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HomeMy WebLinkAbout1121 E 3rd St - BuildingPREPARED 10 /18 /05 13 48 08 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES ADDRESS 1121 E 3RD ST SUBDIV CONTRACTOR PHONE OWNER RAYMOND BRIAN W PHONE PARCEL 06 30 00 5 4 0450 0000 APPL NUMBER 05 00000806 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/16/05 JLL BUILDING FOUNDATION FOOTING 9/16/05 AP 09/15/2005 11 48 AM PBARTHOL BRIAN 452 5077 09/19/2005 10 57 AM PBARTHOL BL9 01 10/ 8/05 JLL BUILDING SHEARWALL 10/17/2005 03 26 PM PBARTHOL BRIAN 452 5077 INSPECTOR JAMES L LIERLY DATE 10/18/05 COMMENTS AND NOTES PREPARED 9/16/05 12 40 49 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/16/05 ADDRESS 1121 E 3RD ST SUBDIV CONTRACTOR, PHONE OWNER RAYMOND BRIAN W PHONE PARCEL 06 30 00 5 4 0450 0000 APPL NUMBER 05 00000806 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9i 6/9_5_ J BUILDING FOUNDATION FOOTING y.�. 09/15/2005 11 48 AM PBARTHOL I` BRIAN 452 5077 COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner RAYMOND BR IAN W 1121 E 3RD ST PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Other Fees WA 983624401 Fee summary Charg ed Permit Fee Total 134 75 T• Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000806 812114 1121 E 3RD ST 06 30 00 5 4 0450 0000 RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 5000 Contractor OWNER TOTAL t LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 60210 134 75 Plan Check Fee 9/15/05 Valuation 3/14/06 Qty Unit Charge Per BASE FEE 3 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments 09/03/2005 03 15 PM SROBERDS The proposal will result in a new detached garage in the RS 7 zone for total lot coverage of 23% Demolition of the existing garage is planned and required No land use issues noted as long as existing garage is demoed MAINTAIN CLEARANCES FROM SERVICE WIRES $0 Connect Fee 09/02/2005 08 19 AM JHEBNER Consider relocating Electric Service Entrance to the Garage 09/02/2005 08 19 AM JHEBNER Any modifications to the electrical facilities will be at the customer s expense 09/02/2005 08 20 AM JHEBNER Public Works Utility Engineering has no requirements for this plan review STATE SURCHARGE Paid Cre dited 134 75 00 Date 9/15/05 16 1 00 1130 00 7000 00 480 00 1610 00 1 00 53 90 5000 Extension 92 75 42 00 4 50 Due 00 o 0 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature if owner is builder) Date KEE P P ERMI T CARD AND A PPRO PL ANS A T INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS 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 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 ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION VED JOB SITE. T \Policies \1102 15 building permit inspection recordUD wp BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION VED JOB SITE. T \Policies \1102 15 building permit inspection recordUD wp Signature of Contractor or Authorized Agent T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 05 00000806 Date 9/15/05 Application pin number 812114 Plan Check Total 53 90 53 90 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 193 15 193 15 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 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 Date Signature of is builder) Date KEE I INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS /6 Off' J J 1 WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS JO—J JJ 0 3 Lk WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA. ESA. SHORELINE. PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 j h i4 o BUILDING I V BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION P PERMIT CARD AND APPROVED PLANS AT JOB SITE. i i n) 15 huildine Hermit inspection recor wp Owner RAYMOND BRIAN W 1121 E 3RD ST PORT ANGELES Qty Unit Charge Per Other Fees CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00000839 Date 9/07/05 Application pin number 664599 Property Address 1121 E 3RD ST ASSESSOR PARCEL NUMBER 06 30 00 5 4 0450 0000 Application type description DEMOLITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 350 Contractor WA 983624401 Permit DEMOLITION Additional desc Permit pin number 59469 Permit Fee 47 00 Plan Check Fee 00 Issue Date 9/07/05 Valuation 0 Expiration Date 3/06/06 BASE FEE OWNER STATE SURCHARGE Fee summary Charged Paid Credited Due Permit Fee Total 47 00 47 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 51 50 51 50 00 00 Extension 47 00 4 50 T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] 11--- 1244.jf 7 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent o 7c)7,9 Date Date Signature of Own r is builder) s I INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA. ESA. SHORELINE. PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 f L BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, IT IS 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. T \Policies \1102_15 building permit inspection record05.wpd [1/4 /200 1110 .4 Application Number 05'00000804 Application pin number 212616 Property Address 1121 E 3RD ST ASSESSOR PARCEL NUMBER 06 30 00 5 4 0450 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor RAYMOND BRIAN W 1121 E 3RD ST PORT ANGELES Fee summary WA 983624401 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 121 EAST STH STREET PORT ANGELES WA 98362 OWNER Permit EL DETACHED GARAGE Additional desc OWNER/ WIRE GARAGE Permit pin number 58883 Permit Fee 48 10 Plan Check Fee 00 Issue Date 9/07/05 Valuation 0 Expiration Date 3/06/06 Qty Unit Charge Per 1 00 48 1000 ECH EL R OUTBD /DTCH GAR SEP Charged Paid Credited Date 9/07/05 Due Permit Fee Total 48 10 48 10 00 00 Plan Check Total 00 00 00 00 Grand Total 48 10 48 10 00 00 Extension 48 10 I INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO DITCH ROUGH -IN COVER SERVICE FINAL 1 i- .v -v', IBC) 1 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CO VER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW- 1102.15 [4196] PLANNING USE ONLY APPROVALS. PLAN BLDG DPWU FIRE. ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other OTHER Credit Card Holder Name: Billing Address: Credit Card Type VISA MC TYPE OF WORK. o Residential Multi family Commercial New Constr Addition Remodel Repair Re -roof Move Demolition Sign BRIEF DESCRIPTION OF THE PROJECT T•\Policies \BL 1 102_13.wpd Applicant: BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 T761vLO Stove "(Garage Deck Other 'TRIi FOR OFFICIA USE ON Date Rec. 4 7 d Permit 0' Applicant or Agent: p im'VE1Z Phone: Owner 8R >J R A /✓t o n9 p Address. /12/ E. fizz, Z City Parr Ai•9G EL ES Zip. 75' 76 Z Architect/Engineer Phone: Contractor 0 wx" 6R. State License Exp Phone: Address. City Zip PROJECT ADDRESS //2/ c .7R 3-! ZONING LEGAL DESCRIPTION Lot: 5 Block: 1/ CLALLAM COUNTY PARCEL NUMBER. Subdivision. Phone: 76 c; c 7 City. Exp. Date: SIZE/VALUATION SF /SF 713Y SF /SF SF /SF TOTAL VALUATION 350 a,oic��J 4 ri r!4,244E COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type: No. of Stories. Lot Size: Existing Sq. Ft. Proposed Sq. Ft. TOTAL Sq. Ft. Total lot coverage VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 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. PERMIT# APPROVED CONDITION APPROVE d� a i/ 7 ALLY APPRO NOT APPROVED FOR COMPLIANCE WITH ORCAA REGULATI 6Y: Notification of Demolition Permit It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have been removed from the area to be demolished. Work shall not commence on an asbestos project or demolition unless the owner or operator has obtained written approval from ORCAA. A written application for a demolition shall include a certification that there is no known asbestos containing material remaining in the area of the structure. Project Site Address. 2. C 3R n �T County CL/+� AM City Po R T .4 ,v 67Ec S State: w,4 sf/ Zip en 362 Starting Date: SE-- -cot, 4 Completion Date: sFP here is a 10 working day advance notification period from receipt of permit application) Property Owner ER/",o R,, y/dro n1 P Telephone: 36a 41-s 77 Fax: Mailing Address: ,i z i t -r D 5 City /.27 f(,l, s Demolition Contractor o1.vN 1 State ice Mailing Address: City S Zip Contact Person. pelf hone: Fax: YES NO V /Tral ing Fire Demolition? (If yes, attach fire department request for trainmg fire) enovation, Alteration, Remodeling, Maintenance, or other Construction? Demolition by Wreckmg or Dismanthng? ($25 00 fee) check 6 3 7) Asbestos found or suspected* An ORCAA "Notice of Intent to Remove or Encapsulate Asbestos' form and appropriate fee must be submitted prior to any asbestos removal work. Asbestos removal projects involving demolition must be preformed by a Certified Asbestos Contractor and all friable or potentially friable asbestos must be removed before any demolition begins. Refer to ORCAA Regulation 1 Article 14 for additional requirements that may apply AHERA Certified Inspector his approved permit must be available at the job site Asbestos Survey Completed by 00C2- Off Certification Rev 07/11/02 1 Enclose $25 Processing Fee 1 2940 B Limited Lane NW Olympia, Washington 98502 360 -586 -1044 800 -422 5623 fax 360- 491 -6308 homepage: www.orcaa.org email: info@orcaa.org State: tc, ,4 f'. Zip: Certification of the Asbestos Survey must accompany this form PLANNING USE ONLY APPROVALS. PLAN BLDG. DPWU FIRE ESA/Wetland(s). Yes No SEPA Checichst required? Yes No Other OTHER. Z)//..fl/ BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. lour application and site plan MUST BE COMPLETE to be accepted for review If you have any questions. call PERMITS (360) 417 -4815 FAX(360)417-4711 Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK. Residential 1( New Constr Multi- family Addition Commercial Remodel Repair BRIEF DESCRIPTION OF THE PROJECT NG VA/ FOR OFFIC US ONLY ate Rec. Permit tt 0 ate Approved. r ate Issued: Applicant or Agent: Phone Owner 1A ry RA )/HO ,i_p Address T"R Architect/Engineer Phone: Phone. y5 -50 City /77 Avl L cs Zip 9 3 6 t- State License Exp Phone. Contractor ©W D P.. Address City Zip PROJECT ADDRESS /iz c ra s r J°c2R KELEs ZONING S 7 LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. City MC Exp. Date: ST7F/VALUATION Re roof Stove SF /SF Move Garage ygo SF /SF 5 Demolition Deck SF /SF Sign Other TOTAL VALUATION COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. No. of Stories: Lot Size: 7 scp rr Existing Sq Ft. 1/ Jo Proposed Sq Ft. Total lot coverage 2. 3 T•\Policies\BL 1102_13 wpd Applicant: 2'/ x 20 f> v iTH HARDY 5 "30R,�D Date: a' /,moo Construction Type: y53 0 TOTAL Sq Ft. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordmator 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 apphcation and construction plans are submitted. All other permit fees are due at the time of permit issuance. DMRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of apphcation, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once. 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 1 must obtain such permits prior to work. Date: 8/22/05 Northwest Asbestos Consultants 406 Reed St. Port Townsend, WA 98368 360- 385 -0584 northwestasbestosconsultants@cablespeed.com lob Location. 1121 E. 3rd St. Port Angeles, WA 98362 -4401 Contact Brian Raymond 1121 E. 3rd St. Port Angeles, WA 98362 -4401 Subject: Demolition of garage Inspector: Bob Witheridge AHERA Building inspector Management Planner WAMOA 0042 -04 Expires 10/13/05 Scope of work 1) Inspect for asbestos containing building materials (ACBM) 2) Report to owner Brian Raymond with results of survey by Northwest Asbestos. 3) Copies for owner, City of Port Angeles Permit Center and Olympic Region Clean Air Agency Summary of Inspection. The inspection was made on 8/22/05 of a single car garage. This building had a cement slab foundation with wood siding, plaster exterior, aluminum clad windows and 3 tab composition roofing material. This survey includes that all areas of inspection were found to be of non asbestos containing building material (ACBM) This report is not a guarantee that all suspect of ACBM were found. The possibility of concealed material may exist and could be found during demolition. Please contact Northwest Asbestos if further assistants is needed. Thank you, 13A (zw.ksznA0 Bob Witheridge, E.F.M. 1A\ ft A 11• 1 !iY ?Yp M?,MYrrmMrnry'r!ri„ M .4 (Certificate of Comptetion Z!rbto to certtfp ttjact Bob A. Witheridge ija baz zattgactorttp compteteb 4 ijour of refre ijer tratntng act an Asbestos Building Inspector to compfp Yatti tbe tratntmg requiremento of TE611CR Ettte 40 ejf3. 763 (zme3az ApLA, Instructor Provider Cert. Number M09907012 Argus Pacific, Inc. Certificate Number 1011753 (WAMOA- 0042 -4) D NI AI, SAFETY TRAINING INDUSTRIAL HYGIENE n 1900 W Nickerson, Suite 315 A Seattle, Washington Oct 13, 2004 Date(s) of Training Exam Score: NA Expiration Date: Oct 13, 2005 98119 (206) 285.3373 fax (206) 285.3927 r&M YY 1' IPIYYY•rvM�(' MAW 010 U, Mgggm wrv•�rrrnY 1. Application Number 03- 00000660 Date 7/11/03 Property Address 1121 E 3RD ST ASSESSOR PARCEL NUMBER. 06-30-00-5-4- 0450 -0000- Application description RE -,ROOF Subdivision Name Property Zoning Application valuation 2000 Contractor Owner RAYMONp BRIAN W OWNER 1121 E 3RD ST PORT ANGELES WA 983624401 Permit BUILDING PERMIT NO PR FEE Additional desc Permit Fee 92.75 Plan Check Fee .00 Issue Date 7/11/03 Valuation 2000 Expiration Date 1/08/04 Qty Unit Charge Per Extension BASE FEE 47.00 15.00 3.0500 HND BL- 501 -2K (3.05 PER C) 45.75 Other Fees Fee summary T: \PLANNING \FORMS \1102.15 (4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 STATE SURCHARGE 4.50 Charged Paid Credited Due Permit Fee Total 92.75 92.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 97.25 97.25 .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 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 Owne (if •A r is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: 4 ROUGH -IN PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT 4's: WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 �7.. PLANNING DEPT. /}R BUILDING 417 -4815 'Iplr< I\ BUILDING T: \PLANNING \FORMS \I 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. 0 you have any questions, call (360) 417-4815 Applicant or Agent: %,t? /ft ti 22 f1 yh e Phone: 1 5 2 Owner: Phone: Address: ,2 c= :rite 7> City: vP �4 Zip: r !S YG 2- Architect/Engineer: Phone: Contractor State License Exp: Phone: Address: City: Zip: PROJECT ADDRESS: 2 Rt 5 „q. ZONING: LEGAL DESCRIPTION: Lot: d Block: 1 Subdivision: R(1 I C C 9 0 v Y CLALLAM COUNTY PARCEL NUMBER: (9 6 ?j r 9 O U 5 D bj ,c1 00 O a rO r 17 Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC Exp. Date: TYPE OF WORK: SIZE/VALUATION: Residential New Constr. ,(Re -roof Stove SF. /SF. Multi- family Addition Move Garage SF. /SF. Commercial Remodel Demolition Deck SF. /SF. Repair Sign Other TOTAL VALUATION 9 BRIEF DESCRIPTION OF THE PROJECT: c '5- c'BT COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. Proposed Sq. Ft. TOTAL Sq.Ft. Existing lot coverage Proposed lot coverage Total lot coverage PLANNING USE ONLY: ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: T:\FO RMS\APP S\Bui I dingpermit.wpd FOR OFFICIAL USE ONLY: Date Rec.: /A /o 3 Permit n: {v Gd Date Approved: Date Issued: er Applicant: late: G 0 4' APPROVALS: PLAN: BLDG: DPWU: FIRE: 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. 1 am auth.rized 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 permits prior to work. ELECTRICAL PERMIT OWNER /APPLICANT BRIAN RAYMOND 1121 E.3RD ST Port Angeles, WA 98362 360/452 -5077 T: CONTRACTOR OWNER VARIOUS Port Angeles, WA 99360 206/000 -0000 PROJECT INFO Prj Type: RES. MISC. Occ Type: Occ Grp: Electrical Heat Baseboard KW: Furnace KW: X Heat Pump KW: Fan /Wall KW: PROJECT NOTES Occ Load: ADD HEAT PUMP -2 TON 9i- w PROJECT FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Misc TOTAL FEE: COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGFLFS, WA 98362 S: Issued: 1/21/97 DESIGNER 000 /000 -0000 Service Type 0 Riser 0 Overhead Service 0 Underground Service 0 Temp Service $0.00 $0.00 $40.00 $0.00 $0.00 $40.00 PROPERTY LOCATION 1121 3RD ST E Lot: 15 Block: 111 Long Legal: Sub: BAKERS Parc No: Prj Value: Cnstr Type: Land Use: RS7 Voltage: 0 Diameter: X -1 -3 Service Size: 200 AMPS Feeder Size: 0 AMPS TOTAL FEE: Amount Paid: Balance Due: Permit No: 5792 $0.00 $40.00 $40.00 $0.00 INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO DITCH ROUGH -IN COVER SERVICE FINAL /4 71 t GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE PW-1102.15 14/96] TOTAL FEE .11r-- L -120V 1 0 l G 40 CONT. LIC. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIA -120V 1 0 240V 1 0 OR 30 FEE USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 1 0 240V 1 0 OR 30 FEE LIGHT •L z— SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE FURNACE GAS OIL SUBTOTAL FEE ENERGY FEE FURNACE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL A ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE A.C. UNIT FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. SUB TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH 9 FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT A /Z ZD PERMIT NUMBER ELECTRICAL PERMIT ONLY Site Address I t CORRECT ADDRESS I5 RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRK rs ARE CANCELLED Owner nitl #%.VI d t ✓InV I a. Iiisiallation Owner's Address II? 1 F ACT TI4 -%(Z-D Installers Address Day Phone et- 1 X1- Installers Phone Application is hereby made for Permit to install Electrical Equipment as follows: •-CU 7 I CO A S.A.-2 ue t w CP ci h 2N_77o)V I Ae IIoV Wiring Method I certify that the work to be performed under this permit will be done by the installer and In conformance with the N.E.C. Electrical Code. Date Application made CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according Io the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of e pity of Pj�rt Angeles. D R C TOR#O CITIL Date Permit Issued WARNING OLYMPIC PRINTERS, INC. 19 By Notify' Department of City Light by Street Address and Permit Number when ready for ins ction. 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. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK SEE OVER WHITE Original CANARY Duplicate PINK Triplicate WHITE CARD Inspector's Report REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS O.K. FOR COVERING O.K. TO CONNECT SERVICE FINAL O.K. z 5 cc 4 2 0 H z W F 0 0 CITY OF PORT ANGELES LIGHT DEPARTMENT In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address Owner Wiring Contractor Inspection completed. -7 /,2/ e Tenant PSI U Light Outlets Receptacle Outlets Dryer, KW Range, KW Water Heater: KW Heat: RW c, O e�t�.. Motors: size, volts and phase: Total Load Remarks: ep ee Permit Fee Treas Receipt No NOTICE Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION Date called for Ina¢ectio Preliminary insireotlIffi Total Load 1M 3 -72 Olympic Printers, Inc ELECTRICAL PERMIT N? 15140 Port Angeles, Washington 5 19 Service, volts No. wires Size wires Main fuse Enclosure Type of wiring: Entrance Cable Rigid Conduit Metallic Tubing Current transformers: No. Size Ser. No Ser. No Ser. No Ser. No n L t2 f_..,,, ELECTRICAL PERMIT Occupancy .4 O' By Type of Wiring: Armored Cable Non Metallic Knob Tube Rigid Conduit Metallic Tubing Raceway Circuits, Light Utility Heat Range Water Heater Motor Dryer Furnace Total N? 15140 DATE PERMIT# /'off 0 O WNER /CON 47-1 f nt VAT ADDRESS ELECTRICAL INSPECTION WIRING REPORT 417 -4735 //.2 i te 3 rcj sr INSPECTOR fr APPROVED NOT APPROVED DITCH ROUGH IN /COVER .0 SERVICE FINAL CORRECTIONS NEEDED: V l 7 A A L+ �S�rrP« s ohs F des/ /Ci� a) B6fl,.as .u, (z2 .T •cook ,f mss 5 s. pc& OLYMPIC PRINTERS, INC. p6D) 452-1381 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE Inspection Date Area, Building orEquipment Ins ected g p Action Taken Electrical Inspector /l o& fiN OA /CC /lr /41— Ar r.,t 3 ref) f> /N /1 I r Job wired by Electrical Contractor Owner Electrical contractor name Purchaser's mailing address City State ZIP Telephone number FAX number License number Date Expires Owner as defined by RCW.19.28.261:(1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. Premises owner's name /?A')Ar> 04. YT-/ r> Address of inspection i! 2 1 C. ri .b 57 City Acct A.,✓ Obi r -s Phone number to schedule inspection: 4'5'2 5b"7 '7 /Signature of owner, electrical contractor electrical administrator X e Date: Installation description Commercial (Residential Yew /N 'e t� A JZ. .4az Expiration Date 2\ of card Altered /Addition 1 /A15 .4 6'7 s ®v 7.17$ Cash Check 0 Credit Card Visa Mastercard Discover Card C Inspection fee o Elecincarroa d ns and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAP Fan -Wall KW SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 -417 -4735 Date Date ROUGH -IN THERMOSTAT FINAL Approved By y 9 Approved By Voltage Overhead Service Phase 3 Temp Service Service Size: 100 A Q Underground Service EXIST /MI6 Feeder Size: Dam Approved By Date DITCH ELECTRICAL WORK PERMIT APPLICATION Approved By Date SERVICE Date Approved By FEEDER Service Information Approved By