN -R/CONTRACTOR OU-i> Jh: c.... IE t3E- c\-r<..1 c.. ADDRESS 7 hf1- 'iG \ "-l ~ 1712:. ~ ELECTRICAL INSPECTION WIRING REPORT 417-4735 APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . ~ D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: gO. S1L~L.S ~l ,Srl L NJo z:>R- ..$u"i:; ':i?f\N~L_ FoR. -6\)~ VA ~ ~ L... l<ot"\.D< c.oJJ. 1).\ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 " Date: d AddItion btrac 10 o NO LOA CHANGES o BasoDoard t<:N Q Furnace KW 0 Overhead Service o Heat Pump _ Ton _ tAR CJ Temp Service o Fan~Wall . t<:W 0 Undergrouf"ld Service: - 4711 SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 'I; (;:1() ~ ~ Joh ",ired by Electrical Contractor 0 Owner Elcxtrical con.tractor flsmr; r Li"ense number Date Expires mER rr E'1~c.n..l-(. 0 +--~::>'\k.-..J r~lr.,; r~ W'ITrII P~as.er's m.3.iling, address. , . .... .' I. j, "" 1-'0 1::,6)( ?:'CfqZ :"__ . J./~8-.! 7 C;IYSDllk~ ~;~ZIP qq;)~O Ttlephlne number p,em;se~ owpe." D'~ ..-;"') _ . 11 , ('_,1-", d + ,- C#"-. . f-t~1.-< ') Address of Intpe.dion ~ 7:2.0 MAR..~P- DlZ-.J,:o Clly ~ .A~. .' \ly~-r '14-N ,.... c::; "hone ".Imber fO sc:bedule inspe ion: o ~~5 -3'1"?:'O Owner as di!fined by RCw'/9,18.161:(I) Owner will occupy (he. srruclurefor two years after this electrical permit is fiflalized. (2) Owller is required trJ hire an electrical contractor if above said properTy i.1i lor .sale:. rtn' or (CQJe. After reading lhe above st;iilement, I hereby cernfy th~t 1 ~1TI tlte owner or the ;1bovt; named property Or a licens.ed electrical eontrilc:tol'. I am making the cleetttd/ll i1'\stal- lation or alteralion ill compl13nee wilh the electrical laws. N.E.C.. RCW. Cha'Ptcr 19.28. WAC. Chapter 296.46B. e City of Port Angelc$ Municipal Code. and Utility S ecific3Iion,. Sig hIre or ini5 ato,. ~' ~ .< ELECTRICAL WORK PERMIT APPLICATION Instapation description It.r' Commercial 0 ResldeotlaI ." j '. ~ o A1lered/Addltlon ~2;,0 f+-v<-., f I RD V () I+- ])~( D"'lt"" c+ ov\ 5D' 'I DUIV~" ()JO,c..NI~':j --ri:lu e.- rL ;.; . ~&(U/J ee 13t-! / tJt1I1i..e-s , a Cash a Check # czrCredil Card Car Mastercard Discover . Expiration Dale Service. Information VOltage PhaseD' 03 Service Size: _ F9$der SiZ:liiI: ROUGH-IN TIlERMOSTAT . SERVICE 0.(0 DII.I<l .a."!,pnl...cd 8)' FINAL ~7 A,m.", DITCH Awl'O'V<<.! By O~IC ,\opnwcd By FnDER O_lc ^ppnlY'l'lll By Area. Buildins or Equipment Inspected Ollie ApPfQvcd..By Ac\ion Thhn Elect'ricaJ In..spector ... ll'lspectioD Date '72.11 G-"'l0-07 DZ8z.. r1S Id GO'd VS:~1 LOOG OG UD[ A !'P\zuv-eo v999-S~S-60S:X~j JIClD3l:3 lIB, I. I i J 1':" I: 1 j: 08/15/2007 11:58 3504523498 OLYMPIC ELECTRIC PAGE 0., ....... G-/R, - ELECTRICAL WORK I"ERMIT APPLICATION e. '" Job wired by ~ectrlCII Contrl.lor l:I Owner ........, Idltlllltlon dotOription IliI" Commercial 0 auldenUal EII:c:lrical c;ontraotor nemo LIc:elQllllumber Da~ !!.lpIJ"O$ .0'/u-y//-. ,c:z,L-/-/7,' (?LYn#'.t:/:~7/?J' p;;wr~}lI mlillnl1ddreu / . '-/2 ?/? 7V/'?7/~/--? I?.r' CilyO' ~~ / !J:2.".-r/ I /1'" /r-- 1 Tel?~~e nu.mbe y.) ',7- <;-j'/) 7 Prt~lel owner's a.me & /r/.?A f: //?/J~ f. Adclre.1 of lasptcllaa n_ 7.-Zc? ;Htrn?7,.- ~ ClIY,,&,,-r-~rrk..r Pboae Dumber to ubedul.. 1D.lpeetlDDI liS"?' - 6e?'~~ Owner /IS defln.d by RCff.J9.Z8.261:(I) Own., will D&t:llpy,hl slNCf"" JOT two )'filii qftr.f Ihll ela:trlt:al penult II jlllallztd. (1) ewnrT tJ rqldretl 10 ill" an e!sJrlcal ctHU1De'0I' V abcJw ~d proputy u for .ftJlt. fVf' cr IHS.. Aftet Te8din& lbe .'boYe ltIIo""tlnt. 1 'hereby cerUfy "'It I am the owner or ",e aboye lIIIPt:d prtlperty or . licenlecl ellll:trical eontrQetor. 1 am making (bo eleetr1caJ In11B1- 'adon or &lleration In,compllloco with the e!eett'lc.llllwI, N.S.C., RCW. Cbaptc:r 19.28. WAC. Cllaplcr 296-46B. Tho Clly of Port A..el.. Munlolpal Code, and Ulillt)' SpecifiClltlolU. ' SIID_ture vf OW1ler, e.leurlcDIc:ontractol' or electrlc.l Idmlnlsttator ........ 'Expiration Date X ~o1'~'b- ~Date: A"fft/t7 7 ofollld o New [J AJI,recllAddltlo. Stale ZlP V'?' '7./76..7 F^';.;~~~ _ 7'717' P bc?,?/?d H/l}.<? .5"--/"".0';,,-,- 7Z> Z?~ ~p~~ // , " ~. a Cash a Check 1/ arC;dit Card VISll Mastercard Discover Cardfl ____.____.----.-.--- ( '"'1j'tl1l.;roe ". /.. $ ~ "'Jxy SBrvlcelnfonTIQtlon o NO LOAD CHANGES o BasebOenl _ KW o Fumace _KW o IleBI Pump _ Ton _ LAR [J Fan.Wall _ KW VolllQO .2 y c;7 Ph...... EOl [J S 5eIYIcG SIze: _ Feeda. 51..: a Overhoad SeMOI tJ Temp Servlcs llI"\lnde'llround SeNtOB SAME DAY INSPECTION CALL BEFORE 7:00 AM 360-417-4735 . " THERMOSTAT . SERVICE ROUGH-IN I 0... AI,,.V1IdBy .... A~b, 0_. J,pprol''' By , /;, FINAL " DITCH FDDEl!. !lolo7 ~ ON. .~~~IJJ---' '= ..,. -. [ftlpeclioa Area. Buildlngor Equlprnenllnspected I. Actioa Take. Ell1ctrltll DI,e Jnlpec~r ~ -'1-0? 'i/O,'" CcN,J!Wr p&r ~ B(,/.... ~-- , .- trul!;~ y,.; U V le ,[!.lJ . /lIlt:: 1 7 ?nn7 · o. .... CITY OF PORT ANGELES £~ DEPONENT OF COM~ITY DEVELOPMENT BUILDING DWISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appliaation Nu~aber ..... 03-00001063 Date 1/28/04 Property Address ...... 720 MARIN~ DR A~SESSOR p3%RC~ ArO74B~R: 06-30-00-O-O-9715-0000- Application description . · . COMM ADDITION Subdivision Name Property Use Property Zoning ....... INDUSTRIAL h~EAVY Application valuation .... 4500 OWner Contractor BLAK~ SAND & GRAVEL INC OWNER 490 SOUTH BLD2tE AVE SEQUIM WA 98382 ...... Structure Information STOAOa SHED ..... Construction ~e ..... TYPE V NON-RATED Occupancy Type ...... CARACAS, CARPORTS, SHEDS Other struct into ..... HAP/) SURFACE AREA Permit ...... BUILDING PEP=MIT - CO~94ERCIAL Additional de~c . . Permit Fee .... 134.75 Plan Check Fee , . 87,59 Issue Date .... 1/28/04 Valuation .... 4500 Expiration Date . . 7/26/04 Qty Unit Charge Per Extension 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 abNDdoned for a period of t 80 days after the work as commenced, or if required inspections have not been requested within '180 days from the laal inspection, i hereby certif7 that I have read and examined this application and knew the same to be true and correct. All provisions ol 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 c construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLA NN13qGkFO83AS\ 1102. I 5 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOP.. ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNL.4WFUL TO COVER, INSULATE OR CONCEAL ANY [FORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE I BATE I YEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOIYNDATION DRAENAGEdDOW~ SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS I CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOVTNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB [ WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PEPdVlIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEEIL!NG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION Da e ,',llon, CO,,.'LETELYa.di.,NK. Yourapp,ica,lona.dsi,ep,a. MUST ( COMPLETE to be accepted for review. If you have any questions, call~x ~/ Date Issued: ° ' (360) 4174815 Applicant orAgent: ~2r~2xz) ~-¢ )1'[ lt4~,dr'~.c'l'~c::Ll S Phone: Owner: ~(2~,k~:>, -~'~'~,~ c~ C_.~3-~{ Phone: Address:~'~I 8OX & City: ~c~(D Zip: q~ STO Architect/Engineer: Phone: Contractor State License #: Exp:. Phone: Address: City: Zip: PROJECT ADDRESS: "TZO /M a ~' ~'~t,Q.- ~Sy'~t V ~--_=~ ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City:_ Credit CardType VISA __ MC __ # Exp. Date: TYPE OF WORK: SIZE/VALUATION: [] Residential [3 New Constx. [] Re-roof [3 Stove ~/(¢d) SF. ~ $ /SF.- $ [] Multi-family [] Addition [] Move [] Garage SF. ~ $ /SF. = $. [] Commercial [] Remodel [] Demolition [] Deck SF. ~ $ /SF.- $ [] Repair [] Sign [] Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: // ' ~ 4¢'0" COMMERCIAL/RESIDENTIAL: Occupancy Group:_ Occupant Load: __ Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft. Existin~ lot covera~,~ __ % & Proposed lot covera~,~ __% = Total lot covera~,~ % APPROVALS: PLAN: PLANNING USE ONLY: BLDG: -- DPW'U: FIRE: ESA/Wetland(s): rnYes[]No SEPA Checklist required? [] Yes[] No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 107.4 of the Uniform Building Code, current edition). 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 determine what permits are required,not the City's, and that I must obtain such permits prior to work. TSFORMSXAPPSXBuildingpermit.wpd ApplicanU~. ~, !d2-~.~/ Date: ~/¢-,=:~0' ~'5 · ..~% CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ...... Structure Information NEW CONCRETE BATC~ pL~ ..... ........................................................ x. Separate Permits are required far 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 ~rosume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of :onstruction.//~/ Signature of Contractor or Authorized Agent 'Date Signature of Owner (if owner is builder) Date :\PLANNING\FORMS\ I 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I DATE [ YEsACCEPTED} NO COMMENTS FOUNDATION: ELECTRICAL (LIGHT DEPT) SEPA~TE PE~IT: PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL SLAB WALL t FLOOR/CEIL~G HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PW DTILITIES / SITE WORK (Engineedng Division) SEPA~TE PE~IT SEWER CO~ECTION SANITARY PLANNING DEPT. SEPA~TE PE~IT g's SEPA: PARKING/LIGHTING ESA: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPanCY/USE RESIDENTIAL DATE YES ~O COMMERCIAL ~ATE ACCEPTED YES NO ELECT~CAL - LIGHT DEPI. 417-4735 ELECT~CAL LIGHT DEPT CONSTRUCTION RW. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEE~NG PLA~ING DEPT. 417-4750 PLANNING DEPT. FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review. If you have any questions, call Date Issued: (360) 417-4815 ApplicantorAgent: F,~KD ,H/LL PrIAT'~RIAI.5 / OI/IIOI~.A ~, Phone: 3~0-77~-q~1 O~er: ~LA~C ~AnD ~ G~V~ Phone: ~- ~81-2~77 Address: ~0. ~aX ~ Ci~: Poocs~o Zip: 98370 ,%-;.~i:ac~'Engineer: ~UAO~ ~N6t~EE~ING~ [~c. Phone: Con,actor F~ ~cLc ~5 State License g: Exp: Phone: Address: CiW:' Zip: PRO~CT~D~SS: 7gO ~ARINK D~tV~ ZO~G: LEG~ DESC~ON: Lot: $'10a ]5"1~ Block: 9 ~ Subdivision: ~o CL~L~ CO~Y P~CEL~ER: 06300000 9215 ~ O~3Ooooo 97 · Credit Card Holder Name: Billing Address: City: Credit CardType VISA __ MC g Exp. Date: TYPE OF WORK: ........ SIZENALUATION: [] Residential )/~ New Const~. [] ReLroof [] Stove . SF. ~ $ /SF. = $/~--"~.----~, El Multi-family [3 Addition [] Move [] Garage ~ SF. ~ $~ /SF. =$ ~ commercial '[]- Remodel .-:tlill -Demolition [] Deck." ~' . SF. ~ $_ ' :~ .... /SF. = $ [] Repair [] Sign . [] Other TOTAL VALUATION BRiEF~EScR~PTION OF THE PROJECT: ~.......i.a .'& a.L~t~ INI%~'A~.L. ]'~/t~ Cot,.ic~T~' · ~U~x~'F' ~ .~7~',-,~pTI"tC,',IT,; ']'KISTAL.~- ~vC-~ff~~' ~ D~zn~nt~ lt'qpP'ovCl'4-~'t'$ COMMERCIAL/RESIDENTIAE: occupancy Group: Occupant Loadi Construction Type: No. of Stories: Lot Size: I,/~ AC, Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft. t:nasnng tu~ covr,ag, __ % & Proposed lot ...... ~,. __% = Total lot covera~,e /'~ c~/-2 % APPROVALS: PLAN: PLANNING USE ONLY: BLDG: -- DPWU: FIRE ESA/Wetland(s): El Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 Bnilding 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: lfno 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 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certi~ that I have read and examined this application and know the same to be true and conect. I am authorized to apply for this permit and understand that it is rey responsibility to determthe what permits are required,not, the~ City's, and that/must obtain such permits prior to work T:~FORMSXAl'PS~Buildingpcrmit.wpd Appiican,: .-~ ~{'~/J~F'L'*~ ,O ..~ Date: ~0/123 ~ FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION Date Fill out COMPLETELY and in INK. Your application and site plan MUST BE Dat~ Approved:_ COMPLETE to be accepted far review. If you have any questions, call (360) 417-4815 Date I~ued: Applicant or Agent: /~LAKC SAXID ~ ~I~.AV'EL Phone: .24,0 ~,~ / -2 ~ 7~ ~: DA~C ~AKC Phone: 3&O G81-2~77 Ad.ess: qaO 6. ~LAKE AVE. Ci~: SE~UI~ Zip: 98382 ~n~ne~: ~FAORA ENgINeerinG Phone: ~ ~ ~ - ~O I ~ ~n~eto~ State License g: Exp: Phone: Ad'ss: Ci~: Zip: PROtrUDeS: 7~O ~A~INE D~t~E Z LEG~ DES~TION: Lot: ~-I0 ~ 15'17 Block: 9 ~ Subdivision: P~r Ant~LE5 ~aWNS Credit Card Holder Name: Billing Address: City: ,,, Credit CardType VISA MC __ # , Exp. Date: · TYPE OF wORK: ," SIZE/VALUATION: O Residential X New~ Cons~r. [] Re-mot, [] Stove , SF. (~ $ · /SF. = $ D.'Mul/i~family [] Addition [] Move O Garage : SF.~$. /SF.--$. ~ ,commercial . El Remodel ~ Demolition [] Deck .~ ':.' ' SF. ~ $ ' ;'/SF. = $ :~ ' " [] RePair [] Sign [] Oth,e.r TOTAL VALUATION $ COIVlii~ER~I~ENTIAL: Occupancy Croup: Occupant Load: Const,mction Type: No. of gtoties: Lot give: S, ~ ~7. Exislmg gq. Ft. & Proposed gq. Ft. = TOTAL gq. Ft. Existing lot coverage ~ % & Proposed lot coverage % = Total lot coverage~ APPROVALS: PLANNING USE ONLY: PLAN: BLDG: .... DPWU: FIRE: ESA/~Vctland(s): ~ Yes [] No SEPA Checklist required? ~ Yes D No Other: OTItE-R:_ BUILDIiNG PERMIT APPLICATION SUBMI'I-rAL: Thc Building Division can provide you with information on the application and plan submiffal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount mast be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fcc schedules. Contact the Permit Coordinator at 4174815 for assistance. PLAN ClIECK FEE: 1~ a plan check fee is due it must be submitted at the time the building permit application and consUructiou plato ~c submitted. All other permit fees arc duc at the thne of permit issuance. EXPIRATION OF Pl.~d~ REVIIgW.~ If no permit is issued within 180 days of the date of application, thc application will expire. The Building Official can extemt the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). 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 deten'nine what permits are required ,n~t the Oty's, and that I must obtain such permits prior to work. pORT. ANGELES WASHINGTON, U.S.A. PUBLIC WORKS & UTILITIES DEPARTMENT January 14, 2003 AJ Webb 300 Webb Street Sequim, WA 98382 RE: Port Angeles Landfill Waste Disposal Application, WDA 03-02; Building demolition at 718 Marine Drive, Port Angeles We have received your application for disposal of building demolition debris fi:om 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 6f 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, Gary W. Kenworthy, P.E. City Engineer Deputy Director of Engineering Services 321 EAST FIFTH STREEt ® P. O. BOX 1150 · PORT ANGELES, WA 98362-O217 PHONE: 360-4 J 7-4805 ® FAX: 360-417-4542 ® TT¥: 360-417-4645 E-MAIL PU bWORKS~CI.PORT-aNgEL'ES.WA. U $ o~ PORT ANGELES LANDFILL ~~; WASTE DISPOSAL APPLICATION To: City of Pod Angeles, City Engineer Phone: (360) 417-4803 321 E Fifth Street FAX: (360) 417-4709 P.O. Box 1150 Pod Angeles, Washington 98362 NOTE: All questions must be answered for waste to be approved. 1. Generator Information: Company Name: ~...~' Mailing Address: ~.o~ /,~,~, ~'~, Contact: Phone: Project Name: Project Location: '7/~5 2. Other Contacts (if applicable): Consulting Firm: Contact: Phone: Contractor Name: Contact: Phone: Laborato~: ~ ~o~5~ Contact: Phone: City of Pod Angeles - Landfill Waste Disposal Application Pag_e - 1 3. Source of Waste: Check the appropriate box below and briefly describe the project, process, and/or cleanup thai will or has produced the waste requiring disposal. Include the gasoline service station number (if applicable). CERCLA/MTCA Remediation Agency Contact: Independent Remedial Action UST Removal Unused Chemical Product Spill ~ Other Source: 4. Waste Material Composition: (check all that apply and include percent of total) Soil % Foundry Slag % Concrete/Asphalt % Dredge Sediments % Preserved Wood % ~ Debds /o o % Coal Ash __.% Other (list) Wood Ash % % % NOTE: Total must equal 100%. 5. Waste Material Contaminants: (check all that apply) Gasoline Metals Diesel Solvents __ Heating Oil __ PCBs Unused Motor Oil Used Motor Oil/Waste Oil Other -f',;s,~,~ ,~.. '/'~c~ __ Other Petroleum Product Unknown NOTE: Supply any MSDS information with application, if available. City of Port Angeles - Landfill Waste Disposal Application Pag? - 2 6. Estimated Quantity of Waste for Disposal: ~..~'- Cubic yards / ,~c'~ Tons (estimate both) Drums / 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 e 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 I & number of discrete samples per composite .5" Number of DISCRETE samples ~'~ NOTE 1: Unless prior approval has been granted by Port Angeles, the following sampling frequency will be used: 0 - 25 cubic yards = I composite sample 25 - 100 cubic yards = 3 composite samples 101 - 500 cubic yards = 5 composite samples 501 - 1000 cubic yards = 7 composite samples 1001 - 2000 cubic yards = 10 composite samples >2000 cubic yards = 10 plus one sample for each additional 500 cubic yards NOTE 2: One composite sample shall contain a minimum of three/maximum of five discrete samples. City of Port Angeles - Landl~ll Waste Disposal Application 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 #91-30i (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 Ecotogy.) a) List all analytical test methods used: b) Provide a narrative as to why the above analytical methods were selected: NOTE: Additional sheets attached: JYES 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 Class 3 Class 4 Calculated Hazard Index · 11. Dangerous Waste Affidavit: ,s Based on a review of the analytical test results, site history, and the applicable regulations, th waste is classified as: (check one) / Neither Dangerous Wasle (DW) nor Extremely Hazardous Waste (EHVV) Dangerous Waste (DVV) and Waste Code: Extremely Hazardous Waste (EHW) and Waste Code: City of Pod Angeles ~ Landfill Waste Disposal Application Pag_e - 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. ~ator i~onature Wa"W~Gener '~ Pdnted Name Company Date City of Pod Angeles - Landfill Waste Disposal Application Page 14708 Aurora Ave. N., Seattle, WA 98103 ITel: 206.547,0100, Fax: 206.634.1936 AIHA - tH [. Analysis Report ~d (Pb) TCLP Client: Zenovic & Ass~x;iates, Inc. Batch #: 2217413,00 Address: 519 South Peabody Street, Suite 4 Matrix: TCLP Method: EPA 7000B Port Angeles Client Project #:03002 Attention: Mr. Tracy Gudgel Samples Received: Project Location: 718 Marine Drive, Port Angeles Total Samples Analyzed: 1 RL Results Results in Lab ID Client Sample # mgl L in m~lL ppm 22122653 03002A 0.5 1.9 1.9 ISampled by: Client Analyzed by: Holly TutUe Date:0~,10,2003 DRAFT rog/L =Milligrams per liter RL = Reporting Limit ppm = parts per million "<' = Below the reporting Limit Note: Method QC results are acceptable unless stated otherwise. ~ench Run No: 23-0109-4 Page 1 of 1 __~L Laboratories, Inc. CHAIN of CUSTODY BATCH ID 470~ ~.~o~ ~,e ,. s~m,. WA ~03 SAMPLE L~ ~ Sam~es J ~: (~0) 41Z~i F~ (~0) 417~514 ~~ D~M(EP~16) ~PLM~AP~C~ ~M(EPAG~) ~k. [ )os~ =~ . Oc~(~ O~{~) IOz~ 2 4 9 TOTAL P, 03 pORTANGELEs WASHINGTON, U.S.A. PUBLIC WORKS & UTILITIES DEPARTMENT March l 1, 2003 AJ Webb 300 Webb Street Sequim, WA 98382 RE: Port Angeles Landfill Waste Disposal Application, WDA 03-04; Building demolition at 720 Marine Drive, Port Angeles 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 quantifies 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 321 EAST FIFTH STREET ® P. O. BOX 1150 ® PORT ANGELES, WA 98362-O217 PHONE: 360-417-4805 ® WAX: 360-417-4542 ® TT¥: 360-417-4645 E-MAIL: PU Bwor KS~CI.PORT-a NG e Les.wA.u S PORT ANGELES LANDFILL To: City of Port Angeles, City Engineer Phone: (360) 417-4803 321 E Fifth Street FAX: (360) 417-4709 P.O. Box 1150 Port Angeles, Washington 98362 NOTE: All questions must be answered for waste to be approved. 1. Generator Information: Company Name: Mailing Address: :]D~ L,~'.4.,'z.~ ,~.~. ~.~ Contact: Phone: ~ ~ ~ "71 Z J Project Name: ..... Project Location: '"~..,-O 2. Other Contacts (if applicable): Consulting Firm: Contact: Phone: Contractor Name: Contact: Phone: Laborato~: Contact: ~o~ Phone: City of Pod Angeles - Landfill Wasle Disposal Application Pag_e - 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). CERCLA/MTCA Remediation Agency Contact: Independent Remedial Action UST Removal Unused Chemical Product Spill ,,~. Other Source:. 4. Waste Material Composition: (check all that apply and include percent of total) Soil % __ Foundry Slag % Concrete/Asphalt ~% ~ Dredge Sediments % Preserved Wood % Coal Ash % __ Other (list) Wood Ash % % % NOTE: Total must equal 100%. 5. Waste Material Contaminants: (check all that apply) Gasotine Metals Diesel Solvents __ Heating Oil __ PCBs Unused Motor Oil Used Motor Oil/Waste Oil Other /~/.0 ~ /D~/,,,,~. __ Other Petroleum Product Unknown NOTE: Supply any MSDS information with application, if available. City of Pod Angeles - Landfill Waste Disposal Application Pag_e - 2 Estimated Quantity of Waste for Disposal: '~' Cubic yards / ~..~'~ Tons (estimate both) Drums / 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 O & number of discrete samples per composite Number of DISCRETE samples NOTE 1: Unless prior approval has been granted by Pod Angeles, the following sampling frequency will be used: 0 - 25 cubic yards = 1 composite sample 25 - 100 cubic yards = 3 composite samples 101 - 500 cubic yards = 5 composite samples 501 - 1000 cubic yards = 7 composite samples 1001 - 2000 cubic yards = 10 composite samples >2000 cubic yards = 10 plus one sample for each additional 500 cubic yards NOTE 2: One composite sample shall contain a minimum of three/maximum of five discrete samples. City of Port Angeles - Landfill Waste Disposal Application 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 Apd11994) "Guidance for Remediation of Petroleum Contaminated Soils" shall also be used to characterize petroleum contaminated soils from UST releases, Submit all laboratoryl 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 ~ 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 Class 3 Class 4 Calculated Hazard Index 11. Dangerous Waste Affidavit: Based on a review of the analytical test results, site history, and the applicable regulations, this waste is classified as: (check one) Neither Dangerous Waste (DW) nor Extremely Hazardous Waste (EHVV) Dangerous Waste (DVV) and Waste Code: Extremely Hazardous Waste (EHW) and Waste Code: City of Port Angeles ~ Landfill Waste Disposal Applicalion Pag? - 4 12, Certification: We, THE UNDERSIGNED, certify that this application is true to the best of our knowledge. All information provided is con'ect and the enclosed analytical results represent the proposed waste material to the best of our abilities. W~ Generator,~ignature Printed Name Company Date city of Pod Angeles - Landfill Waste Disposal Application Page - 5 CONSULTING CIVIL !// ENGINEERS .~' ~ ~ 240 W. Cedar Street / PO, Box 2356 Sequ~m, Washington 98382 Blake $ & G, PA Type II 24-hr Rainfall=2. 00" Prepared by HydroCAD SAMPLER 1-800-927-7246 www.hydrocad.net Page 1 HydroCAD~ 6.00 s/n 000000 © 1986-2001 Applied Microcomputer Systems 3/26/2003 Subcatchment 4S: south of alley Runoff = 1.35 cfs @ 12.01 hrs, Volume= 0.077 af Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hfs, dt= 0.05 hrs Type II 24-hr Rainfall=2.00" Area (ac) CN Description 0.560 98 Tc Length Slope Velocity Capacity Description (min) (feet) (fi Jif)(ftJsec) (cf s) 10.0 Direct Entry, Blake S & G, PA Type II 24-hr Rainfafl=4.00" Prepared by HydroCAD SAMPLER 1-800-927-7246 www.hydrocad.net Page 1 HydroCAD® 6.00 sin 000000 © 1986-2001 Applied Microcomputer Systems 3/26~2003 Subcatchment 4S: south of alley -? ~. ~J ~-~ ~-, Runoff = 2.76 cfs @ 12.01 hrs, Volume= 0.162 af Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Type II 24-hr Rainfall=4.00" Area (ac) CN Description 0.560 98 Tc Length Slope Velocity Capacity Description (min) (feet) (ft/ft) (fi/sec) (cfs) 10.0 Direct Entry, Blake S & G, PA Type II 24-hr Rainfall=4.00" Prepared by HydroCAD SAMPLER 1-800-927-7246 www.hydrocad.net Page 1 HydroCAD® 6.00 sin 000000 © 1986-2001 Applied Microcomputer Systems 3~26~2003 Subcatchment 1S: north of alley Hydrograph Plot 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 Time (hours) Blake S & G, PA Type II 24-hr Rainfall=4.00" Prepared by HydroCAD SAMPLER 1-800-927-7246 www.hydrocad.net Page 1 HydroCAD® 6.00 sin 000000 ® 1986~2001 Applied Microcomputer Systems 3/26/2003 Subcatchment l S: north of alley ? ' .~,~. ~ !~, Runoff = 5.73 cfs @ 12.01 hrs, Volume= 0.335 af Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Type II 24-hr Rainfall=4.00" Area (ac) CN Description 1.160 98 25yr storm Tc Length Slope Velocity Capacity Description (min) (feet) (fi/fi) (fi/sec) (cf s) 10,0 Direct Entry, Blake S & G, PA Type II 24-hr Rainfall=2.00" Prepared by HydroCAD SAMPLER 1-800-927-7246 www.hydrocad.net Page 1 HydroCAD~ 6.00 s/n 000000 © 1986-2001 Applied Microcomputer Systems 3/26/2003 Subcatchment 2S: (new node) ~)~ ~,: i . ~,, .~.'"~, Runoff = 2.80cfs@ 12.01 hrs, Volume= Q160af '"Z.~.,"~ ~-i'~¢ ~ Runoff by SCS TR-20 method, UH=SCS, Time Span= 500-20.00 hrs, dt= 0.05 hrs Type II 24-hr Rainfall=2.00" Area (ac) CN Description 1.160 98 2yrstorm Tc Length Slope Velocity Capacity Description (rain) (feet) (ft/ff) (ft/sec) (cfs) lQ0 Direct Entry, ENGINEfi~8 ~'~ 240 W. Cedar Street / RO. Box 2356 ~ ~ - ~ ~. Sequim, Washington 98382 Blake S & G, PA Type II 24-hr Rainfall=2.00" Prepared by HydroCAD SAMPLER 1-800-927-7246 www.hydrocad.net Page 1 HydroCAD® 6.00 sin 000000 © 1986-2001 Applied Microcomputer Systems 3/26/2003 Subcatchment 4S: south of alley ~'~ Runoff : 1.35 cfs @ 12.01 hrs, Votume= 0.077 af Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dr= 0.05 hrs Type II 24-hr Rainfall=2.00" Area (ac) CN Description 0.560 98 Tc Length Slope Velocity Capacity Description (min) (feet) (ft/ft) (ft/sec) (cfs) 10.0 Direct Entry, Blake S & G, PA Type II 24-hr Rainfafl=4.00" Prepared by HydroCAD SAMPLER 1-800-927-7246 www.hydrocadnet Page 1 HydroCAD® 6.00 sin 000000 © 1986-2001 Applied Microcomputer Systems 3/2612003 Subcatchment 4S: south of alley -? ~'J ~ '~r ~ ; ~' ' ..... Runoff = 2.76 cfs @ 12.01 hrs, Volume= 0.162 af Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dr= 0.05 hrs Type II 24-hr Rainfall=4.00" Area (ac) CN Description 0.560 96 Tc Length Slope Velocity Capacity Description (min) (feet) (fi/ft) (fi/sec) (cf s) 10.0 Direct Entry, Blake S & G, PA Type II 24-hr Rainfall=4.00" Prepared by HydroCAD SAMPLER 1-800-927-7246 www.hydrocad.net Page 1 HydroCAD® 6.00 sin 000000 © 1986-2001 Applied Microcomputer Systems 3/26/2003 Subcatchment IS: north of alley Hydrograph Plot 4 2 0 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 Time (houR) Blake S & G, PA Type II 24-hr Rainfafl=4.00" Prepared by HydroCAD SAMPLER 1-800-927-7246 www.hydrocadnet Page 1 HydroCAD® 6.00 sin 000000 © 1986-2001 Applied Microcomputer Systems 3~26~2003 Subcatchment IS: north of alley Runoff = 5.73 cfs @ 12.01 hrs, Volume= 0.335 af Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Type II 24-hr Rainfall=4.00" Area (ac) CN Description 1.160 98 25yr storm Tc Length Slope Velocity Capacity Description (min) (feet) (fi/fi) (fi/sec) (cf s) 10.0 Direct Entxy, Blake S & G, PA Type II 24-hr Rainfall=200" Prepared by HydroCAD SAMPLER 1-800-927-7246 www.hydrocadnet Page 1 HydroCAD® 6.00 s/n 000000 © 1986-2001 Applied Microcomputer Systems 3/26/2003 Subcatchment 2S: (new node) Runoff= 2.80 cfs @ 12.01 hfs, Volume= 0.160 af Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Type II 24-hr Rainfall=2.00" Area (ac) CN Description 1.160 98 2yrstorm Tc Length Slope Velocity Capacity Description (min) (feet) (ft/ff) (fi/sec) (cfs) 10.0 Direct Entry, ENGINEERS 240 W. Cedar Street / P.O. Box 2356 Sequim, Washington 98382 Blake $ & G, PA Type II 24-hr Rainfall=2.00" Prepared by HydroCAD SAMPLER 1-800-927-7246 www.hydrocad.net Page 1 HydroCAD® 6.00 sin 000000 © 1986-2001 Applied Microcomputer Systems 3/26/2003 Subcatchment4S: south of alley "~-~, ~ ' ~ Runoff = 1.35 cfs @ 12.01 hrs, Volume= 0.077 af Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Type I~ 24-hr Rainfall=2.00" Area (ac) CN Description 0.560 98 Tc Length Slope Velocity Capacity Description (min) (feet) (fi/fi) (fi/sec) (cfs) 10.0 Direct Entry, Blake S & G, PA Type II 24-hr Rainfall=4.00" Prepared by HydroCAD SAMPLER 1-800-927-7246 www.hydrecad.net Page 1 HydroCAD~ 6.00 s/n 000000 © 1986-2001 Applied Microcomputer Systems 3/26/2003 Subcatchment 4S: south of alley Runoff = 2.76cfs@ 12.01 hrs, Volume= 0.162af Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Type II 24-hr Rainfall=4.00" Area (ac) CN Description 0.560 98 Tc Length Slope Velocity Capacity Description (rain) (feet) (fi/fi) (fi/sec) (cf s) 10.0 Direct Entry, Blake $ & G, PA Type II 24-hrRainfall=4.00" Prepared by HydroCAD SAMPLER 1-800-927-7246 www.hydrocad.net Page 1 HydroCAD® 6.00 sin 000000 © 1986-2001 Applied Microcomputer Systems 3~26~2003 Subcatchment IS: north of alley Hydrograph Plot §. 5 6 7 8 9 11 12 13 14 15 16 17 18 19 20 Time (hours) Blake S & G, PA Type II 24-hr Rainfafl=4.00" Prepared by HydroCAD SAMPLER 1-800-927-7246 www.hydrocad.net Page 1 HydroCAD® 6.00 sin 000000 © 1986-2001 Applied Microcomputer Systems 3/26/2003 Subcatchment 1S: north of alley ~ ~ ~,,~' ~,: ~' Runoff = 5.73 cfs @ 12.01 hrs, Volume= 0.335 af Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hfs Type II 24-hr Rainfall=4.00" Area (ac) CN Description 1.160 98 25yr storm Tc Length Slope Velocity Capacity Description (min) (feet) (fi/fi) (fi/sec) (cfs) 10.0 Direct Entry, Blake S & G, PA Type II 24-hr Rainfall=200" Prepared by HydroCAD SAMPLER 1-800-927-7246 www.hydrocad.net Page 1 HydroCAD® 6.00 sin 000000 © 1986-2001 Applied Microcomputer Systems 3/26/2003 Subcatchment 2S: (new node) ~ i-! i " Runoff = 2.80cfs@ 12.01 hrs, Volume= 0.160af ~"~'.'~,.~ L'~-!"~v "'---- Runoff by SCS TR-20 method, UH=SCS, Time Span= 5.00-20.00 hrs, dt= 0.05 hrs Type It 24-hr Rainfall=2.00" Area (ac) CN Description 1.160 98 2 yr storm Tc Length Slope Velocity Capacity Description (min) (feet) (fi/fi) (fi/sec) (cfs) 10.0 Direct Entry, TECHNICAL SPECIFICATIONS for CONCRETE BATCH PLAT IMPROVEMENTS Prepared for: Fred Hill Materials PO Box 6 Poulsbo, WA 98370 (360) 779-4431 (360) 779-5509 fax Prepared by: _~~/~%~%~/0 ~ Quadra Engineering ~ P.O. Box 2356 J . '"' ." * 240W. Cedar Street · '. - J,L~ ' · Sequim, WA 98382 · ~ :' · (360) 683-7019 '" - ~' (360) 683-7087 June 5, 2003 All work shall conform to the Washington State Department of Transportation, and American Public Works Association, Standard Specifications for Road, Bridge and Municipal Construction (WSDOT Standard Specification), current edition. 1. STORM DRAIN SYSTEM 1.1 The storm drain conduits shall be corrugated metal or concrete and shall comply with specifications in Section 9-05.1 of the WSDOT Standard Specification. 1.2 The storm drain detention pipes, nipples and coupling bands shall be corrugated, aluminized steel, 16 gauge with 2 2/3 by % inch corrugations in the sizes shown on the plans, and as required by Section 9-05 of the WSDOT Standard Specification. Coupling bands shall conform to WSDOT Standard Plan B-13a, Type D. Gaskets shall be 3/8-inch thick be 1-inch wide neoprene. End caps and reducers shall be reinforced according to standards of Contech Construction Products, Inc, ((360) 357-9735) or equal. TECHNICAL SPECIFICATIONS Page 1 of 11 pages 1.3 Catch basins shall be 72-inch diameter Type 2 per WSDOT Standard Plan B-lf, and as shown on the plans, with frame and grate in compliance with Section 9-05.15(2) of the Washington State Standard Specifications for Road and Bridge Construction. 1.4 Oil adsorbent pads in each catch basin shall be 3M #PP-FL550DD in 5 inch by 50-foot lengths. The Contractor shall supply 5 total boxes so that additional oil adsorbent material is available for use upon completion of construction. 1.5 The storm drain pump station wetwell shall be 48-inch diameter Type 2 Catch Basin per WSDOT Standard Plan B-le, and as shown on the plans, with frame and solid lid per WSDOT Standard Plan B-2. 1.6 The storm water pumping system shall be manufactured by Hydromatic Pumps, Ashland, Ohio. The system shall include one pump (capable of pumping 50 gallons per minute against a total dynamic head of 20-feet), float switches, discharge plumbing with a hydraulically sealed discharge flange, Hydromatic ball check valve, pump mounting plate with bottom rail support, upper rail support, lifting chain, pedestal mount, and cord sealing plate for a NEMA IV junction box. The pump shall be Hydromatic model SP 50, 2-inch diameter discharge, 230-volt, 60 cycle, single phase. The pumping system is available from Pump Tech, Inc, Bellevue, WA, (425) 644-8501. The control panel shall be NEMA 4X with a locking hasp door. A pump circuit breaker shall be provided. The control circuit shall be 120-volt AC with a separate fused disconnect switch. H-O-A (hand-off-automatic) switch, run light and elapsed run time meter shall be provided. An alarm condition light and horn, with silencing switch, shall be provided and shall be mounted near the plant operator location. TECHNICAL SPECIFICATIONS Page 2 of 11 pages 1.7 Float switches shall be located as shown on the plans. 1.8 Pipe bedding and trench backfill shall be in accordance with Sections 2.11 and 2.12 of these specifications, 1.9 The contractor shall provide safety systems for trench excavation that meet or exceed the requirements of the Washington Industrial Safety and Health Act, RCW 4917 for all trench excavation that exceeds a depth of 4 feet. 2. WATER DISTRIBUTION SYSTEM 2.1 The water main may be polyvinyl chloride (PVC) or ductile iron (DI) pipe. 2.2 PVC pipe shall conform to the requirements of the American Water Works Association (AWWA), Specification C900. PVC pipe shall be pressure class 150 and shall have rubber ring and thickened bell joints. Solvent weld pipe joints will not be permitted. 2.3 Ductile iron pipe shall conform to AWWA Specification C151, thickness class 50, and shall be cement mortar lined in conformance with AWWA C104. 2.4 All fittings shall be ductile iron or class 250 gray iron in conformance with AWWA C110 and C111, and shall be cement mortar lined in conformance with AWWA C104. 2.5 Fire hydrants (if included) shall conform to AWWA Specification C502 for dry barrel hydrants; they shall be supplied with a 5¼-inch main valve opening, two 2¼-inch hose nozzles, and one 4-inch pumper nozzle; and shall be left opening, with a standard pentagon nut. Hose nozzle threads shall be in conformance with NFPA #194 for National Standard fire hose coupling hose threads. All hydrants shall have restrained mechanical joint fittings in accordance with Section 2.8 of these specifications. The hydrant valve shall be compression type where water pressure holds the main valve closed, permitting maintenance or repair of the barrel assembly from above ground under pressure. The main valve seal shall be an ether glycol urethane compound (or approved equal) that is abrasion and gravel resistant. TECHNICAL SPEC/FICA TIONS Page 3 of 11 pages The fire hydrant shall be a breakaway traffic flange type, which allows both barrel and stem to break clean upon impact from any angle. Traffic flange design must be such that repair and replacement can be accomplished above ground. All working parts shall be bronze or non-corrosive metal in accordance with the requirements of AWWA C502. Fire hydrants shall be provided with two 3/8-inch drain outlets and bronze plugs located at the base of the barrel. Painting and coating shall be in accordance with applicable AWWA Specification. 2.6 Gate valves shall conform to AVWVA C500 and shall be iron body, bronze mounted, double disk with bronze wedging device and O-ring stuffing box. Gate valves shall have mechanical joint ends, or mechanical joint by flange ends as shown on the plans. 2.7 Valve boxes shall be cast iron, two piece slip type, with coal tar enamel paint. The cover shall have the word "water" cast in it. 2.8 Restrained mechanical joint glands, where required, shall be the fully restrained type with twist off nuts to assure proper actuating torque of the restraining device. Restrained joint glands shall be Megalug Series 1100 manufactured by EBAA Iron Sales, Inc., or equal. 2.9 Service connections shall consist of ductile iron, bronze or stainless steel double strap with iron pipe thread saddles, bronze corporation stops and copper tube or polyethylene pipe service lines. Copper tube shall conform to ASTM B-88, Type K, with flared compression couplings conforming to AWWA C901 with joints in accordance with manufacturer requirements. 2.10 Water meter assemblies shall include an American 1/430 bronze meter class II conforming to AVWVA C701 and a horizontal inlet/outlet yoke with 30 inch minimum riser height, a bronze curb stop, and a concrete or polyethylene meter box. The meter box cover shall have the word "water meter" cast in it. 2.11 Pipe bedding shall be granular material conforming to WSDOT Standard Specification 9-03.16, installation shall conform to WSDOT Standard Specification 7-10.3(9)B. TECHNICAL SPEC/F/CATIONS Page 4 of 11 pages 2.12 Trench backfill in unpaved areas shall be native material placed and compacted in 12-inch lifts to 90% of maximum proctor density in accordance with ASTM 698-C. Trench back fill in paved areas shall be crushed surfacing top course per WSDOT Standard Specification 9- 03.9(3), compacted in 8-inch lifts to 95% of maximum proctor density in accordance with ASTM 698-C. 2.13 Concrete for thrust blocks shall have a minimum 28-day' compressive strength of 3000 psi. All blocks shall be poured against undisturbed earth. 2.14 Prior to system acceptance, the contractor shall, in sequence, open bore flush, hydrostatically test, and disinfect all water mains and services, and obtain a satisfactory bacteriological water sample analysis report. Hydrostatic testing shall conform to requirements of AVWVA C600. All air shall be removed from the system prior to testing. The test pressure shall be 200 psi and shall remain constant for one hour. If the pressure drops more than 5 psi during the initial hour, the contractor shall repair the system and retest or conduct a leakage test as directed by the engineer. Disinfection shall be with a calcium hypochlorite and water mixture and the resulting chlorine residual in pipes shall be 5 parts per million and shall be maintained for a minimum of 24 hours. The system shall be thoroughly flushed after disinfection. The contractor shall coordinate discharge of chlorinated disinfection water with the Washington State Department of Ecology SW Regional Office; 7272 Cleanwater Lane, LU-11; Olympia, WA, 98504; (206) 753-2352. 2.15 The contractor shall provide safety systems for trench excavation that meet or exceed the requirements of the Washington Industrial Safety and Health Act, RCW 4917 for all trench excavation that exceeds a depth of 4 feet. 3. PROCESS WATER SYSTEM 3.1 The process water main shall be ductile iron pipe conforming to AWVVA Specification C151, thickness class 52. 3.2 All fittings shall be ductile iron or class 250 gray iron in conformance with AWWA C110 and C111, and shall be cement mortar lined in conformance with AVVVVA C104. 3.3 Sanitary sewer manholes shall be as shown on the plans. TECHNICAL SPECIFICATIONS Page 5 of 11 pages 3.4 Pipe bedding and backfill shall be in accordance with Sections 2.11 and 2.12 of these specifications 3.5 The process water pumping system shall include a horizontally mounted centrifugal self-priming pump, float switches, discharge plumbing with gate and check valves as shown, a suction stariner and all required appurtences. The pump shall be capable of pumping 50 gallons per minute against a total dynamic head of 30-feet and shall have 3-inch suction and discharge piping connections. The motor shall 240-volt, 60 cycle, single phase. Self-priming horizontal centrifugal pumps are available from Beckwith & Kueffel, Seattle WA, (206) 767-6700. The control panel shall be NEMA 4X with a locking hasp door. A pump circuit breaker shall be provided. The control circuit shall be 120-volt AC with a separate fused disconnect switch. H-O-A (hand-off-automatic) switch, run light and elapsed run time meter shall be provided. An alarm condition light and horn, with silencing switch, shall be provided and shall be mounted near the plant operator location. Float switches shall be located as shown on the plans. The pump ON switch (at 2-foot water depth) shall have an override connected to the pH / Carbon dioxide system. 3.6 The pH sensor and carbon dioxide injection system shall be as follows: At 2-foot water depth the pH sensor shall measure the process water pH. If pH is between 6.5 and 7.5 the system shall signal the pump to start. If pH is less than 6.5 the system shall actuate carbon dioxide injection. After a 30 minute contact time the pH sensor shall measure pH. If pH is between 6.5 and 7.5 the system shall signal the lead pump to start. If pH is less than 6.5 the process shall repeat. The carbon dioxide injector shall consist of a perforated pipe or manifold configured to assure uniform distribution throughout the process water treatment pond. Controls shall be in a NEMA 4X enclosure for outdoor mounting. The pH sensor and carbon dioxide injection system is available from Clean Water Systems, Inc, Summner, WA (800) 525-7444 3.7 Process water meter assemblies shall include an American ~-430 bronze meter class II conforming to AWWA C701. TECHNICAL SPECIFICATIONS Page 6 of 11 pages 3.8 Pressure testing of the process water main shall be with Iow air pressure after installation is complete. Low-pressure air tests shall be done in accordance with the following procedures: Pipe plugs shall be placed at each open pipe end in manholes. The air test fitting type and location shall be at the Contractors' option. When all necessary test equipment is in place, a compressed air supply shall be attached to the air fitting on the test equipment and the air pressure within the line increased to four pounds per square inch. After the air supply is securely turned off or disconnected, there shall be a two-minute waiting period. In no case shall the air pressure within the line be less than 3.5 psi at the beginning of the test period. The test duration shall be two minutes and the allowable air pressure loss shall not exceed 1.0 psi. After completion of a test, the air pressure shall be released slowly through a valve incorporated in the test equipment. Air test plugs shall not be removed un[il the air pressure is no longer measurable. TECHNICAL SPEC/F/CATIONS Page 7 of 11 pages 3.9 The Contractor shall provide safety systems for trench excavation that meet or exceed the requirements of the Washington Industrial Safety and Health Act, RCW 4917 for all trench excavation that exceeds a depth of 4 feet, 4. PAVEMENT 4.1 Asphalt concrete pavement shall be class "B" and comply with specifications in Section 5-04 of the State of Washington Standard Specifications for Road and Bridge Construction. Asphalt concrete pavement shall be compacted to the depth shown of the plans. 4.2 Cement concrete pavement shall comply with specifications in Section 5-05 of the State of Washington Standard Specifications for Road and Bridge Construction. Cement concrete pavement shall be the thickness shown on the plans. 4.3 Crushed surfacing and gravel base shall comply with specifications in Sections 9-03.9(3) and 9-03.10, respectively, of the State of Washington Standard Specifications for Road and Bridge Construction. Surfacing shall be compacted to 95% of maximum Modified Proctor Density and base shall be compacted to 90% of maximum Modified Proctor Density in accordance with ASTM D-1557 to the finished depths shown on the Plans. 5. EXCAVATION AND EMBANKMENT 5.1 All driveway and road area excavation and embankment shall be to the lines and grades shown on the plans. All cuts in undisturbed soil shall have a maximum slope of 2.0 horizontal to 1.0 vertical. All embankment shall be placed on prepared surfaces stripped of top soil, roots, stumps an other organic material. Embankment in the batch plant vicinity only, may be placed and compacted over the existing cement concrete pavement. Embankment faces shall have a maximum slope of 2,0 horizontal to 1.0 vertical. Embankments in excess of 10 feet deep, on slopes steeper than 5.0 horizontal to vertical, shall be placed on prepared benches with vertical steps not in excess of 24 inches. 5.2 All embankment shall be Gravel Borrow in accordance with specifications in Section 9-03.14(1) of the State of Washington Standard Specifications for Road and Bridge Construction. embankment shall be compacted in 8 inch maximum loose thickness lifts to 95% of the maximum Modified Proctor density in accordance with ASTM D1557. TECHNICAL SPECIFICATIONS Page 8 of 11 pages 5.3 Gravel backfill for walls shall be in accordance with specifications in Section 9-03.12(2) of the State of Washington Standard Specifications for Road and Bridge Construction. 6. TRAFFIC CONTROL 6.1 All traffic control shall be in accordance with WSDOT Standard Specification 1-07.23 and City of Port Angeles requirements. TECHNICAL SPECIFICATIONS Page 9 of 11 pages 7. EROSION, SEDIMENTATION CONTROL 7.1 All clearing, grading, filling and drainage work shall conform to City of Port Angeles requirements. 7.2 The ditches and all areas disturbed by construction shall be planted with grass, to provide biofiltration of runoff and erosion control. 7.3 Upon completion of construction immediately revegetate all disturbed areas. The extent of the area of construction should be minimized. Existing vegetation around the construction site should be protected and maintained to the maximum extent posible. 7.4 Grass species shall be Kentucky Blue Grass, Tall rescue, Perennial Rye or Chewing rescue. The application rate shall be 120 pounds of seed per acre. All work shall be in accordance with section 11-5.4.3 of the Puget Sound Storm Water Management Manual. 7.5 Seeding success shall be evaluated one year after completion. If there is less than 40 % coverage, reseeding shall be performed using a different seed mixture and care regime. 7.6 Avoid construction during fall and winter or other periods likely to experience heavy rainfall. During heave rain, place visqueen sheeting over areas with exposed soil. 7.7 During extremely dry periods dust control with sprinkling may be required. 7.8 Upon completion of construction and periodically thereafter, accumulated silt and other debris shall be removed from the ditches, culverts, and catch basins for proper disposal. 7.9 Siltation fences, check dams, straw bales or other methods to prevent or control erosion will be required as shown on the Plans and during construction as required by the Engineer. 8. SITE CLEANUP 8.1 Final site cleanup shall include removal of all construction debris, temporary erosion control and traffic control measures as applicable. 8.2 Final site cleanup shall be accomplished to the satisfaction of the owner. TECHNICAL SPECIFICATIONS Page 10 of 11 pages 9. STRUCTURAL 9.1 All concrete work shall conform to the requirements of the ACI Detailing Manual, SP 66 and the ACI publication Mass Concrete for Dams and Other Massive Structures. Concrete shall have a minimum 28-day compressive strength of 4,000 psi and shall have 5% to 7% air entrainment in conformance with ASTM C-260. Structural design uses criteria based on 2500 psi concrete to eliminate UBC Special Inspection requirements. Reinforcing steel shall have a minimum yeild strength Of 60,000 psi in conformance with ASTM A-615. Lap splice bars as follows, unless noted otherwise: #3 bars, 16"; ~4 bars, 24", #5 bars, 30"; #6 bars, 42". Hook horizontal bars continuous at corners at lapsplice per above. Weld reinforcement only if sopecified or approved by the Engineer. A mill certificate to verify weldability, and appropriate welding procedures, in accordance with AWS D.14, will be required. 9.2 Titan Injection Anchors shall be 2 1/16-inch nominal outside diameter, 1 1/32-inch inside diameter grouted solid in 6-inch (approximate) diameter drilled holes into the underlying fill and native soil. Titan anchors and accessories are available from Con- Tech Systems Ltd, Delta, BC, Canada, (604) 946-5571. Grout shall be non-shrink in conformance with ASTM C-845T. 9.3 All structural steel fabrication shall conform to WSDOT 6-03. All structural steel plate shall be in conformance with ASTM A-36. All bolts, nuts, washers shall be in conformance with ASTM A-307, Grade A or B. Anchor bolts shall conform to ASTM A449. Welding shall be in conformance with AWS D1.1, Structural Welding Guide, current edition. All structural steel, bolts, anchor bolts, nuts and washers shall be hot-dip galvanized, after fabrication, in conformance with ASTM A153. Galvanized surfaces damaged during installation shall be field coated with zinc rich paint. TECHNICAL SPECIFICATIONS Page 11 of 11 pages TECHNICAL SPECIFICATIONS for CONCRETE BATCH PLAT IMPROVEMENTS Prepared for: Fred Hill Materials PO Box 6 Poulsbo, WA 98370 (360) 779-4431 (360) 779-5509 fax Prepared by: ~-~/~,.~/0 $ Quadra Engineering I/,~' ' -'. '.~ .%,~ P.O. Box 2356 J '/ :. ~"~"; ': * 240W. Cedar Street · '~ ': ~--'" ' Sequim, WA 98382 · :' ~ · (360) 683-7019 · ~ (360) 683-7087 June 5, 2003 , All work shall conform to the Washington State Department of Transportation, and American Public Works Association, Standard Specifications for Road, Bridge and Municipal Construction (WSDOT Standard Specification). current edition. 1. STORM DRAIN SYSTEM 1.1 The storm drain conduits shall be corrugated metal or concrete and shall comply with specifications in Section 9-05.1 of the WSDQT Standard Specification. 1.2 The storm drain detention pipes, nipples and coupling bands shall be corrugated, aluminized steel, 16 gauge with 2 2/3 by ¼ inch corrugations in the sizes shown on the plans, and as required by Section 9-05 of the WSDOT Standard Specification. Coupling bands shall conform to WSDOT Standard Plan B-13a, Type D. Gaskets shall be 3/8-inch thick be 1-inch wide neoprene. End caps and reducers shall be reinforced according to standards of Contech Construction Products, Inc, ((360) 357-9735) or equal. TECHNICAL SPECIFICATIONS Page 1 of 11 pages 1.3 Catch basins shall be 72-inch diameter Type 2 per WSDOT Standard Plan B-lf, and as shown on the plans, with frame and grate in compliance with Section 9-05.15(2) of the Washington State Standard Specifications for Road and Bridge Construction. 1.4 Oil adsorbent pads in each catch basin shall be 3M #PP-FL550DD in 5 inch by 50-foot lengths. The Contractor shall supply 5 total boxes so that additional oil adsorbent material is available for use upon completion of construction. 1.5 The storm drain pump station wetwell shall be 48~inch diameter Type 2 Catch Basin per WSDOT Standard Plan B-le, and as shown on the plans, with flame and solid lid per WSDOT Standard Plan B-2. 1.6 The storm water pumping system shall be manufactured by Hydromatic Pumps, Ashland, Ohio. The system shall include one pump (capable of pumping 50 gallons per minute against a total dynamic head of 20-feet), float switches, discharge plumbing with a hydraulically sealed discharge flange, Hydromatic ball check valve, pump mounting plate with bottom rail support, upper rail support, lifting chain, pedestal mount, and cord sealing plate for a NEMA IV junction box. The pump shall be Hydromatic model SP 50, 2-inch diameter discharge, 230-volt, 60 cycle, single phase. The pumping system is available from Pump Tech, Inc, Bellevue, WA, (425) 644-8501. The control panel shall be NEMA 4X with a locking hasp door. A pump circuit breaker shall be provided. The control circuit shall be 120-volt AC with a separate fused disconnect switch. H-O-A (hand-off-automatic) switch, run light and elapsed run time meter shall be provided. An alarm condition light and horn, with silencing switch, shall be provided and shall be mounted near the plant operator location. TECHNICAL SPEC/FICA TIONS Page 2 of 11 pages 1.7 Float switches shall be located as shown on the plans. 1.8 Pipe bedding and trench backfill shall be in accordance with Sections 2.11 and 2.12 of these specifications. 1.9 The contractor shall provide safety systems for trench excavation that meet or exceed the requirements of the Washington Industrial Safety and Health Act, RCW 4917 for all trench excavation that exceeds a depth of 4 feet. 2. WATER DISTRIBUTION SYSTEM 2.1 The water main may be polyvinyl chloride (PVC) or ductile iron (DI) pipe. 2.2 PVC pipe shall conform to the requirements of the American Water Works Association (AWWA), Specification C900. PVC pipe shall be pressure class 150 and shall have rubber ring and thickened bell joints. Solvent weld pipe joints will not be permitted. 2.3 Ductile iron pipe shall conform to AWWA Specification C151, thickness class 50, and shall be cement mortar lined in conformance with AWWA C104. 2.4 All riflings shall be ductile iron or class 250 gray iron in conformance with AWWA C110 and C111, and shall be cement mortar lined in conformance with AWWA C104. 2.5 Fire hydrants (if included) shall conform to AVVWA Specification C502 for dry barrel hydrants; they shall be supplied with a 5¼-inch main valve opening, two 2~-inch hose nozzles, and one 4-inch pumper nozzle; and shall be left opening, with a standard pentagon nut. Hose nozzle threads shall be in conformance with NFPA//194 for National Standard fire hose coupling hose threads. All hydrants shall have restrained mechanical joint fittings in accordance with Section 2.8 of these specifications. The hydrant valve shall be compression type where water pressure holds the main valve closed, permitting maintenance or repair of the barrel assembly from above ground under pressure. The main valve seal shall be an ether glycol urethane compound (or approved equal) that is abrasion and gravel resistant. TECHNICAL SPECIFICATIONS Page 3 of 11 pages The fire hydrant shall be a breakaway traffic flange type, which allows both barrel and stem to break clean upon impact from any angle. Traffic flange design must be such that repair and replacement can be accomplished above ground. All working parts shall be bronze or non-corrosive metal in accordance with the requirements of AWWA C502. Fire hydrants shall be provided with two 3/8-inch drain outlets and bronze plugs located at the base of the barrel. Painting and coating shall be in accordance with applicable AWWA Specification. 2.6 Gate valves shall conform to AWWA C500 and shall be iron body, bronze mounted, double disk with bronze wedging device and O-ring stuffing box. Gate valves shall have mechanical joint ends, or mechanical joint by flange ends as shown on the plans. 2.7 Valve boxes shall be cast iron, two piece slip type, with coal tar enamel paint. The cover shall have the word "water" cast in it. 2.8 Restrained mechanical joint glands, where required, shall be the fully restrained type with twist off nuts to assure proper actuating torque of the restraining device. Restrained joint glands shall be Megalug Series 1100 manufactured by EBAA Iron Sales, Inc., or equal. 2.9 Service connections shall consist of ductile iron, bronze or stainless steel double strap with iron pipe thread saddles, bronze corporation stops and copper tube or polyethylene pipe service lines. Copper tube shall conform to ASTM B-88, Type K, with flared compression couplings conforming to AWWA C901 with joints in accordance with manufacturer requirements. 2.10 Water meter assemblies shall include an American ~430 bronze meter class II conforming to AWWA C701 and a horizontal inlet/outlet yoke with 30 inch minimum riser height, a bronze curb stop, and a concrete or polyethylene meter box. The meter box cover shall have the word "water meter" cast in it. 2.11 Pipe bedding shall be granular material conforming to WSDOT Standard Specification 9-03.16, installation shall conform to WSDOT Standard Specification 7-10.3(9)B. TECHNICAL SPECIFICATIONS Page 4 of 11 pages 2.12 Trench backfill in unpaved areas shall be native material placed and compacted in 12-inch lifts to 90% of maximum proctor density in accordance with ASTM 698-C. Trench back fill in paved areas shall be crushed surfacing top course per WSDOT Standard Specification 9- 03.9(3), compacted in 8-inch lifts to 95% of maximum proctor density in accordance with ASTM 698-C. 2.13 Concrete for thrust blocks shall have a minimum 28-day compressive strength of 3000 psi. All blocks shall be poured against undisturbed earth. 2.14 Prior to system acceptance, the contractor shall, in sequence, open bore flush, hydrostatically test, and disinfect all water mains and services, and obtain a satisfactory bacteriological water sample analysis report. Hydrostatic testing shall conform to requirements of AWWA C600. All air shall be removed from the system prior to testing. The test pressure shall be 200 psi and shall remain constant for one hour. If the pressure drops more than 5 psi during the initial hour, the contractor shall repair the system and retest or conduct a leakage test as directed by the engineer. Disinfection shall be with a calcium hypochlorite and water mixture and the resulting chlorine residual in pipes shall be 5 parts per million and shall be maintained for a minimum of 24 hours. The system shall be thoroughly flushed after disinfection. The contractor shall coordinate discharge of chlorinated disinfection water with the Washington State Department of Ecology SW Regional Office; 7272 Cleanwater Lane, LU-11; Olympia, WA, 98504; (206)753-2352. 2.15 The contractor shall provide safety systems for trench excavation that meet or exceed the requirements of the Washington Industrial Safety and Health Act, RCW 4917 for all trench excavation that exceeds a depth of 4 feet. 3. PROCESS WATER SYSTEM 3.1 The process water main shall be ductile iron pipe conforming to AVVWA Specification C 151, thickness class 52. 3.2 All fittings shall be ductile iron or class 250 gray iron in conformance with AWWA C110 and C111, and shall be cement mortar lined in conformance with AVVVVA C104. 3.3 Sanitary sewer manholes shall be as shown on the plans. TECHNICAL SPECIFICATIONS Page 5 of 11 pages 3.4 Pipe bedding and backfill shall be in accordance with Sections 2.11 and 2.12 of these specifications 3.5 The process water pumping system shall include a horizontally mounted centrifugal self-priming pump, float switches, discharge plumbing with gate and check valves as shown, a suction stariner and all required appurtences. The pump shall be capable of pumping 50 gallons per minute against a total dynamic head of 30-feet and shall have 3-inch suction and discharge piping connections. The motor shall 240-volt, 60 cycle, single phase. Self-priming horizontal centrifugal pumps are available from Beckwith & Kueffel, Seattle WA, (206) 767-6700. The control panel shall be NEMA 4X with a locking hasp door. A pump circuit breaker shall be provided. The control circuit shall be 120-volt AC with a separate fused disconnect switch. H-O-A (hand-off-automatic) switch, run light and elapsed run time meter shall be provided. An alarm condition light and horn, with silencing switch, shall be provided and shall be mounted near the plant operator location. Float switches shall be located as shown on the plans. The pump ON switch (at 2-foot water depth) shall have an override connected to the pH / Carbon dioxide system. 3.6 The pH sensor and carbon dioxide injection system shall be as follows: At 2-foot water depth the pH sensor shall measure the process water pH. If pH is between 6.5 and 7.5 the system shall signal the pump to start. If pH is less than 6.5 the system shall actuate carbon dioxide injection. After a 30 minute contact time the pH sensor shall measure pH. If pH is between 6.5 and 7.5 the system shall signal the lead pump to start. If pH is less than 6.5 the process shall repeat. The carbon dioxide injector shall consist of a perforated pipe or manifold configured to assure uniform distribution throughout the process water treatment pond. Controls shall be in a NEMA 4X enclosure for outdoor mounting. The pH sensor and carbon dioxide injection system is available from Clean Water Systems, Inc, Summner, WA (800) 525-7444 3.7 Process water meter assemblies shall include an American ¢t.430 bronze meter class II conforming to AWVVA C701. TECHNICAL SPEC/FICA TIONS Page 6 of 11 pages 3.8 Pressure testing of the process water main shall be with Iow air pressure after installation is complete. Low-pressure air tests shall be done in accordance with the following procedures: Pipe plugs shall be placed at each open pipe end in manholes. The air test fitting type and location shall be at the Contractors' option. When all necessary test equipment is in place, a compressed air supply shall be attached to the air fitting on the test equipment and the air pressure within the line increased to four pounds per square inch. After the air supply is securely turned off or disconnected, there shall be a two-minute waiting period. In no case shall the air pressure within the line be less than 3.5 ps/at the beginning of the test period. The test duration shall be two minutes and the allowable air pressure loss shall not exceed 1.0 psi. After completion of a test, the air pressure shall be released slowly through a valve incorporated in the test equipment. Air test plugs shall not be removed until the air pressure is no longer measurable, TECHNICAL SPECIFICATIONS Page 7 of 11 pages 3.9 The Contractor shall provide safety systems for trench excavation that meet or exceed the requirements of the Washington Industrial Safety and Health Act, RCW 4917 for all trench excavation that exceeds a depth of 4 feet. 4. PAVEMENT 4.1 Asphalt concrete pavement shall be class "B" and comply with specifications in Section 5-04 of the State of Washington Standard Specifications for Road and Bridge Construction. Asphalt concrete pavement shall be compacted to the depth shown of the plans. 4.2 Cement concrete pavement shall comply with specifications in Section 5-05 of the State of Washington Standard Specifications for Road and Bridge Construction. Cement concrete pavement shall be the thickness shown on the plans. 4.3 Crushed surfacing and gravel base shall comply with specifications in Sections 9-03.9(3) and 9-03.10, respectively, of the State of Washington Standard Specifications for Road and Bridge Construction. Surfacing shall be compacted to 95% of maximum Modified Proctor Density and base shall be compacted to 90% of maximum Modified Proctor Density in accordance with ASTM D-1557 to the finished depths shown on the Plans. 5. EXCAVATION AND EMBANKMENT 5.1 All driveway and road area excavation and embankment shall be to the lines and grades shown on the plans. All cuts in undisturbed soil shall have a maximum slope of 2.0 horizontal to 1.0 vertical. All embankment shall be placed on prepared surfaces stripped of top soil, roots, stumps an other organic material. Embankment in the batch plant vicinity only, may be placed and compacted over the existing cement concrete pavement. Embankment faces shall have a maximum slope of 2.0 horizontal to 1.0 vertical. Embankments in excess of 10 feet deep, on slopes steeper than 5.0 horizontal to vertical, shall be placed on prepared benches with vertical steps not in excess of 24 inches. 5.2 All embankment shall be Gravel Borrow in accordance with specifications in Section 9-03.14(1) of the State of Washington Standard Specifications for Road and Bridge Construction. All embankment shall be compacted in 8 inch maximum loose thickness lifts to 95% of the maximum Modified Proctor density in accordance with ASTM D1557. TECHNICAL SPECIFICATIONS Page 8 of 11 pages 5.3 Gravel backfill for walls shall be in accordance with specifications in Section 9~03.12(2) of the State of Washington Standard Specifications for Road and Bridge Construction. 6. TRAFFIC CONTROL 6.1 All traffic control shall be in accordance with WSDOT Standard Specification 1-07.23 and City of Port Angeles requirements. TECHNICAL SPECIFICATIONS Page 9 of 11 pages 7. EROSION, SEDIMENTATION CONTROL 7.1 All clearing, grading, filling and drainage work shall conform to City of Port Angeles requirements. 7.2 The ditches and all areas disturbed by construction shall be planted with grass, to provide biofiltration of runoff and erosion control. 7.3 Upon completion of construction immediately revegetate all disturbed areas. The extent of the area of construction should be minimized. Existing vegetation around the construction site should be protected and maintained to the maximum extent posible. 7.4 Grass species shall be Kentucky Blue Grass, Tall Fescue, Perennial Rye or Chewing Fescue. The application rate shall be 120 pounds of seed per acre. All work shall be in accordance with section ~1-5.4.3 of the Puget Sound Storm Water Management Manual. 7.5 Seeding success shall be evaluated one year after completion. If there is less than 40 % coverage, reseeding shall be performed using a different seed mixture and care regime. 7.6 Avoid construction during fall and winter or other periods likely to experience heavy rainfall. During heave rain, place visqueen sheeting over areas with exposed soil. 7.7 During extremely dry periods dust control with sprinkling may be required. 7.8 Upon completion of construction and periodically thereafter, accumulated silt and other debris shall be removed from the ditches, culverts, and catch basins for proper disposal. 7.9 Siltation fences, check dams, straw bales or other methods to prevent or control erosion will be required as shown on the Plans and during construction as required by the Engineer. 8. SITE CLEANUP 8.1 Final site cleanup shall include removal of all construction debris, temporary erosion control and traffic control measures as applicable. 8.2 Final site cleanup shall be accomplished to the satisfaction of the owner. TECHNICAL SPECIFICATIONS Page 10 of 11 Pages 9. STRUCTURAL 9.1 All concrete work shall conform to the requirements of the ACI Detailing Manual, SP 66 and the ACI publication Mass Concrete for Dams and Other Massive Structures. Concrete shall have a minimum 28-day compressive strength of 4,000 psi and shall have 5% to 7% air entrainment in conformance with ASTM C-260. Structural design uses criteria based on 2500 psi concrete to eliminate UBC Special Inspection requirements. Reinforcing steel shall have a minimum yeild strength Of 60,000 psi in conformance with ASTM A-615. Lap splice bars as follows, unless noted otherwise: #3 bars, 16"; #4 bars, 24", #5 bars, 30"; #6 bars, 42". Hook horizontal bars continuous at corners at lapsplice per above. Weld reinforcement only if sopecified or approved by the Engineer. A mill certificate to verify weldability, and appropriate welding procedures, in accordance with AWS D.14, will be required. 9.2 Titan Injection Anchors shall be 2 1/16-inch nominal outside diameter, 1 1/32oinch inside diameter grouted solid in 6-inch (approximate) diameter drilled holes into the underlying fill and native soil. Titan anchors and accessories are available from Con- Tech Systems Ltd, Delta, BC, Canada, (604) 946~5571. Grout shall be non-shrink in conformance with ASTM C-845T. 9.3 All structural steel fabrication shall conform to WSDOT 6-03. All structural steel plate shall be in conformance with ASTM A-36. All bolts, nuts, washers shall be in conformance with ASTM A-307, Grade A or B. Anchor bolts shall conform to ASTM A449. Welding shall be in conformance with AWS D1.1, Structural Welding Guide, current edition. All structural steel, bolts, anchor bolts, nuts and washers shall be hot-dip galvanized, after fabrication, in conformance with ASTM A153. Galvanized surfaces damaged during installation shall be field coated with zinc rich paint. TECHNICAL SPECIFICATIONS Page 11 of 11 pages FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE Dau~ Appmwd: COMPLETE to be accepted for review, if you have any questions, call - (360) 417-4815 Da~ ~sued: Applicant or Agent: /~LAKE ,~3/D ¢l Ig~V'~'L. Phone: ..q~,O ~/-E O~: DAV~ ~AKE Phone: Ad.ss: ~90 ~, ~LAg~ AV~. Ci~: ~OUI~ Zip: ~n~n~: ~ UADRA ~N~ I~l~ Phone: ~n~aot~ State Lic~ g: Exp: Phone: Ad~: CiW:. Zip: LEG DES ION: Lot: -IOqlS-17 97 Su ivisi : C L CO P CEL : 0 3000009 1 O& OOOOO9 Credit Card Holder Name: Billing Addre~:. Cit~: Credit CardType V'ISA MC __ # , , Exp. Date: D Residential X New Constr. [] Re-roof D Stove ,' SF. ~ $ /SF. = $ · D. Muifi=fan~ly [] Addition El Movo ~,Co~ 13 Remodel }l~Den~lition [] Deck,' ~ R~Pai~' [] Sign O Other TOTAL VALUATION $ COMI~ERCIAIffRE~I~ENTIAL: Occupancy C'toup:. No. ~f Stories: Lot Size: lo b AC Existing Sq. FL & Proposed Sq. Ft. -- TOTAL Sq. Ft.__ Existing lot c0v~rag~ % & Proposed lot coverage % = Total lot coverage % APPROVALS: PLANNING USE ONLY: PLA~:. BLDG: __ DPWU:__ EgA/Wctland(s): n Yes ~l No SEPA CheckliSt required7 ~ Yes D No Ot~er. BUILDING PERMIT APPLICATION SUBMITTAL: The Build~g Division can provide you with information on the application and plan submittal requi~erne~ts if you h~ve questions. VALUATION OF CONSTRUCTION: la aU cases, u valuation amount must be entered bythe applicant. This figme will be reviewed and m~y be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417--4515 for ~s$istanee. PLAN CH~CK FEE:/F a plan check f~e is due it must b~ submitted at the lime the building permit application and conslxuctiou plans axe submitted. All c~h~ permit £e, es are due at ~ ~ ofl~rmit issuance. EXPIRATION OF PLAN REVHgWf lfue penmt is issued within 180 days of the clat~ of application, the application will expire. The Building Official can extend the time for action by the applicant ap to 180 days upon written request by the applicant (see Section 107.4 o the Uniform Builclin~ Code, current editiou). No application can be extended more than once. I h~reby ¢o~ffyff~at I h~¥e ~ad a~d o~orn~o~ this opp#ca~a ~e~stam~ t~at # is my m~ponsib#ity to determine w~at po~m#s ar~ ~ct~l. ,~t t~o Q~/'s, a~ that I mus~ o~aia s~ ~o~its ~#or to work CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000327 Date 3/25/03 Property Address ...... 720 MARINE DR ASSESSOR PARCEL NUMBER: 0630000097150000 Tenant r~br, name ...... NORTH EAST BUIDING Application description . . . DEMOLITION Property Zoning ....... Application valuation .... 15000 Contractor BLAKE SAND & GRAVEL INC A J WEBB CONSTRUCTION CO. 490 SOUT~ BI~/fE AVE 300 WEBB RD SEQUIM WA 98382 SEQUIM WA 98382 (360) 683-7121 ...... Structure Information DEMO EXISTING BLDG AT NORTH EAST COP~NER Construction Ty~e ..... TYPE V NON-RATED Occupancy Type ...... GARAGES, CARPORTS, SHEDS Permit ...... DEMOLITION Additional desc . . Permit Fee .... 47.00 Plan Check Fee . . .00 Issue Date .... 3/25/03 Valuation .... 0 Expiration Date . . 9/21/03 Qty Unit Charge Per Extension 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 t/ype of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to viola/~ or cancel the provisions of any state or local law regulating construction or the performance of construction/-'~ ~/ ~ i Sign~r,e6f Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date ! b. T:\PLANNINGWORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAFNAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMB1NG UNDER FLOOR / SLAB BUILDING 417-4815 O~/0 ~//~) ~-~ ~ I ~'-' BUILDING // FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION ~l LIGHT DIVISION ~ ENERGY ~ ENGINEERING ~ POLICE DEPARTMENT ~ ADMINISTRATION ~l CITY CLERK ~ RISK MANAGEMENT FROM: PUBLIC WORKS/BUILDING DIVISION ~ NEW CONSTRUCTION 22[ ADDITION/ALTERNATION COMMENTS/CONDITIONS: J~ REVIEW/RETURN ~l FILE FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION Permit #: Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review. If you have any questions, call Date Issued: (360) 417-4815 Applicant o~r Agent: i~-~', (dC~ CO/k~¢ ~:O. Phone: Architect/Engineer: Phone: Contractor fi ,~'-d.,~J3b (caxs~ co. State License #: gJv4~bCO';S~13'ffExp: /-/3-~0f- Phone: PROJECT ADDRESS: ZONING: LEGAL DESCmVT ON: Lot: 24 Block: c/7 Subdivision: CLALLAM COUNTY PARCEL NUMBER: O~.~ ~C:5~.,~'",j~ C~ "~ Credit Curd Holder Name: Billiu[ 6~dresp: City; , Credit CardType VISA__MC __ # " ~ : Exp. Dute: TYPE OF'WORK: · :'SIZE/VALUATION: [~ R~sidential .. [] New Constr. [] Re-roof [] Stove .2~00 SF. ~ $~/SF. = $ [] Multi-family [] Addition [] Move [] Garage SF. ~ $ /SF.--$ [] Commerbiat [] Remodel ~ Demolition [] Deck : ...... ' SF. ~ $ /SF. = $ [] R~pair [] Sign [] Other_ TOTAL VALUATION $ ...... ~..~OM~ER~ SIDENTIAL: Occupancy Gr0up: ~ (3ccupant Load: ~_ Construction Type: No. of Stories: __ Lot Size: Existing Sq, Ft, & Proposed Sq. Ft, = TOTAL Sq,Ft. Exisfir,s lot covera~,e __ % & Proposed lot coverage __% = Total lot coverages% APPROVALS: PLAN: PLANNING USE ONLY: BLDG: DPWU: ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [3 Yes [] No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 tir~ 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 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby cett/fy 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 T:\FORMS~APPS\Buildingpermitwpd Applicant: t,/-~ ~__.,~/t Date: ~'~' SITE PLAN DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION APPLICANT: PHONE: PROJECT/DEVELOPMENT ADDRESS: See Page 4 for instructions on completing the site plan. For more information, call 417-4815. Northwest Asbestos Consultants 406 Reed St. Port Townsend, WA 98368 360-385-0584 huggybear~olympus.net Date.' 3/03/03 ~ Demolition Contact: AJ Webb Construction 300 Webb Rd. Port Angeles, WA 98362 ~ 718 Marine Drive Port Angeles, WA 98362 Owner: Blake Sand & Gravel, Inc. 720 Marine Drive Port Angeles, WA 98362 Bob Witheridge ! AHERA - Building inspector / Management Planner WAMOA- 0042-02 Expires - 11/01/03 1) Building survey and inspection to inspect for asbestos containing building materials (ACBM). 2) Survey, sample and record suspect materials. 3) Copy for Owner, AJ Webb Construction City of Port Angeles and Olympic Air Pollution Control Authority. The inspection started with access from A.J. Webb Construction. The building was of wood frame structure on CMU blocks and cement footings. Roofing was rolled asphalt. Rolled metal siding. No suspect asbestos containing building materials were found. Summary_ of Inspection: I find this building free of asbestos containing building materials and ready for demolition as according to the regulations of Olympic Air Pollution Control Authority and EPA guidelines. With all areas inspected there is always the possibility of some area non accessible by visual or destructive inspection. If during the demolition any suspect materials are found, contact me for further inspection. Sincerely, Bob Wltheridge, E.F.M. WASHINGTON ASSOCIATION of MAINTENANCE and OPERATIONS AO~INISTRATORS THIS IS TO CERTIFY THAT Bob Witheridge Participated in the EPA AHERA BUILDING INSPECTION I MANAGEMENT PLANNER Refresher course offered by the WASHINGTON ASSOCIATION of MAINTENANCE and OPERATIONS ADMINISTRATORS The full day training program covered all topics specified in the Model Accreditation Plan under Section 206 of Title II of TSCA The refresher coume was taken on November 1, 2002 In Silverdale, Washington. In combination with the Individual's initial certification, this certificate extends accreditation for the above named person through 11101103 WAMOA-0042-02 ~ Certificate Number Colin MacRae Course Administrator PORT ANGELES LANDFILL WASTE DISPOSAL APPLICATION To: City of Port Angeles, City Engineer Phone: (360) 417-4803 321 E Fifth Street FAX: (360) 417-4709 P.O. Box 1150 Port Angeles, Washington 98362 NOTE: All questions must be answered for waste to be approved. 1. Generator Information: Company Name: Mailing Address: ~.) ¢,~.4~,.,5 ,~, Contact: Phone: Project Name: ._ ., Project Location: ' .-'Z2.-O //-/J,,~,~ ~-i~/~. 2. Other Contacts (if applicable): Consulting Firm: <~_¢,...j~._ ~ ,Z~.~:; ...~c Contact: Phone: Contractor Name: Contact: ,,~. Phone: ~,~ Laboratory: Contact: Phone: City of Port Angeles - Landfill Waste Disposal Application Pag? - 1 3. Source of Waste: Check the appropriate box below and briefly describe the project, process, and/or cleanup th~ will or has produced the waste requiring disposal. Include the gasoline service station number (if applicable). CERCLAJMTCA Remediation Agency Contact: Independent Remedial Action __ UST Removal Unused Chemical Product 8pill ~_. Other 8ource: 4. Waste Material Composition: (check all that apply and include percent of total) Soil ~% __ Foundry Slag Concrete/Asphalt __% __ Dredge Sediments % Preserved Wood % ~ Debds Coal Ash % __ Other (list) Wood Ash % % % NOTE: Total must equal 100%. 5. Waste Material Contaminants: (check all that apply) Gasoline Metals Diesel Solvents __ Heating Oil __ PCBs Unused Motor Oil Used Motor Oil/Waste Oil Other ~C> ~ ,i/)~.,~.,~ __ Other Petroleum Product Unknown NOTE: Supply any MSDS information with application, if available. City of Pod Angeles - Landfill Waste Disposal Application Pag~e - 2 6. Estimated Quantity of Waste for Disposal: '~' Cubic yards / ?..5"- Tons (estimate both) Drums / 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 Waste Sampling: Proper characterization of the waste for disposal requires the collection of representative samples. The methods and equipment necess.a, ry 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 bdefly descdbe 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 Number of DISCRETE samples. NOTE 1: Unless prior approval has been granted by Pod Angeles, the following sampling frequency will be used: 0 - 25 cubic yards = 1 composite sample 25 - 100 cubic yards = 3 composite samples 101 - 500 cubic yards = 5 composite samples 501 - 1000 cubic yards = 7 composite samples 1001 - 2000 cubic yards = 10 composite samples >2000 cubic yards = 10 plus one sample for each additional 500 cubic yards NOTE 2: One composite sample shall contain a minimum of three/maximum of five discrete samples. City of Port Angeles - Land[ill Wasle Disposal Application Page - 3 9. Waste Analysis: -~ The "Dangerous Waste Regulations" (WAC 173-303) shall be utilized to determine th appropriate analyti,c~,,,I requirements for waste characterization. Ecology Publi.cation #91-30 (Revised April 1994) 'Guidance for Remediation of Petroleum Contaminated Soils shall a so 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 __ 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 I Class 2 Class 3 Class 4 Calculated Hazard Index 11. Dangerous Waste Affidavit: Based on a review of the analytical test results, site history, and the applicable regulations, this waste is classified as: (check one) Neither Dangerous Waste (DW) nor Extremely Hazardous Waste (EHW) Dangerous Waste (DW) and Waste Code: Extremely Hazardous Waste (EHW) and Waste Code: City of Pod 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 wast~ matedal to the best of our abilities. 'W~G ~c'~i~~ra tu re Printed Name Company Date City of Port Angeles - Landtill Waste Disposal Application Page - 5 MAILING ADDRESS 4gO ~ Rlal~e Avenue: Sequim_ WA 98382 '~ PHONE NUMBER 360-681-2877 ~'~ STREET ADDRESS OF PROPOSED STREET USE 720 Mmine Drive ~ DE~RIPTION OF REQUEST (inCa d~gs ~uk~ ~r cl~}: Ill st~t ~m ~ ~st~, p~ase sta~ ~ ~me of~e stm~ and ~m~s ~ ~um, t~er ~ ~ dum~ of ~um.] ~ See sheet 2 of 3his application for s~tement ~ I$ THE USE TEMPORARY OR PERMANENT? P~an~nt HOW LONG WILL THE OBSTRUCTION BE IN PLACE? WHAT ARE THE HOURS OF OPERATION? Normal business hours 7:00 AM - 5:00 PM HOW IT WlLL BE LIGHTED?, General area and safety lighting EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET, SIDEWALK OR PLANTING STRIP. ARE THERE ALTENATIVE AREAS THAT COULD BE USED? ~ ~h~et 2 nf'thi~ np?lieatinn for ~tatement HOLD HARMLESS and INDEI~IIFICAllON AGREEMENT " In comp~ance w~ t~e Port An~ Municipal Code, and in a~si[fe~rlion of the issuance by the City of Po~t Angeles of a Shee{ Use Pormit to the undersigned ellewi~g the placement of the al:eve described areet use or obstructkm, the unde~igned for himself and for his succe~ors In Intem~t, hereby ogree~ ~o indamnl~, hold harmless, and defend the City ~f Pod Angele~ againat lawsuits for personal injury or i~oparty damage arlNng out o1. o~ ~ any way cennacted with, Ihe plaoemeflt of the u~ cr obstmcti~e ,,,"';,,{ L. ~ ~ ~ ! Applicant ' - .'= tqOTAR¥ =. ~ ...~ ~"'?~. ~!~.= SUBSCR[BED and sworn to before me thls~! day of ~/~ ,200..~ '-,~:..~"~..-,~,~4¢ NOTARY PUSU¢/, a.~ [0~ ne ,~.t~,o~ ~H~it~ Washington residir~at ~ [OFm~E USE ONL Y~ I~.1,: ~licati~a p~r o v e~reco m~r~n ;ticm by wC: th/hE n g i RU~# 0264 ROW Usc Permit Application 1 of:3 Applicants Supplemental Statement for Right of Way Use Permit: I hereby request the City of Port Angeles issue a Right of Way Use Permit to allow the private use of a portion of the alley between Marine Drive, Tumwater Street and Third Street. The specific limits of this use permit area are: That portion of the 20 foot wide public alley east of Marine Drive at 720 Marine Drive (APN 063000009715) and North of Third Street, from 165 feet east of Marine Drive to 432 feet east of Marine Drive (267 feet total). This area will be used for the exclusive operation of a concrete batch plant to be installed on the applicant's property. Because the alley bisects the two parcels owned by the applicant, the ability to utilize both parcels together as one business is significantly hampered. With the two sites totaling 1.6 acres, there is sufficient area to handle the proposed concrete batch plant. There is not enough area on either parcel alone. This permit will allow the applicant to restrict general public access to areas where heavy equipment will be operating. Within the 20' alley, there will be an ecology block wall, four hoppers for loading aggregate and four conveyors moving the aggregate to the batch plant. Access to public utilities by authorized personnel will be made available. The project will underground the existing power and phone overhead facilities through the site. The alley is not currently used by the public from 165 feet east of Marine Drive easterly. The alley is physically blocked with material being stored on site and no through travel east to Tumwater Street is possible. With the alley bisecting the proposed batch plant site, normal business operations would endanger any general public alley user. Safety conditions would be greatly enhanced by allowing the applicant to have exclusive use of the requested 267 feet of alley. The only property owner affected by this closure is Union Oil, who does not use the alley because their land sits vacant. See sheet 3 for sketch. 0264 ROW Use Permit application 2 of 3 RIGHT OF WAY USE PERMIT IN THE CITY OF PORT ANGELES SHEET DRAM B)~' DA7~ SCALE PROJECT NO. 3 ~F 3 Q£I 03/~0/03 ~1'=.100' OE'-~4 INC;. 0264 ROW Use Permit application 3 of 3 03/20/2003 THU o9:10 FAX ~001 AGREEMENT TO REMOVE ENCROACHMENT within PUBLIC RIGHT-OF-WAY WHEREAS: We, the undersigned owners in fee simple of the following described property: 7Z~O /~,4~ It~E. ~PN: 0~3000o0~715 ~/ do hereby ackn~ledge that private impmvemen~ have b~n or will be const~cted in the next ~ ~ 0 days by us wi~in the adjoining public street or road~y des~ibed as ~E ~LLEY ~N ~A~IUE DR.: TuN~ 5~ 4 NOW, THEREFORE: We do hereby agree that sa~ e~roaching private ~pmvements including, but not I~ited to, ~A~. HOPPER ~lN~; C0~vEYOR S and ass~iated appu~enan~es shall be e~editiously demolished, removed, m~ified, rebuilt or restored at the undemigned owners expense within six~ (~) da~ of r~ipt of wriaen notice from the City Engineer with w~ to be done in accordan~ with the requirements and ~nditions d~med n~essa~ by ~e Ci~ Engineer or his designee at su~ time as ~e C~ finds ~at E is ne~ssa~ to m~i~ the use ~er~f. If the required work is not done in a timely fashion an~or if ~e woffi d~ not meet the r~uirem~ and ~nd~ions set fodh, the CAy is authorized to have the work done and the cost thereof including reasonable ove~ead and a~omeys fees shall b~e a civil debt of the prope~y owners and shall be a lien against ~e ~ope~. We do also hereby agree that ~e Ci~ Engineer m~, ~out noti~, remove ~e private improvements as n~ssa~ to repair utilities or other public facilities and that ~e City has no obligation to r~nstruct or repla~ such private improvement. The prope~ owners agree to indemni~, hold hermits and defend ~e Ci~, its employees, agents and ass~ns from and against all claims or lawsuits as alleging inju~ or damage to pemons or pmpe~ as a result of the construction and location of the private improvements as pmvid~ h~. It is agreed that this agreement shall ~n w~h the land and shall be binding on the undemigned owners, ~eir heirs, devisees, suc~ssors and assigns and all owners now or her~ffer of ~e land ~cribed a~e. STATE OF WASHINGTON ) COUNTY OF cLALLAM ) On ~/~a~(~ ~{~f~_~e the undersigned Notary Publlc in and for the State of Washington, personally appeared .-~ , Io me known to be the individuals who executed the foregoing Agreement to Remove Encroachment within Public Right-of-W ay and acknowledged to me thatthey signed the same for the uses and contents therein mentioned. DATED this~-'( day of ~'~"~ , ;~003. N~(:~'~r _Washingtog. residing at ACORD. CERTIFICATE OF LIABILITY INSURANC 03/24/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MAT~ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE M.M. Fryer & Sons Ins. Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 134 7 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Port Angeles WA 98362 Phone: 360-457-1144 Fax: 360-457-9440 INSURERS AFFORDING COVERAGE 1369 Cays Road INSURERD: Sequim WA 98382 A X COMMERCIAL GENERAL LIABILIT~ C18 10-52-29 02/19/03 02/19/04 FIREOAMAGEIAnyonefire) $100,000 I CLAIMS MADE I~ OCCUR MED EXP (Any one person) $ 5; 0 0 0 PERSONAL & ADVINJURY $ 500 , 000 POL,DY l Loc ALL OWNED AUTOS BODILY iNJURY ~ SCHEDULED AUTO$ C18 10-52-29 02/19/03 02/19/04 (Perpers°n; $ ~xcE~ ~.AD,.*~ ~C. ~CURRE.CE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF DE ERATIONS/LOCAT] ORS/VEHlC L ES/EXC L USIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Operations of the above insured. CERTIFICATE HOLDER '1N I ADDITIONAL INSURED; INSURER LE1TER: -- CANCELLATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Port Angeles Port Ang.les WA 98362 REPRESENTATIVES. I Daniel J. Fryer ACORD 25~ (7197) -- Ii~ACORD CORPORATION 1988 '~' CITY OF PORT ANGELES °~ DEPARTMENT OF COMMUNITY - DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ADplication Number ..... 03-00000325 Date 3/2S/03 Property Address ...... ?20 10~II~g DR A~SESSOR ~A~CEL NaI~ER: 0630000097150000 ADplication description . . . PUBLIC WORKS UTILITES Property Zoning ....... Application valuation .... 0 Owner Contractor Additional desc . Expiration Date . . 9/21/03 Se parate 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\ 1102.15 [4/2002 ] /- AGENDA BUILDING APPLICATION REVIEW COMMENTS DATE. MARCH 24, 2003 LOCATION SEND COMMENTS TO PERMIT COUNTER ITEMS TO BE REVIEWED WDk03-OZ- 0'7-04 1 REVIEW PLANS FOR A 110 SQ. FT ADDNT TO EXISTING DETACHED GARAGE TO BE LOCATED AT 908 EAST 8TH STREET FOR DENISE CLARK. A//C- "'/ 2. REVIEW PLANS FOR A NEW 576 SQ. FT DETACHED GARAGE TO BE LOCATED 45 ~ K{J q.~ '!J2. AT 902 SO K STREET FOR SHARON FOSTER. ;.,I /1/ / .:;.--- 7 +5 gJ2. < 3. REVIEW PLANS FOR A NEW 1563 SQ. FT SFR WITH 540 SQ. FT ATTACHED !R40gJ2 GARAGE TO BE LOCATED AT 616 SO LIBERTY STREET F.OR JESSE PARENT I02-Sef2. ""YY'lvew~ 7,'S'-f-r'''""", pI"'DyDc..r4-~ en,,""""') WA-reV'" ~ 54,., S-e v.J~1'" ;'" ~t7~ "i>1 4. REVIEW PLANS FOR A CONCRETE BATCH PLANT TO BE LO~A1'"Eo AT 720 746P..BdltJk MARINE DRIVE FOR BLAKE SAND & GRAVEL.(PRELlMINARY ONLY) I ONLY HAVE ONE SITE PLAN WHICH WILL BE SENT AROUND (fne"'T"Rf.-;) l"Z.') ~11'= blSpOSlw.- ~pL-ICA-'flons 1-J40515EB1-t A,OpfOLJd - Srd. g.u>~ r-o 1:.~ Demcn....js.~e..::f> - J.J4-()C ~O-r R.rL'El> A-ppt..le.A-TiD!'\ rh ~ ree:;y Ie rn.~~ -::Pel vt;: m.A--f... op~ 3'5 consTe.Dc:..-T -ro C.IT~ ST.4hD~.s ~ A--i.1 Y'.-e~, r e. bM'2 / Yh es~ bel e.... TD -r". a...FF I c... -r y pe - _ E:l.ISTI ~t., Wf\-Te.V- s e Y"l/ I c..e... YY\ ~ ne.e..:]) L 0 8-E: R€1.L:XJ+71Sl co sT -r L Yn. E ~ M ~ Te......./ d....J-,..... - I.()A-Te1e... S"vc::.. IV / ,'-(...J 14 0 T IS t? PiA-eEl> /'iJ DVIVe.UJ~~ ~* - i5T~ern 1::>e.A-/ ~E *S ~Jk wn, PRO~&S wt'T-T~ -ro CDl"'Ylp L-i LOITi-\ 1=>+i FA-t:..>TOre..S, S-ET 13 '/. w"A-So'TE 1AJA-TE"J2.. -rre.d-VYle.rp- -p te...o posa Co PLEASE SUBMIT COMMENTS TO PERMIT COUNTER. THANK YOU LOG.4.. 7~T.VD'J TRENIA GAIL JOHN H. GARY KEN RON B. SUE BILL H. IT t "D1f ? PLEASE SUBMIT COMMENTS- IN WRITING -3rcL sTyee..T to BE l \lY\pV-Dved.. ~ S'W..Vwh Co Y\~Y'e1"€.... lor ~p~T '<.1 w use- "Fe r: Vl-t. ~-=r. 03- I D t+As B EEN 4pprt)V~ D FO v lAse OF fJrt...U;;.y - ST, VJ'1-G. JeeQ, IS BEl ~ Pvoce;:SII?J) o ~ ~ ~ F..........'................ JO..........R...... ...T.....~'............;.. .N.......G......E.'.....,'.L:..E"......,iS.......' :__:- '/; :: ! ;;';';' i _ i '_ ; ,- '~. . .; ; i' -~ ",- WAS H I N G TON, USA DEPARTMENT OF COMMUNITY DEVELOPMENT DATE March 25, 2003 To Roger Vess, PermIt Coordmator Sue Roberds, AssIStant Pl~ I BuildIng PermIt ApplIcatIOns - Week of March 24,2003 FROM. RE 1 Property Owner Address Demse Clark 908 East 8th Street The sIte IS 7,000 square feet In area and IS located In the CN, CommerCIal NeIghborhood zone The proposal WIll result In the constructIOn of an addItIOn to a detached garage for a total square footage of 1642 square feet and 2345% lot coverage. No land use Issues are noted. 2. Property Owner Address Sharron Foster 902 "K" Street The sIte IS 14,000 square feet In area and IS located In the RS-7, ResIdentIal SIngle FamIly zone The proposal WIll result In anew detached 576 square foot garage structure for a total lot coverage of 197%. Setbacks are appropnate as shown. No land use Issues are noted. 3 Property Owner Address Robert Parent 616 South Liberty Street The sIte IS 7,000 square feet In area and IS located In the RS-7, ResIdentIal SIngle Farmly zone The proposal WIll result In a new sIngle story 2103 square foot SIngle famIly resIdence WIth a total lot coverage of24% No land use Issues are noted. [- 4 Blake Sand and Gravel -I 720 Manne Dnve ~ Property Owner Address The sIte IS located III the Industnal, Heavy zone. There IS no lot coverage In the zone but a 15' setback IS reqUIred from ThIrd Street and Manne Dnve No permanent stmctures are currently planned for the sIte III thIS development. Lot coverage IS not an Issue The Department has no land use concerns at thIS trme but IS proceSSIng a SEP A ChecklIst whIch WIll not be finaled untIl April 3, 2003 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application NUmber ..... 03-00000114 Date 2/06/03 Property Address ...... 720 MARINE DR ( ) ...... Structure Information DEMO STORAGE BLDG ..... Expiration Date . . 8/05/03 Qty Unit Charge Per Extension ............................................................................Other Fees ......... STATE SURCP~RGE 4.50 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 Qr cancel the provisions of any state or local law regulating construction or the performance of constructiom ~-~, // /~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T;\?LANNING\FOAM$\ I ]02.] $ [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 41%4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT]S 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 I ACCEPTED COMMENTS YES I NO WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW ! WATER AIR SEAL WALLS CEILING FRAMING ]OISTS/ GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-DAR INSULATION MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERI'dlT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT, 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION E.W. / PW/ CONSTRUCTION - ENGINEEK[NG 417-4807 PW / ENGINEERING FIKE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BU1LDINO 417-481~ ~ q JOiA ~'.~ ~ ' ~.~. BUILDING T:\PLANrNING\FORMS\I 102.15 [4/2002] BUILDING PERMIT - APPLICATION ! r Date Approved:. The Bu~ldtng Permit Application must be filled out com~iele[y. Please type or print in in~ If you have any questions, please call 417~815 Applicant or Agent: BI~C~ 5~ ~ G~ Phone: Contractor (0 S License /.ffq5 xp: Phone: LEG~ DESC~PTION: Lot: Block: Subdivision: CL~L~ COUNTY P~CEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card ~: Exp. Date: ~SA MC TYPE OF WO~: SIZ~UATION: ~ Residential ~ New Com~. ~ Re-roof ~ Wood-stove ~ SF. ~ $. /SF. =S · /'~,/ ~ Multi-f~ly ~ Addifon ~ Move U G~age SF. ~ $. /SF. = $ ~ Co~ercial ~ Remodel ~ Demolition U Deck SF. $ /SF. ~ Repa~ ~ Sign ~ TOTAL V~UATION $. No. of Stories: ~ Lot S~e: % Lot Coverage: E~sting Lot Coverage: /sq. ~. + Proposed Lot Coverage: /sq, ff. = TOTAL LOT COVE~GE: PL~G USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPW ES~etl~d(s): O Yes ~ No SEPA Chec~ist requked? ~ Yes ~ No O~er: O~R B~LDING PE~IT ~PLICATION S~MI~: Your application and site plan must be filled out eompletely to be accepted flor review. The Bulldog Division c~ provide you wi~ more detailed ~omtion on ~e application and plan sub~l requir~nts. Yo~ co~leted application, site plan (for additions) and build~g cons~ction plans me to be subdued to ~e Building Division. V~UATIO~ OF CONSTRUCTION: In all cases, a valuation amount must be entered by ~e app~c~t. T~s fig~e Mll be reviewed and my be revised by the Bulldog Division to co~ly Mth c~ent fee schedules. Contact the Pe~t Coord~ator at 4174815 for assistance. PL~ CHECK FEE: Yo~ pl~ ch~ck fee is due at the t~e the bulldog pe~t application and cons~ction plans ~e sub,Red. All other pemt fees are due at ~e t~e ofpemt issuance. E~I~TION OF PL~ ~W: If no pe~t is issued wit~ 180 days of the date of application, ~s application will expire. ~e Build~g Official can extend the ~e for action by ~e applic~t up to 180 days upon ~i~en request by ~e applicant (see Section 107.4 of the Umfo~ Building Code, c~ent edition). No application can be extended more ~ once. I hereby cert~ that I have read and examined this application and ~ow the same to be ~ue and co,ecL and I am authorized to apply for this pemit I understand it is not the Ci~'s legal responsibili~ to determine hat ermits ~e required; it remains the applicant's responsibili~ to determine what permits' are required and to obtain Northwest Asbestos Consultants 406 Reed St. Port Townsend, WA 98368 360-385-0584 huggybear@olympus.net Date: 1/24/03 Subject: Demolition Contacl: AJ Webb Construction Port Angeles, WA 98362 ~ 718 Marine Drive Port Angeles, WA 98362 Owner: Blake Sand & Gravel, Inc. 720 Marine Drive Port Angeles, WA 98362 Bob Witheridge AHERA - Building inspector / Management Planner WAMOA - 0042-02 Expires - 11/01/03 1) Building survey and inspection to inspect for asbestos containing building materials (ACBM). 2) Survey, sample and record suspect materials. 3) Copy for Owner, AJ Webb Construction City of Port Angeles and Olympic Air Pollution Control Authority. The inspection started with access from Greg Downing of Blake Sand and Gravel. The building was of wood frame structure on CMU blocks and cement footings. Roofing was rolled asphalt and 3-tab composition. Insulation found was all fiber glass material. No suspect asbestos containing building materials were found. Summary_ of Inspection: I find this building free of asbestos containing building materials and ready for demolition as according to the regulations of Olympic Air Pollution Control Authority and EPA guidelines. With all areas inspected there is always the possibility of some area non accessible by visual or destructive inspection. If during the demolition any suspect materials are found, contact me for further inspection. Sincerely, Bob Wltherldge, E.F.M. pORTANCS rES WASHINGTON, U.S.A. PUBLIC WORKS & UTILITIES DEPARTMENT January 14, 2003 AJ Webb 300 Webb Street Sequim, WA 98382 RE: Port Angeles Landfill Waste Disposal Application, WDA 03-02; Building demolition at 718 Marine Drive, Port Angeles W,e 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 lhndfill. 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 ~isted or in excess of thc quantities noted may require separate applications and approval. Please call if you have questions. Very truly yours, Ga~y W. Kenworthy, P.E. ~ City Engineer Deputy Director of Engineering Services 321 EAST FIFTH STREET ® P. O. BOX 1150 · POrt ANGELES, WA 98362-0217 PHONE: 360-417-4805 · FAX: 360-4~7-4542 · TrY: 360~4~7-4645 E-MAIL: PU BWOR KS@CI .PORT-ANGEL'ES.WA. US · -~ o~. E WASTE DISPOSAL APPLICATION To: City of Po~ Angeles, City Engineer Phone: (360) 417-4803 321 E Fifth Street F~: (360) 417-4709 P.O. Box 1150 Pod Angeles, Washington 98362 NOTE: All questions must be answered for waste to be approved. 1, Generator Information: Company Name: . Mailing Address: Contact: ~ ~ .~ Phone: Project Name: Project Lo,rich: 2. Other Contacts (if applicable): Consulting Firm: '~-~d,~- ,'~ ,~;ac,.~.~, .~'.~'. Contact: ~ ~ Phone: ~ I ~ -o~ I Contractor Name: ~ ~ Contact: . ~ ~8~ Phone: ~- ~/~[ Laboralo~: ~ ~~Sj ~, Contact: /~c~Y ~ Phone: ~6 -~ ~ O~ City of Pod Angeles - Landfill Waste Disposal Applicafion Pag_e - 1 3. Source of Waste: Check the appropriate box below and briefly describe the project, process, and/or cleanup thai will or has produced the waste requiring disposal. Include the gasoline service station number (if applicable). CERCI..A/MTCA Remediation Agency Contact: Independent Remedial Action ~ UST Removal Unused Chemical Product Spill ~ Other Source: 4. Waste Material Composition: (check all that apply and include percent of total) Soil % __ Foundry Slag Concrete/Asphalt % ~ Dredge Sediments Preserved Wood % ~ Debris /o Coal Ash % __ Other (list) Wood Ash % NOTE: Total must equal 100%. 5. Waste Material Contaminants: (check all that apply~) Gasoline Metals Diesel Solvents __ Heating Oil __ PCBs Unused Motor Oil Used Motor Oil/Waste Oil Other :'~,~-3 /~,~_ ¢'~ __ Other Petroleum Product Unknown NOTE: Supply any MSDS information with application, if available. City of Pod Angeles - Landfill Waste Disposal Application Pag_e - 2 Estimated Quantity of Waste for Disposal: .. ,9-.5-' Cubic yards / ,~.~d"~ Tons (estimate both) Drums / 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.) 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 waste, and the frequency of sampling, will vary with the type and form of the waste. Check the appropriate box and briefly describe how and where the waste was sampled. Include site maps with sampling locations if possible. Number of COMPOSITE samples ~ & number of discrete samples per composite ..5'- Number of DISCRETE samples .~ NOTE t: Unless prior approval has been granted by Pod Angeles, the following sampling frequency will be used: 0 - 25 cubic yards = 1 composite sample 25 - 100 cubic yards = 3 composite samples 101 - 500 cubic yards = 5 composite samples 501 - 1000 cubic yards = 7 composite samples 1001 - 2000 cubic yards = 10 composite samples >2000 cubic yards = 10 plus one sample for each additional 500 cubic yards NOTE 2: One composite sample shall contain a minimum of three/maximum of five discrete samples. City of Pod Angeles - Landfill Waste Disposal Application Pag_e - 3 9. Waste Analysis: The "Dangerous Waste Regulations" (WAC 173-303) shall be utilized to determine th~ appropriate analytical requirements for waste characterization. Ecology Publication #9'1-30 (Revised April 1994) "Guidance for Remediation of Petroleum Contaminated Soils" shall also be used to characterize petroleum contaminated soils from UST releases. Submit all iaborator analytical results, QAJQC 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 a~l analytical test methods used: b) Provide a narrative as to why the above analytical methods were selected: NOTE: Additional sheets attached: /'"'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 Class 3 Class 4 Calculated Hazard Index 11. Dangerous Waste Affidavit: Based on a review of the analytical test results, site history, and the applicable regulations, this waste is classified as: (check one) ~ Neither Dangerous Waste (DW) nor Extremely Hazardous Waste (EHVV) Dangerous Waste (DVV) and Waste Code: Exlremely Hazardous Wasle (EHW) and Waste Code: City o1' Pod Angeles - Landfill Waste Disposal Applicafion Pag_e - 4 12. Certification: We, THE UNDERSIGNED, cedify that this application is true to the best of our knowledge. A information provided is correct and the enclosed analytical results represent the proposed waste material to the best of our abilities. Wa~Generator ~gnature Pdnted Name Company Date :::~:~:..: ~ ::~:~::::~ ~:~::~:~:::... :~:~:~:~:~ '~;:.::~..:~::: :~: ~:::~::~ ~ ~:~ ~ ~; ~:..~:~:.: .~; ~;:~ ~:: ~ ~ ~:.:~ ~:.~;~:~ :~ ~:~ :~ ~~ ::~ :~:~:~ ~: ~: ~ ~::~ :~ ~ ::~:~:::~: ~:: ~:~: ::~::~:~ ~;~:~ : :~:~:~: :~:~:~ ~:::::: ~:~:~a~ ~:'~.~:~':~"~ ~~.~:~1~'* ~,' ~'~: ' '~ '*'"~'~ :::~ ~::~ ~,~:~: ~ ~:~:~'~.~::=c~:: ..~ :~ ......... ~ ............. :::..~:~:~..~=~. ~ :~:::~=~ ...... ~ ............... : ~:::::a~= ::~. .~ .~ .~ :..'..:~ ..................................... ~ ~ :~ .~ :~:~. ;::~::~;~:=:~::~: City of Pod Angeles - Landtill Waste Disposal Application Page - 5 ~4708 Auror~ Ave. N., Se~llle. WA 98103 ITel: 206.547.0100, Fax: 206.634.1936 AIHA - IH t. Analysis Report Lead (Pb) TCLP Client: Zenovic & Associates, Inc. Batch #: 2217413.00 Address: 519 South Peabody Street, Suite 4 Matrix: TCLP Port Angeles Method: EPA 7000B Client Project #:03002 Attention: Mr. Tracy Gudgel Project Location: 718 Marine Drive, Port Angeles Samples Received: Total Samples Analyzed:l RL Results Results in Lab ID Client Sample # rog/L in m~llL ppm 22122653 03002A 0.5 1.9 1.9 ISampled by: Client Analyzed by: Holly Tuttle Date: 01/10/2003 DRAFT rog/L =Milligrams per liter RL = Reporting Limit ppm = parts per mitlion '<' = Below the reporting Limit Note: Method QC results are acceptable unless stated otherwise. ~ench Run No:23-0109-4 Page 1 of 1 NVL Laboratories, Inc. CHAIN of CUSTODY BATCH ID 47o~ Ho,, ^- ,. s~,. w~ ~ SAMPLE LOG S~ 519 ~ P~ Str~ Sure ,' . "..-/ ..I. i . r.. .... ~ - .. ..~. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. ,;zs-~9 DATE ~/~;90 Site Address: o READY FOR INSPECTION License Number: )(WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o Residential . Heat KW O. Baseboard 0 Furnace/Boiler C Heatpump 0 Other C Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 010 03.0 Service size o Temporary o Add/alter circuits o Auxiliary power (list below) ~ Special equipment (list below) Amps Det11i Is/Description: -, TA1.s4/1 ~jA/ (j~WrJ -< .' -, W.S.: No. Service Capacity: 0 O.K. 0 Not OK o Ditch inspection O.K. o Rough.in/cover O.K. o O.K. to connect service . If> Final O.K. 1~\~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 Permit/Receipt No. . I I F ~ - a~O I Notify the Department of City1.ight by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given JbY tlle Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. ,~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .::::25 {!!l : I Inspector Amount paid WHljE - file by address YELLOW - fife by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OlYM~IC PRINTERS, INC. New Meters .. . .~ /u:\'"'...____.,..."= " ", '-o1-J)<,I. \~ ~,' ~....N'" /'7::::-----.---.-...,~.w -~~^.~--~'/.~\loo,.._~_,.''-~,:-....:> ~_' u ~ .".. ,.'-t.'---_"'- ..".Il);V" /1- ~~/' '~ '->;-,...... <J^i!"" 'i,-------~ '_-;~:'-:+;::C''':l'~ - :^,.__/J;,('~~ '- ~:-: -- , ~ -..:~" ~~\. f-i~' -~~t_c~~;;:.1~7'~~' ':~ '~~c\';;:i:\~~~~ ~.::-:_- -:~ -.' " -;;7\j(r""" I. " " BLAKE SAND & GRAVEL, INC. ,-.~ .' READY MIX CONCRETE SAND 6: GRAVEL. CRUSHED ROCK 369 CAYS ROAD. SEQUIM, WASHINGTON 98382 . PHONE 683-7977 January 2, 1991 , City of Port Angeles Light Department P.O. Box 1150 I Port Angeles, Wa 98362 The sign installed by Blake Sand & Gravel, Inc. at 720 Marine Drive is a part of a multi-unit sign originally manfactured with a D.L. Label and approved by the city of Seattle. Sincerely, .J~ L "}Set ~ James L. Blake Vice President JB: jmb "OJ ~~ ELECTRI ::.L PERIII']' CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 9R,62 I~~ ::1- ,="/11,'C8 f..........m.:..L If....." JGOD oWNER/ApPLICANT---------~--------------PROPERTY LOCATION------------------------ BLAKE SAND AND GRAVEL 720 MARINE DR 720 MARINE DR Lot: 3-8 Port Angeles, WA 98362 Block: 97 Long Legal: 360/457-3371 Sub: TPA T: S: Parc No: CONTRACTOR-----------------------------DESIGNER---------------------~----------- ANGELES ELECTRIC 524 E. FIRST ST. PORT ANGELES, WA 98362 360/452-9264 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML. MISC. prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: Service Type o Riser o Overhead Service o Underground Service o Temp Service Voltage: Diameter: Service Size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- I WIRE CIRCUITS FOR LIGHTING AND CUTOFF SAW PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $52.00 Temp Service: $0.00 $0.00 Mise TOTAL FEE: Amount Paid: $52.00 $52.00 --------------------------------- --------------------------------- TOTAL FEE: $52.00 Balance Due: $0.00 [ill1MENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRlCAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUI. TO COVER, INSUlA TE OR CONCEAl. ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COM?\.tF..NTS I YES 1 "0 DITCH IH 1I1r.I'I-IN / CUY loK SERVICE o I FINAL I'1fJ'K{q'( I .1 GENERAL COMMENTS, PW-I 102.15 (4I96j 1- . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 I ." Site Address: I Installed By: ELECTRICAL PERMIT PERMIT NO. SD /.s ~!J /95 , , DATE O~ner/Business: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: o . ner/Business Address: Sq. Ft. I ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW o HEAT PUMP KW_ o FAN/WALL KW _ o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D1~ D3~ SERVICE SIZE FEEDER SIZE AMPS AMPS Det~i1SlDeScriPtion: I ~ I ~ 7 ~ , fl1 . w.~. No. SERVICE SIZE CAfACITY: . 0 O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER ----i . o Ditch Inspection O.K. o /[lough-in/cover O.K. o O.K. to connect service I )PI\ fiinal O.K. Sitb Address: I In~taller: I I Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered befbre inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or dn the Building Permit. PHONE 457-0411, EXT. 224. I I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ I Electrical Inspector Permit/Receipt No. SOlS Date: New Meters #..2S Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meier Dept., Bottom: City Hall OLYMPIC PRINTERS INC. , :---, lJi ~;;;;o I ! CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DMSION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 ! ELECTRICAL PERMIT ! Issued: 3/07/97 Permit No: 5860 OWNER/AP~LICANT------------------------PROPERTY LOCATION------------------------ TEXACO :BULK PLANT 727 MA~INE DR. Port Angeles, WA 98362 360/000)-0000 T: S: 72 7 MARINE DR Lot: Block: Long Legal: Sub: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- STRAITS ELECTRIC P.O. BOX 2914 PORT ANGELES, WA 98362 360/4521-9104 , 000/000-0000 PROJECT l:NFO-------------------------------------------------------------------- prj Type: COML. MISC. prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Qrp: Occ Load: Land Use: Electr~cal Heat BaEleboard KW: Fuinace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- EXTEND CIRCUIT, ADD RECEPTACLE FOR TRUCK BLOCK HEATER PROJECT FEES ASSESSMENT--------------------------------------------_____________ Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp service: $0.00 MiscRECEPTACLE : $15.00 TOTAL FEE: Amount Paid: $15.00 $15.00 ====~============================ ! TOTAL FEE: $15.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED <:OMMENTS I YES 1 NO UITCH -IN I L,vvnR SERVICE FINAL 10':>1011/1, I . GENERAL COMMENTS: PW-lI02JS[4I96] CITY OF PORT ANGELES DEPARTMENT OF LIGHT ,APPLICATION AND ELECTRICAL PERMIT . ~ i :(}iQ.,(J \JJ1 o A PERMIT NUMBER , . I I TOTAL FEE I r Site Address dt ;<72- t'l.qe]",:-"lf.@!, " 't:iONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY. ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 7;2 0 '-M'D'r-) Y1~' '\;:>;'I,H~_ ' CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PEAMITS WITH WRONG AD RESSES ARE CANCELLED Owner h . Installation By 'I Q r-:r;- Owner's Address 16./J1 S"" /'+1--. C, _ Installe';s Address I .. /' Day Phone - If 6'7 - 'i?~ " ',' Installers Ph~ APPlicatlfm is hereby ma~e for Permit ~o install Electrical Equipment as follows: 12. =~ -9~~ ' : <?( ~00 '--J Wiring Method .: , AMP 240V NUMBER AMP 240V , NUMBER 120V USE OF CIRCUIT PEA 120V 100R FEE USE OF CIRCUIT PEA 10QR FEE CIRCUITS CIRCUITS 10 CIA 10 30 CIA 30 LIGHT / I J/k~ SIGN LIGHT . 50 VOLTS OR LESS CONVENIENCE :? I - M.~ MOTOR " CONVE~IENCE MOTOR APPLIANCE MOTOR 1 DISHWASHER FIRE ALARMS " DISPOSAL BURGLAR ALARM , . . RANGE' MISC. - .. OVEN WATER HEATER I /if At, YI LAUND~Y DRYER REINSTAllATION LIGHli FIXTURE # . FURNACE , SUB TOTAl,FEE GAS-QIL FUAN~.fE ENERGY FEE ElECTJ1tIC BASIC FEE , . ElECTI~IC HEAT J ::20 IP AJ::; , TOTAL FEE . ELECTfll1C HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A,C, U~IT J/)~ AMP .. / a( PHASE FEEDE~ SIZE OF SERVICE ENTRANCE CONDUCTORS - #/ .4/ SERVICE AW.G. , I 'SUB" TOTAL - /CO I SIZE OF GROUND C; SIZE OF ENTRANCE SWITCH I .. . I certify Ithat the work to be performed under thiS permit will be done by the I~staller .and In'conforman~e with the N.E.C. Electrical Code. Date Apflication made 'ft/;:J..{/ ?l( ,19 By .. . CONTRACTOR OR OWN (OR AUTHORIZED AGENT) Per~ission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. ! . - DIRECTOR OF CITY LIGHT P':. S;~ 2La~(~.~ Date e~mlt Issued PL,(NS AP OVED . ~ _ Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not' be covered or current turned on before inspection and O.K. for covering.or service.has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. i . \ \e I~ WARNING I I OLYMPIC fRINTERS, INC. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report :j"'~ '~>" ,:" '~"~ {J:l~;"; " . MADE BY ~ /~ ~\\ \ ,) \ ~(,. / l U:: I O/-??, /['<1 ..-:;m -/ I \ DATE OF VISIT . " IJ,', J(- ~i v . , , .:71'7(/ REPORT OF INSPECTOR REMARKS nf/'I IP 'J.- - 1rrv...C:C Qh n, <<q\ 1), cJ)AH' ~rfJ!J:O Sfi/. i ,,,'V" V" IUU 'UV IJ.k i; ~ ~. /.J ,Lv ~.~ Yn.diA.. /}, <->- - 1fJ~ /~ /"A ""~~ ,(,-"J~ibwl ," . ,', " .' . O.K: FOR COVERING O.K. TO CONNECT SERVICE FINAl"OX . . "', . z Cl a: <l: ::IE ~ J: I- Z w l- . I- o Z o C . ~ CITY OF PORT ANGELES UGHT DEPARTMENT ELECTRICAL PERMIT '~ N~ 18035 Port Angeles, washlngton"".___"___.L::~i:~u,(d.:L."mmu___u,,, 19.'d..f / . In aooordance 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- mission is hereby granted to do electrical work as listed below. Address ___m____7/1p__I!:.I.F.!c.~._~1_"'=u___'S;;)C::!;/..i;;~:m'u___uuu Occupancy.n.___.....u.._______...,,_n_nu_______.n__ Owner ..c.i-n0.g_L~';L.GC!J.Y..~!.:::!::::Sd.'_.__l/.'c' Tenant.______~..c.;.~:::..::..o---u.----.-o-u.--.---o---o---moo Wiring ~ontr~~torEll:~_gl:?:Qu.oj;(f::oitu___;-;o; By_;;~~/~_______...o_________.o___ Light Outlets....m_m_h............_...__.._..... Service, volts ____..__............................... Type ot Wiring: Rf:!ceptacle Outlets.mm_................m.... No. wires .....m______':-I...h.m.__..hh... Armored Cable .._.m_____h._.............. 81 I :;V, C. \ I Non-Metallic .........---..-..-.........-...-- ze W res._.......~~.c.....__.!_ 1:_..__. Drrer, KW.un..._n_.........___....____._________ Range, KW hnuuhn.n_.nnnu Water Heater: Main fuse ._..__..___0._____..____......__....... Enclosure ._.____.m__m__mm_h.m.h_.... KW.____m._.uu__m_uuu_ummuum.u Type of wiring: Entrance Cable __..m.__hm._h.__....... Heat: KW.___._._._........_________n.__..___h__..__ Motors: size, volts and phase: Rigid Conduit ..___.m____..__ I " Meta1l1c Tubing _m___/.~~mm Current transformers: No. & Size._____................................. Ser. No............___________..._._______............ Ser. No....._...................._____.______________. Ser. No..______...................._.._.._.....__..... Knob & Tube......._.._..__.....h.........._ Rigid Conduit _m_m__.___......__._...._._ Metallic Tubing ...........__m........... Raceway ____._.___..___................._.__.._ Circuits, Light.........._....._.__m_.....m..._.. Utility ____.__..__.........._.......__.____.____.... Heat ___.___._._.................___....._.._....._ Range .....___________._._..................___.__. Water Heater _.__._....____................. Motor ..._...__.__...___.___........_........_.._. Dryer_.........._..__._..._...._____..____.____........ Furnace ___.____.__.........n...'~__h.__._......... Total Load.;.jf)u.l'_L~;)_~i. Set. No. m_mmhh........________...______.___h Total h__.h..m__m._.h_...______.___h_ Remarks: __n...n__...___u.u..u___o.___o.______..______....___..._______oon..o..........oo___...___....___00___0___..___..___00______00...___000_____.___00___.. _...~...__._.__._----_._---_._---------_..._---------_.~----_.._.__._---._---_.-------------_._.__._.__....._....---...-----.------...--.-....-.--.----...-----------..---- n......_..uH.uunnunuuu____n__nn_n_____nn_n_nn___nnnnn_n_hunhununuunn.....un_...nnn_uun___u...uU..._UhUMU__u.__...unn_n Permit Fee Treas. Receipt ./1 $7Ji?i;;t:~~~~~:~o::~t not ~~'f?r~:t~,:~;;o~~rtlflcate of ~:.p-~~o.~~~~~~..~~..~~oo~~:: cealed due notice must be given the Inspector so that work may be inspected before c0l1cealment. - NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION JC) ~t-()1/\ ~ ELECTRICAL PERMIT N~ 18035 Address hhhm7dDh__~.1.?I.C_;__n__~_'h__Sd.c:\\L~___n._mmm___u__________h nate..._...._2l::l.:_'11...?...f_._________._ ::::: ~~~:~~=::f:A~~~-:f;;~~:~I;5:;;;;t:_I::?:::.:_::._~:~_~_~t_:~:~~::.:::.:_ NOTICE-Current must not be turned on Until Certificate ot Inspection has been issued. If work Is to be con- cenled due notice must be given the Inspector So that work may be inspected before concealment. 1M Olvrntlic Printers. Inc.