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HomeMy WebLinkAboutPermit File BLD-2019-0384 2911 Oakes Avenue Y•` ©`` City of Anacortes Invoice/Permit#: BLD-2019-0384 904 6th Street Applied date: 06/24/2019 P.O.Box 547 �' l Issue date: 06/24/2019 Anacortes, WA 98221-0547 Expire date: 06/18/2020 ''�fi tl• ' F (360) 293-1901 Job Address: 2911 OAKES AVE Permit Type: Demolition Permit ANACORTES WA 98221-1320 Project: APN: P58379 Remarks: Remove enclosed carport, pull up concrete, put down clean topsoil and grass. Owner: NICHOLAS THRONSON Contractor: OWNER Address: 2911 OAKES AVE Address: ANACORTES WA 98221-1320 Phone: (360) 969-3022 Phone: License#: General Information: Fees: Dwelling Units 1 State Building Code Fee Resi 6.50 Total Calculated: 6.50 Deposits/Receipts: 0.00 Total Due: 6.50 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 GRANTIN OF ERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS,OF ANY OTHER STATE OR LOCH ULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. s". 7 J /SI N URE F OWNER OR AUTHORIZED AGENT ISSUED IEVIEUTY: till JUN t 8 2019 j CITY'UAW &artMarviThigliN55MENT DEPARTMENT DEMOLITIOM & OIL TANK DECOMMISSIONING PERMIT APPLU©/aTION Mailing Address:P.O. Box 547, Anacortes, WA 98221 N.„cock Office Location: 904 6th Street,Anacortes WA 98821 Phone: (360) 293-1901 PLEASE REFER TO THE PERMIT CHECKLIST THAT FOLLOWS FOR SUBMITTAL REQUIREMENTS BUILDING DEMOLITION: ❑ N/A ❑ COMPLETE BUILDING DEMOLITION ❑ PARTIAL DEMOLITION X RESIDENTIAL ❑ COMMERCIAL ,FLOOR AREA TO BE DEMOLISHED: II/3 rg:( METHOD OF DISPOSAL: l)c(721P ❑ DATE OF CONSTRUCTION OF STRUCTURE TO BE DEMOLISHED UNDERGROUND OIL TANK DECOMMISSIONING: X N/A ❑ REMOVAL ❑ ABANDONMENT IN PLACE(FIRE DEPT.APPROVAL RQD) 0 SIZE OF TANK: ❑ APPROXIMATE AGE OF TANK: 0 DISPOSAL LOCATON: ❑ DATE OF PUMP&RINSE: 0 ICC CERT#: ❑ IF ABANDONED, SPECIFY TYPE OF INERT FILL: PROJECT ADDRESS Z (St4thTuite#): PARCEL(S):EL(S): f/ OiJ-1( APp( T:Th Phone: Icu, t 366— 969-302-2 Address(Street,City,State,Zip): Email Address: (( -- 0 'G-S tC / Aa rt45( W4 5'crZ2-l ©P-1 626a iI PROPERTY OWNER: Phone: Address(Street,City,State,Zip): Email Address: CONTRACTOR/DECOMMISSIONER'S FIRM NAME: Phone: 0 W-et/e'fZ Address(Street,City,State,Zip): Email Address: *All Contractors&subcontractors must have a valid City of Anacortes Contractor's License#: Exp.Date: business license prior to doing work in the City. Contact the City's Business License#: Exp.Date: Finance Department at(360)299-1968. PROPOSED WORK: _ _ ft c&e P.-10 c P/ifbrTl Pcr(l lt,P Cr,1-fre , / i hcv.6l C (.ec 1 TE)Pc2,7 c (-i nSS I declare under penalty of perjury that the information I have provided on this form/application is true,correct,and complete,and that I am the property owner or duly authorized agent of the property owner to submit a permit application to the City of Anacortes. Print Name: AP 7-1-tWV.. c41 Owner/Other ❑ (specify): Signature: J4'- ki(15‘16/ Date: tp "-'57--20Cq Page 1 of 2 1 I i 1 t 1. i I � 1 1 . . 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I } --�- i r i / t 4 1 # i 1� , + , 1 , IIIj 1 } 1 { ) } } 1 - - - - - + .----- - - 1 1 - 1 L1 1 f1 ( - , / t i ' t.j__ _ _kt_--- _ ._ f't, / ll __ ___ . _ _ _ 4 I [ I I _ _ _ __ 1 Ill. - _ -- - - - - - w i , s"�+ 1600 South Second Street Asbestos / Demolition Notification Approval • •• ; Mount Vernon, WA 98273-5202 and Permit to Work rlOrthVNest • ph 360-�428-1617 CIe Ar fax 360-428-1620 info�nwcleanairwa.gov agency www.nwcleanairwa.gov Notification # 19-318 Project Site Received Date 06/07/2019 2911 Oakes Ave Approval Date 06/10/2019 Anacortes, WA 98221 Fee Amount $ 54.00 Receipt # 275815 Project Details Project Type Demolition only Building Type Single Family Residence ❑ Emergency Estimated Demolition Date 06/16/2019 ❑ Survey © Owner Occupied Abatement ❑ Class I ❑ Class II ❑ Vermiculite ❑ Non-friable Fee Exempt Material Photos with No Asbestos [5 Photos on file with NWCAAI Owner Site Owner Nick Thronson Owner Phone (360) 969-3022 Notification Submitted by Nick Thronson Notification Contact Email oakthronson@gmail.com This notification must be posted at the work site. You must file an amendment if there are any changes to the project scope or schedule. <http://nwcleanairwa.gov/forms/asbestos-project-amendment/> Information on asbestos and demolition can be found on the agency website. <http://nwcleanairwa.gov/permits-and-services/asbestos-and-demolition/> Asbestos disposal information <http://nwcleanairwa.gov/download/disposal-information/> NWCAA asbestos regulations can be found in Section 570 Asbestos Control Standards. <http://nwcleanairwa.gov/regulation/section-550-590/section-570/> Generated: 06/10/2019 09:44 AM