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HomeMy WebLinkAboutBLD-2011-0319 - DECONSTRUCTION & DEMOLITION City of Anacortes Permit#: BLD-2011-0319 904 6th Street Issue date: 09/08/2011 {~ # P.O.Box 547 Expire date: 11/07/2011 (0F Anacortes, WA 98221-0547 p (360) 293-1901 Job Address: 2403 R AVE Permit Type: Demolition Permit ANACORTES WA 98221-2811 Project: APN: P77999 P32929 Remarks: Demolition of existing building Owner: MJB PROPERTIES Contractor: Address: 9125 10TH AVE S Address: SEATTLE WA 98108-4612 Phone: Phone: License#: General Information: Fees: Total Calculated: Adjustments: Deposits/Receipts: Total Due: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 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 OTHER STATE OR LO W REGULA ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S12!�5Xt OF OWN OR AUTHORIZED AGENT ISSUED BY ' CITY OF ANACORTES ;� ,� of U DEMOLITION PERMIT APPLICK T`I©N------------- Site Address: 03 /jye Assessors Account No.: P 7 -7 73 T Date: Lot(s): Block: Addition: Owners Name: M,7:?� a-P�7=cs Contractors Name: CenS'7,_­L<Y�.. �.ea�o Z�7�ei /;o►�( Address: (7/2S A S. Address: IS 49Y /YZr.� iWC N9 l ey 9 State: 4 Zi : ar State: l✓/4- Zip: Phone: Zn -a 2.- 12S Contractors License: Phone: &,LS) `197- Z`19 Have Utilities Been Disconnected? Description of proposed demolition. Water Dept.: Yes - r� 2 'to? Q 4✓c �ai l t;. -4 . 0000 Electric: Yes Cable: Yes LZ YC I z� ✓ jV Gas: Yes How W aterials be dis osed? Lard[ /,1 11 .2-.Qcc�.&le, BARRICADES TO BE PRO D FOR PUBLIC PROTECTION,AREA MUST BE ROPED OFF! Ap cant's or Agent's Signature ASBESTOS WARNING Breathing asbestos is hazardous to your health. Before starting a renovation or demolition project, survey for friable asbestos materials. Notify Northwest Air Pollution Authority prior to asbestos removal or containment 1600 S. 2nd Street,Mt.Vernon,WA 98273 (360) 428-1617. Fire Department Approval: Date: Police Dept. Approval: Date: Public Works Department Approval: Date: Museum: Date: Comments: Approved Transaction Page 1 of 1 psc lean air.org Puget Sound Clean Air Agency Notification Case #: 201102363 This page must be printed. A printout of the notification, all amendments to the notification,and the asbestos survey shall be available for inspection at all times at the asbestos project or demolition site(Reg III,4.03(a)(6)). Fee Amount Paid $725.00 Credit Card Transaction # VTHF7DODD629 Transaction Date 08/26/11 Owner's Name MJB Properties, LLC Phone (206) 762-9125 Project Street Address 2403 R Avenue i City Anacortes Zip 98221 Contact Person Jim Blais Phone (206) 762-9125 Mailing Address 9125 10th Ave.S. Seattle,WA 98108 This project includes asbestos removal. Project Size linear feet / 7175 square feet Project Start Date 09/12/11 Completion Date 09/16/11 Asbestos will be removed by a licensed asbestos abatement contractor Contractor Construction Group International Contractor Job # Contact Mark Marcell Phone (425)487-2618 Mailing Address 18684 142nd Ave NE Building E Woodinville,WA 98072 This project includes a demolition. Demolition Start Date 09/16/11 Completion Date 10/16/11 Demolition will be completed by a demolition contractor Demo Contractor Construction Group International Contractor Job # Contact Mark Marcell Phone (425)487-2618 Mailing Address 18684 142nd Ave NE Building E Woodinville,WA 98072 (1) I certify that the information I have provided is to the best of my knowledge true and accurate. (2) I understand that I must file an Amendment to this Notification if: • The type of project has changed.The project types are asbestos and demolition. • The quantity of friable asbestos to be removed meets a larger project category. • The project's start or completion date has changed. (3) I understand one Notification must be filed for each structure.The only exception is for a single-family residence that includes multiple ancillary structures,such as a detached garage or other outbuildings having the same street address. If there is no street address, I have used a building number. (4) I understand the fees for this Notification are nonrefundable. Create Another Notification If you have questions,contact us at asbestos@pscleanair.org or 206.689.4058. https://secure.pscleanair.org/Asbestos/Approved.aspx 8/26/2011 Page 1 of 1 Measamer, Don From: Oakley, Steve Sent: Tuesday, June 07, 2011 11:59 AM To: Measamer, Don Subject: RE: Don...I think I can safely say the Preservation Board would have no interest in this particular building.Thanks for keeping us in the loop...Steve From: Measamer, Don Sent:Tuesday,June 07, 2011 11:32 AM To: Oakley, Steve Subject: RE: Hi Steve, One more, MJB is looking at a demo and fire dept may use as training, 2403 R Ave, didn't see that one on the list. Thanks, Don Measamer City of Anacortes Assistant Director,Planning& Community Development Building Official don@cityofanacortes.org Phone 360.293.1901 Fax 360.293.1938 From: Oakley, Steve Sent:Tuesday,June 07, 2011 9:52 AM To: Measamer, Don Subject: RE: Thanks Don.We'll get right on it...Steve From: Measamer, Don Sent:Tuesday,June 07, 2011 9:32 AM To: Oakley,Steve Subject: Good Morning Steve, Please find attached a demo application for 813 4th street. It looks like it is on the list of historic places so I wanted to make sure you have the application for review. The contact person at DCI is Ellen Newberry, 293-9575. Please let me know of the boards findings, concerns. Best regards, Don Measamer 6/13/2011 1108902-2 0114 03/30,-Q011 001 1 Y Engineering and Development 'V nq�� Fees 008974 $5- PO Box 547, Anacortes,WA r185044' TN:360.293.1920 FAX 360.293.1938 EMAIL: engineering@cityofanaeortes.org RIGHT-OF-WAY PERMIT APPLICATION Ico *pew ,Lppftant shall submit application 5 days prior to start of work and application shall include: Payment of assessed fee (92) Drawing illustrating proposed work and its location. See checklist on Page 2 of 2. Proof of both state and city business licenses o s F1 Yes 0 No ted by City: Site Address: City Approved Exemption Li Yes *_<O� :2 Ll A vL,, EDEN ASSIGNED PERMIT NUMBER: hh Parcel No. U3 (1 0 Owner Information (Required) Contractor Information (Required) Name N a me CA's zk C_ Address b -7 Address City i% City Phone Phone -3 zl 3­ ci 6 -360 Email Email Address C_ ff Z> I n C. -(ro i a r, C On.. Address Work Includes (check all that apply) Curb Cut 11 Water 1-1 Sewer EJ Storm 0 Street Cut L] Sidewalk 0 Phone El Other Describe Work to be Performed: (Notification of Utility Companies is Required) `j-rc.._vt.,6 4x, f L/^e) 1 PC- iApproval Signature I Dafe By si ature below Applicant concurs that the Applicant shall defend, indemnify and hold the City, its officials,em- ployees and volunteers harmless from any and all claims, injuries,damages,losses or suits including attorney fees, arising out of or in connection with activities or operations performed by the Applicant or on the Applicant's behalf out of issuance of th!WPermit,except for injuries and damages caused by the sole negligence of the City. Applicant Sign&�Gre Date Final Inspection Approval Signature Date NOW REFUNDABLE PERMIT FEE: (To Be Completed by City) C Curb Cut $50.00 ❑ Street Cut $50.00 ❑ Inside Travel Way $50.00 ❑ Outside Travel Way $20.00 ❑ Sewer Inspection Fee $50.00 ❑ Sewer Re-Inspection Fee $25.00 TOTAL FEE ASSESSMENT $ s D,� +� A Site Plan (to scale) must be attached that include all of the following: This checklist will aid the applicant in preparing a site plan. Permits that require installation of substantial improve- ments may require plans drawn and designed by a licensed engineer. Please check with City staff prior to submit- ting your application. • Draw the plan to a standard Engineering Scale[1"=10', 1"=20"etc.]on a minimum size sheet of 8'/x 11 and a maximum size of 11x17. • Include the owners name,the parcel ID number, site address, north arrow, drawing scale and date. s Include the contractor's name,address and phone number. \j • Existing Right-of-Way lines, property lines, edge of pavement,curb/gutter, sidewalks,driveways and plant- - ing strips with dimensions between each. + Adjoining street name(s)to the reference property. • All existing public and private utilities in the area of the proposed project(Water, Sewer,Storm, Phone,TV, Gas and Power),dimensioned to the edge of pavement,curb/gutter, sidewalk,driveways, planting strips. • If applicable show easements,critical areas such as streams,wetlands and steep slopes. • Proposed new construction.The proposed improvements shall be shown in heavier line type than the ex- isting information + Dimension the proposed new construction to the edge of pavement, curb/gutter, sidewalks, driveways, planting strips,or another identifiable site feature that will help identify the proposed improvements in the field. • Erosion Control Plan. + Traffic Control Plan per current MUTCD(See standard drawings at httt)://mutcd/fhwa.dot.govl. If the work requires any lane or street closures,the City of Anacortes Public Works Inspector must be notified a mini- mum of 48-hours prior to scheduled work for proper public notification by the City of Anacortes. Work within the City Right-of-Way is permitted by approval of the City Engineer. All work in the right-of-way must be bonded. The applicant and owner must use warning signs,traffic control, and barricades as necessary to ensure public safety in the work area. The applicant and owner must restore the right-of-way to previous condition. Perma- nent restoration may include overlays of portions of the right-of-way and restoration of landscaping which have been disrupted by excavation work. The applicant and owner are liable for damage to public and private property. Page 2 of 2 5 Ilk sA Y