HomeMy WebLinkAbout911 Bryson Ave - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000353 Date
994400
911 BRYSON AVE
06-30-10-5-1-0150-0000-
DEMOLITION
4/04/07
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RS7 RESDNTL SINGLE FAMILY
2000
Owner
Contractor
THE REIHIT CO.
2520 SOUTH LAUREL
PORT ANGELES
(36) 417-6774
STREET
WA 983620021
HOME SERVICE
223 MARSDEN RD.
PORT ANGELES, WA
PORT ANGELES
(360) 457-1708
Structure Information 000 000
TYPE V NON-RATED
GARAGES, CARPORTS, SHEDS
WA 98362
Construction Type . .
Occupancy Type
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
DEMOLITION
DEMO OLD SHED
98913
50.00
4/04/07
10/01/07
plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
BASE FEE
ExtenSion
50.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. ~~ ~07
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is buildef) Date
T:\Policies\1102_15 building pennit inspection record05.wpd [114/2005]
'-
I
BUILDING PERMIT INSPECTJON RECORD
CALL 4]7-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINllv1UM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL AN]' WORK BEFORE
I/I/SPECTED A.ND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TION.
KEEP PERMIT CARD AND APPROVED PLAN SAT .I OB SITE.
INSPECTION TYPE OATE ACCEPTEO COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS/WALLS
FOUNDA TION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.l
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LlNE(METER TO BLDG)
GA5 LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
W ALL5
CEILING
FRAMING
J 0I5T5 / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (lNTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
ROUGH-IN
~ffiATPUMY/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE / PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMlU's SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED I'RIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. /PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 BRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUTLDfNG 417-4815 q I II/Il"l ~IJ~ BUILDING
T:\Po1icies\1102 15 building permit inspection record05.wpd [1/41'2005]
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BUILDING PERMIT - APPLlCA TJON
FOR OFFIClAh U~ ONLY:
Date Rec.: J-j/11.!!7
Permit #: ('1/ '7 - '"3s~
Date Approved:
Date Issued:
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
Applicant or Agent: \ 1ft c Kr: r" 5-5
Owner: 7)0 ( 12 of (JJ / ((c d{~ J/z Yc4'cc7d
Address: :A)d-d> S- ~.,r eL- City: r? 4-
Phone: 'f~2 -3d.-Y-.J
Phone: r.1GC:) 1'0'"'.2- - 3;;2.. ~f
Zip: 7'rJt 2-
Architect/Engineer: Phone:
Contractor ~;d State License #: !bmeJ'IZJ Y;=:- Exp:
Address: 223/1l/J6!~~ ~ City:q<.y~~
PROJECT ADDRESS: 9/( /5.-- yJtJnJ
/
LEGAL DESC~TION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
Phone: LJS"), /7cJ.1
Zip: 7r3tr2--
ZONING: Ze..; 1G--7
TYPE OF WORK: SIZEN ALUATION:
o Residential, 0 New Constr. 0 Re-roof,/ 0 Stove , SF. @$ /SF. = $
o Multi-family 0 Addition 0 MoveGYGarage SF. @$ /SF. = $
o Commercial 0 Remodel W15emolition 0 Deck SF. @ $ /SF. = $
o Repair 0 Sign 0 Other TOTAL VALUATION $
BRIEF DESCRIPTION OF THE PROJECT: .Y~ Ii .)(? ;;Z f7'Gt.-V IIL1;
;;2..00Q 00
/
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESA/W etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
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
Coordina\oi .at 417 -4815 for assistance.
PLAN CHE~K FEE: IF ~ plan check fee is du~ it must be ~u?mitted at the time the building permit application and construction plans are
submitted. . other peIlllit fees are due at tbe tlille of peIlllit Issuance.
EXPlRATIO ' OF PLAN REVIEW: Ifno penrUt is issued within 180 days oftbe 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
Rl 05.3.2 ofilie Int\rnational BuildinglResidential Code, 2003). Nc. ?pplication can be extended more than once.
I hereby certify tha\1 have read and examined this application and know the same to be true and correct. J am authorized to
apply for this per/nit and understand that it.is my responsibility to determine what permits are required ,not the City's, and that J
must obtain such permits prior to work.
T'\FORMSIBJd"onrltf""".WPdAPPlican~ ----::> Date: ~~~ optrt<
-
SEP-20-2006 07:35P FROM:
TO: 13604170514
P.5
Notification of Demolition Permit
It .. ........ for D7 penDIl CD eo. 01' ..., tile ........ (or .... ........) fA..,1InIdun .... aD ~n.-
eoa..................IuIft beeII raI8'ftld ... die area 10 .. ~ Wart..... at -......,M _ _ __ r r.,- proJeet
or ~. ..... .... 0..... or -.-~ .. ~..., .......... ......... hili ORCAA. A........ ~.... .... .
de..... ..... IDdade . ~~ ... .... .. _ boWD ~ eontata.......................... area" the
sIndD~
V ProjectSitctAddress: 7/1117ftl./ ~ ~ C44~
Oty: ~rr~1' State: UIr _Zip: J'm~z-
Starting Date: CompledoD Date:
*('I'hae YI.IO tuOddag day.rwnce ootiticaIioD period from m:eipl of pamil Wv.tial)
~ 0..-: Vi~(.(.,J{dCgu<:.- Telep/lDlJlo:( J'(",)rS-Z- -:3 2? r I'u:
MaiJiDg Address: 2- 0 S; L..Ih-t r~
City: V2~-YY-1h-:J vk-I'. State:l..--- 4- Zip: ? J? v6 L
v'Demolition Coottacto:r: I/--,r., e ~V/~d State license #: !-/on,eJ /23 ..rr
Ma1llng~ Z-Z-J )1/fr:Jd&tV' ~ ?cf
Cilr- rrd~~ $_ 1--/1- Zp: '}It!' ,3.'~
CcmtactPerson: /4;YR /V' 6r,~e Tdephone: LjS-7- /7dO Pa:
YES NO
l/ _ . Demolition by Wndcing or Dismant1i1lg? (S2S.00 fee) check' ~
~ J'raiDing Fire DcmoJilioa? (lfyC8, auach rue deparCmeDt lIlIJUeal far tnlioina rn)
.c' ~ Altmatiuu. RcmooeliqJ, MaiD~ CJr' other Coostructicm'1
-K AsbeltGlfouad or~
.AD 0ItCAA ~ fI bd11111o..... Off ar.e...,--"'''' A~~ foaa.. ...........;. foe l1li1.110 ........, priClr 10.,....
remoql MIt. AIbesroI1aIIIOR1 p'Ojcds ba~t;..a ~ __ 110 pNbad by . Catified ~ t')-.-..... ... .u fJIabIIl cw
poCr~ JDIIU.... IIUIIt lie Jem(JIIllI WCJIIl .. ~""'IIA bqiDL Wcr Co ORCAA ...... 1 .Nticte 14 for acIdi60MI
NqUiremeDtI tIIallllllY apply.
Amato. Svw7 CoIIIpIeW by
A JIII'-R' Cerdfted IftIpedDr -A LJ66 "-l~
~, ~_ ~o\{L- I~I ~/L/'{
:-
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r I Cadr_..:.~~_....,- y
11Iia eIWIuwed permit must
be avaQab1e at Ibe job sim
I
29<<JD UIDltalIADC NW. Ol~ w~ 98.'JID
360-SII6-1044 · 11)0.4~ · ru360-491-6308
~.....orea.cq . email: ~...
RaY. f11I1l/Q2
SEP-20-2006 07:34P FROM:
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lob Location:
Owner:
Contacts:
Sttbject:
Inspector:
TO: 13604170514
P.2
Northwest Asbestos Consultants
406 Reed St.
Port Townsend, W A 98368
360-385-0584
northwestasbestosconsultants@cablespeed.com
9/20/06
911 Bryson St.
Pon Angeles, WA 98362
Doc Reiss
Zenov1c and Associates, Inc.
Tracy Gudgel, P.E.
301 East 6th St. Suite #1
Port Angeles, WA 98362
Demolition
Bob Witheridge
AHERA - Building inspector / Management Planner
WAMOA - 0042-05
Expires - 10/12/06
SEP-20-2006 07:34P FROM:
TO: 13604170514
P.3
SCQt)e of work
1) Inspect for asbestos containing building materials (ACBM).
2) Survey, sample and record suspect materials.
3) Report to Tracy Gudgel, P.E. of Zenovic and Associates, Inc.
4) COpies for owner, Tracy Gudgel, City of Port Angeles Permit Center, Olympic Region
Clean Air Agency and on site for demolition.
Summary of In&pection~
Inspection started with the garage of approximately 360 sq. it. This was a wood frame
building with rolled composition roofing material, no heating or insulation on cement
slab foundation.
I found no suspect of ACBM.
All asbestos containing building materials with a reading of 196 or greater is to be
removed by owner or a certified abatement contractor which follows the rules of the
EPA and governed by Olympic Region Clean Air Agency.
During building demolition or remodeling, it is possible that additional suspect
asbestos containing bulld1ng material (ACBM) may be found with in a wall,
floor, celling or other areas not accessible at the time of the survey. Should
such suspect material be discovered an AHERA certified inspector will have to
sample and test the material to prove it is of non-asbestos.
Northwest Asbestos Consultants is not responsible for identification of hidden
materials that are not identifiable with reasonable diligence.
Thank you,
~~ ~h}"'AJ\'ul,a
Bob Witheri""dg~~ E.F-;.(
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~ORTANGELES
WAS H I N G TON, U.S. A.
Public Works & Utilities Department
April 9, 2007
Doc Reies
2520 South Laurel Street
Port Angeles, W A 98362
RE: Port Angeles Landfill / Transfer Waste Disposal Application, WDA 07-14; Building
demolition at 911 Bryson Street
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 disposal at the transfer station. A copy of your approved application
is attached. This approved application must be shown to the transfer station scale attendant at
the time of disposal.
Please be advised that this disposal application is only for the materials and quantities listed in
the application. Materials not listed or in excess of the quantities noted may require separate
applications and approval.
Please call if you have questions.
Very truly yours,
,J('cf I ceLL- ,i!u/} ~c (ryL It J
Gary W. Kenworthy, P.E.
City Engineer
Deputy Director of Engineering Services
GWK:tf
Ene!.: WDA 07-14
Copy: Claudia Stromski
N:'PWKSIENGlNEERIWDAPPLIC 07-14
File: Landfill Solid Waste Disposal Appliearions
Phone: 360-417-4805 / Fax: 360-417-4542
Website: www.cityofpa.us / Email: publicworks@cityofpa.us
321 East Fifth Street - P.O. Box 1150/ Port Angeles, WA 98362-0217
\.
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UJbA-Dl-14
PORT ANGELES LANDFILL
\VASTE DISPOSAL ArrLICA TION
To: CUy of Port Angeles, City Engineer
321 E Fifth Street
P.O. Box 1150
Port Angeles, Washington 98362
NOTE:
Phone: (360) 417-4803
FAX: (360) 417-4709
All questions must be answered for waste to be approved.
1. Genera~~~_~~_~~Ji(m:
Company Name:
Mailing Address:
.
Contact:
Phone:
Project Name:
Project Location:
~ R(J'O S
:25"2n S. t..~_ S,-.;
tcxt" 4u~~1 "vA- 99J62-
- I\.v 11.1 ~.5
452 -3~ q_~
C4~( ~DU~
9&1 &Yscv s;...'U~ Av,.. ~~~
2. Other Contacts (if applicable):
Consulting Finn: ? 6NDlN c... ~ A6aS .:tv,-
Contact: ~~ cJeJOa:u.
Phone: c.{(1)"" ~ 1
Contractor Name: <.fN~
Contact: -
Phone: -
laboratory: Al V L tA(JvuJ..,;."".u I .:I "Vc..
.
Contact: AJ,d:.. Ly
Phone: ?of.- - 5l.f J - 01 T;) 0
t
- - _.. ----.-- ... _.. .
fflh? e- :5e.ro ICe,
J A-:jI.9>-vt (j{-el ~ 'E--
957- /708
.. --..--......
-. ". .. - -..-..
Cily or Port Anonlos - Loud,." Waslo OJ:jpo~<ll Appliculion
PlI{lO 1
.
.
- -----.----.-
- - - - -, --_.. -------.
_. ~"'U' ~\: Ul waste:
Check Ihe appropriale box below end briefly describe Ihe projecl, process, and/or cleanup Ihal
will or has produced (he waste requiring disposal. Include the gasoline service station number
(if applicable).
CERCLNMTCA Remediation Agency Contact: -
Independent Remedial Action - UST Removal
Unused ChemIcal Product Spill K Other Source: _:~~
~""""..4 "'44<<< ))1')t)e
170 a~/~J)N 5..... 11(!;" 6u~ -
~ /Jw )jn".JrV.
- -
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4. Waste Material Composition: (check all thai apply and Include percent of total)
NOTE:
Soil
Concretel Asphalt
Preserved Wood
Coal Ash
Wood Ash
Total must eQual 100%.
s. Waste M.Jterial Contaminants: (check all that apply)
-
't
NOTE:
Gasoline
Metals
Diesel
Solvents Heating Oil
Unused Motor Oil Used Motor OillWaste Oil
Other ~.CJO &t -f&J> ~ Qther Petroleum Product
~~QS ~~ tf# ~(~~)
PCBs
Unknown
. ... .... '.. _. ------.- ----..--
.- -. ---.. -'- -- ...- -.-
Supply any MSOS information with application, if available.
City of Port AIl{}(!/us Lundfi" Was(o Djspo~al Appllcatioll
Pngo - 2
t'
.
t
--
- .....~,'-'-' \..lUanlny Of Waste (or Disposal:
--- ~------- -
.
/1---
~~
Cubic yards /
Drums /
:70
Tons (estimate both)
Tons (estimate both)
Other
NOTE:
Estimated quantity for disposal must be within 20% of the quantity actually disposed.
(10% for projects over 7,500 tons or 5,000 cubic yards.)
7. Frequency of Disposal:
K
One time
Monthly
Other
Annual
8. Waste Sampling:
Proper characterization of the waste for disposal requires the collection of representative
samples. The methods and equipment necessary for obtaining representalive samples of a
waste, and the frequency of sampling, will vary with the type and form of the waste. Check (he
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 ~
Number of DIS~RETE samples S ~~"v~ (Z kx-ffl-'f) L ~ ~ ?"'U_ I
~~~A' ~~A~.~ ~A:.1 or
~ .
. ~ w f.~.....t. , I'i- /;1}('~M.. ~~- 8, II~/-Jt. k-1h..,;; :.j ~ .~,_
NOTE 1: Unless prior approval has been granted by Port Angeles, (he following sampling
frequency will be used:
0-25
25 - 100
101 - 500
501 - 1000
1001 - 2000
>2000
cubic yards
cubic yards
cubic yards
cubic yards
cubic yards
cubic yards
=
1 composite sample
3 composite samples
5 composite samples
7 composite samples
10 composite samples
10 plus one sample for each additional 500
cubic yards
=
=
=
=
=
NOTE 2: One Composile sample shall contain a minimum of three/maximum of five discreto
samples.
City 0' Pon Angelos. lllnd';" WClsto Disposal Applicutiun
PlIQO . 3
.
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12.
Certification:
e
We, THE UNDERSIGNED, certify Ihallhls application is lrue 10 Ihe besl of our knowledge. All
(nfoonallon provided Is corred and Ihe endosed analytical rcsulls represent the proposed wasle
material to the best of 0 r abilities.
-7~ ~t.JOC<c
Printed Name
2--v Ot.7lc: .I /HJCl S ~
Company
/nJt.t IDe.
Date .
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N \t1()lICY_P\1000_6W\100g_01.WPD
City of Port Angolos . landfill Wi.lslo Disposol Applicotion
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NVL Laboratories, Inc.
4708 Aurora Ave. N., Seattle, WA 98103
Tel: 206.547.0100, Fax: 206.634.1936
www.nvllabs.com
AIHA -IH # 101861
WA - DOE # C1765
-
AIHt-..
~
ACCREDITED
LA80RATORY
Attention: Mr. Tracy Gudgel
Project Location: 911 Bryson Street, Port Angeles
Toxicity Characteristic Leaching Procedure - Lead (Pb)
Client: Zenovic & Associates. Inc. Batch #: 2612781.00
Address: 301 E. 6th St. #1 Matrix: Bulk
Port Angeles, WA 98362 Method: EPA 1311nOOOB
Client Proiect #: 06254
Date Received: 09/22/2006
Samples Received: 1
Samples Analvzed: 1
Lab 10
26083020
Client Sample #
06254A
RL
mg/L
0.4
Results
in mg/L
< 0.4
Results in
ppm
< 0.4
Sampled by: Client
Analyzed by: Ahmad Izzat
Reviewed by: Nick Ly
Date Analyzed: 09/29/2006
Date Issued: 09/29/2006
~r
mg/ L =Milligrams per liter RL = Reporting Limit
ppm = parts per million '<' = Below the reporting Limit
Note: Method QC results are acceptable unless stated otherwise.
Unless otherwise indicated, the condition of all samples was acceptable at time of receipt.
Bench Run No: 26-0928-4 Page 1 of
. [
NVL laboratories, Inc.
4708 Aurora Ave N, Seattle. WA 96103..
Tel: 206.547.0100 Emerg. Pager: 206.344.1878
1.888.NVL.LABS (685.5227)
Client Zenovic & Associates, Inc.
Street _3 0 \ Go. (0 "^"' ~(ee.~ 1::ll
CHAIN of CUSTODY
SAMPLE LOG
BATCH 10
2612781.00
...
NVL Batch Number
Client Job Number
Total Samples
Turn Around Tune 0 1-Hr 024-Hrs 04 Days
o 2-Hrs 0 2 Days 125" 5 Days
o 4-Hrs 03 Davs 06 to 10 Davs
Please call for TAT JeSs than 24 HIS
Emliil address ~,,'1' l! 2~u~~"'"
cb2$'i
(
Port Angeles
Project Manager ~ ~y ~Vb~4c..
Project Location - 'fill O((''fSor-J St'"K/f."f'/ PD1A' 4v(.(~r
.
Phone: (360) 417-0501 Fax: (360) 417-0514
'0 Asbestos Air 10 PCM (NIOSH 7400) 0 reM (NIOSH 7402) [J TEM (AHERA) 0 TEM (EPA Lavelll) 0 Other
!o Asbestos Bulk I 0 PLM (EPNGOOIR-93/116) 0 PLM (EPA Point Count) 0 PLM (EPA Gravimetry) 0 TEM Bulk
r.B'ALS Dot. Umit Matrix RCRA Metals DAUB Other Metals
o Total Melals I8l ppm (MS) Cl Air Filter o Paint Chips o Arsenic (As) o Lead (Pb) UAII3
lRTCLP o ppb (GFAA) o Drinking water o Paint Chips (Area) o Barium (Ba) o Mercury (Hg) o Copper (Cu)
U Dustlwipe o Waste Water o Cadmium (Cd) o SelenIum (Se) o Nickel (Ni)
OSciI o Chromium (Cl') 0 Silver (Ag) o ZInc (Zn)
o Other Types o Fiberglass o Nuisance Dust o Rotometer earlbratlon 0 Other '(Specify)
of Analysis 0 Silica o Respirable Dust 0 MOldIFungus
Conadion of Package: 0 Good 0 Damaged (no spBlage) 0 Severe damage (spillage)
- - - - -..... . ..
.-
Seq.t/. Lab .0 alent Sample Number Comments AIR
1 r)b7~-r It A ~c..UP (ft4Ci
2
3
4
--.-..
5
-
I 6
--
7
- -
6
9
10
. 11
12 t~J
13
-
14 0
.- _..
15
--..----
Sampled by
Relinquished by
ReceIved by
Analyzed by
Results Called by
'Results Faxed by c-=.-- .
Special Instructions: Unless requested in writing. all samples will be disposed of two (2) weeks after analysis.
p /h46<{ ~4Y ;24,;fUV'/ ~
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Job Location:
Owner:
Contacts:
Subject:
Inspector:
IU. .I.~.I.Il:J,JJ..""t
Northwest Asbestos Consultants
406 Reed St.
Port Townsend, WA 98368
360-385~0584
northwestasbestosconsultants@cablespeedcom
9/20/06
911 Bryson St
Port Angeles, WA 98362
Doc Reiss
Zenovic and Associates, Inc.
Tracy Gudgel, P.E.
301 East 6th St. Suite #1
Port Angeles, WA 98362
Demolition
Bob Witheridge
AHERA - Building inspector 1 Management Planner
WAMOA - 0042-QS
Expires - 10/12/06
...C:
UJ "DAr-o 7--1 ct
.....JU -c:.CJ-L-UCJt:IIlUI...."...,.r rI""\.Ur'l-
I u: l.)t)~'+l (1::01'+
t-'..j
...
Scone of work
1) Inspect for asbestos containing building materials (ACBM).
2) Survey, sample and record suspect materials.
3) Report to Tracy Gudgel, P.E. of Zenovic and Associates, Inc.
4) COpies for owner, Tracy Gudgel, City of Port Angeles Permit Center, Olympic Region
Clean Air Agency and on site for demolition.
SllmmaJ::)' of Inspection!
Inspection started with the garage of approximately 360 sq. ft. This was a wood frame
building with rolled composition roofing material, no heating or insulation on cement
slab foundation.
I found no suspect of ACBM.
All asbestos conta1.nJng building materials with a reading of 196 or greater is to be
removed by owner or a certified abatement contractor which follows the rules of the
EPA and governed by Olympic Region Clean Air Agency.
During building demolition or remodeling, it is possible that additional suspect
asbestos containing building mater1a1 (ACBM) may be found with in a wall,
floor, ceiling or other areas not accessible at the time of the survey. Should
such suspect material be discovered an AHERA certified inspector will have to
sample and test the material to prove it is of non-asbestos.
Northwest Asbestos Consultants is not responsible for identification of hidden
materials that are not identifiable with reasonable diligence.
Thank you,
~~ lL)~'ul,a
Bob Witheri""dg~~ i.F-;'{
~~-c.~-c.1tJCJO
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000406 Date
.627476
911 E BRYSON AVE
06-30-10-5-1-0150-0000-
RES FOUNDATION REPAIR
11/04/04
RS7 RESDNTL SINGLE FAMILY
16000
Owner
Contractor
THE REIHIT CO.
2520 SOUTH LAUREL STREET
PORT ANGELES WA 983620021
(360) 417-6774
THE REIHIT COMPANY INC.
2520 S. LAUREL
PORT ANGELES WA 98362
(360) 417-6774
Permit
Additional desc
Sub Contractor
permi t Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
RES. REMODEL
ANGELES ELECTRIC
73.00 Plan Check Fee
11/04/04 Valuation
5/04/05
.00
o
~
.........
..............
Qty Unit Charge Per
1.00 73.0000 ECH EL-R-SQFT FIRST 1300
Extension
73.00
~
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 73.00 73.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 77.50 77.50 .00 .00
~
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\1102.15 [11/1412003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
. _F.p_Or~GS
WALLS
FOUNDATION DRAINAGElDOWN SPOUTS
ELECTRICAL (LIGHT DEPn SEPARATE PERMIT: # I /
ROUGH-IN I 1..:2//;>/LJ~1 ~/I
PLUMBING / /
UNDER FLOOR / SLAB
ROUGH-IN
W f\ TER LINE (METER TO BLDG) .
dASLINE
BACK FLOW / WATER
Allt~EAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 / ~t'~ 1" J,f) ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / pw/ 7 I CONSTRUCTION. R. W.
ENGINEERJNG 417-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [11/1412003]
'"-
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO.
<VcYcfr'
12,4/'7'1
DATE
ELECTRICAL PERMIT
nar/Business:
o READY FOR
INSPECTION
License Number:
o WI LL CALL FOR
INSPECTION
Phone:
Si e Address:
Installed By:
Phone:
nar/Business Address:
Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW _
1Sl. HEAT PUMP KW_
~FAN/WALL KW ~
~ RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
')(f' ADD/ALTER CIRCUITS
1'0 SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
~OVERHEAD SERVICE
-0 UNDERGROUN SERVICE
VOLTAGE: 'Za?
~1r/J 03
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
Det ilslDescription:
(
ws. No. SERVICE SIZE
CAtACITY:
o O.K. 0 NOT O.K.
A ION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o itch Inspection O.K.
o ough-in/cover O.K.
I
o O.K. to connect service
o Final O.K.
New Meters
c
Noti Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must no be covered
befo\e inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Buildin ermit. PHONE 457-0411, EXT. 224. R'
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~ ~cJ
Electrical Inspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: MeIer Dept., Bottom: City Hall
OLYMPIC, RINTERS INC
_.1,
CITY F PORT ANGELES
I
LIG DEPARTMENT
ELECTRICAL PERMIT
N? 15934
. , " '" J~/.
/ -.' ..../ /' " (.
Port Angeles. Washlngtonm.....................::.:..___m..m.m.......mm.m. 19m...?
In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec-
tric I equipment In, on. or about any building or other structure In the City of Port Angeles, per-
mis ion Is hereby granted to dO electrical work as listed below.
Ad ress .......!!:(...,.~;k;1:~I,,:;:::;._~~,m.."'j,~_oo....oo__._oo...oom.. Occupancyoo~,..~.1Z.."'-.............m-...mm.-.....
rp '/ ).%.
0';; er ......L.~.:~!......~/i;f!.lt::':~~~:;.;::-.B;gJpanL.m..mm...m........000-....000000.....--.....---..000...........
wi' Ing Contractor _.__..,__..,_.'..__"000000._._.._.....00.000..000....._.._...._.. By._oo___.__....mm..mm....m._oo..mm......m..oo....__....
~ Jjcv~~o
Lig t Outlets...._.._.._...nn............._..__..., Service, volts .:.nn....n.n......._..............
Rejeptac1e Outlets__..__n......_............_... No. wires .....!.~_nn...mn?'n.m_...
D,y '. KW..........__m..............___....___oo. SIze wlres....5/Lu..fo:_~.__....,..
/~I. .~1::1 .4.
Ran e, KW _n_.nn_nnn.hnn_____._...._____._. Main fuse ...:...t.~................
S
WF~~.~~t.~r:...---.~.:;..oo.oo............. TyP::;I:I:;:~:..mm....m..m-...m........
Her: KW.......Ih...._~!..Lm._m.......__.m_. Entrance Cable ...h_..h.............
M ors: size, volts and phase: Rigid Conduit .h___._...................n..
Meta1l1c Tubing m_mm.n..............
Current transformers:
No. & Size.......................................
Ser. NO....n_.n_.................h.................
Ser. No. ........._nn_......._..nn.n..___.n__...
Ser. NO.nn_..h....................................
Type at WIring:
Armored Cable ...nm..n..................
Non-Metallic ......._n..h_................._
Knob & Tuben_hh............_............_
RIgid ConduIt .............._.__.__..........
MetallIc Tubing ............_mm........
Raceway ..............................__....._
Circuits, LlghL..m._...m.......................n
Utillty ..........m_..____...,....................
I-Ieat ............._._......................._......
Range ..........__.__...__.................._......
Water Heater .............n................
Motor _.._........__..___.................._..._...
Dryer n........................_n.nn.....h.........
Fllrnace .__.........__...........'____._._____....._..
Total Load.mm.__..___m..m.__... Ser. NO.m.mm......._m............__....../? "'" .. Total .............m.....___...............
R marks: .._.........oo.m~;.'~.,,,.~..~"--oo....9.C<:1....l;ju.u.ff!---c'21J..-4:::.!!,#..~f..u..__.._m.......m.__..m__.__.m.m.m
--- ..._____oo_..oom______..m_.__...m....__..._.....oo_....mmoo_________..oo..........---00-....--..57. '''---4'.'.:::-'1''- mmm__mm..m.mm.m__m.
P rmit Fee Treas. Receipt (ff; !/ k;.:.ie. ;:2
$.f..~.~~;~~~~~~~:~--~:~t not ~~.~:~::~.:~..~~~;;.~:rtlllcate at ~:.p.:~~~:.~:~~~~.~;~~:--;;.:~~~:,~:~~::--
c led due notice must be given the Inspector so that work may be Inspected belare concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15934
t:::...:::::::::::::::::::~::::::::::::~::::::~::~::::::~::::::~::~:::::::::::::::::::::.::.::::::::::::::::::::::__:.:::::::..~:~~n:.a.t~:.:~:::::~::~::__.:~::::::::.:~::::::~::::::__::::::::
]Iring Contractoru.................................................m__m_...........................u...u........................... By.......m....m...m...............__m...................
NOTICE-Current must not be turned on untU Certificate ot Inspection has been Issued. It work 18 to be con-
e aled due noUce must be given the Inspector so that work may be inspected before concealment.
1 1M . Olympic P,'nle", In,.
11-01-2049,56AM
FROM ANGELES ELECTRIC INC 360 452 926~.
y.....
ELECTRIC,ll.L PERMIT APPLICATION 57
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1h/~ lClf?(;lIjC;l) (.>,~If1Ii! Aprllic:~liOf) !!!!:,'!?:~Qc_~],I~!:....~_ out comDlelel"._
I-UI! Ulllt IA) ll~l~ U~l. \.
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Ple:l~(" type or reprint In ink If you havE' :my Ql1f1'$llons. plr-3se call (360. 417-4.7'.35
Fax numhp.t: (360) 417-4711
REQUEST INSPECTION ~'
OWf)ef 01 flee. C;onlraC101 Agcnr:----ANGELES----E.LEC..J.1tl..C..-lNC....
. Ii I
P'ope"90wncr:~~
Z5ZD .sJ-""'"~/
Phulle:4 ~7-q7(,4
Add!es~:
Cily;
Pd-
ANGEr,E1460IlS
!.i<:r:n:;c 1/: E,.;p:
Fax: 4'17-<17(;'1
Phone: ~lrL -~":)Z~
Zip: 9 i36'Z.....
Elechica! COIl.,..tOr: ANGELES ELECTRiC INC.
AcJ~'ess: 524 EAST F1HST
Phone' 4<;7_<17(;4
City: PORT ^NGELES~ WA
up: 98362
INSTALLATION WIRED BY: U OWNER *~lECl RIC^L(;ONTR^CTOR
Credit Card Holder Name: Tr.>,J S; mpso.tL
Billing Address: City:
Credit Card Number: Exp. Date:
/
Zip:
VlSA:__MC: ~
PROJECT AOORESS,
9// ~1&j~AI
o Mulli-Jamily
o Commercial
'0 Mobile Home
Sq. Fl.
/-SVo
\J
.--f::.
TYPE OF WORK:
~sidental
Check alllhat apply:
I] New
~alion/Addition
o Remote Meier
o Detached garage
7
o Hot Tub 0 Swim Pool
o Septic Pump 0 Low Voltage 0 Telecom.
o Sign
-t::.
c.:::
~
Number of Circuits added or altered:
JC?~ri
; OtJ
,e -k;((!t{ S4tWte.E
~.-r'
~
DESCRIPTION OF THE ELECTRICAL PROJECT:
7....,t!)L~
,......-
Electrical Heal Load Additions
v~
Service Information
o Baseboard
::J Furnace
~ Heal Pump
~ Fan-Wall
_KW
_KW
_KW
_KW
o Ov'erhead Service
o Temp Service-
LJ Underground Service
Voltage: I ~'/LJ
Phase: [!(f~
Service Size: , .
Feeder Size: - p -p
:>AMe 14.05.060(8): F~r industrial, commercial. & residential projects larger than a duplex. a one . line drawing of the Electrical Service &
:eeders, building size (sq. ft.). load calc'Jla(ions. and Ihe lype & or conduclors and/or raceway is required and shall accompany Ihe
=Iectrical Permit applica1ion.
, hereby certify that f tlave read and 11xamined this applicarion and know that same t and I am
lUlh to apply for this permit. I understand it is not the City's legal responsibility to, determine what permits
lre required; it remains the applicants responsibility to determine what permits are required and to obtain such
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C",", "',,' Ho,"". s.""'"~,. >>.~' .~ ...." 1.% joy
Owner or EIf!c. Cont. Signature:--I~ ' , ----'-_ "'-=-_ Date: /~~f
D~~l~ ~/I
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'W-9019