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HomeMy WebLinkAboutPermit File BLD-2022-0074 2307 37th Street Cityof Anacortes Ones Invoice/Permit #: BLD-2022-0074 + h' 904 6th Street Applied date: 02/08/2022 P.O.Box 547 �� Anacortes, WA 98221-0547 Issue date: 02/08/2022 1891 K Expire date: 02/03/2023 t:. ,,�► (360) 293-1901 Vat UP pl a `L- Job Address: 2307 37TH ST Permit Type: Residential Demolition Permit ANACORTES WA 98221-2652 Project: APN: P57826 Remarks: Demolish an old SFR from 1950. Owner: CRAIG BERGFALK FDV LLC Contractor: OWNER Address: 4303 MARINE HEIGHTS WAY Address: ANACORTES WA 98221-8287 Phone: (360) 391-6010 Phone: License #: General Information: Fees: Dwelling Units 1 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 order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall 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 wittlir4. 0 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 exarnird this a plication and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE 'S "� PERMIT APPLICATION FORM PROPERTY INFORMATION PROJECT ADDRESS(STREET,SUITE#): ASSESSOR PARCEL NUMBER: . 3r? 3.7 P TYPE OF STRUCTURE -a Single Family 0 Multifamily,#of Dwelling Units: ❑ Commercial/Industrial ❑ Duplex ❑ Other Use Type: 0 Underground Fuel Tank STRUCTURE INFORMATION FOR BUILDINGS: Description of Work: Size of structure: 0 ) sq.ft. e4..—Q 4 Method of Disposal: Date of original construction of structure: HISTORIC RESOURCES INFORMATION: Is the structure listed on the City of Anacortes Local, T If identified prior to demolition,are you State,or National register of historic places? willing to salvage from the structure historically significant architectural features? ❑ YES* El NO Designation: ❑ YES 13 NO *If yes,SEPA review is required prior to issuing a demolition permit. 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/INTERRUPTION INFORMATION Identify which City services you would like to disconnect/stop: Water i'5? Disconnect ❑ Retain ex,.,.,pl, .,1 Storm 0 Disconnect ❑ Retain A/A Sewer 1 '❑ Disconnect ❑ Retain Abet rt Garbage ❑ Discontinue ❑ Retain /v4 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 required) ❑ Removal Date of pump&rinse: /V`I Disposal Location, Type of inert fill: AJy� Approximate age of tank: /ifr� ICC Certification#: Deconstruction/Demolition Permit Application Submittal Checklist Updated December 2021 Page 3 of 4 PROPERTY OWNER INFORMATION NAME: .=�v LZ PHONE: -- ;9/- bO/o ADDRESS(STREET,CITY,STATE,ZIP): EMAIL ADDRESS: // /f-rani€h6;44/s �4j&� oe'l -r1A Cr et/9 !x'�l A../- CONTRACTOR INFORMATION q i/ NAME:* PHONE: Air CONTRACTOR'S BUSINESS LICENSES STATE LICENSE#: CITY OF ANACORTES *All Contractors&Subcontractors must have a ENDORSEMENT? valid City of Anacortes business license prior to EXPIRATION DATE: 0 YES 0 NO doing work in the City. ADDRESS(STREET,CITY,STATE,ZIP): EMAIL ADDRESS: FINANCING INFORMATION (Required if project valuation exceeds$5,000, per RCW 19.27.095) 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: PHONE: ADDRESS(STREET,CITY,STATE,ZIP): CONTACT PERSON Select one person the city will contact for anything related to this project: l'PROPERTY OWNER 0 CONTRACTOR 0 OTHER(LIST BELOW) NAME: PHONE: -I/9 eejAl� 36d- 3 /-bO 16 ADDRESS(STREET,CITY,STATE,ZIP): EMAIL ADDRESS: SIGNATURE I hereby declare that i 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. Dz- o8 - �G►L SIGNATURE DATE Deconstruction/Demolition Permit Application Submittal Checklist Updated December 2021 Page 4 of 4 1600 South Second Street Asbestos / Demolition Notification Approval . • Mount Vernon, WA 98273-5202 and Permit to Work northwest ' ph 360-428-1617 Cleann Ir fax 360-428-1620 /�I info@nwcleanairwa.gov agency www.nwcleanairwa.gov Notification # 22-011 Project Site Received Date 01/07/2022 2307 37th street Approval Date 01/07/2022 Anacortes, WA 98221 Fee Amount $ 95.00 Onsite Supervisor Craig Bergfalk Receipt # 037305 Supervisor Phone (360) 391-6010 Project Details Project Type Asbestos removal with demolition Building Type Single Family Residence ❑ Emergency Asbestos Project from 01/27/2022 to 02/27/2022 Estimated Demolition Date 03/10/2022 Square Feet 1,969 Linear Feet • Survey Survey Link [Survey on file with NWCAA] • Owner Occupied Abatement Asbestos Locations utility room, bed-room,south end siding,kitchen,bathroom O Class I 0 Class II ❑ Vermiculite ❑ Non-friable Fee Exempt Material Type of Material Scheduled for Removal Cement board (CAB), Decorative/acoustic plaster, Floor tile (VAT), Siding Control Methods Water applicator, Wrap and cut Owner Site Owner Craig Bergfalk Owner Phone (360) 391-6010 Notification Submitted by Craig Bergfalk Notification Contact Phone (360) 391-6010 Notification Contact Email craigbergfalk@gmail.com This notification must be posted at the work site. You must file an amendment if there are any changes to the project scope or schedule. <http://nwcleanairwa.gov/forms/asbestos-project-amendment/> Information on asbestos and demolition can be found on the agency website. <http://nwcleanairwa.gov/permits-and-services/asbestos-and-demolition/> Asbestos disposal information <http://nwcleanairwa.gov/download/disposal-information/> NWCAA asbestos regulations can be found in Section 570 Asbestos Control Standards. <http://nwcleanairwa.gov/regulation/section-550-590/section-570/> Generated: 01/07/2022 04:17 PM O� w w E- 195 N 2408 x I A \ (f) I I > _ 23202318 — C NV. 11 .0 C 12 CP SD ■ ■ — V765 2T as • SWALE as SWALE �- — _ I I as 12" )CMP $— D — — M _ 3418 > I1 S 1093 ITCH as — I \00_.,GS1 CMP � ti V. O - - -SD - 2 spEP D � 1 '� CPE S �B-27 DITCH I •92 ul 24 3 S� c � . 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CB , _� •w • o � •'4 C w I +� w w INV.2.7' I I EX. 4 DI W ���B �g •• li .• 8" PVC SS FOREST PARK LN . EX. SSMH ss ss ® I R M 283 55' ` SEX. CBss 8" CONC SD ss ss NV g9. 1 ' I C _ #1341 8" SD 2316 © I.E.=278.45' — / Nv/ 3 2 ��! D _ - P--� `"( I 1 n' I ITII ITV -nccnnr T I I z'C'. ■ P� - P� PW#21 - 272 — DEV I LEG E \ Dcn This plan sheet is accepted for construction in accordance with the O FENCE X X X City of Anacortes ordinances and policies. Actual conformance of the design with applicable laws is the sole responsibility of the W GAS G professional engineer, whose name, and,stamp appear on this sheet. Acquiring, complying with, and providing mitigation for all Federal, UNDERGROUND UGP State, County, and Local Laws permits and mandates, including but POWER not limited to the Endangered Species Act, Federal Wetland Permit, SHEET NO. SANITARY Fi , Fl SEWER SS PermitsState ,Department National Pollutantofsheries Discharge EliminationHydraulicsPermit SystemFederal PermitsoodPlain is STORM GRAPHIC SCALE C2 the responsibility of the Developer, Landowner, and their Engineer. SEWER SD The issuance of this permit shall not be construed as proof of compliance with applicable laws and permit requirements. REV.: - MAIN WATER W HERB JOB NO: 2013-31 PV n i 30 0 15 30 ( IN FEET ) 60 120 °F WAS"'„, PUBLIC WORKS DATE DATE: April 2021 SSDCO CB o 1 inch = 30 ft. i �P4 + � 6 The acceptance will expire one year from the date SCALE: Noted SSMH ® a" <� I t noted above. DRAWN: D. HERRIGSTAD TV WFH2 A -0 27 07 CHECK: D. HERRIGSTAD WMET ® �o��sSONALENG\��� 1 - 18-2022 Rev. January Q � SHEET 2 OF 8 Z C -w .) � - e Y , _ e I. V . i. L S' Y• r vcs } k. r I., FI f t\, i A�3 . f Ir. r le �r3 77 r.'d fit° • f � e r f�u }y ' ie• ♦or . - l 'j a Y • ' qq 't7� t tjf. u 1-y.1 ti % l •rvr • /• /. Sr tl � ♦t e e 1 - ?' r 1 .. 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