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Home My WebLink About515 Tumwater Truck Rt - BuildingPREPARED 1/21/09 8 22 39 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/21/09 ADDRESS 515 TUMWATER TRUCK RT SUBDIV TENANT NBR PORT OF PORT ANGELES CONTRACTOR PHONE OWNER PORT OF PORT ANGELES PHONE (360) 457 8527 PARCEL 06 30 00 0 0 9670 0000 APPL NUMBER 08 00001493 DEMOLITION P ERMIT DEMO 00 DEMOL ITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 1/21/09 BLDG FINAL January 20 2009 4 28 16 PM 1pangrle JERRY 460 5487 BLDG FINAL DEMOLITION COMMENTS AND NOTES CITY OF PORT ANGELES II 1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 08 00001493 Date 1/05/09 Application pin number 663679 Property Address 515 TUMWATER TRUCK RT ASSESSOR PARCEL NUMBER 06 30 00 0 0 9670 0000 Tenant nbr name PORT OF PORT ANGELES Application type description DEMOLITION Subdivision Name Property Use Property Zoning Application valuation 1000 Application desc DEMO 700 SQ FT BUILDING Owner Contractor PORT OF PORT ANGELES OWNER PO BOX 1350 PORT ANGELES WA 983620251 (360) 457 8527 Structure Information 000 000 DEMO 700 SQ FT BUILDING Permit DEMOLITION Additional desc DEMO 700 SF BLDG Permit pin number 138560 Permit Fee 50 00 Plan Check Fee 00 Issue Date 1/05/09 Valuation 1000 Expiration Date 7/04/09 Qty Unit Charge Per Other Fees Special Notes and Comments The Fire Department has reviewed the project application and has no comments December 15 2008 5 03 14 PM sroberds No land use issues Sanitary sewer will need to be capped and an inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Call 417 4831 Fee summary T:FormsBuilding Division/Building Permit BASE FEE STATE SURCHARGE 4 50 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 Extension 50 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 ofa 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. 0 9 .7 ZAJ A /cW i Date Print Name Signature of Contractor or Authorized Agent 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 Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES 1 Footing Slab 1 Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE, FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit FINAL Date Accepted by FINAL Date Accepted by Date Accepted By 4 G I V 1- 21 -G°! 3 0 Sincerely GWK:tf Encl. WDA 08 -42 Copy Claudia Stromski W A S H I N G T O N U S A Public Works Utilities Department December 29 2008 Port of Port Angeles Attn Jesse Wakmtz P 0 Box 1350 Port Angeles, WA 98362 RE. Port Angeles Landfill Transfer Waste Disposal Application, WDA 08 -42, Building demolition at 515 Tumwater Truck Route We have received your application for disposal of building demolition debris from the referenced site and reviewed the testing results for lead paint and asbestos 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 Stephen Sperr P.E. City Engineer N: \PW!< tENGINEER \WDAPPLIC 08 -42 File: Landfill Solid Waste Disposal Applications Phone 360- 417 -4805 Fax 360 -417 -4542 Website www citvofpa.us Email publicworics @cityofpa us 321 Easl Hfth Str.et P 0 Box 1150 Port A, geles b'1;A 98362 -0217 13.1d wDA-o 4� 57 S l Gl rn uzerdiL 2& t pORT A k oRKS Aso NOTE. To City of Port Angeles City Engineer 321 E. Fifth Street P O Box 1150 Port Angeles, Washington 98362 PORT ANGELES LANDFILL WASTE DISPOSAL APPLICATION Phone (360) 417 -4803 FAX. (360) 417 -4709 All questions must be answered for waste to be approved. Generator Information. Company Name Po or aF rUQT 4464LES Mailing Address. PO Sew /3SD POET AAJGrL/ -S GuA 9R "Va. Contact: S SC 'A kn, T2 Phone. _3a) 4 //9 34/Sa- Project Name S S 71.Amc 78 7Quue Project Location 5/ 5 TG(not4),4 D >1ZucK 27 3 AAJ ELL' 2. Other Contacts (if applicable) Contact: Phone Contractor Name Contact: Phone. £T ,DE mob/ 1 a ZEtiol// -t ~IGvCST As aLSTCLS (-1.0/1 d.TA,(JTS As,A, soc, c /QA C/ 6 CLL v -OS 85 '360 yid -osoi Consulting Firm: J1/0/2_- Ana 40/ ray A./vi.. Laboratory It/oar/ E /Zf) /Aivu n /AL //kG /(.AJ1 /AJ LA R ht/C. Contact: 6 RA. c./,LcL. Mt: z-OO k`IA/V Phone o �l 988 ?y6 -04) S y 7 n/e)( City of Port Angeles Landfill Waste Disposa •Applicatioi Page 1 of 5 wi)ytt- b$ -4Z RECEIVED DEC 2 9 2008 CITY OF PORT ANGELES BUILDING DIVISION E 1 3 Source of Waste Check the appropriate box below and briefly describe the project, process and/or cleanup that will or has produced the waste requiring disposal Include the gasoline service station number (if applicable) CERCLA/MTCA Remediation Agency Contact: Independent Remedial Action UST Removal Unused Chemical Product Spill _X Other Source 77/Z SOG4Q :.E dF TNz toASTL- Gu /GL BE 3Wf /21/ L/7 /0 /V T//L• S //uCLE GlooO 3w Ldp 4 f I3G../LD /MG •4 Y _5/S Tunicas TR TP(Ck L PoeT 4 Waste Material Composition: (check all that apply and include percent of total) Soil Foundry Slag ok Concrete /Asphalt Dredge Sediments Preserved Wood .k Debris 65_% Coal Ash Other (list) Wood Ash NOTE. Total must equal 100% 5 Waste Material Contaminants (check all that apply) Gasoline X Metals Solvents Heating Oil Unused Motor Oil Used Motor Oil/Waste Oil Other WOOQ Other Petroleum Product U nknown NOTE. Supply any MSDS information with application if available Diesel PCBs City of Port Angeles Landfill Waste Dispo. ,l Application Page 2 of 5 6 Estimated Quantity of Waste for Disposal' as 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 Cubic yards 8 Tons (estimate both) Drums Monthly Tons (estimate both) Annual Other 8 Waste Sampling: Proper characterization of the waste for disposal requires the collection of representative samples The methods and equipment necessary for obtaining representative samples of a waste and the frequency of sampling will vary with the type and form of the waste. Check the appropriate box and briefly describe how and where the waste was sampled Include site maps with sampling locations if possible COm0 6 .S4 1 OP 3 o /Sc2L•' Number of COMPOSITE samples 1 number of discrete samples per composite Number of DISCRETE samples 4 focAR p!S c¢E7E SAMPt-f c. Lve,¢L• z4pfN /3Lf QI ,OL•MOc. r /oN 1VlX2 T�/wi c. ASLLsros CorISL.4.1 -r1 r e,iv ANALYZED ,cOQ ASr3S57 6 S/ A7TAeNLD BuL /C A$a5S'r ?s AUALYS 45 PFPe 1ZY f ,Q AagZSi_yE d f F/ c, 4L /i(, Set'OT/D. QeP0274 (7r,t l'om An S.omP/ 1.4-P 45 TA(zA, A,c,i� ,4AJA1 Y2 c��? Tr P LJ•A/1 e rr. rrAle ALIALv5 /S. ELPOZ7 NOTE 1 NOTE 2 BY 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 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 One composite sample shall contain a minimum of three /maximum of five discrete samples City of Port .ngeles Landfill Waste Disposal App!!cation Pane 3 of 5 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 TccP 4L EPA Mc 7Hv4 /1// /7000%3 b) Provide a narrative as to why the above analytical methods were selected. L�AL7 M AY PPJSZAJT /L, PAA17' NOTE. Additional sheets attached. X YES NO OD L AiWALYS /5 2LPOf 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 Calculated Hazard Index 11 Dangerous Waste Affidavit: Class 3 Class 4 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) no Extremely Hazardous Waste (EHW) Dangerous Waste (DW) and Waste Code Extremely Hazardous Waste (EHW) and Waste Code C.ty of Port Angeles Landfill Waste Disposal Application Page 4 of 5 12 Special Notes for Asbestos Disposal All asbestos containing materials (with the exception of roofing material in good condition that is not peeling cracking or crumbling with petroleum based binder that still exhibits plasticity to prevent the release of asbestos fibers) must: Certification. be tightly wrapped or bagged in 6 mil plastic with no excess air in the packaging not exceed 50 pounds per bundle be labeled as asbestos with required information regarding its origin be transported with a manifest in the vehicle arrive at the transfer station only by appointment with Brian Tate of Waste Connections so that the material can be deposited in a lock box (his cell number is 360 -912 7080) 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. 7 Waste Generator Signature G( �ESSL -Akr), tz Printed Name PORT b F' Pci zr A /J G 1 LF_c Company /a-- a9 Date City of Port Angeles Approval .,ice City Engineer U �Z -may -o8 Date 3-04 og Approval Expiration Date N:IPWKSIENGINEER \Waste Disposal Applicationslwaste disposal application- 2008 version.wpd City of Port Angeles Landfill Waste Disposal Application Page 5 of 5 .L4DL7 /CUUO 11 .7b NAA Jbu41/0014 ASSOCIATES INCORPORATED DATE December 29, 2008 TO Port of Port Angeles ATTN Jesse FROM Tracy Gudgel We are transmitting the following item. LENUVIC &ASSOC EJ 001 ❑Attached ❑Hand- carried ❑Under Separate Cover �AX 360- 452 -3959 PROJECT Building Demolition at 515 Tumwater Truck Route COPIES PAGES DESCRIPTION 1 1 Lab Results CIVIL ENGINEERING LAND SURVEYING 301 East 6 Street, Suite 1 Port Angeles, Washington 98362 (360) 417 -0501 FAX (360) 417 -0514 E -mail: zenovic @olympus.net Job No 08310 cvvo it .ii rtiA OU41 /Ua14 LtNUVl(.&ASSUC ,NVL Laboratories, Inc. 4708 Aurora Ave N, Seattle, WA 913103. Tel' 206,547.0100 Emerg, Pager 206.344.1876 1.888.NVL.LABS (685.5227) Client Zenovic Associates, Inc, Street 3 U\ G Co c e,e 14. t Project Manager Project Location DEC 22 2008 2 18PM NVLLAB AUR CHAIN of CUSTODY S►IIIIPLE LOG Port Angeles �ii7 6T ems JAGr.e Ago' 4,vd4445, 1444 Phone: (360) 417 -0501 Fax: (360) 417 -0514 I0 Asbestos Air 1 PCM (NIOSH 7400) TEM NIOSH 7402) (_i TEM (AHERA) TEM (EPA Level 11) 0 Other ID Asbestos Bulk I D PLM (EPA/MD/R- 931116) Q PLM (EPA Point Coun() Q PLM (EPA Gravimotvy) 0 TEM Bulk METALS 0 Total Metals Q'CLP Other Types of Analysis 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Lab ID Sampled Relinquished Received Analyzers Result:& Called Results Faxed Dot. Limit MatriX F irm (MS) Cl Air Filter p Paint Chips ppb (GFAA) 0 Dr water 0 Paint Chips (Area) U Dust/wipe Waste Water In Soil I❑ Fiberglass 0 Nuisance Dust Rotometer Calibration Other'(Speafy) Silica 0 Respirable Dust 0 Mold/Fungus Condition of Package: 0 Good Damaged (no spillage) 0 Severe damage SspII1age) I Client Sample Number Print Below Sion Below 1 byf A7C/l.,gZ I -i bY1acr if I by Ill Gr r in•+/'r f n y A i1 t4AW7/ byI byI Comments l NVL Batch Number Client Job Number Total Samples Tum Around Time Enofiil address RCRA Motels O Arsenic (As) O Barium (Ba) Cadmium (Cd) O Chromium (Cr) 2815569 00 (S c7 1-Hr 24 -Hrs ❑4 Days 2-Hrs 2 Days 5 Days 0 4 -pHs S Days 0 6 to 10 Days J' lease rill for TAT less than 24 Hrs •a a' ,O.7t tk,c/r,L. MET All 8 Q-Cead (Pb) Mercury (Hg) Selenium (Se) o Sliver (Ag) Special Instructions Unless requested In writing. all samples will be disposed of two (2) weeks after analysis. 4 1 L 41003 N0 2054 r 3 BATCH ID Other Metals Li All 3 Copper (Cu) 0 Nickel (Nit) Zinc (Zn) A/R Company__ Date Time 1 7ve.4< .zc 14 A._ qsa 1 nc.) ket. tic 1 (D yS __A(.4.?___ ...§FO'ei A. '804-- .9i4,,. .1 1....... W IN1La.- /,z /6-061 //)3D I I I I 1 12/22/2008 MON 15 23 [TX /RX NO 3.36] 31'3 co couo 11 01 PHA aou41rua14 LJNUV1U&ASSUC ,DEC 22 2008— 2 18PM NVLLAB AU" NVL Laboratories, Inc. 4708 Aurora Ave. N. Seattle, WA 98103 Tel 206 547 0100 Fax: 206 634 1936 www nvllabs.cbm Client: Zenovic Associates, Inc. Address: 301 E, 6th St, Suite 1 Port Angeles, WA 98362 Analysis Report ToXieity Characteristic Leaching Procedure Lead (Pb) Attention Mr Tracy Gudgel Project Location. 515 Tumwater Route, Port Angeles, WA Lab ID 28097942 08310 -A Sampled by Client Analyzed by Tanveer Khan Client Sample Date Analyzed 12/16/2008 RL mg/ L 0,4 mg/ L Milligrams per liter ppm parts per million Note Method QC results are acceptable unless stated otherwise. Unless otherwise ndicated, the condition of all samples was acceptable at time of Bch Run No 28 -.1216 -04 [J 002 .JO 2054 P 2 AIHA AiHA IH 101861 .41WCIRIMIT ED WA DOE C1765 LABORATORY( Results in rna /L 04 Batch 2815569 00 Matrix Bulk Method EPA 1311/70008 Client Project 08310 Date Received' 12/15/2008 Samples Received 1 Samples Analyzed 1 DRAFT Results in ppm 04 RL Reporting Limit Below the reporting Limit receipt 12/22/2008 ifCN 15 23 fTX /RX NO 52301 ti On2 Page 1 of 1 PROJECT ADDRESS 5/5 rirv1 reu.CIC Parcel Number ?z. ect Type Brief Des Check all that apply New Construction Addition o Remodel Repair Re -roof )(Demolition Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Q 00000 96 <5 cribt ion. Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Vlfill a fire sprinkler system be installed? Construction type RT, 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 Applicant or Agent Po Rr OF PoaT AUG( 4I s I PORT 1 Property Owner Poe, og Paar A ova ELItS Property Owner's Address 33 8 tufs7 rips r S 7: Contractor /Engineer PorzT w/LC az PfI PoRn/AwG rNt woek Contractor /Engineer's Address 338 coESr g, 457 sr, License Expires Existing (sa. Proposed (sp. ft.) Fwd per sq. ft. 700 For City Use On) Date Received 1Z— Permit ()5-- Date Approved Phone 360 8S a., Phone Phone E -mail po ofpa,.con, _o 'i 85 a :4o- yS -8.5-7 Lot /3 .fly Zoning Residential (Commercial o Multi family Industrial lk.A.51L OI3P0.5AL .APP/ IcArloiv S'ut3M( r TRE,V/d FccrIs741^ oBTAIAmUG A,u oacAA v ROUT" /47 /4. /T/E; AT S /T,4' /LL !3L .sciccc.r 1.)L/1An A ki ci PP n SO V CS nV smazz grat2), "vat; L) l; MAKE ran 5TQUG.T16 Heat pump o wood burning stove gas fireplace o pellet stove o other TOTAL VALUATION 7 000 00 Total footprint of structures 7 oC) sq. ft. Lot size sq. ft. Lot coverage of bedrooms of full baths of half baths have lead 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 working on projects. Date id-4/0g Print Name 6- -k2/24 Signature 7:7 70Q Date; 8/06/07 Northwest Asbestos Consultants 406 Reed St. Port Townsend, WA 98368 360 385 -0584 northwestasbestosconsultants @cablespeed. com lob Location. 515 Tumwater Truck Rt. Port Angeles, WA 98362 Owner: Contact: Subject: Demolition Inspector: Port of Port Angeles P.O Box 1350 Port Angeles, WA 98362 P.O Box 1350 Port Angeles, WA 98362 Bob Witheridge AHERA Building inspector Management Planner WAMOA 0042- 10270601 Expires 10/27'07 4 /ly w ll in&nertion Report 4,9 Sample was sent to lab See results. Scope of work, 1) Good faith inspection for asbestos containing building materials (ACBM) 2) Survey sample and record suspect materials. 3) Report to Susan Bauer with results of testing by Northern Industrial Hygiene Inc The inspection started with a visual survey looking for Asbestos Containing Building Material (ACBM) Single story home had wood siding, rolled roofing, metal clad windows, electric heat, carpet over wood floors with the exception of entry floor vinyl. Sample results are as follows. Sample #1. Homogeneous ceiling tile Sample #2.. Entrance floor vinyl with mastic Brown Sample #3. Exterior skirting material. Sample #4,, Roofing material. To Northern Industrial Hygiene, Inc Date: 8/03/ 07 lob Location. 515 Tumwater Truck Rt. Port Angeles WA 98362 Owner: Contact: Inspector: Thank you, Bob Witheridge, EFM ASBESTOS BULK SAMPLE DATA Northwest Asbestos Consultants 406 Reed St. Port Townsend, WA 98368 360- 385 -0584 northwestasbestosconsultants@cablespeed.com Port of Port Angeles P.O. Box 1350 Port Angeles, WA 98362 Susan Bauer P.O Box 1350 Port Angeles, WA 98362 Sample #1. Homogeneous ceiling tile Sample Entrance floor vinyl with mastic Brown Sample #3, Exterior skirting material. Sample #4 Roofing material. Please call with test results when completed. See attachment. Bob Witheridge AHERA Building Inspector Management Planner WAMOA 0042- 10270601 Expires 10/27/07 INOUlTNIAL HYOIENe. INC Bulk Asbestos Analysis Report Northwest Asbestos Consultants NIH Batch Number 07 -00738 406 Reed Street Client Job Number Port Townsend, WA 98368- Turn Around Time 5 Day C Project Location: 515 Tumwater Truck Route Port Angeles_ WA Samples Analyzed_ 4 Client Sample Number 1 Lab Sample Number 07 -00738.0001 Sample Description Ceiling Tile Sample Location: Homogemeous Sample Comments. Materials are distinguishable but inseoerable. White coating on brown fibrous compressed material Asbestos Fibrous Components: Non Asbestos Fibrous Components: No Asbestos Detected 87% Cellulose Client Sample Number 2 Lab Sample Number 07 -00738.0002 Sample Description: Sample Location: Sample Comments* Vinyl with mastic Entrance floor Layer 1 Brown mastic Asbestos Fibrous Components: No Asbestos Detected Non Asbestos Fibrous Components: 3% Cellulose 5% Synthetic Layer 2 Yellow vinyl with off -white fibrous backing and brown residue Asbestos Fibrous Components: Non Asbestos Fibrous Components. Non Fibrous Components* 10% Chrysotile Asbestos 15% Cellulose 30% Filler and Binder 45% Vinyl Filler and Binder Client Sample Number 3 Lab Sample Number 07 00738.0003 Sample Description Skirting Material Sample Location. Exterior Sample Comments. Materials are distinguishable but inseperable Checked If Sample Not Analyzed White spotted coating on light gray fibrous brittle material I Asbestos Fibrous Components: Non Asbestos Fibrous Components. Non Fibrous Components. 18 Chry A'w'e os 72% Filler and Binder 10% Coating Sampled by Bob Witheridge 8/3/2007 Received by Rachel Melgoza 8/6/2007 Reviewed by Jude Cummings 9/6/2007 (Sample results continued on next page.) 215 SW 153rd Street Burien WA 98166 OFFICE (206) 988 -1746 FAX (206) 988 -1978 En1AIL. nihincPeschelon corn NVLAP# 200511-0 ,L Non Flbrous Components: 10% Filler and Binder 3% Paint Checked If Sample Not Analyzed Checked If Sample Not Analyzed Non Fibrous Components 92% Filler and Binder Jude Cummings Laboratory Manager Page 1 Sampled by Bob Witheridge Received by Rachel Melgoza Reviewed by' Jude Cummings Client Sample Number 4 Sample Description. Roofing Material Sample Locatlon: Roof Sample Comments: Black fibrous asphalt Asbestos Fibrous Components: No Asbestos Detected INOUSTRSAL Hv[31ENE /NC Northwest Asbestos Consultants 406 Reed Street Port Townsend, WA 98368 Project Location: 515 Tumweter Truck Route. Port Angeles, WA Bulk Asbestos Analysis Report Non Asbestos Fibrous Components: 1% Cellulose 12% Fiberglass 8/3/2007 8/6/2007 8/6/2007 215 SW 153rd Street Burien WA 98166 OFFICE (206) 988 1746 FAX (206) 988 1978 EMAIL nihin _ta�eschelon corn NVLAP# 200511 -0 NIH Batch Number 0T -00738 Client Job Number Tum Around Time 5 Day C Samples Analyzed: 4 Lab Sample Number 07- 00738.0004 Checked If Sample Not Analyzed Non Fibrous Components: 87% Asphalt Filler and Binder Jude Cummings, Laboratory Manager Page 2 Summary of Inspection This sure ey includes all areas of inspection with report results from Northern Industrial Hygiene Inc Sample #1. Sample #2. Sample #3 Sample #4. Thank you Bob Witheridge E.F.M. Homogeneous ceiling tile No asbestos detected. Roofing material. No asbestos detected. Entrance floor vinyl with mastic Brown 10% Chrysotile asbestos, approx. 20 sq ft. Exterior skirting material. 18% Chrysotile asbestos, approx. 134 sq ft. All asbestos containing building materials with a reading of greater than 1% is considered a hazardous material if disturbed. Removal of any hazardous materials must be abated by a certified abatement contractor which follows the rules of the EPA and governed by Olympic Region Clean Air Agency During building demolition, it is possible that additional suspect asbestos containing building material (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 After the facility is completely cleaned out a walk through and re inspection is required by the original AHERA building inspector (NW Asbestos) after abatement, then a copy of the letter certifying that abatement has been completed needs to be received by the City of Port Angeles Permit Center and Olympic Region Clean Air Agency 1 WASHINGTON ASSOCIATION of MAINTENANCE and OPERATIONS ADMINISTRATORS THIS IS TO CERTIFY THAT Bob Witheridge The full day training program covered all topics specified in the Model Accreditation Plan under Section 206 of Title 11 of TSCA The course was taken on October 27, 2006 in Silverdale, Washington Certificate #10270601 Expiration October 27, 2007 Colin MacRae Course Administrator 2714 228th St SE Bothell WA 98021 (425) 456-4568 7. i th':- H -TA'''' 2'4'.? if) 30:i 2 7.:•I f 4 .'1 1 "7.''''';'::;---i- -2'. i t '0 t s ''''"L' '''''''''4.'2'''' --_-4_ ',;“;,,ir..,:a i' 0,t; 4't!OY44161' ,1,1 .i.4 est '•)1°,1.t,, cl 't ',1/41'1 ks, 1 0 I .1 1.9 Ny1 iv, 111,11■Iiit t m rl. ....T.. ti tif ',I ..a (12/3%2008) Linda Pangrle RE. Demolition permit application From Jeff Robb' <jeffr @portofpa.com> To 'Linda Pangrle' <Lpangrle @cityofpa.us> 'Bob McChesney' <bobm @portofpa.com> Date 12/3/2008 2 30 PM Subject: RE. Demolition permit application CC Jesse Waknitz' <jessew @portofpa.com> Jerry Demetriff' <gdemetri @porto Linda. Thank you for your email. Jesse Waknitz is a new employee at the Port for Planning and Permitting and submitted the application on behalf of the Port. I will bring him up to the City for a formal introduction in the next day or two Thank You Jeffery Robb Director of Aviation and Marinas Port of Port Angeles (360) 457 1138 Original Message From Linda Pangrle [mailto Lpangrle @cityofpa.us] Sent: Wednesday December 03 2008 2.03 PM To Bob McChesney Cc: Jeff Robb Subject: Demolition permit application Hi Bob Today I received a demolition permit application from Jesse Waknitz to demolish a 700 sq ft. building located at 515 Tumwater Truck Rt. (Parcel Number 063000009670) Since it is Port of Port Angeles property I want to obtain your approval prior to issuing the permit. Please let me know whether or not you authorize this permit to be issued Thanks, Linda Pangrle Permit Technician City of Port Angeles 321 E. 5th St. Port Angeles WA 98362 360- 417 -4815 360- 417 -4711 FAX Ipangrle @cityofpa.us Page 11 (12/3/2008) Linda Pangrle RE, Demolition permit application From 'Bob McChesney <bobm @portofpa.com> To 'Linda Pangrle <Lpangrle @cityofpa.us> Date 12/3/2008 3 03 PM Subject: RE. Demolition permit application Thanks Linda. OK to proceed b Original Message From 'Linda Pangrle <Lpangrle @cityofpa.us> To 'bobm @portofpa.com' <bobm @portofpa.com> Cc 'jeffr @portofpa.com' <jeffr @portofpa.com> Sent: 12/3/08 2.03 PM Subject: Demolition permit application Hi Bob Today I received a demolition permit application from Jesse Waknitz to demolish a 700 sq ft. building located at 515 Tumwater Truck Rt. (Parcel Number 063000009670) Since it is Port of Port Angeles property I want to obtain your approval prior to issuing the permit. Please let me know whether or not you authorize this permit to be issued Thanks, Linda Pangrle Permit Technician City of Port Angeles 321 E. 5th St. Port Angeles WA 98362 360- 417 -4815 360- 417 -4711 FAX Ipangrle @cityofpa.us (12%372008) Linda Pangrle PNUMs andAddresses From Linda Pangrle To: Bill Hale, Roger Vess Date: 12/3/2008 2.35 PM Subject: PNUMs and Addresses Hi Roger and Bill, It appears some changes need to be made. I'd really appreciate your help I think PNUM 0630 0000 9670 0000 should have the site address: 515 Tumwater Truck Rt. I think PNUM 0630 0001 6040 0000 should have the site address: 605 Tumwater Truck Rt. Currently in GIS there is no 515 Tumwater Truck Rt. There is a visible structure on the parcel, but no address is listed in GIS for it. In HTE the address 515 Tumwater Truck Rt. shows a parcel number of R6- 30- 00 -0 -0- 0000 -0000 Someone came in today and applied for a demolition permit #08 -1493) for 515 Tumwater Truck Rt., PNUM 0630 0000 -9670 I entered the permit using the PNUM, and it states that the address is 'unassigned' Please assign it the 515 address if you agree it is correct. Please make the needed changes, and let me know when they are done. Thanks a lot, Linda Applicant or Agent Do or Po e r A,vGI E s (POT\ Phof) Property Owner Poa, of Partr ANGELe$ Phone Property Owner's Address 338 (,A iPsT T. Contractor /Engineer Po tk'si.. 4c pfliPoArni i '%'t woes Phone Contractor /Engineer's Address 338 GUEST F{Q$7- s Expires E -mail PROJECT ADDRESS 5/, 7ZonwATEQ r,¢u.cic P7; Parcel Number n 6 3n b 0 00 9 6 q. c) Lot /3 a /y Zoning Project Tyoe Brief Description: Check all that apply New Construction Addition Remodel Repair Re -roof )(Demolition Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 in Residential /Commercial Multi- family Industrial "ion l2/29 /OS Li A..111 ArsPosAL APPt rr,►i rf, TR£.tuM FanS7on og /Amv6 41v orz.l4A PgRNI /T t T,L/rJES AT 51T,4 t- /LC ,dz std-t r oC i ?CF'oPL- DL7 AivT) 4-4 PPFfi 50 v2S 0.0 S/NtiLE sroi2y wool) paAME consTnucrrow Heat pump wood- burning stove gas fireplace pellet stove other Existing lsa. ft) Prooposed (se. ft.) ,w 700 Total footprint of structures 7 ao sq. ft. Lot size sq. ft. Lot coverage Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type 1 have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits am required, and to obtain permits prior to working on projects. Date /d�J O 8 Print Name �r�SG ni f z Signature i vo-le, 0Ob I' IGCheS11 llo of ?OP e 'l e) For City Use OnI to Received 1Z- U rmit 4 ate Approved 36• ie 85 a.P 36 6 q5q 8$a.7 ,moo- y5 -7 -85X 4 4, kn ,tz n oo rtof f o...c per sq. ft. TOTAL VALUATION 4700 0 0 of bedrooms of full baths of half baths 12'3)02 0,fProVe1 +6 S c ewta1►+ o'1 &treiceCqVA -vv l t o jile) 7 719 4 0 e 4tp .4 0 z 4 0 1 74 '020: 4