HomeMy WebLinkAboutPermit File 2018 J Avenue '. %4-- O 4.. City of Anacortes Permit#: BLD-2004-9366
904 6th Street
Issue date: 01/28/2004
P.O.Box 547 Expire date: 01/27/2005
` + U#i Anacortes, WA 98221-0547
'',I' ' 'r (360) 293-1901
Job Address: 2018 J AVE Permit Type: Mechanical Permit
ANACORTES WA 98221 Project: F
APN: P57471
Remarks: Install new gas fireplace and piping.
Owner: PETERSEN CARL R Contractor: CRAFT STOVES INSTALLATIONS, IN
Address: 2018 J AVE Address: 900 W DIVISION
•
ANACORTES WA 98221 MOUNT VERNON WA 98273
Phone: Phone: (360)336-2532
License#: CRAFTSI97OBT
General Information: Fees:
#of Gas Fireplace 1 Mechanical Permit Fees 38.90
#of Gas Piping 1
Total Calculated: 38.90
• Deposits/Receipts: 0.00
c_.) o Total Due: 38.90
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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.
B ti J"10...„2 r1 LC,p-l2.An.w raR ciZvm
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
BUILDING PERMIT
CITY OF ANACORTES PERMIT NO. : BLD98-0001
P.O. BOX 547 APPLIED: 01/05/98
ANACORTES, WA 98221 ISSUED: 01/05/98
(206) 293-1901 EXPIRES: 01/05/99
SITE ADDRESS: 2018 J AVE
ASSESSOR'S PARCEL NO. : 3795-006009-0001
PROJECT DESCRIPTION: Reroof Residence
— OWNER — CONTRACTOR — LENDER
CARL PETERSEN
2018 J AVENUE
ANACORTES WA 98221
293-3474
TYPE OF WORK *REP AREA (sf) VALU. . . $: 1100
TYPE OF USE *SF LOT • 0 REQUIRED SETBACKS----
CENSUS CATEGORY • 434 1ST FLR • 0 FRONT • 0 ft
ZONING 2ND FLR • 0 SIDE • 0 ft
:R3 BASEMENT • 0 REAR • 0 ft
OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING--
:R3 : 7 : 7 :7 OTHER • 0 TOTAL • 0
TYPE OF CONSTRUCTION HANDICAPPED: 0
: 5N :? :7 : 7 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 $ 19. 00 MD 01/05/98 7849
STBC $ 4.50 MD 01/05/98 7849
I
TOTAL $ 23.50
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. j
l
Issued by Applicant or Owner's Signature
24 Hour Notice Required For All Inspections
bldprmt, Rev: 06/11/92
APPLICATION FOR DEMOLITION PEERMIT [� )�
OWNER:(',EZ.L Pzf&2'`S d ' PHONE NO. : ��6"3- j i/7'
OWNERS ADDRESS: ='-t"��g nor q i4'4ri-(t�2Fr35'
LOCATION OF DEMOLITION: / O7 /V 4-l._.
ASSESSORS ACCOUNT NUMBER:
HAVE UTLITIES BEEN NOTIFIED?
Water Dept. Yes No
Gas Yes )( No
Elec. Yes )C No
Phone Yes No
Cable Yes X No
DESCRIPTION OF WORK AND WHAT TOOLS ARE TO BE USED? (CUTTING
TORCHES, ETC. . . )
BDc4a-1 d(2aucl�r GIA>r%s:4w'
BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION, AREA MUST
BE ROPED OFF
SEE SECTION 4409 U.B.C.
APPLICAN 'S OR AGENT'S SIGNATURE
ASBESTOS WARNING
Breathing asbestos is hazardous to your health. Before
starting a renovation or demolition project, survey for 11
friable asbestos materials. Notify Northwest Air Pollution
Authority prior to asbestos removal or containment.
NWAPA: 201 Pioneer Bldg. , Mt. Vernon, WA 98273
PHONE: 428-1617
Fire Dept. Approval:
Fire Chief or ire Marshall
Police Dept. Notificlion: 4// ` KICQ
Public Works Dept: 4A ' ..I
"pee. Garrett ii
COMMENTS: @,9c AA, P- JL- 1b 2 reJlrio a s-J
Agency Use Only Northwest Air Pollution Authority
Case No. 302 Pine Street, #207, Mount Vernon, WA 98273-3852
Operator No. (360) 428-1617/Fax:(360)-428-1620
NOTIFICATION OF DEMOLITION
I. Type of Notification: 12 Original ❑Revised ❑ Cancelled
II. Owner,Contractor,Operator Information
Owner Name: (Ark_ Ex-acd'Zfw n+t'
Address:! 3- A- t
City: 1 A-t-c>d: 3 State: IA/A . Zip Code: j 8-22./
Contact Person: . (Aim_ p os Phone: 713 -j ,d
Removal Contractor: 14.a r- j -Ls 'c n'&-- a, L"ctOO (-Q g,4 ja,LS
Address: Rty)a 1)
City: ti r`-l4--c-c_:n 1 State: i, .T Zip Code: Cj 5 4,
Contact Person: I4 Ltd i./-44-2'0t.1 Phone: 2-`l 3 -5-V7 7
Other Operator 4`yi 6 kti j A. Function of Operator: � cw [kiss-
Address: l
City: Learf-b State: Gv14 Zip Code: j32-2-)
Contact Person: Phone: 74 Z-"Os a-)
III. Facility Description/Building Name:
Address: 1967 (4 City: Amkt carat"; State:(.vd,_ County: St t']`
Site Location(e.g.: cross streets,etc.) S ' Gp,p.. /2_ or 141 ,-vjc
Building Size:/5 xZ 5 Square Feet Y-) 5i #of Floors ) Age in Years: C%Q Tv ` )
Present Use: oki yy Prior Use: 5ovvt _
IV. Type of Operation ❑Demo 0 Ordered Demo
V. Is Asbestos Present? (Y/N): LJt Asbestos Survey Has Been Conducted(Y/N):
VI. Approximate Amount of Regulated Asbestos(RACM) Pipes Ar turface Area
to be Removed: Linear Ft: Square Ft:
VII.Scheduled Dates Asbestos Removal: Start: Complete:
Demolition: Start: Complete:
VII.Attach Description of Work Practices and Engineering Controls to be Used to Prevent Emissions of Asbestos at the
Demolition Site.
IX. Attach.a Description of Planned Demolition Methods to be Used.
X. Waste Disposal Site/Name: City: County:
XI. If Demolition Was Ordered by a Government Agency: Name of Agency:
Agency Contact: Title:
Date of Order(MM/DD/YY): Date Ordered to Begin(MM/DD/YY):
XII. For Emergency Demolitions: Date of Emergency and Attachment Describing Emergency Situation.
XIII. SUPPLEMENT CERTIFYT DESCRIBED HEREIN IS,TOCTOHETBEST OF MY THIS
ACCURATE
AND COMPLETE.
(Signature of Owner/Operator) (Date)
0
, CITY OF ANACORTES
BLDG. ,t PLUMBING ❑ MECHANICAL 0
PERMIT I's° OM '
Telephone 293-5173
ANACORTES, WASH. DATE J4. " r e2" 19 se;
PERMISSION IS HEREBY GRANTED TO: _
OWNER em&12L.. , - 7s45Gnu
STREET I
ADDRESS '4,5,..1
" u
LOCATION WHERE WORK/S TO BE DONE 1
CONTRACTOR J A C(G jog Sw^ !
j
TO ERECT W INSTALL 0 OR REPAIR 0 1
IN THE FOLLOWING MANNER: �X 'is- ' e rU 'Peon/ S X rei,a.loft.,
j
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
i PLANS FOR CONSTRUCTION WERE WERE p�.NOT ❑ SUBMITTED ,
WORK TO BE DONE BY OWNER 0 CONTRACTOR
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE APPROXIMATE
WORK VALUE 11 PERMIT FEES i
ISSUING Ill -
BUILDING Ira= SO r
GAS PIPING .I. PLUMBING AND W.S. —11111
SEWER CONNECTION INSP. —M a
MECHANICAL .I 11111
° PLAN CHECK FEE —Ell 1
MISC. -
TOTAL % 000 2:11 , r 0
'"LEGAL DESCRIPTION ( ,f r .1-.
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IVY INSPECTOR