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HomeMy WebLinkAboutPermit File BLD-2020-0529 2105 E Avenue • •6 Y C Cityof Anacortes Invoice/Permit #: BLD-2020-0529 904 6th Street ''',40111111enow' Applied date: 09/04/2020 P.O.Box 547 Issue date: 09/04/2020 Anacortes, WA 98221-0547 1691 Expire date: 08/30/2021 (360) 293-1901 _,,ieLo4r,r i Job Address: 2105 E AVE Permit Type: Residential Demolition Permit ANACORTES WA 98221-2421 Project: APN: P57661 Remarks: REMOVE AND DISPOSE OF 300 GALLON UNDERGROUND TANK. Owner: PETER CURRAN Contractor: CNR TANKS LLC Address: 2105 E AVE Address: 1521 SILVER FIR DR ANACORTES WA 98221-2421 CAMANO ISLAND WA 98282 Phone: (360) 982-5621 Phone: License #: General Information: Fees: State Building Code Fee Resi 6.50 Demolition permit 60.00 Total Calculated: 66.50 Deposits/Receipts: 0.00 Total Due: 66.50 The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law, or oraer, proclamation, guidance advice or decision of the Governor of this State, This permit shall not authorize such work and snali not be valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or decision of the Governor. This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction work is suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and exa e this application and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED tSt in_0.11-\1. 1 17 •r, 44 rill Finance Department 020325-0040 Erin W. 09/08/2020 01:14PM PERMITS AND INSPECTIONS CNR TANKS LLC BLD-2020-0529 Residential Demolition Permit REMOVE AND DISPOSE OF 300 GALLON UNDERGR issued 2020 Item: BLD-2020-0529 State Building Code Fee Reel 6,50 Demolition permit 60.00 Payment Id: 293148 66.50 Subtotal 66.50 Fee FEE 1 ,00 Total 67.50 03FINANCE CREDIT CARD 67,50 MasterCard ************9197 Ref-422197E15633 Auth=058516 9197 1 Change due 0.00 Paid by: CNR TANKS LLC 10113111111111111101E10 I M11111 IIN Signature: - Thank you for your payment COPY DUPLICATE RECEIPT PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT a ��x4-41 -ft.oe Mailing Address: P.O_ Box 547, Anacortes, WA 98221 Office Location: 904 6t Street Anacortes VVA 98821 Phone: (360) 293-1901 12) l D 2o2._o - 0 . 12.---? { o 'PROPERTY OWNER INFORMATION Name: ! Phone: Pe: GF Address (Street, City,State, Zip): Email Address: CONTRACTOR INFORMATION Name:* Phone: Contractor's Business Licenses i State License #: 1 City of Anacortes - *All contractors &Subcontractors must have a valid City C I; 13 E, Endorsement? of Ahocor=tes business license prior to doing work in the Expiration Date: g YES -City cPo i ' E NO Address Stree Ci State, Zip): Email Address: 6. FINANCING INFORMATION (Required sf project valuat€on exceeds$5,0L�G, per R �a 19.2.7.095.) Lender administering the construction financing or firm issuance a payment bond (if any) on behalf of the prime contractor for the protection of the owner, if the bond is for an:amount not less than 50% of the total amount of the construction project (if owner is self-financing, please indicate). * Completion of this information may be deferred until permit issuance. Name: I Phone: Address (Street, City,°State,Zip.): 7. CONTACT PERSON } Select one person the city will contact for anything Li related to this project: Property Owner Contractor. l i . Other (list below) Phone:1 Name a ( 13 Address (Street, City, State, Zip): i Email Address: _ }P 5:� s $F� �, �r f , rf. ...�"'_.' �""1 ' . a �...�,.�. A) e �.:.. '..Rrs' �`iR..R: 3 `°'° h.+ �9 �.08. j. 1 SIGNATURE I hereby declare that 1 am either the owner of the property listed on this application or the owner of this property has authorized me to be their representative to act for them. I also declare under penalty of perjury under the laws of the State of Washington that all of the statements and answers contained herein, and the information submitted with this application form is in all respects, true, correct, and complete to the best of knowledge and belief. zozo Signature Date DeconstructionecoDeconstructionDemolitioni'Permit Application Submittal Checklist � m pP Updated October 9, 2019 Page 4 of 4 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT 2 Mailing Address:P.O. Box 547,Anacortes, WA 98221 Office Location:904 6th Street,Anacortes WA 98821 64 ; Phone:(360)293-1901 1. PROPERTY INFORMATION Project Address(Street,Suite#): Assessor Parcel Number: d71 o 5 -E ^r.e). ra.riaY'-i-e51 iA.lA 2. TYPE OF STRUCTURE Single Family 0 Multifamily,#of Dwelling Units ❑ Commercial j Industrial ❑ Duplex ❑ Other Use Type: ❑ Underground Fuel Tank 3. STRUCTURE INFORMATION FOR BUILDINGS: i Description of Work: Size of structure: sq.ft. Method of Disposal: I Date of original construction of structure: Historic Resources Information: Is the structure listed on the City of Anacortes.Local, if identified prior to demolition,are you willing State,or National register of historic places? to salvage from the structure historically YES* 56 NO significant architectural features? Designation: *if yes,SEPA review is required prior to issuing a demolition permit. Ci YES ❑ NO Note:Check with the City of Anacortes Museum and/or the WA State Dept. of Archaeological and Historic Preservation's WiSSARD system to answer this question. Utility&services disconnection I interruption information identify which City services you would like to disconnect/stop: Water ❑ Disconnect ❑ Retain Storm i El Disconnect ❑ Retain Sewer ❑ Disconnect ❑ Retain 1 Garbage , ❑ Discontinue ❑ Retain For private utilities(gas,electricity,cable,etc.),you will need to contact the applicable companies if their services are to be interrupted or disconnected. FOR UNDERGROUND STORAGE TANKS: Decommissioning type: ❑ Abandonment in place (Fire Dept Approval rcq::irc�; V Removal Date of pump&rinse: Disposal Location: (SKr) Type of inert fill: Approximate age of tank: 110 .k( ICC Certification#:X 0 f 0 3 Deconstruction J Demolition Permit Application Suhmittal Checklist Updated October 9,2019 Page 3 of 4 8/27/2020 2105 E Ave - Google Maps Go gle Maps 2105 E Ave • 300 gallon UST :7 Oil, fAr 9 2105.E Avenue � I n Is P. ,4 PI Island View PI Island View PI Island Viev Map data ©2020 20 ft https://www.google.com/maps/place/2105+E+Ave,+Anacortes,+WA+98221/@48.5051978,-122.6299733,20z/data=!4m5!3m4!1 s0x5485799285ca710d:0x292679f611 fd6df2!8m2!3d48.505194!4d-122.62... 1/1