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HomeMy WebLinkAboutPermit File 4809 Harbor View Place =011 Y Q : City of Anacortes Permit#: BLD-2006-0187 904 6th Street Issue date: 03/23/2006 "+ + Anacortes, 547 Expire date: 05/22/2006 >.?' CO; Anacortes, WA 98221-0547 �' (360)293-1901 Job Address: 4809 HARBOR VIEW PL Permit Type: Demolition Permit ANACORTES WA 98221-4087 Project: APN: P31675 Remarks: Remove existing single family residence. Owner: JAMES ZEVELY Contractor: Address: PO BOX 1627 Address: ANACORTES WA 98221-6627 Phone: (360)293-4458 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. f wt Mlc �� to lather) SIGNATURE OF OWNER OR AUTHORIZED AGENT ISS D BY Engineering and Development Services PO Box 547,Anacortes,WA 98221 Telephone 360.293.1920 '` >r<``., 4y: Fax 360.293.1938 "`"` 4er E-mail engineeringCa cityofanacortes.orq RIGHT-OF-WAY PERMIT APPLICATION Submit this application with payment at least five days before the work starts. Please complete bothsides of this form. (City completes shaded sections.) SITE "I 86/ frtt '2-P b a,, ; ;,.;;;: ::: LOCATION: ? ")^ 0 r� 1 OWNER INFORMATION CONTRACTOR INFORMATION Name --I-- ' 2 (ry ‘J r Name e t==eiT Address c) )c / 7 7 Address U ( Q7 City A-IV ACC)G L7LS City eaC G f Cc� State Zip '-' State A Zip 2 Telephone d 2ei5 _ /9 Telephone 766:7,_ 2u3_, cf-v,� License Number z t J--e. 7/2��f PROJECT INFORMATION Work Includes (check all that apply) ❑ Curb Cut ® Water ❑ Sewer ❑ Storm ❑ Gas ❑ Sidewalk © Street Cut ❑ Phone ❑ Power ❑ Cable ❑ Culvert Describe Work: //c/k^,EIz''f Gc)Ae;;/ Zr`/l('6 ,%nr / i— XL %' 77 l f/11s7 -4r/ �,�'Jl� ' %� iBc//>�C )r'12il/A?Z- //h& , ..°� ..>.+� .:' .3.,.r..., .:..r,.,,.. •Src:--.; _ ..._......,:.n, ,,..,.'.'s_-;t., pig.^,s,�,. fRM,..,�.�YP�.. :..; . �... � _.. .... •.ia: .., _..<.... .. ,._._..-.; ,,..z,... ,_..: :. .a:$�, .:,,� 414 § z .�Tli a�'` ,,.W-- �yF}. " . '� t9 nr E �✓ i f .` Pi B oe-9b �'d 9 fl� a..: ,,...'A,.. G.sd:3ai„Y 2e. � ^�'�.. � ... - ,;gym,»;�_ � r - -w;�, • r�-%<z,}gw; ,yt €::.c` a: n ,'3 �}' .r.:"•q?? 'ta'„'.. ?;s�,. r :Re "`: `�'a-r 'y tr s�:�.�,�`";,F.:x: -;: .E ^Et.,e�,xFs.,< >tr• °:' si ' a�' t A m- �'.-- >n <.r:,'�.: r �,: ..a' >a,= '-Gi ,,....r , .z,".�-x`�'�.d.>,���3£[,, d..- f.a ,.1-~1 �' ."'13, us-. k n7. �,<.a�'-.k.xn��`�-''.xa-<..��;=.,.�°?.�4:. ��t,.r S-. .zP_ t"h�,.ai'3 �e� '--="�F- x-x.. ..,�:. tE'eF F. �c`�E,`;�'`i, :'rciHW�as�: - z;.aa<� .. ''�fi"'�.:,s '' .n.d,:.P„ "'d'A'::t^.:,...<i":»;„;.•.. c0�. �TU ,..£, ;;.A'g', .r�.' .i `f .:.A e;:_ +.rg..,.cc �a-,.s.�x. A '<.,.. +<,x. +«,,. -=•3,.fo u:*„a a�" a<-s.,,,-s 8n ..., :_.,<c-,...<t:._x,.•..:.sus,,._;"v..:r<.�-., ..d.�s.a<.. :.3' ,s�-�;,�.s- �. s a ..,, -az;.. ,."�..�.::'",:e �`;�":` 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. 9� ><Yk, �ev*i i `dtFn� F W3� _ ataVGLigg VEi 3^�Ait� AO r-7 .� "��� rN-'"�• �.� <F>Ew y ,ems� 3�"'�'' ,fi'u 'e�;w / Appli t Si Veature ate SITE DRAWING 1 . Show north arrow 2. Label streets 3. Draw plan • • �, _ . ,.� "''�":��'�;� ,� r ,. �•`,.i..-" • , ,..a� .�_ ,�; • �s a • ..„�, .mm-- z< .. .«,. .., .� S«,s. .. 3;•��' y.n. '3` $� ,�..+s° � - s •.a,� ..t ... .akkr. ...i�:> > .. 0436404-1 0007 12/29/2004 002 4 Permit Fees 006219 $4,732.00 Y Oy., City of Anacortes Permit#: BLD-2004-0308 904 6th Street Issue date: 12/29/2004 ''''' \' P.O.Box 547 Expire date: 12/29/2005 O: Anacortes, WA 98221-0547 itrzt- Job Address: 4809 HARBOR VIEW PL Permit Type: Sewer Repair Permit ANACORTES WA 98221 Project: APN: P31675 Remarks: Hookup existing single family into sewer. (currently on septic) Owner: JAMES ZEVELY Contractor: Address: 480gHARBOR VIEW PL Address: ANACORTES WA 98221 Phone: Phone: License#: General Information: Fees: Sewer GFC-Residential 4,682.00 Sewer Inspection Fee 50.00 Total Calculated: 4,732.00 Deposits/Receipts: 0.00 Total Due: 4,732.00 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. SI TURE OF OWN OR AUT ORIZED AGENT ISSUED BY 1 1 --i CITY OF ANACORTES DEMOLITION PERMIT APPLICATION 4 � k_�.�• Site Address: 116C7q //444' f_ !/lam RI— Assessors Account No.:/0 F3/4750c0/2Z -3-05-o io 02 Date: 2-1-7-0 Lot(s): f 4c-2' Block:5t-c 2Z Addition: -7.50-wnws/ rl 35Th) P !@45r- Owners Name:'ri41r1lesa 7., -Ly Contractors Name: ZTr n es et— Address: r."0 P opc /6 r2l Address: P-0 d'apc t(0>-"7 State: 40,4_ Zip: 9,0 2 z j State:R..4 fmt ii s Zip: cf g Z2 i Phone: Igo, Zr 3—yyc5 Contractors License: 2cv 7-e.-1 10 Ott) Phone: 3bo — Zr,-9956 Have Utilities Been Notified? Description of proposed demolition. How will materials be disposed? Water Dept.: Yes No fcno at-to %O ociew 1oa ctro Electric: Yes No Cable: Yes No CiytgoSA-L_ l rc 'ZJR± Gas: Yes No #.J,s ,4a 904'orir✓ Ocn o ‘ragiiii,.wec rr0 G Fic. ge BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION,AREA MUST BE ROPED OFF! ILGc/� C. plicant's or 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.2nd Street,Mt.Vernon,WA 98273 (360) 428-1617. Fire Department Approval+. v Date: 3 076 476 Police Dept.Approval: Date: Public Works Department Approval: Date: 2—16—Og Comments: 5ICI - 067/0 - 0187 p 77,c/, gip✓, IJLp«� •4 A AgencyUse Only 1600 South SeconStreet agency 98273-5202 Operator No. rh 360A28.1617 fax 360A2&1620 Case No. www.nwcleanairorg Notification of Demolition REQUIRED For all structures greater than 120 sq . ft . footprint NOT REQUIRED if Notice of Intent to Perform Asbestos Project has been submitted to NWCAA , with demolition checkbox marked THERE IS A 10-WORKING DAY ADVANCE NOTIFICATION REQUIRED BEFORE DEMOLITION CAN BEGIN ON PUBLIC OR COMMERCIAL BUILDINGS OR APARTMENT COMPLEXES OF FIVE OR MORE UNITS r 1. Type of Operation %Demo Cl Ordered Demo(Attach Copy of Order) Date Demolition is Scheduled to Begin: a— yea ert- m 0 co 2. Facility Description/Building Name: S} Cc ic1n £ f rlocmcc Street Address: l7/6 0 q ia- s_ l,,t/e Et_ County: sk.4.4 City: MACALCOgj Zip Code: ?e z 2 i 3. Demolition Contractor: State License No.: Z U 14'7 3 C2 A Mailing Address: )O_ 0 jS p X AP 7C 7 City: /-y.t/l-co i/L'"l- State: ,(�) A- Zip Code: 9's 2'2 Contact Person: ` l Phone: ?coo - 29 3.- 4114 53 4. Property Owner: 4 fr-Mc;S Ziet'ECY Mailing Address: . City: v\,ry At O U2(,e S State: "Lk- Zip Code: cyf, 2 2 Contact Person: Ci Phone: 76o -7°g-5-5-7 5 Unless obviously asbestos-free (for example, all wood construction),structure must be surveyed for asbestos- containing materials by an AHERA-certified Building Inspector(contact NWCAA if unsure): 5. Is Asbestos Present? (YesQg Has Asbestos Survey Been Conducted? G ). y 1 AHERA Inspector:avf/ m&jr�L ,s'.ic Certification#: 0/279 �v ci2es� + ALL ASBESTOS MUST BE REMOVEDUrc PRIOR TO DEMOLITION 6. Asbestos Removal Contractor:siniii20,00ea L Agency Asbestos Case No: /)-64e antair mites c crni*4Sa/mil 7. I DO HEREBY CERTIFY THAT THE INFORMATION GENCY USE ONLY CONTAINED IN THIS APPLICATION AND SUPPLEMENTAL DATA DESCRIBED HEREIN IS, TO THE BEST OF MY F KNOWLEDGE,ACCURATE AND COMPLE IE. 2-g lad (Signature of ner/O rator) (Date) .Users\Dave\Asbestos Program\Asbestos forms Notification of Demolition 02,/02/200S 1 3: 33 3607555145 ENIIRONENTAL ENS PAGE 02 Environmental Abatement Services Inc 2/2/06 JAMES ZEVELY RE: Asbestos Abatement Project Completed at omple d 4809 HARBORVIEW STREET ANACORTES, WA 98221 ZEVELY CONSTRUCTION Per the Asbestos Surveys conducted by CATHERINE D MARQUEZ(certification #05- 0784), EAS (contractor #ENVIRAS014RA, asbestos certification #01279) removed asbestos containing materials from the above addresses as specified in the surveys. According to local state and federal regulations, materials containing more than one percent (1%) asbestos must be removed prior to any remodel, renovation or demolition activity. The materials were removed by Certified Asbestos Workers under the direct supervision of a Certified Asbestos Supervisor in accordance with all applicable local, state and federal regulations on 2-2-08 The materials collected were packaged for final disposal In compliance with all applicable federal, state and local laws. The building has been properly surveyed, the materials found to contain asbestos removed and properly disposed in accordance with all applicable regulations. A copy of the survey with laboratory report, and this letter, may be used as documentation of the completion of asbestos identification and removal. Any planned remodeling, renovation, or demolition activities should be approved to proceed. Sincerely, r s Deg_ Catherine D Marquez Owner PO Box 378 712 B Spruce ST Suulnplon,WA 98239 Phone(380)753.105E Fax(300)75E-5145 BUILDING PERMIT CITY OF ANACORTES PERMIT NO. : BLD95-0460 ' P.O. BOX 547 APPLIED: 12/18/95 ANACORTES, WA 98221 ISSUED: 12/18/95 ' (206) 293-1901 EXPIRES : 12/18/96 SITE ADDRESS : 4807 HARBOR VIEW PL ' ASSESSOR' S PARCEL NO. : 4807 PROJECT DESCRIPTION: Demo carport — OWNER — CONTRACTOR — LENDER r ROBERSTON/SMITH TRUSTEES 4807 HARBOR VIEW PLACE ANACORTES WA 98221 293- TYPE OF WORK •DEM AREA (sf) VALU. . . $ : 0 TYPE OF USE • 9 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-- : ? : ? : ? : ? OTHER 0 TOTAL • 0 TYPE OF CONSTRUCTION HANDICAPPED: 0 : ? : ? : ? : ? 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 1 MISC $ 0 .00 MD 12/18/95 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. ------,, —1:1 Issued by c±canoronegna re 24 Hour Notice Required For All Inspections bld_prmt, Rev: 06/11/92 APPLICATION FOR DEMOLITION PERMIT OWNER: eeIGC-17)j}�/&vv11 I '� ))°PHONE NO. : Z .3' V i�) 11 OWNERS ADDRESS: /lRO2 1-kry bests-- (i'r�euu `��i /efi�..6.r-�> v (ter LOCATION OF DEMOLITION: ,,eems� �V 7 �-� VC. till~. ASSESSORS ACCOUNT NUMBER: HAVE UTLITIES BEEN NOTIFIED? Water Dept. Yes No Gas Yes No / #-L6z-' Elec. Yes No / PL Phone Yes No7 j(w /7 - Cable Yes No -' DESCRIPTION OF WORK AND WHAT TOOLS ARE TO BE USED? (CUTTING TORCHES, ETC. . . ) 5k_) \ sup a (etivvert/`-t netC= cf Q Uvti-v"p 0 List&n Cs-71- BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION, AREA MUST BE ROPED OFF'' ' ! SEE TION 4409 U.S. . APPLI 'S OR GENT'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. NWAPA: 201 Pioneer Bldg. , Mt. Vernon, WA 98273Z)_ / �IG2 PHONE: 428-1617 1 D_- 18 'QC Fire Dept. Approval: l L, )Cc,,., Fire Chief or Fi a Marshall Police Dept. Notification: Public Works Dept: 5 � ys Spe ` Gar e t 11 COMMENTS: I` � 7