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HomeMy WebLinkAbout4310 Newell Rd - Buildingm) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000979 Date 10/29/09 Application pin number 430600 Property Address 4310 NEWELL RD ASSESSOR PARCEL NUMBER 06 30 09 5 0 0800 0000 Tenant nbr name DELHUR INDUSTRIES INC Application type description DEMOLITION Subdivision Name Property Use Property Zoning INDUSTRIAL LIGHT Application valuation 0 Application desc DEMOLISH THE HOUSE AND GARAGE Owner Contractor DELHUR INDUSTRIES INC OWNER PO BOX 1116 PORT ANGELES WA 983620210 (360) 457 1133 Structure Information 000 000 DEMOLISH THE HOUSE GARAGE Permit DEMOLITION Additional desc DEMOLISH HOUSE GARAGE Permit pin number 154013 Permit Fee 50 00 Plan Check Fee 00 Issue Date 10/29/09 Valuation 0 Expiration Date 4/27/10 Qty Unit Charge Per Special Notes and Comments The Fire Department has reviewed the project application and has no comments September 28 2009 11 00 21 AM sroberds Activity is demo only No land use issues anticipated September 25 2009 3 41 29 PM Brian 417 4708 Electric meter and service conductor must be removed by Light Operations prior to demolition An approved Public Works Waste Disposal Application is required prior to taking material to transfer station An approved Public Works Waste Disposal Application is required prior to taking material to transfer station Existing water meter to remain for future development Existing septic tank to remain contact Clallam County Health Department for requirements provide City with documentation Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 50 00 50 00 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 fora 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 regul aating construction or the performance o co n Date Print Name Signature of Contractor or A thorized Agent Signature of Ow/ier (if owner is builder) T:Forms/Building Division/Building Permit BASE FEE Extension 50 00 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 I Accepted By 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 I FINAL Date Accepted by 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 !FINAL Date Accepted by MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I 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 Comments Date Accepted By CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Page 2 Application Number 09 00000979 Date 10/29/09 Application pin number 430600 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 54 50 54 50 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:FormsBuilding 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 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 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 FINAL Date Accepted by FINAL Date Accepted by 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 Date Accepted By Applicant D L &A 1 Ia. CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St, Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Property Owner Or Property Owner's Address D (1,„_ Contractor p L„ Contractor's Address P o a G, License PROJECT ADDRESS LtA /o Parcel Number Project Type Brief Des Check all that apply New Construction Addition Remodel Repair Demolition e -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Existing (sq. ft.) Max. height of proposed structures Will a lawn sprinkler system be installe Will a fire sprinkler system be install BUILDING PERMIT APPLICATION Print in ink Date_ a2.». Print Name A C cJO.W.,1 (y— T.Form /Building Di •it:ion /Bldg Permit.doc t4 nt}a 11.. J. cription. Residential Expires A7 et,i dt Ltd, b q vg mil, s- is tA l41/- House garage other Heat pump wood burning stove gas fireplace Proposed (sq. ft.) a ions Occupancy group Occupant load Construction type 7/ For City Use Only Date Received ct 0 ermit ('>Q— ate Approved one 3Lo- 'yv Pho oie 3 iS')— /1 Phone 740- 'f 3 3 QS 36,z E -mail Multi- family Commercial Lot c TOTAL VALUATION sq ft. of covera Total footprint of structures sq ft. Lot size Site Coverage the amount of impervious su ace a parcel including structures paved drivew and other impervious surfaces (see PAMC =4 135 for exemptions) Site of bed #of full ba of half bat Zoning Industrial G 096 4- c m.v ai.g� 1 tear off re -roof lay over one layer pellet stove other per sq ft. oms s s s, si• -walks patios erage I have read and completed this application and know it to be true and correct. I am d athorized 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 Signature 4 v. 4 =Other Contacts (If tonsuitipoirm. _Contact: 'Phone Contractor Name :Coritact: Phone Laboratory Contact. Phone NOTE. To City of Port Angeles City Engineer 321 E. Fifth Street P0 Box 1150 Port Angeles Washington 98362 1 :Generator Information 17e( 1" in. a-79 /fi 4eJe. Company Name .Mailing Address Contact: Phone Project Name. Project Location. rn okA 46 A 6 0/9 PORT ANGELES LANDFILL tr v k-- 0 WASTE DISPOSAL APPLICATION VeAt o )1 1 3 4 -1 3/ 0 ile) i r3/ 0 4)e.t.de( applicable) VIA P9.4 b I e- /0q /3/5 YvvIce City (If Port Angele:4 Landfill Waf• to pi flOsal AppliccitiOn Phone (360) 417-4803 FAX. (360) 417-4709 'RECEIVED rir -c4 All questions must be answered for waste to be approved. OCT 3 i020 CITY OPPORT ANGELES 4 .1 ;.e•• „ft,. 4 t, Page 'I Of 5 atapplytan Amu evercento aL r7A ,44 4A1 AY;Ai s -si5k0 s.set4 Ch Thu rce of Waste a p propriate 'Spi5,)(''toplokr0- 0ctiotiOyA00-otibe the *9166 -,(CifOcdt and/or f. -11-'r: '2'111.'. will or :liap ...PPPIth,theswaste requiring e:4atcilinesetVice4tatiOnnutti (if applicOble) 14- T/R i. xs"flet s.18: ss.ss -1 s,s r 6 Estimated Quantity of Waste for Disposal /00 Cubic yards ,_Co 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. X One -time Waste Sampling Monthly 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 wastewas sampled include siter maps with sampling locations if ,possible Number of COMPOSITE samples number ofdiscrete samples.per Number of =DISCRETE .samples frequency Will be used 25 100 101 -.500 501 1000 1001 2000 >2000 cubic, yards cubicyards cubic yards cubic yards cubic yards cubic yards Annual Other NOTE 1 5 Unless prior approval has been .granted by .port Angeles, ,the .following sampling 1. composite sample 3 composite samples 5 composite samples 7 composite samples 10 composite samples 10 plus one sample for each cubic yards NOTE 2 One composite sample shall contain a minimum of three /maximum samples additional 500 of five discrete City of Port Angeles 'Landfill Waste Disposal Application Page 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 mast be accredited by the Washington State Department of Ecology a) List all analytical test methods used b) Provide a narrative as to why the above analytical methods were selected A L NOTE Additional sheets attached R w. 0 4 D h dam✓ ia1 oA'Ci .A 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) Alit\ Class 1 Class 2 Calculated Hazard index tai Dangerous 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) 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 of 5 12 Special Notes for Asbestos Disposal 1 Certification. 'A-- 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 wa: 2 Waste, Generator Sign Printed Name 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: 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 station only by appointment with ,Brian Tate of Waste iConnections so that the :materiel can be deposited in aiock box (his cell number is ,360-612=7.080). Th Vh" ,Company "Isi bete City of Port Angeles Approval a City Engineer Date VFV. a Rv: .t 41 a, ci S-V 4-tf 7.!id 4. Approval Expiration Date, 1■1:\PWKS\ENGINEER1Waste Disposal /./aplications\ waste disposal application 2008 veraion.wpd .7 1. a) C of Port Angeles Landfill Waste Disposal Application Page 5 of 5 4c. Figure C.3 Proble Generator contacts city of Port Angeles or CC.EFfir utquesting te dispose of problem wastes at the PALP City sends an approval letter to the generator. Upon receipt of the waste at the landfill, the gate attendant verifies that the quantity received is within 20% of the quantity reported, in the WDA (within 10% for >7500 tons or 5000 cy Yea Yea CCEHD;t1(00 -Angela forwanisihegenenitOuseopy of the PAV WDA (Atiadmins to Waste Act:gnats* Policy) Is **Sin pet/detail contnitirrated No e stance Process Gendatoi oeitidetes NW subs** to City the WDA. including laboratory arudytical results and quality control infonnation. city of Port MOW Engineer, or 'designated repremedative signi WDA •entl forwards a cop y. toCCEHD for their review and autisitization. City:of Ptut Angell* City Engineer or designated representative. reviews WDA for completeness and accuracy CCEHD Landfill WDA. W' �i' Applidition titynOtifirtsgeneratic in Writing Of lemon for disepproval and forwards Copy to CCEHD. Generator may resubMit WDA after addreating City and or CCM concerns. Ix] Commercial Structure Permit fee: $60.00 —10 working day wait period Owner occupied residential dwelling— Permit fee: $35.00 —Prior Notice PROPERTY OWNER Name: Delhur Industries, Inc Mailing Address: PQ Box 1116 Site Address 431 0 Newel Road DEMOLITION CONTRACTOR l Check if same as property owner information Business Name: I Phone: Delhur Industries, Inc F AX c(336060445577.18771333 Onsitc Contact: Tony Sample I Phone; (350 457 -1133 Mailing.Address: PO Box 1116 City. Port Angeles DEMOLITION INFORMATION of Structures being demolished: 2 Asbestos present Yes _No DEMOLITION PROTECT CATEGORY [X] Complete Demolition Training Fire Fire Agency. Renovation, Alteration, Remodeling, Maintenance, or other Construction f 1 Emergency Additional Fee of $50.00 (must be accompanied by Government Ordered Declaration Cottunercial only) I have read and will abide by the conditions set forth in Ibis permit and any addendum thereto. I do hereby certify that all identified asbestos reenoved and the information is this application and se pf►leiwental data described herein is, to the best of city knowled.ge, accurate and complete. A. L. Sample Applicant p' Date ppd atE Received OCT 1 B 2009 °RCM P.A. Once .Agency Use Only 10/21/08 Olympic Region Clean Air Agency 2940 -B Limited Lane NW Olympia, WA 98502 (360) 586 -1044 FAX (360) 491 -6308 Port Angeles office (360) 417 -1466 Raymond Office (360) 942 2137 www.ORCAA.org Payment Info. Cash Check: #--3/9 Credit Card Receive date: /Q .f,ency Use Only Phone: 8eo)457 1133 FAX (aeo) 457 8773 City Port Angeles City. Port Angeles FAX. (360)457 -8773 r1 Start Date: 10/16/09 Survey attached X Yes No AZ Signature d OVER X Approved I Disapproved Review (late: k) /M./ th Reviewed by T)4-- Aunty Use OWly Demolition. Permit Email: N/A Mobile: (N/A) State: WA State: WA 10/13/09 Date Zip: 98362 Zip: 98383 Email: N/A Mobile: N/A State: WA Zip: 98362 Asbestos Permit Permit ('G ASBOO to Demolition Permit Permit Q DEM00 4geney Use Only Completion Date: 11 -05 -09 Ls—all identified asbestos bum Uut removed X Yes _to 10 -29 -09 Delhur Industries Inc. PO Box 1115 Port Angeles WA 98362 Re Asbestos Abatement 4310 Newell Road Port Angeles WA 98362 Dear Tony Sample Thermatech Northwest, Inc. has completed abatement of the asbestos containing light fixtures and CAB from the structures at the address listed above as identified in the Good Faith Asbestos Survey that was performed on 10 -7 -09 by AHERA Building Inspector Robert J Gulley Certification number 09 -2337 expiration date 10 -5 -2010 Sincerely, Mike Lawrence Project Manager k°14i.?XryCe E33%sts APif.44 %`?0rari0204 Pwbr 4r,.n+. .a$, vCY.?3+f&(X;:s ..:S 1NRW,-«,MV. »SrM rtt",:yA.k!..P�+x.h x: S: e. ,.rw :"��•m§*ea i! td.tl.- rx..r, 10312 Sales Road South Lakewood, WA 98499 Bellevue: 425 -562 -4556 Lakewood. 253 -984 -1818 Fax 253 -984 -1886 Oct 28. 2009 2 11PM NOW Environmental Services No 5090 P ORION Environmental Services An Environmental Compliance Consulting Firm Test Report TCLP METAL EPA 1311 Client Thermatech Northwest, Inc. 10312 Sales Road S Lakewood, WA 98499 Project Number N/A Project Name Delhur PA House Analyzed By Client Number 01 02 03 Orion Number TCLP Lead (nigl 91027 50 91027 51 91027 52 Method Blank: 0.5 mg/kg Linear Regression Lower Limit: 0.990 Actual Batch Linear Regression: 0.999 Check Standard Per Set: 0.2 mg/1 12,6e.4 Allen Clark Laboratory Analyst <0.5 <0.5 <0.5 Quality Assurance Information Reviewed By Date Page Invoice Date Received SDL EPA Method 0.5 0.5 0.5 Results reported in PPM (mg/I). NOTE. SDL Sample detection limit. October 28, 2009 Page 1 of 1 094807 October 27, 2009 7420 7420 7420 0^ enn Rauschenberg Laboratory Analyst Leading EnvinntmentaCCompliance ConsuCting Into the 2PJt Century 34004 9 Avenue South a Suite AS e Federal Way, Washington 98003 6740 Tacoma (253) 952-6717 Seattle (253) 874 8118 Facsimile (253)927 4714 Email Info @OrionES.net WBEW2F9219763 Chain of Custody and Sample Inventory Record Laboratory Work Identification Number Client Name Thermatech Northwest, Inc. Address 10312 Sales Road South Lakewood, WA 98499 Attention t f. toavI Ca Project Name: p6.0 ffal Project Number- Telephone: 253- 984 -1818 Fax: 253 -984 -1886 Purchase Order Number i'�'�.+t a!•: �i�ii !J2 ftHHl� �'�t �,�„e�.�, Ind 46,":. �G�l�,fc I I It 2 I 1e'A LEW I g t ©a.7 SU 2. r r r S I r j 1111 I F(:' 1. Use one line per simple to be aaafyxed. 2. Place °X” in the box of the specific analysis to be performed. IS analyse is not listed, write in specific request. 3. Cheek or list requested turnaround time for samples. Laboratory will rush all samples sinless indicated otherwise. Comments z 0 0 S.i Now Same Day 24 Hours 48 Hours 3 Days 5 Days 7 Days Other s P t>S 1 4 Asbestos_ Total Metals d i o'!1116E 141... lx�.ras' t�„�1 -va ��'�.n�'� �+�i✓:i, I��f�, II_p a Yes 0 No El N/A Condition of Seals tp, Hand D Expressed O Use This Box For Additional Billing Information (other than listed) o -2-7- 09 it u'yntve x.11 rcuaT Environmental Se 34004 9th Avenue South. Building A Suite S, Federal Way, Washington 98003.6740 Telephone Seattle (253) 874 -8118 Tacoma (253) 952-6717 Facsimile (253) 921 -4714 Cay Su, Tiip POC 0. F Hydrocarbons x X X sat tat q r" "six I� a 1e WI