HomeMy WebLinkAboutPermit File 2304 E Avenue 5. `Y CiAKH City of Anacortes Invoice/Permit#: BLD-2015-0663
904 6th Street
, Applied date: 12/08/2015
P.O.Box 547 Issue date: 12/08/2015
(0; Anacortes, WA 98221-0547
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(360) 293-1901 Expire date: 12/02/2016
Job Address: 2304 E AVE Permit Type: Demolition Permit
ANACORTES WA 98221-2406 Project:
APN: P57564
Remarks: Decommission removal of(1)500 gallon heating oil
Owner: BRENT ZIER Contractor: ULTRA TANK SERVICES
Address: 2304 E AVE Address: PO BOX 30096
ANACORTES WA 98221-2406 BELLINGHAM WA 98228-2096
Phone: Phone: (360)815-5361
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.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSU BY
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). CITY OF ANACORTES
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DEMOLITION PERMIT APPLICATION
Site Address: 2.30 ? 141(Wu
Assessors Account No.: S 79g-00c? "O3S`O099 Date: 42 ?45--
Lot(s): Block: Addition: 1. L 4) V1 Pif
Owners Name: Bit 21 Contracto s Name:/,�/77 / �k 5921//Ct 1J ,
Address: 230 Y E.- PUSI1/ f l M76Address: NCB '50X 300 4 }24416171-4to
State: 014 Zip: 9 P22./ State: W Zip: -902779
Phone: Contractors License: fiL% ^T5 C 53 t
Phone: 36e g/4.5—,57.;
Have Utilities Been Disconnected? Description of proposed demolition.
Water Dept.: Yes/No taDUk.-. o 699 '
Electric: Yes No
Cable: Yes No 1-74A410,11- &IL_7 1Pk..
Gas: Yes No How Will Materials be disposed?
f aeiLA--77 ids
BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION, AREA MUST BE
ROPED OFF!
Applicant'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. 2"d Street,Mt. Vernon, WA 98273 (360) 428-1617.
Fire Department Approval: Date:
Police Dept. Approval: Date:
Public Works Department Approval: Date:
Museum: Date:
Comments:
Grace, Michelle
From: Ultra Tank Services,Inc <ultratank2012@gmail.com>
Sent: Monday, December 07, 2015 2:56 PM
To: Swan, Sharon; Grace, Michelle
Cc: tompulver@hughes.net
Subject: Demo Permit& Site Map for 2304 E. Ave Anacortes
Attachments: Permit App. &Site Map for 2304 E.Ave. Anacortes.pdf
Hi Sharon & Michelle,
Attached to this email is the Demo Permit application and site map for 2304 E. Avenue, Anacortes WA 98221. Let us
know if you need anything else.
Thank you,
Jan Pulver
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Jan Pulver 'N�`
Ultra Tank Services, Inc.
P.O. Box 30096
Bellingham, WA 98228-2096
Ultratank2012(a�gmail.com
www.ultratankservices.com
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Live Help • Smartphone . Product Search
platt.com Branch Directions • Spec Sheets • MFG Catalogs
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Control Automation • Tools • Solaro Video Surveillance • Lighting • Wire
Green • Utility • Datacomm • Electrical • Power Distribution
0705804-2 0005 02/27/2007 002 4 (ur
4.50
61't X ., Cityof Anacortes Perri it Fees 000251 �1LD-2
Permit#: BLD-2007-0147
904 6th Street Issue date: 02/27/2007
�� — P.O.Box 547
CO Anacortes, WA 98221-0547 Expire date: 02/27/2008
('',�' % (360) 293-1901
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Job Address: 2304 E AVE Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-2406 Project:
APN: P57564
Remarks: Construct 7 foot hight fence along the north side of property.
Owner: CHANEY STEVEN JOHN Contractor:
Address: 2304 E AVE Address:
ANACORTES WA 98221-2406
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 500 Building Permit Fee 10.00
State Building Code Fee 4.50
Total Calculated: 14.50
Deposits/Receipts: 0.00
Total Due: 14.50
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 I
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.
SIGNATUR OWNER OR A HORIZED AGENT ISSUED BY
F !J KJ
Engineering and Development Services
PO Box 547,Anacortes,WA 98221
Telephone 360.293.1920
Fax 360.293.1938
E-mail engineerindcitvofanacortes.orq
11;66V15.
RIGHT-OF-WAY PERMIT APPLICATION
Submit this application with payment at least five days before the work starts. Please
complete both sides of this form. (City completes shaded sections.)
SITE --- /2 PERMIT
LOCATION: .. e) ,,e77€ NUMBER:
OWNER INFORMATION CONTRACTOR INFORMATION
Name Name
Address Address
City /727z,re City gefilv ;/
State „(,)//_.;7- Zip 9)(f2 /./ State A/2+4 Zip .9--7:„7-:
Telephone Telephone
License Number 6.7M b/Z
PROJECT INFORMATION
Work Includes (check all that apply)
Curb Cut El Water 1:1 Sewer El Storm Gas LI Sidewalk
LI Street Cut n Phone E] Power El Cable LI Culvert
Describe Work:
PERMIT TYPE
Curb Cut$50 Li Street Cut$50 El Inside Traveled Way$50 0 Outside Traveled Way$20
SPECIAL REQUIREMENTS: Call 1.800.424.5555 two business days Oefore youqq.
v_9 /9 57 4 c4k lePro o ,.-40/ • .0 .041.•"4 4#44r7
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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. The applicant and owner are liable for damage to public and private property.
/
- .40ve&,47 cL51-C'e
City Application Approval Signature Date Applicant Signature Date
SITE DRAWING
1 . Show north arrow
2. Label streets
3. Draw plan
CONSTRUCTION 'INSPECTED A=ND APPROVED
City of Anaco'rtes Inspector Date Pe
rmit Number
CITY OF AffAC,ORTES
BLDG. PLUMBING ID MECHANICAL ❑
PERMIT 1' ' 6648
TeMphone 29W&1901 _! a Pie C. 19 a
AnaCor[is,WA Date
PERMISSION IS HEREBY GRANTED TO:
OWNER pa_:" U L YjA/VS //tiG'X/t'.
STREET ADDRESS 4230 Ats -- —
Location where work is to be done
CONTRACTOR `.1:/12 L 's/j. _A/ o
TO ERECT ❑ ,-1STALL $ OR REPAIR ❑
THE EOLLOWING MANNER: /76'7A'u�Lc s *ti!J%fcj
e�JI 1x'..'J,2 / (' e.1 1 a.// 3
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
PLANS FOR CONSTRUCTION WERE NOTUBMITTED
WERE ❑
WORK TO BE DONE BY OWNER ❑ CONTRACTOR a,
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE PERMIT VALUE PERMIt FEES
OF WORK
State Building Code Surcharge •S°
•
State Energy Study Surcharge
Building 5 5, — ,.f/j' cam,,,
Plumbing and W.S.
Mechanical
•
Plan Check Fee
_
TOTAL // y GJ "�4 r S-'
LEGAL DESCRIPTION l+o i „35 Y�5�d.c/D 1ic-w /s4L2lC
722S -000 —ca„s'y— OOO7
m IIusrECTOR
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PERMIT RECORD INSPECTION RECORD 0
PERMIT #° TYPE 1 DESCRIPTION DATE REMARKS
/662 Lars Z
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NAME OF PRESENT OWNER at°resr1A.)
DATE:JD'_2 /-62 _ _
:_ City of Anacortes Invoice/Permit#: BLD-2017-0218
\ 904 6th Street Applied date: 04/20/2017
`"■ P.O.Box 547
Issue date: 04/20/2017
''���'1 t/ : Anacortes, WA 98221-0547 Expire date: 1 011 712 0 1 8
Job Address: 2304 E AVE Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-2406 Project:
APN: P57564
Remarks: Reside the house
Owner: BRENT ZIER Contractor: COMPLETE ROOFING&CONTRACTING
Address: 2304 E AVE Address: 500 BRIZA LN
ANACORTES WA 98221-2406 SEDRO-WOOLLEY WA 98284
Phone: Phone: (360)421-5885
License#: COMPLRC885BF
General Information: Fees:
Building Valuation 9500 Building Permit Fee 181.25
State Building Code Fee 4.50
Total Calculated: 185.75
Deposits/Receipts: 0.00
Total Due: 185.75
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITAN 180 DAY ,?—IR?IPI'
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK!IS COMMENCE r[u
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRPCT.ALL PI 'SVi51 {J '
OF LAWS AND OR ANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR vcM Tj Il i
GRANTING OF RMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER 4T1 1 d g,
LOCAL LAW LATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ,l, T
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SIG ATURE OF OWNER OR AUTHORIZED AGENT D B �_n 'n T -4
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