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Home My WebLink AboutPermit File BLD-2018-0425 3703 J Avenue Y City of Anacortes Invoice/Permit#: BLD-2018-0425 • 904 6th Street Applied date: 07/03/2018 "1.014 Box P.O.B 547 � Issue date: 07/03/2018 0 Anacortes, WA 98221-0547 (360) 293-1901 Expire date: 06/28/2019 Job Address: 3703 J AVE Permit Type: Demolition Permit ANACORTES WA 98221-3372 Project: APN: P32033 Remarks: Remove corregated fiberglass roofing and 2X8 framing on 12'X32'wing of house. Remove wallboard from 2 exterior walls of house at basement level. Limited scope of work. Partial demolition of 384 sq ft Owner: JOEL KURTZ Contractor: Address: 3703 J AVE Address: ANACORTES WA 98221-3372 Phone: Phone: License#: General Information: Fees: Total Calculated: Adjustments: Deposits/Receipts: Total Due: /0/l ? / /8 Ovae 1€( a,t-,49, s'cJ ts 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 LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY - - Q City of Anacortes Invoice/Permit#: BLD-2018-0425 904 6th Street Applied date: 07/03/2018 P.O.Box 547 Issue date: 07/03/2018 ;. Anacortes, WA 98221-0547 Expire date: 06/28/2019 [/^ A (360) 293-1901 Job Address: 3703 J AVE Permit Type: Demolition Permit ANACORTES WA 98221-3372 Project: APN: P32033 Remarks: Remove corregated fiberglass roofing and 2X8 framing on 12'X32'wing of house. Remove wallboard from 2 exterior walls of house at basement level. Limited scope of work. Partial demolition of 384 sq ft Owner: JOEL KURTZ Contractor: Address: 3703 J AVE Address: ANACORTES WA 98221-3372 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 LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. .()L SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSU D BY zol t3t/P PLANNING, COMMUNITY, &E ,� r DEMOLITION & OIL TANK DEI L v' rlON `' Mailing Address:P.' 77/GC 9 `` Office Location: 90 C Phone: (360) 25 PLEASE REFER TO THE PERMIT CHECKLIST THA 5�Oc•"Lei VTS BUILDING DEMOLITION: 0 N/A 0 COMI Er PARTIAL DEMOLITION Er RESIDENTIAL O FLOOR AREA TO BE DEMOLISHED: .3 gO O DATE OF CONSTRUCTION OF STRUCTURE TO BE UNDERGROUND OIL TANK DECOMMISSIONING: Ea'N/A 0 REMOVAL ❑ ABANDONMENT IN PLACE(FIRE DEPT.APPROVAL RQD) 0 SIZE OF TANK: ❑ APPROXIMATE AGE OF TANK: ❑ DISPOSAL LOCATON: ❑ DATE OF PUMP&RINSE: 0 ICC CERT#: ❑ IF ABANDONED,SPECIFY TYPE OF INERT FILL: PROJECT ADDRESS(Street,Suite#): PARCEL(S):7C T Avg ?•J2032 APPLICANT: Phone: - - L --_ 5-0—Z.70 71 Address(Street,City,State,Zip): E-Mail Address: au.;a1a 64c:IM 4r; 4)G PROPERTY OWNER: .. Phone: e5 KU�i_- 5(0 —Z`? -`t*% `fi Address(Street,City,State,Zip): E-Mail Address: Address(Street,City,State,Zip): E-Mail Address: CONTRACTOR/DECOMMISSIONER'S FIRM NAME: Phone: S/ki�/l,F Address(Street,City,State,Zip): E-Mail Address: Contractor's License#: Exp.Date: *All Contractors&subcontractors must have a valid City of Anacortes 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: g6 dl1 G t eguci 4,Liz Ft r{ic 4-A5 I A:CPC/A 4A' 2Ag' 22- Fifio, Grp 15: S.11-r- 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 th_s_cir of Anacortes. Print Name: -Ji 6.- /,,✓�' Owner L Other 0(specify): Signature: 04ft Date: 6 Z-93 1.0/1 Page 1 of 2 Goodfaith Asbestos Inspection 201.80626-01 A Client: CAI Joel Kurtz Jobsite: 3 703 J Ave Anacortes, WA 98221 ENVIRONMENTAL Dear Joel, On June 26th, 2018 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 CF'R), 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 materials contained more than 1% asbestos. Definitions for the attached report: Sample ID: 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 blow if you have any questions. Sincerely, 5.3S?\,_ Dan Dunne AHERA inspector #160753, expires 12/2_0/18 Manager CAZ Environmental LLC CAZ Environmental LLC 3883 Hammer Drive Bellingham WA 98226 (360) 389-1056 dan@cazenviro.com Sample ID Location Material Color Friable Qty Asbestos 3703-01A 3703-02A 3703-03A Basement Drywall&Mud Green Y 310 sq None 3703-04B 3703-05B Sunroom Drywall Brown N 300 sq None Washington Asbestos Testing LLC l: , \l i' _ab Code: 600040-0 A11200 Kirkland Way #340A, Kirkland, WA 98033 (425) 658-7286 WATestingLLC@gmail.com Batch #: WAT185354 Asbestos Analysis of Bulk Materials by EPA 600/R-93/116 Method Using Polarized Light Microscopy (Attn: Dan Dunne Office Phone: (360) 389-1056 - CAZ Environmental Services Date Received: 6/27/2018 3883 Hammer Dr, Bellingham, WA 98226 Date Analyzed: 6/27/2018 # of Samples: 5 Project: Joel Kurtz 3703 J Ave Anacartes WA 98221 �/ Analyzed By - - / Approved By David Henry - : ' Approved Signatory (If Necessary) SEQ# CLIENT ID LAYER DESCRIPTION % NON-ASBESTOS FIBERS % NON-FIBROUS % ASBESTOS TYPE 1 3703-01A 1 White chalky material with paint and paper 20% Cellulose 80% Non-fibrous (Other) None Detected Non-fibrous 1 White compact powdery texture with paint 3% Cellulose 97% None Detected (Other) 2 3703-02A Non-fibrous 2 White chalky material with paper 20% Cellulose 80% None Detected (Other) Non-fibrous 1 White compact powdery texture with paint 3% Cellulose 97% (Other) None Detected 3 3703-03A - Non-fibrous 2 White chalky material with paper 20% Cellulose 80% (Other) None Detected Non-fibrous 1 White compact powdery texture 3% Cellulose 97% (Other) None Detected 4 3703-04B Non-fibrous 2 White chalky material with paper 20% Cellulose 80% (Other) None Detected Non-fibrous 1 White compact powdery texture 3% Cellulose 97% None Detected (Other) 5 3703-05B - Non-fibrous 2 White chalky material with paper 20% Cellulose 80% None Detected (Other) *The results given relate only to the items tested. 'Reports must not be used by the client to claim product certification,approval,or endorsement by NVLAP,NIST, or any agency of the Federal Government, Page 1 of 1