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Home My WebLink AboutPermit File 1320 Florida Avenue 'CI TY°OF ANACORTE i11 ::::::: Site Address: /5 02a flo/'L2tal Date: c27/8"`CS---1 Assessors Account No.: So 9 / 6o5. d,, 7 e 0006 ps'ir'e73 Lot(s): 7 7 Block: 650 C Addition: /,/T1" 72 (44/4- Owners Name: 3,CAAIKo Jaelext4c471-- Contractors Name: C/c416- .r)EckeQ Address: S 06) Go.f/6i'ieu' p1tc Address: .4vp-:-o,ara , State: Ili Zip: g82'zi State: tz!iA-- Zip: 'Qel z / Phone: 3 6 o. ;9?3• 6 7. -7., Contractors License: Phone: -2-06 ; L?3' &a s Have Utilities Been Notified? Describe Work & Tools To Be Used. How Will Materials Be Disposed? Water Dept.: seas No EC",di 416- B 0/44 i4/6— Electric: ilk No fit rtr- f/&4 t E= E-Q/Pie9e mil— ,I Cable: T. No Gas: 0 No Phone: 404 No BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION, AREA MUST BE ROPED OFFttttuttttut SEE SECTION 4409 U.B.C. 1 (Applicant's or e 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. 201 Pioneer Bldg., Mt. Vernon, WA 98273. (360)428-16170 Fire Department Approval. 4_ Date: —f/—�� (Fire Chief or Fire rshal) Police Dept. Notification: Date: Public Works Dept: p �id Dater/t"Pt (Speed arrest) Comments:0 A✓t�,J4 P61 a„` �zsz�E oe 47714cgso /logcyll— L)t r3Alief— EO 1 1.% elt Je n Welch Enterprises, Inc. 115 Lind St.,PO Box 366 Mt. Vernon, Wa. 98273 (360)336-9578 FAX(360)336-9579 February 20, 1998 Survey No 98018 Branco Jurkovich 608 Longview Ave. Anacortes, WA 98221 360-293-6756 RE: Asbestos Good Faith Survey: 1320 Florida St., Anacortes,WA 98221 On February 19, 1998, our firm inspected a single family residence located at the above referenced address. The purpose of this inspection/survey was to determine the presence or absence of building materials that might contain asbestos. Title 40 Code of Federal Regulations (40 CFR), subpart M, section 61.141, established the allowable limit of asbestos in building materials at 1%by weight. Materials containing more than 1%asbestos are regulated and must be handled in accordance with Federal, State,and Local regulations. Surveys are based on'visible and accessible materials' and although every effort was made to locate and test all suspect materials, some suspect materials may remain hidden in walls or below floor underlayment or other areas until demolition or renovation work makes them accessible. Should other suspect materials be discovered during the course of demolition or remodel activities they will require testing prior to continuing work. Nine samples were collected and subsequently analyzed for asbestos content by Polarized Light Microscopy with Stain Dispersion. No samples were found to contain more than 1% asbestos. This letter and attached material list and lab report will comprise the'Good Faith Survey'. Please call us if you have any questions. Sincerely, Ela_ ((�� t ,- Dave B. Phillips AHERA Bldg. Insp. Cert. #NAI-BI/R-98-023 (expires 1-16-99) enclosure RECEIVED FEB 2 3 1998 i �UIIUUVG DEpy i Welch Enterprises, Inc. 0 III 115 Lind St, PO Box 366 Mt. Vernon, Wa. 98273 (360)336-9578 FAX(360)336-9579 Client: Branco Jurkovich Asbestos Survey- 1320 Florida St. Survey#: 98018 608 Longview Ave. Anacortes,WA 98221 Anacortes,WA 98221 360-293-6756 Survey date: 2/19/98 Bomogeneous Material List Material#& Description Location (honing. ..:ea) Type Friati Cond Qty. Sample#& Location(see dwg.) I Asbestos 1 Beige vinyl sheet w/ Living room,bath, &bed mist no poor la Living room N/D green fibrous backing lb Hallway N/D 2 Beige vinyl sheet w/ Kitchen mist no poor 2a W side N/D green fibrous backing 2b N side N/D 3 Sheetrock Throughout mist no poor 3a Living room W side N/D 3b Kitchen S side N/D 4 Asphalt roofing House roof misc no poor 4a N side N/D 4b W side N/D 5 Asphalt roofing Shed roof anise no poor 5a NW corner N/D I N/D=Nene Dercided Note. Fnabilinv assessments Were made on these materials in their present undisturbed a edition, N/T=Not Tested-previous sample tested positive damage or disturbance of any kmd may cause some non-friable materials to become friable. F Quantities shown are approximate-field verification recommended Qt. Vernon Asbestos Lab CT? Welch Enterprises, Inc. AIHA Lab #21307 115 Lind St,PO Box 366 Phone(360)336-9578 Mt Vernon,Wa.98273 FAX (360)336-9579 ASBESTOS BULK SAMPLE ANALYSIS - Client Name: Branco Jurkovich 608 Longview Ave. Survey#:98018 Anacortes,WA 98221 360-293-6756 Source of Samples: 1320 Florida St.,Anacortes,WA 98221 Date Redd: 2/19/98 Analytical Method: Polarized Light Microscopy with Dispersion Staining(PLM-DS Method) Sample No.: la Analysis: Asbestos: None detected Lab No.: 23099B Location: Living room, bath, bed Other fibers: Cellulose/Synthetic Description: Beige vinyl sheet w/green fibrous backing Sample No.: lb Analysis: Asbestos: None detected Lab No.: 23100B F Location: Living room, bath,bed Other fibers: Cellulose/Synthetic Description: Beige vinyl sheet w/green fibrous backing Sample No.: 2a Analysis: Asbestos: None detected Lab No.: 23101B Location: Kitchen Other fibers: Cellulose/Synthetic Description: Beige vinyl sheet w/green fibrous backing Sample No.: 2b Analysis: Asbestos: None detected Lab No.: 23102B Location: Kitchen Other fibers: Cellulose/Synthetic Description: Beige vinyl sheet w/green fibrous backing Sample No.: 3a Analysis: Asbestos: None detected Lab No.: 23103B Location: Throughout Other fibers: Cellulose Description: Sheetrock Sample No.: 3b Analysis: Asbestos: None detected Lab No.: 23104B Location: Throughout Other fibers: Cellulose Description: Sheetrock Sample No.: 4a Analysis: Asbestos: None detected Lab No.: 23105B Location: Roof Other fibers: Cellulose Description: Asphalt roofing Analyst: J L ; iY� Date: 2--Z D —(!}sir Dave B.Phillips/Kim Zylstra Samples retained for 60 days unless otherwise requested in writing. Lab results are completely confidential. Written permission is required to release results to another party. KIt Vernon Asbestos Lab 0 Welch Enterprises, Inc AMA Lab #21307 115 Lind St.,PO Box 366 Phone(360)336-9578 Mt.Vernon,Wa.98273 FAX (360)336-9579 ASBESTOS BULK SAMPLE ANALYSIS • Sample No.: 4b Analysis: Asbestos: None detected Lab No.: 23106B Location: Roof Other fibers: Cellulose Description: Asphalt roofing Sample No.: 5a Analysis: Asbestos: None detected Lab No.: 23107B Location: Roof Other fibers: Cellulose Description: Asphalt roofing • Analyst G Date: 2- 20 -f l Dave B. Phillips/Kim Zylstra Samples retained for 60 days unless otherwise requested in writing. Lab results are completely confidential. Written permission is required to release results to another party. In .: :: CITY O ANAGORTE . DEMOLITION! Site Address: / 020 WogiY7,el Date: 0�//3"C CeK Assessors Account No.: 3So &9 6ofi- Uv7 , doo6 ps?- 7_3 Lot(s): / — j Block: 650 C Addition: /dr 7 ,4414- Owners Name: 32Gt1Kd f44eiLCVctf- Contractors Name: Cr I'I6 Derc cam`, Address: L 06' Zc7/'A-i-i&•W r,—= Address: State: EZ%A- Zip: 992Y-i State: 044--- Zip: gel —z i Phone: 3 w o, %93 6 7S 6 Contractors License: Phone: 'OG : 2--q . ?s Have Utilities Been Notified? Describe Work & Tools To Be Used. How Will Materials Be Disposed? Water Dept.: Yes No ic/l/c t' ti'Cr- . 3 U;u)i'P6--- Electric: Yes No afi m- H aditfi t i Cable: Yes No Gas: Yes No Phone: Yes No BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION, AREA MUST BE ROPED OFFttttttttttttt SEE SECTION 4409 U.B.C. i (Applicant's or e 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. 201 Pioneer Bldg., Mt. Vernon,WA 98273. 360)428-1617 Fire Department Approv( _ Date: (Fire Chief or F. Marshal) Police Dept. Notification: Date: Public Works Dept:, Date: g ? —`/ (Speed Garrett) Comments: WI 1g°.►0 cF01$ D0e1' • 1 0 II f I SEE REVERSE SCE 1996 REALSKAGIT TREASURER,COUNTY ES BOX 51I AI 8,MOUNTT VERNON,WASHINGTON 9827 ACCOUNT NUMBER KEEP THIS State School 226.69 Land Value CURRENT TAX DISTRIBUTION 1 CURRENT TAX INFORMATION amp-ems-Qv-Qom School 60103 182.3e Improvements 67,400 58473 PORTION County 117,71 1 City Road 162.00 TOTAL VALUE Port Dist. P01 13.66 97,600 Fire fist. Levy Code Hospital 29.92 L 0800 rparly Description. N P TO ANA LTS 1.7 BLK 605 Other 16 64 vy Rate t 1.03070 Cemetery Fotest Fire Voter Approved Tax 228.04 Dike Non Voter Approved Tax vFr.ri ni FN.'r Drain bt 0.84 I Drainage Utility Fee General Tax 747.88 TOTAL CURRENT TAX 747.88 Exemption(It any) — Special Assessment TOTAL CURRENT TAX 0007113 NM ow. gem0oroa300003136 First half tax paid alter April OTHER TAX{Nr=ORMATiON' �i JURKOVICN BRANKO 30th requires interest plus JURKOVICH *ARIA penalty on full amount YEAR INT./PEN. 04/96 TAX b ANACORTTEE�SIEW AVE WA 96221 Second half fax becomes tlelin- quest after OGTOSFR 31st at - TAX$30.00 OR LESS -- —_ __ --_ ___ — - MUST BE PAID IN FULL BUILDING PERMIT CITY OF ANACORTES PERMIT NO. : BLD98-0048 P.O. BOX 547 APPLIED: 02/24/98 ANACORTES, WA 98221 ISSUED: 02/24/98 (206) 293-1901 EXPIRES: 02/24/99 SITE ADDRESS: 1320 FLORIDA ASSESSOR' S PARCEL NO. : 3809-605-007-0006 PROJECT DESCRIPTION: Demolish building with heavy equipment — OWNER — CONTRACTOR — LENDER BRANKO JURKOVICH 608 LONGVIEW AVENUE ANACORTES WA 98221 293-6756 TYPE OF WORK •DEM AREA (sf) VALU. . . $: 0 TYPE OF USE •OTH LOT • 0 REQUIRED SETBACKS---- CENSUS CATEGORY • 999 1ST FLR • 0 FRONT 0 ft ZONING 2ND FLR • 0 SIDE • 0 ft :R2 BASEMENT • 0 REAR • 0 ft OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING-- :R3 :2 :7 :7 OTHER 0 TOTAL • 0 TYPE OF CONSTRUCTION HANDICAPPED: 0 :5N :? :? :? NUMBER OF UNITS • 0 COMPACT • 0 OCCUPANT LOAD STORIES • 0 IMPRV SURF. : 0 sf . 0: 0: 0: 0: BUILDING HEIGHT. : 0 ft FEES — NOTES Code Amount---- By- Date---- Receipt PRMT $ 0. 00 MD 02/24/98 NC TOTAL $ 0. 00 I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all ordinances and laws regulating activities covered by this permit. Issued by Applicant or Owner' s Signature 24 Hour Notice Required For All Inspections bld prmt, Rev: 06/11/92