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HomeMy WebLinkAbout930 - 932 Marine Dr - BuildingPREPARED 10/25/11 8 20 57 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/25/11 ADDRESS 930 MARINE DR SUBDIV TENANT NBR SHADOW /MARINE DRIVE LLC CONTRACTOR MCKNIGHT CONSTRUCTION LLC PHONE (360) 452 7467 OWNER SHADOW /MARINE DRIVE LLC PHONE (510) 710 1974 PARCEL 06 30 00 0 1 0500 5002 APPL NUMBER 09 00000516 IND REPAIR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 9/03/09 PB PLUMBING UNDER SLAB 9/04/09 AP September 3 2009 9 53 58 AM 1pangrle JOHN UNDERSLAB PLUMBING September 4 2009 8 30 57 AM pbarthol PL2 01 9/24/09 PB PLUMBING ROUGH IN TIME 01 00 9/25/09 AP September 24 2009 9 20 08 AM 1pangrle JOHN 460 6902 ROUGH IN PLUMBING AFTERNOON September 25 2009 9 19 51 AM pbarthol PL99 01 10/25 PLUMBING FINAL TIME 01 00 October 24 2011 3 10 17 PM 1pangrle CECIL 510 710 1974 PLUMBING FINAL AFTERNOON HE REQUESTED THAT YOU CALL HIM 10 MINUTES BEFORE YOU GET THERE CECIL 510 710 1974 MECHANICAL FINAL AFTERNOON HE REQUESTED THAT YOU CALL HIM 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES PREPARED 10/25/11 8 20 57 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/25/11 ADDRESS 930 MARINE DR TENANT NBR SHADOW /MARINE DRIVE LLC CONTRACTOR MCKNIGHT CONSTRUCTION LLC OWNER SHADOW /MARINE DRIVE LLC PARCEL 06 30 00 0 1 0500 5002 APPL NUMBER 09 00000516 IND REPAIR PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV CONTINUED ONTO NEXT PAGE PHONE (360) 452 7467 PHONE (510) 710 1974 BL3 01 8/26/09 JLL BLDG FRAMING 8/26/09 AP August 26 2009 10 00 56 AM 1pangrle RANDY 460 3593 PARTIAL FRAMING PARAPET August 26 2009 5 04 58 PM jlierly BL4 01 8/26/09 JLL BLDG FIREWALL 8/26/09 AP August 26 2009 10 00 21 AM 1pangrle RANDY 460 3593 FIREWALL August 26 2009 5 05 04 PM jlierly BL3 02 11/24/09 PB BLDG'FRAMING TIME 08 00 11/24/09 AP November 23 2009 3 42 17 PM 1pangrle RANDY 460 3593 FRAMING MORNING November 24 2009 9 29 54 AM pbarthol BL3 03 12/16/09 JLL BLDG FRAMING TIME 01 00 12/17/09 AP December 15 2009 4 48 33 PM 1pangrle RANDY 460 3593 FASTENERS HOLD DOWNS AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE December 17 2009 9 35 36 AM jlierly BL3 04 1/07/10 JLL BLDG FRAMING TIME 09 00 1/07/10 AP January 7 2010 8 10 08 AM 1pangrle CECIL 460 3593 FRAMING HE PREFERS A MORNING INSPECTION January 7 2010 4 54 47 PM jlierly air seal and plumb rough ok /jll BL99 01 10/25/11 BLDG FINAL TIME 01 00 October 24 2011 3 08 57 PM 1pangrle CECIL 510 710 1974 BUILDING FINAL AFTERNOON HE REQUESTED THAT YOU CALL HIM 10 MINUTES BEFORE YOU GET THERE PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 10/25/11 J tt]'[ #y MECHANICAL FINAL TIME 01 0 0 1 N October 24 2011 3 09 53 PM 1pangrle A 5z.2 ,,to/z7/;./ c G 0 L- 7 k./0/7/gt 7 4- /i(9\ lei /.7--e-c--3 a a V z`°kr o V 6' c/ e 1/ Ar-LL_ /(/c, rirrc_ 7 4k F Gv/W \/'6, RECEIVED' JAN 1 4 2011 CITY OF PORT ANGELES BUILDING DIVISION d k9 Cec t i a h y er .57d 7/d 7 PREPARED 1/07/10 8 18 03 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/07/10 ADDRESS 930 MARINE DR SUBDIV TENANT NBR SHADOW /MARINE DRIVE LLC CONTRACTOR PHONE OWNER SHADOW /MARINE DRIVE LLC PHONE (510) 710 1974 PARCEL 06 30 00 0 1 0500 5002 APPL NUMBER 09 00000516 IND REPAIR PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 8/26/09 JLL BLDG FRAMING 8/26/09 AP August 26 2009 10 00 56 AM 1pangrle RANDY 460 3593 PARTIAL FRAMING PARAPET August 26 2009 5 04 58 PM jlierly BL4 01 8/26/09 JLL BLDG FIREWALL 8/26/09 AP August 26 2009 10 00 21 AM 1pangrle RANDY 460 3593 FIREWALL August 26 2009 5 05 04 PM jlierly BL3 02 11/24/09 PB BLDG FRAMING TIME 08 00 11/24/09 AP November 23 2009 3 42 17 PM 1pangrle RANDY 460 3593 FRAMING MORNING November 24 2009 9 29 54 AM pbarthol BL3 03 12/16/09 JLL BLDG FRAMING TIME 01 00 12/17/09 AP December 15 2009 4 48 33 PM 1pangrle RANDY 460 3593 FASTENERS HOLD DOWNS AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE December 17 2009 9 35 36 AM jlierly BL3 04 1/07/10 J BLDG FRAMING TIME 09 00 C January 7 2010 8 10 08 AM 1pangrle CECIL 460 3593 FRAMING HE PREFERS A MORNING INSPECTION COMMENTS AND NOTES PlLx.vvi; l� rL c-,0( PREPARED 12/16/09 8 7 48 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/16/09 ADDRESS 930 MARINE DR SUBDIV TENANT NBR SHADOW /MARINE DRIVE LLC CONTRACTOR PHONE OWNER SHADOW /MARINE DRIVE LLC PHONE (510) 710 1974 PARCEL 06 30 00 0 1 0500 5002 APPL NUMBER 09 00000516 IND REPAIR PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 8/26/09 JLL BLDG FRAMING 8/26/09 AP August 26 2009 10 00 56 AM 1pangrle RANDY 460 3593 PARTIAL FRAMING PARAPET August 26 2009 5 04 58 PM jlierly BL4 01 8/26/09 JLL BLDG FIREWALL 8/26/09 AP August 26 2009 10 00 21 AM 1pangrle RANDY 460 3593 FIREWALL August 26 2009 5 05 04 PM jlierly BL3 02 11/24/09 PB BLDG FRAMING TIME 08 00 11/24/09 AP November 23 2009 3 42 17 PM 1pangrle RANDY 460 3593 FRAMING MORNING November 24 2009 9 29 54 AM pbarthol BLDG FRAMING TIME 01 00 BL3 03 12/16/09 December 15 2009 4 48 33 PM 1pangrle ii‘ RANDY 460 3593 FASTENERS HOLD DOWNS AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE COMMENTS AND NOTES \Avo (4, tls NI5C1'SW* 14 tit kg.itoe:,` 00. 12A-13 s, W' of /OW ii)G0 4 4 50 -1-0,,5 A cl.t,P ea' a A-- RC 1 DEC 0 20 art ov PORI ANGeues OSLO* CW/15_ ga-- "rillIASS (pi P 00 ar PREPARED 11/23/09 15 46 29 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/24/09 ADDRESS 930 MARINE DR SUBDIV TENANT NBR SHADOW /MARINE DRIVE LLC CONTRACTOR PHONE OWNER SHADOW /MARINE DRIVE LLC PHONE (510) 710 1974 PARCEL 06 30 00 0 1 0500 5002 APPL NUMBER 09 00000516 IND REPAIR PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 8/26/09 JLL BLDG FRAMING 8/26/09 AP August 26 2009 10 00 56 AM 1pangrle RANDY 460 3593 PARTIAL FRAMING PARAPET August 26 2009 5 04 58 PM jlierly BL4 01 8/26/09 JLL BLDG FIREWALL 8/26/09 AP August 26 2009 10 00 21 AM 1pangrle RANDY 460 3593 FIREWALL August 26 2009 5 05 04 PM jlierly BL3 02 11/24/09 JLL /1 BLDG FRAMING TIME 08 00 ///.1 L November 23 2009 3 42 17 PM 1pangrle J L p� RANDY 460 3593 FRAMING MORNING COMMENTS AND NOTES xeN PREPARED 9/24/09 9 21 24 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/24/09 ADDRESS 930 MARINE DR SUBDIV TENANT NBR SHADOW /MARINE DRIVE LLC CONTRACTOR PHONE OWNER SHADOW /MARINE DRIVE LLC PHONE (510) 710 1974 PARCEL 06 30 00 0 1 0500 5002 APPL NUMBER 09 00000516 IND REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 9/03/09 PB PLUMBING UNDER SLAB 9/04/09 AP September 3 2009 9 53 58 AM 1pangrle JOHN UNDERSLAB PLUMBING September 4 2009 8 30 57 AM pbarthol PL2 01 9/2 /09 JLL PLUMBING ROUGH IN TIME 01 00 September 24 2009 9 20 08 AM 1pangrle JOHN 460 6902 ROUGH IN PLUMBING AFTERNOON COMMENTS AND NOTES PREPARED 9/03/09 9 54 56 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/03/09 ADDRESS 930 MARINE DR TENANT NBR SHADOW /MARINE DRIVE LLC CONTRACTOR OWNER SHADOW /MARINE DRIVE LLC PARCEL 06 30 00 0 1 0500 5002 APPL NUMBER 09 00000516 IND REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE PHONE (510) 710 1974 PL1 01 7 /Qr3 /09 7-) PLUMBING UNDER SLAB September 3 2009 9 53 58 AM 1pangrle JOHN UNDERSLAB PLUMBING COMMENTS AND NOTES PREPARED 8/26/09 10 02 08 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/26/09 ADDRESS 930 MARINE DR TENANT NBR SHADOW /MARINE DRIVE LLC CONTRACTOR OWNER SHADOW /MARINE DRIVE LLC PARCEL 06 30 00 0 1 0500 5002 APPL NUMBER 09 00000516 IND REPAIR PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 8/26/09 JLI BL4 01 8/26/09 JLL SUBDIV COMMENTS AND NOTES PHONE PHONE (510) 710 1974 BLDG FRAMING August 26 2009 10 00 56 AM 1pangrle RANDY 460 3593 PARTIAL FRAMING PARAPET BLDG FIREWALL August 26 2009 10 00 21 AM 1pangrle RANDY 460 3593 FIREWALL CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc FIRE DAMAGE REPAIR Owner SHADOW /MARINE DRIVE LLC PO BOX 2319 PORT ANGELES WA 98362 (510) 710 1974 Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 12 00 Permit Additional desc Permit pin number 147132 Permit Fee 64 50 Issue Date 6/11/09 Expiration Date 12/08/09 Qty Unit Charge Per 2 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Unit Charge Per Extension BASE FEE 670 25 7 0000 THOU BL 50 001 100K (7 00 PER K) 84 00 Qty Unit Charge Per 1 00 7 0000 EA T.FormsBuilding DivisionBuilding Permit PLUMBING PERMIT MECHANICAL PERMIT 09 00000516 261440 930 MARINE DR 06 30 00 0 1 0500 5002 SHADOW /MARINE DRIVE LLC IND REPAIR 62000 REPLACE ROOF INTERIOR WALLS Contractor R Ct)h Siroc4,bn U_ C 285 13144— 1:04kre% orak Rd Poat A n94.1 es WA 9 83'63 FIRE DAMAGE REPAIR ROOF INT WALLS BUILDING PERMIT COMMERCIAL FIRE DAMAGE REPAIR 147108 754 25 Plan Check Fee 490 26 6/21/09 Valuation 62000 12/08/09 BASE FEE 7 2500 EA ME VENT FAN (SINGLE DUCT) 147116 86 00 Plan Check Fee 00 6/11/09 Valuation 0 12/08/09 BASE FEE PL PLUMBING TRAP Plan Check Fee 00 Valuation 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 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. g7alt ��MT( Date 6/11/09 Extension 50 00 14 50 Extension 50 00 7 00 p &/05? ate Print Name Signature of Contractor or Authorized Agent 360- 45 z -746 Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T:Forms /Building Division /Building Permit Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping I SHORELINE. FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Page 2 09 00000516 Date 6/11/09 Application pin number 261440 Application Number Qty Unit Charge Per Extension 1 00 7 0000 EA PL WATER LINE 7 00 1 00 15 0000 EA PL SEWER LINE 15 00 1 00 7 0000 EA PL WATER HEATER 7 00 Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background A minimum 2A 10BC fire exinguisher is required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to an exit Other Fees Fee summary CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 STATE SURCHARGE 4 50 Charged Paid Credited Due Permit Fee Total 904 75 904 75 00 00 Plan Check Total 490 26 490 26 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 1399 51 1399 51 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T.Forms/Building Division/Building Permit IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor I Shear Wall (Kota OowWs Walls Roof /'erling Drywall (Interior Braced Panel Only T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 Date Accepted By Partial Ft,Ourv.irta 8`2- -o't PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Comments FINAL Date 16 Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 1 Building 417 -4815 10 0 4 -DQ —r I I -1 to RU- P1tt►4otn5 P II W FINAL Date Accepted by l• -7_) 0 3 Fl t-awall 824 01 12- I fn -U9 I TLL I fro- rnivt I(- 2t{ -09 JLL fr.r0. -Mt v% 1- 7 t LC- I t7 I I 1 Applicant ge Zi /Z Property Owner Property Owner's Address Contractor //o Contractor's Address Srr /roe-! 10iia/4-&te.l License /'V /e j ai; L9s' ,2c Expires (.,13,2o( I PROJECT ADDRESS 17/2 Parcel Number Lot Proiect Tvoe Brief Description. Check all that apply New Construction Addition Remodel 1epair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Residential Multi- family Commercial wlndustrial .21.114ec /6451..I, l/yv /1. 4J /47/ 4 7/ a. /o 1/ e, <e-� c House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Posed (sq. ft.) TOTAL VALUATION Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are equir d, and to obtain permits prior to working on projects. Dates aS� S Print Name r F/Z Signature T FormsiBuild ng Division /Bldg Permit.doc For City Use Onl Date Received] 5 ^Z'j —09 Permit i y fate Approved Phonel s7o Phone S% Phone y5Z I (0 7 E -mail Zoning per sq ft. of bedrooms of full baths of half baths /o 9 v /�C( o II 1/ y 7 1 •�;y\ lao" McKNIGHT CONS TRUCTION 285 BLACK DIAMOND ROAD POR T ANGELES, WA 98.363 /J TITLE: STRUCTURAL REPAIR TO COMMERCIAL BUILDING, 930 MARINE DR. 1 a 0 y y S% c In I C r O N SITE PLAN r m t1rC� m 7'M O 1 O .2 O b i CUENT: ENOVIC Li ASSOCIATES INCORPORATED PORT ANGELES, 301 EAST 61H ST. SUITE 1 PORT ANGELES, WA 98362 PHONE: (360) 417 -0501 FAY: (360) -051 EYA.: 7E AGNET WA PREPARED 4/10/09 14 08 39 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/10/09 ADDRESS 930 MARINE DR SUBDIV TENANT NBR CABINET BEARING SHOPS CONTRACTOR MCKNIGHT CONSTRUCTION LLC PHONE (360) 477 5707 OWNER SHADOW /MARINE DRIVE LLC PHONE PARCEL 06 30 00 0 1 0500 5002 APPL NUMBER 09 00000292 DEMOLITION PERMIT DEMO 00 DEMOLITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 4/10/09 J BLDG FINAL v 1k IF April 10 2009 2 06 38 PM 1pangrle DON LOVE 808 0328 BLDG FINAL DEMO ROOF AND INTERIORS (UNITS 930 932) THEY LEFT THE CMU WALLS AND SLAB REMAINING COMMENTS AND NOTES w CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00000292 Date 4/03/09 Application pin number 948328 Property Address 930 MARINE DR ASSESSOR PARCEL NUMBER 06 30 00 0 1 0500 5002 Tenant nbr name CABINET BEARING SHOPS Application type description DEMOLITION Subdivision Name Property Use Property Zoning Application valuation 0 Application desc DEMO FIRE DAMAGED ROOF INTERIORS UNITS 930 932 Owner Contractor SHADOW /MARINE DRIVE LLC MCKNIGHT CONSTRUCTION LLC PO BOX 2319 285 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 477 5707 Structure Information 000 000 DEMO UNITS 930 932 LEAVE CMU WALLS Permit DEMOLITION Additional desc DEMO #930 932 NOT CMU Permit pin number 143800 Permit Fee 50 00 Plan Check Fee 00 Issue Date 4/03/09 Valuation 0 Expiration Date 9/30/09 Qty Unit Charge Per Other Fees BASE FEE Fee summary Charged Paid Credited Due Permit Fee Total 50 00 50 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 54 50 54 50 00 00 T:Forms/Building Division/Building Permit Extension 50 00 STATE SURCHARGE 4 50 Date Print Name Signature of Contractor or Authorized Pgent 19" 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 co ruction. /A /o7 &Vern L. Iee/ /dam Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By 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 AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T.Forms /Building Division /Building Permit FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type FINAL Date FINAL Date Accepted by Accepted by Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 I Building 417 -4815 I L} I,'}- 641 Coy yt w2Sb514e., owner is: 5ha4oU) /(1at lne, Dave. LLC Po Boar y 3 ict �A. Applicant ,'(4 NNEThi i fk/ /6(/ /6 T Property Owner Property Owner's Address Contractor 4/64>/e1-17 L L e Contractor's Address 23s vv) /.4, License# MCKN 1GL953L- Expires Proiect Type Brief De Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Deck Shed Other scription. Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type T Forms /Building Division /Bldg Perrn!t.doc BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 4' 7Z'ivA 7 i Phone 3 60 Y77-57 o Phone Phone P8 A3 6 j 3I O9 E -mail PROJECT ADDRESS 93o �3 Z (Y a,� yj A r ph obi Sh P 0630 Owl. C?rl�i� tjGpZ, Parcel Number Pjo-ivin 5hnn Lot Floor Areas Existing (sq. ft.) Proposed (sa. ft.) Basement r A f per sq ft. 1 Floor 1 t 2nd Floor ,Q LL UTL /T1c5 i ©t 3rd Floor Garage Carport Covered Porch For City Use Only Date Received 0 y- 03--0 Permit# Q9_ 9z_ Date Approved E Zoning f rn lU 1,14 Residential Multi- family XCommercial Industrial 2S1 O o® 44/ E7 r�T> Ri ov4 .9..S'O 00 E7 /l gvl74,v 5= -4xivv (.?11'I Gi k.' /L C. /fee WALLS House garage El other 1 tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other 63 -02 —O TOTAL VALUATION Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to outing o p jects Date 't` �y Print Name M /(of Signature ,/v`C NGELES W A S H I N G T O N U S A Public Works Utilities Department March 2 2009 Karman Industrial Tech 9'3() kannar 6 t n 9 10 ffir i C.a;n4- Jesse Bay Cabinetry q 3 7e5 se- Bel Cabi -ey 930/932 Marine Drive Port Angeles WA 98363 RE. Port Angeles Landfill Transfer Waste Disposal Application, WDA 09 -04 Building demolition at 930 -932 Marine Drive We have received your application for disposal of building demolition debris from the referenced site and reviewed the testing results for lead paint. 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 C the application. Materials not listed or in excess of the quantities noted may require separate applications and approval Please call if you have questions J A/444 Sincerely Stephen Sperr P.E. City Engineer GWK:tf Encl. WDA 09 -04 Copy Claudia Stromski DCD (building) N:\PWKS \ENGINEER \WDAPPLIC 09 -04 File: Landfill Solid Waste Disposal Applications 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 uJD4- -04 611 -6 Wed,10 /4/2006 0:4 PM t� Oc pORT44 vaill AKS A$ To City of Port Angeles City Engineer 321 E Fifth Street PO Box 1150 Port Angeles, Washington 98362 PORT ANGELES LANDFILL WASTE DISPOSAL APPLICATION NOTE. All questions must be answered for waste to be approved. Phone (360) 417 -4803 FAX. (360) 417 -4709 1 Generator Information Company Name. (CAvi -!M AP SmuSTruAL 1 rsat OJA V C.A113i soKit_y Mailing Address. cl3t) 0 131_ vvevt_t A) Oit U4/6 9 Phone. /'n Project Name Fl r2 MA64VI P2vl(A9/Gli. 00/4 Project Location AA4-1. !vl Dn t t).4 444 ALibkt.5 LA I?4 2 Other Contacts (if applicable) Consulting Firm: SSW/ 5, 1,1J(y Contact: IZ.t Phone -2 -417 <95n' Contractor Name !'h. kn.) I ITT (ovt Sfi vtuc i o Contact: P Phone. 3(.0 4 9S 7 (07 Laboratory' A/ L L.A 1 1.t.Ar -1 fi S DU 4 Contact: -1;4 A) It) gq7 —o 1 0 C) Phone �a City of Port Angeles Landfill Waste Disposal Application Page 1 Wed,10/4/2006 0:4 PM 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 Independent Remedial Action Unused Chemical Product Spill Agency Contact: UST Removal A Other Source ngir.t S T, iU ci ti ►JA wt fk, (0f3 i) 6u c L o, AX, w�A7ssit,/ a L- ro -g O of L5 i r 4c' fig J dug L-✓ 5 -t s 4 Waste Material Composition (check all that apply and include percent of total) Soil Foundry Slag Concrete /Asphalt Dredge Sediments Preserved Wood )S Debris 1Go Coal Ash Other (list) Wood Ash NOTE. Total must equal 100% 5 Waste Material Contaminants (check all that apply) Gasoline Metals Solvents Heating Oil Unused Motor Oil Used Motor Oil/Waste Oil Other Y�O {cam— Other Petroleum Product P L.RvD Unknown NOTE Supply any MSDS information with application if available. Diesel PCBs City of Port Angeles Landfill Waste Disposal Application Page 2 Wed,10 /4/2006 0:4 PM 6 Estimated Quantity of Waste for Disposal 2C 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 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 number of discrete samples per composite Number of DISCRETE samples 0 4 I C 1A-< v 60 PA i NT k D 2) fR)t )7- W 0ITI I k Tn2t. I n)T4YO 6,4),A)T 0 5) Asp NA NOTE 1 Unless prior approval has been granted by Port Angeles the following sampling frequency will be used. 0 -25 25 100 101 500 501 1000 1001 2000 >2000 cubic yards cubic yards cubic yards cubic yards cubic yards cubic yards Monthly NOTE 2. One composite sample shall discrete samples City of Port Angeles Landfill Waste Disposal Application Annual Other 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 contain a minimum of three /maximum of five Page 3 Wed,10 /4/2006 0:4 PM 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 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 Ecology a) List all analytical test methods used EPA l3 /1 3 b) Provide a narrative as to why the above analytical methods were selected c), A ¶7) A taA C Rfin ucr f r ji i c-->A t A ic5SSi 6/ L; r i O F L W y42 RA) ov7 V 9 ors Tk ern �c L A5 -T0 S A 6X1 eIVT i n) ail Ul rit_...is S S' 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 (EHW) Dangerous Waste (DW) and Waste Code. Extremely Hazardous Waste (EHW) and Waste Code City of Port Angeles Landfill Waste Disposal Application Page 4 Wed,10 /4/2006 0:4 PM 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. Waste erator Signal e Sec) ft I.1 �JeZC,C� Printed Name cfu t L G� A 1, S //VC- Company 1 2A 7 Date City of Port Angeles Approval. City Engineer ?lleik Date q Approval Expiration Date City of Port Angeles Landfill Waste Disposal Application Page 5 �h9 24 2009 0 32AM NYLLAB AUK iuu a I i r J/ J BATCH ID NVL Laboratories, Inc. 4708 Aurora Ave N, Seattle, WA 98103, Tel. 206.547.0100 Emerg. Pager 206.344.1878 1.888.NVL.L ABS (885.5227) Client Zenovic Associates, Inc. Street O r= %l,'"^ e'eA Project Manager Project Location Port Angeles 14i1at1. Pyz7 4 u.s4 Phone: (360) 417 -0501 Fax: (360) 417 -0514 I❑ Asbestos Air PCM NIOSH 7400) TEM (NIOSH 7402) U TEM (AHEiRA) TEM (EPA Level II) Other 1❑ Asbestos Bulk I PLM (EPA/600/R- 93/116) PLM (EPA Point Count) PLM (EPA Gravlmetry) TEM Bulk Other Metals Li All 3 Copper (Cu) Nickel (Ni) Zinc (Zn) MO Dot Limit Matrix RCRA Metals 0 All 8 0 Total Metals ppm (AAS) El Air Filter Paint Chips Arsenic (As) Mead (Pb) U.i' 1 CLP ppb (GFAA) 0 Drinking water Paint Chips (Area) Barium (Ba) MerCUry (Ng) U Dust/wipe Waste Water Cadmium (Cd) Selenium (Se) U Soil Chromium (Cr) Silver (A9) 1 Seq. #1 Lab ID 1 2 3 4 5 6 7 6 9 10 11 12 13 14 15 Other Types (0 Fiberglass Nuisance Dust Rotometer Calibration U Other '(Specify) of Analysis Silica 0 Respirable Dust Mold/Fungus Condition of Package: dGootl Damaged (no spillage) Severe damage SspIllage) f99 el 34-A Prins Below Sampled by I -.ey Relinquished by 1 1 L/ Ls L Received by 1b1(C Analyzedbyl t)Eo' (MN Results Called byl Results Faxed by 1 CHAIN of CUSTODY SAMPLE LOG Client Sample Number 1 Comments 1 7C.LP 644-6 Sign Bei-b`w Company, Date Time HO AAA •V I7 G i Gtc�o� c 1 20 1 3- coeVA g 3° R M .L._ 1 1 NVL Batch Number Client Job Number Total Samples Turn Around lime Email address R -f-€1. F--416 2001032 00 1 -Hr -Hrs 4 Days 2 -Hrs 0 2 Days 5 Days C14 -Hrs 3 Days 6 to 10 Days Please call for TAT less than 24 Hrs 7 cic v Esn rrs<l Special Instructions Unless requested in writing. all samples will be disposed of two (2) weeks after analysis. A,44rk ,1+ ....4.. AIR 02/24/2009 TUE 08 36 [TX /RX NO 5327] Ij003 ktb /4 11 J2AIV NVLLALS AUK NVL Laboratories, Inc 4708 Aurora Ave. N Seattle WA 98103 Tel 206.547 0100 Fax: 206.634 1936 p AIHA III 101861 www nvllabs,com Analysis Report WA DOE C1765 Toxicity Characteristic Leaching Procedure Lead (Pb) Client: Zenovic Associates, Inc. Addrets 301 E. eth St. Suite 1 Port Angeles, WA 98362 Attention Mr Tracy Cudgel Project Location. 930 Marine Drive, Port Angelus, WA Lab ID Client Sample 29012718 09036 -A Sampled by' Client Analyzed by' Tanveer Khan Date Analyzed' 02/24/2009 NU al V I/ Batch 2901932 00 Matrix: Bulk Method. EPA 1311/70008 Client Project 09036 Date Received 02/23/2009 Samples Received 1 Samples Analyzed 1 RL Results Results in mq/ L in mg /L ppm 05 <0,5 05 DRAFT AIHP ACCREDITED LABORATORY 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 29- 0223-7 Page 1 of 1 02/24/2009 TUE 08 36 [TX /RX NO 53271 12 002