HomeMy WebLinkAboutPermit File 1908 22nd Street 0716504-1 0002 066/1412007 002 S
Permit Fees 006855 $67.00
Syt Off. City of Anacortes Permit#: BLD-2007-0430
904 6th Street Issue date: 06/14/2007
P.O.Box 547
ro. 10 Anacortes, WA 98221-0547 Expire date: 06/13/2008
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Job Address: 1908 22ND ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-2414 Project:
APN: P57546
Remarks: remove existing roofing, apply new composition roofing over 30#felt over solid sheathing, install roof venting.
Owner: ROBERT HARRISON Contractor: SKAGIT ROOFING
Address: 1908 22ND ST Address: 9672 FARM TO MARKET RD
ANACORTES WA 98221-2414 BOW WA 98232-7223
Phone: (206)630-9023 Phone:
License#: SKAGIRL949QP
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 62 50
Building Valuation 6120 State Building Code Fee 4.50
Total Calculated: 67.00
Deposits/Receipts: 0.00
Total Due: 67.00
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.
VATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
4ax O Residential Building Permit Application
° Building Department
4,o P.O. Box 547 Anacortes, WA 98221
Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: Ito ei 7-2:-a s
CONTRACTOR G Applicant PROJECT DESCRIPTION
(Lc-aoo t'
Name Slr_"/a tort- /2-c'u Fu..6 _
y&t'2C1 N et-Ls-t, GCd MN.)S ,Trll f.: YZuc4-Z'rC
Address 441"72- 64/7-• '-rt 1rA 0-41e7/dto tht r13e it Lr( 1,
City/State/Zip y7ilw L../-1 9�232 tN +rrr LL Y=�3e�:.c.-rs) ce.rc'c,c r-Q,.a
t NJ'SCAL q 5
Phone 44"2-J-t °I CIL' FAX-7ta ' -`E 3S's"
State License#Salem cc'c 9Cte Exp it-cc-o
PARCEL NUMBER
City of Anacortes License P t t"1.;
PROPERTY OWNER ❑Applicant LEGAL DESCRIPTION
Name R o 3 cn 7- MA rzn,5C/-
1 $t a J vt- Q7esttrc Pt-A-T
(ru S t=7 LcJ I Z
Address I dui 7-27'S r a z, . cc 2-z
City/State/Zip An/-}cv arc i PROJECT VALUATION Co
Phone7"tt Colo 40 47 FAX
Number of Dwelling Units /
E-Mail Address Number of Stories I
Building Area:
❑Architect 0 Designer 0 Engineer 0 Applicant 1°Floor s.f. 2nd Floor s.f.
Name 3rd Floor s.f. Basement s.f.
Address Garage s.f. Carport s.f.
City/State/Zip Deck s.f. Lot Area s.f.
Phone FAX
E-mail Address
CONTACT VApplicant LENDER
/ LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000
Name J t A.t C�J t:c-r/ S�0^i(or r/%J)c./+�.�C IN VALUATION PER RCW.
Address (( Name
City/State/Zip Address
Phone &ea(-S Z L f FAX City/State/Zip
E-mail Address Phone No.
CONTINUED ON THE BACK
G7 -°14.3a
L
Residential Mechanical Fixtures
Fuel Type
0 Natural Gas 0 Electric ❑ Wood 0 Propane Gas ❑ Other
Type of Equipment Number of Type of Equipment Number of
Fixtures Fixtures
Furnace<=100K BTU Clothes Dryer
Boilers/AC/Heat Pump Gas Water Heater
Gas Outlets Gas Fireplace
Ventilation Fans Fireplace Insert
Stove,Appliance Other Units
Range Hood
Residential Plumbing Fixtures
Type of Fixture Number of Type of Fixture Number of
Fixtures Fixtures
Toilet Clothes Washer
Bathtub Electric Water Heater
Shower Utility Sink
Dishwasher Hose Bibb
Hand Sink Water Piping
Kitchen Sink w/Disposal Additional Fixtures
I HEREBY ACKNOWLEDGE IF HAVE READ THIS PERMIT APPLICANT AND STATE THE INFORMATION IS CORRECT,AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACITIVIES COVERED BY THIS PERMIT APPLICATION. WITH THIS PERMIT ALL
CONTRACTORS AND SUBCONTRACTORS SHALL HAVE A CURRENT WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS
LICENSE. STOP WORK ORDERS WILL BE ISSUED ON JOB SITES WHERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT
PROPER LICENSE.
APPLICANT SIGNATURE DATE
4 �I
Last Updated 11-29-05
.1 .1( Ofi City of Anacortes Permit#: BLD-2006-0260
tr 904 6th Street Issue date: 04/12/2006
P.O.Box 547 Expire date: 06/11/2006
4,4 Anacortes, WA 98221-0547
1 (360) 293-1901
Job Address: 1908 22ND ST Permit Type: Demolition Permit
ANACORTES WA 98221-2414 Project:
APN: P57546
Remarks: Removal of one 300 gallon underground heating oil tank. Excavate pump insert cut and clean remove and back fill tank
pit.
Owner: MOORE KEN C Contractor: ULTRA TANK SERVICES
Address: 1908 22ND ST Address: PO BOX 30076
ANACORTES WA 98221-2414 BELLINGHAM WA 98228-2076
Phone: Phone: (360)815-5361
License#: ultratso33ck
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.
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.
M Cif10 A-
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSU BY
a
FROM :ULTRATANK FAX NO. :3603982311 Apr. 03 2006 11:49AM P2
474
2£ ,"x ''h f e"�,.t AZam'keu ,, it f6Ey, s nr ��s& "`6 a ' E ce' ' ' �2�.7 3''C'
. . e �. a .'� � p x.,S co es� tY m ... 3,2 � r «e
atil
,>:.�:...su :�i. ro ...s ,.r..,J�;: usci`Jr.xP'...., �s:s:a:sssl< e n s., %'»"'^ a:v..>:a_
SiteAddress:/9°Y 22t Sic • Date: 4--,2-06
Assessors Account No.:
Lot(s): Block: Addition:
Owners Name:JQ &v`.. Ma are_ Contractors Name:UTS T,A c,
Address: /7&rn St . Address: 4c_l.ic 3no (e
State_W.e4 Zip: 99- tl State:,(, . Zip: ct2zf,c,4
Phone: Contractors License:ea(fr f-s0.33 ek.
Phone: 36G - 73 v. ?Gr(
Have Utilities Been Notified? Describe Work & Tools To Be Used. How Will
Materials Be Disposed?
Water Dept.: Yes No Rer.® mt^ ��) 3i uw��
Electric: Yes No 4�1 C9 y( T .,L a Esc {-ar_
Cable: Yes No Puu.-p �. Cz, 4 C teas iCev--0..r_
Gas: Yes No 4- D n,G(c. (Vu To.k k_.. PAC.
Phone: Ye No
BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION,AREA MUST BE ROPED
OFF"rttr"rlrlrr SEE SECTION 4409 U.B.C.
t1
(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.
201 Pioneer Bldg.,Mt.Vernon,WWAA 98273, (360)4 8-1617
Fire Department Approval: ` Date:
(Fire Chief or Fire Ma )
Police Dept.Notification: Date:
Public Works Dept: e- — Date: L--t2-06
Comments:
MECHANICAL PERMIT
CITY OF ANACORTES PERMIT NO. : MEC97-0087
P.O. BOX 547 APPLIED: 07/30/97
ANACORTES, WA 98221 ISSUED: 07/30/97
(206) 293-1901 EXPIRES: 07/30/98
SITE ADDRESS: 1908 22ND ST
ASSESSOR'S PARCEL NO. : 3798-000-022-0001
PROJECT DESCRIPTION: Gas fireplace
— OWNER — CONTRACTOR
KEN MOORE BARRON HEATING & AIR COND, INC
1908 22ND STREET P. 0. BOX 1118
ANACORTES WA 98221 BELLINGHAM WA 98227
293-2211 360-676-1131
BARROHA179D7
TYPE OF WORK. . . :ADD BOILERS/COMPRESSORS- DOMES. INCIN • 0
TYPE OF USE •RES 0-3 HP • 0 COMML. INCIN •0
3-15 HP • 0 RELOC/REPAIR. . . : 0
FUEL TYPES 15-30 HP • 0 CLOTHES DRYERS. : 0
: /GAS/ / / : 30-50 HP • 0 GAS WTR HEATERS: 0
FURN < 100K BTU: 0 50+ HP • 0 STOVE, APPLI. . . : 0
FURN >=100K BTU: 0 AIR HANDLING UNITS-- FIRE LOG/LITE. . : 1
FURN - FLOOR. . . : 0 <= 10000 cfm. : 0 WOODSTOVES • 0
UNIT HEATERS. . . : 0 > 10000 cfm. : 0 OTHER UNITS • 0
VENT FANS • 0 EVAP COOLERS. . . : 0 GAS OUTLETS • 1
VENT SYSTEMS. . . : 0 HOODS • 0
VENT W/O APPLI. : 0
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 37. 00 MD 07/30/97 7274
TOTAL $ 37.00
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
mec_prmt, Rev: 06/11/92
,,
CITY OF:ANACORTES
BLDG. ❑ PLUMBING ❑ MECHANICAL ❑
N PERMIT .', - g> s-`
H Telephone 293=5173 -
�4,,. ANACORTES,WASH. DATE 9 2,, rie " 1
I,' PERMISSION IS HEREBY GRANTED TO: - : : ;':,
-
OWNER / Q ni4) -.-2 ar !*;{ a> y�5
- - �'- iL/!r'v'rhTC
- _
r:Lr STREET k - - _ -
ADDRESS " 1
LOCATION WHERE WORK/S TO BE DONE -
CONTRACTOR ",—;:i, t =I-t '✓r
a —?
TO ERECT Q INSTALL ❑ OR REPAIR ,® t.
24
'.'"IN THE FOLLOWING MANNER; k"Z•=* ,;-ppi, ar> ;a lea'-J"j4„, - 2 . . , ;e
44
fit::. - - - -
! PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
'I� 'i WERE NOT h
PLANS FOR CONSTRUCTION SUBMITTED
WERE v❑
WORK TO BE DONE BY OWNER '❑ CONTRACTOR ❑
pq RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
Ihi TYPE - APPROXIMATE VALUE
OF WORK -'PERMIT FEES I
ISSUINGIIII
` BUILDING nal WNW
-
r"I GAS PIPING - IIII ", S;
PLUMBING AND W.S. --- '
11 SEWER CONNECTION INSP. 5-® ,
( MECHANICAL I. IIIII)
I"1 PLAN CHECK FEE III -`l
c//.
r MISC. - ./_' , r ignill - , -PI r
f TOTAL I f ■I , , INII
LEGAL'DESCRIPTION
.• CITS' INSPECTOR
CITY OF ANACORTES
BLDG. ❑ PLUMBING ❑ MECHANICAL X
r.
PERMIT 2513
ANACORTES, WASH. DATE I/_ 3 19 C
PERMISSION IS)HEREBY GRANTED TO:
OWNER 4"',`G.Ad V1 t'-a-t .Q
I, STREET LI C t5 ` Ems'.. .' d,,•
, ADDRESS
LOCATION WHERE WORK IS TO BE DONE
F' CONTRACTOR '+ (1-/I. & D N---C
TO ERECT ❑ INSTALL I OR REPAIR ❑
''' inirTHET.EOLLOWINGMANN R: "�� Nc4_1
•. 1 ✓4cA-t�.M•. -�
k(,
A
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
LIB PLANS FOR CONSTRUCTION WERE
ERE 0 SUBMITTED
WORK TO BE DONE BY OWNER ® CONTRACTOR E9
,I RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE APPROXIMATE VALUE PERMIT FEES
OF WORK
1'I h ISSUING -an
h BUILDING j
GAS PIPING Ell—Ell
'I PLUMBING AND W.S. ---.
1 SEWER CONNECTION JNSP. ---El 1
�I MECHANICALgRcsa jotgg 3 0 0 2
';Ii PLAN CHECK FEE
MISC.
pp i
� TOTAL I A. S�� E1 L.S�� or
SC3 =
s - I
t .
`� LEGAL DE IPTION � 7- 2 Z. ' �� �-
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! - 'it 37grsc — bob —6z1 —not I/
Cr?'? INSPECTOR
ADDRESS IgO5�
LEGAL DESCRIPTION r);- I fA .a' (I IC: ti ) PC12
ASSESSORS ACCOUNT NO. c2q5 bOO T rCIC±10I4
PERMIT NO. DATE DESCRIPTION DATE FINALED
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