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HomeMy WebLinkAboutPermit File BLD-2019-0414 1319 6th Street 1T C3 City of Anacortes Invoice/Permit#: BLD-2019-0414 6 904 th Street 904 x 547 Applied date: 07/02/2019 Issue date: 07/24/2019 =;Y' ' ?; Anacortes, WA 98221-0547 Expire date: 07/18/2020 (360) 293-1901 Leif 0011,-_" Job Address: 1319 6TH ST Permit Type: Demolition Permit ANACORTES WA 98221-1723 Project: APN: P55645 Remarks: Demo existing garage in preparation to build new garage. Owner: KATHLEEN DICKINSON Contractor: KREIDER CONSTRUCTION Address: 1709 6TH ST Address: 1010 22ND ST ANACORTES WA 98221-1744 ANACORTES WA 98221-2521 Phone: Phone: (360) 707-5588 License#: General Information: Fees: 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 GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO F ANY OTHER STATE OR OCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. A l G� r - SIGNATURE OF OWNR 0 AUTHORIZE AGENT ISSUED BY V Permits and Insp... - BLD-2019-0414 - 2019 019290-0068 Erin VVii... 07/29/2019 12:09 PM 12376 - KATHLEEN DICKINSON BLD-2019-0414 Demolition Permit Payment Amount: 6.50 Transaction Amount: 6.50 CHECK: 020226 PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT DEM©LN HOO N & OIL TANK DECOMMISSIONING PERMIT APPLICATION MailingAddress:P.D. Box 547, Anacortes, WA 98221 \74 40 ewy 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 Er COMPLETE BUILDING DEMOLITION ❑ PARTIAL DEMOLITION t RESIDENTIAL ❑ COMMERCIAL COMMERCIAL ❑/ FLOOR AREA TO BE DEMOLISHED: 446 ❑ METHOD OF DISPOSAL: tM ckr E7 DATE OF CONSTRUCTION OF STRUCTURE TO BE DEMOLISHED 1JM (4OYJiJ Aµ RAUL UNDERGROUND OIL TANK DECOMMISSIONING: N/A ❑ REMOVAL ❑ ABANDONMENT IN PLACE(FIRE DEPT.APPROVAL RQD) ❑ SIZE OF TANK: ❑ APPROXIMATE AGE OF TANK: ❑ DISPOSAL LOCATON: ❑ DATE OF PUMP&RINSE: ❑ ICC CERT#: ❑ IF ABANDONED, SPECIFY TYPE OF INERT FILL: PROJECT C�ADD] (Street,Suite#): PA��I :S ��� APPLICANT: Phone: KA1NIOPP D)GK4N5/60 Address(Street,City,State,Zip): Email Address: II OI (P 14 51Kizgl ANAGtQ YE5 PROPERTY OWNER: Phone: 5Amr AS A?PAGAN T Addres,(Street,City,State,Zip): Email Address: CONTRACTOR/DECOMMISSIONER'S FIRM NAME: Phone: Kli EIDER- CoNsirt.uC.Jt low 3( O 7P16558 Address(Street,City,State,Zip): Email ddress: low n140 'r� ANACC210 j(61t cre 4LrCor irotbon•Coro Contractor's License#: Exp.Date: *All Contractors&subcontractors must have a valid City of Anacortes ICIZ.pw 0 Z rE (0 30 2011 business license prior to doing work in the City. Contact the City's Busine s License#: Exp.Date: Finance Department at(360)299-1968. p� 1 ��� 1 3 t 2piq PROPOSED WORK: in WOW 51LIYI I (2 MS sr 9t(, tAiE9 &ARAbE. 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: 00000 M1901.E1-c:14 Owner 0 Other [(specify): Air4141100 Signature. k Date: 21 - 1$ /Oil Page 1 of 2 Goodfaith Asbestos Inspection: MN071019 Client: Kreider Construction ; Jobsite: 1319 6t Street Anacortes, WA 98221 Greetings! On July 10, 2019 I performed a Goodfaith Asbestos Inspection at the jobsite noted above. I took samples from visible and accessible materials including walls, floors, and ceilings to test for the presence of asbestos. The samples were analyzed at an NVLAP accredited lab using Polarized Light Microscopy, see attached. Building materials are regulated under Title 40 Code of Federal Regulations (40 CFR), subpart M, section 61.141 . This regulation sets the allowable limit of asbestos in building materials at 1%. Materials containing more than 1% asbestos must be handled in accordance with Federal, State, and Local regulations. Although reasonable effort was made to locate and test all suspect materials, some materials may be hidden beneath floors or other structures until demolition or renovation makes them accessible. If other materials are discovered during the course of a demolition or remodel they must be tested prior to continuing work. Any materials not listed on this report must be presumed to contain asbestos. No tested materials contained more than 1% asbestos. Definitions for the attached report: Sample IT?: The unique identifier for each sample. Location: The area that contains the material. Material: The type of material that was sampled. Color: The color of the material. Friable: Material that can be crumbled with hand pressure. Qty: The approximate quantity of the material, in square footage unless otherwise noted. Asbestos: The percentage and type of asbestos found in the samples. Let me know if you have any questions. Sincerely, �, .�, / Z.,- -- _,„ Michael Niccum AHERA Building Inspector Cert. # WAT-R-19-0016 Exp Feb 27 2020 Asbestos Abatement Supervisor # ABAS00034932 Exp Sept 20 2019 CAZ Environmental LLC CAZ Environmental LLC 3883 Hammer Drive Bellingham WA 98226 (360) 389-1056 info@cazenviro.com Sample ID Location Material Color Friable Qty Asbestos MN071019-01A Garage Roof Tar and Shingles Black N 378 sq. None Detected ft. MN071019-02B Garage Interior Walls Drywall and Paint White Y 828 sq. None Detected MN071019-03B ft. MN071019-04B 1 MN071019-05B Garage Interior Walls Cove Base and Brown N 61 In. ft. None Detected Mastic .., wila \409/ * .t, CAZ Environmental Services 3883 Hammer Drive. Bellingham WA 98226 60-389-1056 infbAcazenviro.com Balk Sample Chain of Custody Report results to: info( cazenviro.com :360-389-1056 ,r., 51,464 Client: kridc (4.1 , efit Analysis Required.: Address:j319 /ILL 5r #4014e.0--rk5 /0/1 PLM 1 hour: / - , / • Phone ,360- . ty. _55 , PLM 1 day: i ,/, Email: 8, C ` jrn 541070 7 I C - . ' • • 604 Sample Site: /3/7 6 ik. Sitmature Date Time Sampled b) : ---- ------' ----:----' - /0 / / ( • Delivered by: 7 _ Received by: i 7A.,- i , . Analyzed by -"b*-------- A,,' LA , t i , . Seq.14 Client Sample Seq,F-4 Client Sample Seq.-14 Client Sample • Sa * Client Sample 1 Ma Pa,l'IYA 1 1 21 / 31 . -) - 0 z g 11111111111111,' .-vi 32 _._ ..)-.) 4 -Cif B. 1111111101. 14 34 k 15 25 35 6 A 16 26 36 -, -,-, , 17 --,7 ) 1 8 18 _ 9 / 19 '.)9 - 39 _ v. .10 // 20 30 - 4( Notes; A:\ _q D CAZ Environmental. Services 3883 Hammer Drive,Bellingham, WA 98226 360_h 9-1056 iU1O((VeaZenVi-rO.COrn omogerious Area y Date: ..Y Page; i of Job location: `" Sampled By: NI L____.._ I rn ,, Area a Description Quantity 37,cr[4.' kod ei,„k ,i4,74ethe P.r/i)4111 ( 17 rOje 12A4 •l - - VirWashington Asbestos Testing LLC NVLAP Lab Code o � 40 0 11200 Kirkland Way#340A, Kirkland, WA 98033 (425) 658-7286 usuo ur, WATestingLLC@gmail,com Batch #: WAT1905936 Asbestos Analysis of Bulk Materials by App. E to Sub. E of 40 CFR Part 763 and EPA 600/R-93/116 Methods Using Polarized Light Microscopy 7-Attn: Dan Dunne Office Phone.: (360) 389-1056 CAZ Environmental.Services Date Received: 7/11/2019 3883 Hammer Dr, Bellingham, WA 98226 Date Analyzed: 7/11/2019 ## of Samples: 5 Project: Kreider Construction ., 1319 6th St.,Anacortes, WA, 98221. J L' i , A Analyzed By \ Approved By Raz Mansurd Approved Signatory(If Necessary) SEQ# CLIENT ID LAYER DESCRIPTION % NON-ASBESTOS FIBERS % NON-FIBROUS % ASBESTOS TYPE 1 Black asphaltic material with sand 25% Glass 75 Non-fibrous None Detected (Other) 2 Black asphaltic material 3% Cellulose 97% Non-fibrous None Detected (Other) 1 MN071019-01A 3 Black asphaltic material with sand 25% Glass 75% Non-fibrous None Detected (Other) 4 Black as haltic material 3% Cellulose 97 Non-fibrous � (Other) None Detected asphaltic fibrous material 70% Cellulose 30% Non-fibrous 5 Brown as P None Detected (Other) Non-fibrous 2 MN071019-02B 1 White chalky material with paper 20% Cellulose 80% None Detected — (Other) 3 MN071019-038 1 White chalkymaterial with paper 20% Cellulose £30%a Non-fibrous (father) None Detected 4 MN871019-048 1 White chalkymaterial with paper 20% Cellulose 80% Non-fibrous p p _ (other) None Detected 1 Black rubbery material 2% Cellulose 98% Non-fibrous (other) None Detected S MN071019-0SC 2 White mastic 2% Cellulose 98% Non fibrous None Detected (Other) Non fibrous 3 Brown fibrous material 65% Cellulose 35% None Detected (Other) The results given relate only to the items tested.The results apply to the sample(s)as received. Reports must not be used by the client to claim product certification,approval,or endorsement by tVLAP,NIST,or any agency of the Federal Government. Page 1 of 1