HomeMy WebLinkAboutPermit File 1909 22nd Street •
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�1 (7 ., City of Anacortes Permit#: BLD-2003-8812
5 904 6th Street Issue date: 07/07/2003
`M ! P.O.Box 547
i Expire date: 07/06/2004
�;$' 0 Anacortes, WA 98221-0547
wt=Job Address: 1909 22ND ST
ANACORTES WA 98221
APN: P57583
Permit Type: Reroof Single Family Residence
Project:
Remarks: Remove existing roofing,apply layer of composition roofing over 15#felt over solid sheathing.
Applicant: SOUND ROOFING Owner: EKSTROM HANS L
Address: 405 3RD ST Address: 1910 23RD ST
ANACORTES,WA 98221 ANACORTES WA 98221
Phone: (360)293-9531 Phone: (360)299-9327
Contractor: SOUND ROOFING
Addressr: 905 3RD ST
ANACORTES WA 98221
Phone: (360)293-9531
License#: SOUNDR`006KH
General Information: Fees:
Occupancy Group R-3 Building Permit Fee 56.50
Building Valuation 5500 State Building Code Fee 4.50
Total Calculated: 61.00
Deposits/Receipts: 0.00
Total Due: 61.00
THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE, AND SHALL
EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING
MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN
AUTHOR! ED AGENT OF THE OWNER. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH W HER SPECIFIED HEREIN OR NOT, INCLUDING CALLS FOR INSPECTIONS.
Applicant Signature Issued y
PAGE 1 OF 1
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CITY OF Amain:1'am
Finance Department
City Hall
Anacortes, WA 9S221 •
($60) 293-19u0
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Payment Data•
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Payer( COUND DLEIFING •
Method: CK
Re14: 134E
Amount
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City of Anacortes
Building Permit Application
Site Address: 1109 2_2 st Parcel No.:
Lot: Block: Div: Addition:
OWNER LENDER ' ' CONTRACTOR
Name Name Name
1 V4C0rn 500nd RDDciAct
Mailing Address Mailing Address Mailing Address Iglu l3tt54 Lill 3r154.
Ci State: Zi : ���) City: State: Zip: City: State: Zip:
AI Wa . Qhcaricspua . cl�-��
Z)
Contractor Lic.No.:
Phone No.: 2 - 9..311 Phone No.: Phone No.:2513'6153 ( Exp Date:
Q
Contact Person:U14 h Phone No.: Z-13 15 3I
OCCUPANT USE F
(Check One)
Single Family: Multi-Family: Apartment: Condominimum: Senior Housing: Retail: Office: Restaurant:
Manufacturing: Storage: Bank: Assembly: Accessory: Automotive Repair: Other(Specify)
DESCRIPTION OF WORK:
GENERAL INFORMATION
Street Setback: ft. 2"d Floor: sf. (Circle Yor N)
Pt Side Setback: ft. 3`d Floor: sf. Shoreline/Wetlands Y N
211d Side Setback: ft. Basement: sf. Water on/Adj.To Property Y N '
Rear Setback: ft. Occ.Group: Soils Report Y N
Use Zone: Carport Area: sf. ,Sensitive Area Y N 1
Type of Construction: Garage Area: sf. Latecomers Agreement Y N F
Lot Area: sf. No.of Stories: Fire Hydrant(250 Feet) Y N
No. of Dwellings: Building Height: Variance Y N
Lot Coverage: Deck Area: sf Covenant Y N
ls`Floor sf. Flood Zone X A AB VE
Project Valuation(Labor and Material Cost): ',� ��
THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE,AND SHALL EXPIRE BY LIMITATION
AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING MY SIGNATURE I HEREBY CERTIFY THAT I
AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN AUTHORIZED AGENT OF THE OWNER. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT,INCLUDING CALLS FOR INSPECTIONS.
SIGNATURE: DATE:
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CITY OF ANACORTES
BLDG. cit, PLUMBING ❑ MECHANICAL ❑
PERMIT p.
ANACORTES, WASH. DATE +" �♦ t i 19
PERMISSION IS,EIEREBY GRANTEDi.,TO:^
OWNER C -, irt.A t..E3 '«-Jt'
STREET ,�t}
ADDRESS xi C� P` '$ .,.. i ra a . `
_. LOCATION WHERE WORK IS TO BE DONE
CONTRACTOR C.-I+eC 0 '-- °
TO ERECT ❑ INSTALL 1 OR REPAIR ❑
3
ri IN' THE FOLLLL�OWI G MANNER:g� 4, ?,�.. ¢� yg "et.S w.es. 'n g,.,.P
c4„'.:.Jr A.a° k" 4 Y_i C t°"f A+. - '_ tom`,FP ;J�• r E'Sr: dda p v
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
WERE NOT Z.
PLANS FOR CONSTRUCTION WERE ❑- SUBMITTED
WDRK TO BE DONE BY OWNER E CONTRACTOR fl
ri
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE APPROXIMATE VALUE PERMIT FEES
I OF WORK
ISSUING
BUILDING Ct , /5E) , B
:GAS PIPING
.'HiPIIrUMBING AND W.S.
SEWER CONNECTION INSP.
'MECHANICAL
'i'HP IAN CHECK FEE
MISC •
TOTAL CI 4 `':f`,
`;. LEGAL DESCRIPTION tor, 52 J^'+••Q• v. ' t.o'
37? R'-- ! S -- 0 € 0 7
. CiTY INSPECTOR
CO
CITY OF ANACORTES
BLDG. ❑ PLUMBING ❑ MECHANICAL
PERMIT/ $
`, ANACORTES, WASH. DATE /2 ' a?1 19
PERMISSION IS HEREBY GRANTED GRANTED TO:
I'• OWNER /. 'A ,p7 tt". i///7. "
C,.,, ADDRESS ! 1/) I)''02 AfD 'Sf
I,_ LOCATION WHERE WORK IS TO BE DONE
I CONTRACTOR ,f o. `t r.i . /ern A'J(
Fc:
', TO ERECT ❑ INSTALL 4 OR REPAIR Elfi, IN THE OLLOWIN�ANNER: ,�'`% 4'3.-? a> '-C`- v.✓ 7� '`:"7��1
"s r -�r - —
r . .s
FI
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
PLANS FOR CONSTRUCTION WERE WER NOTE ❑®,. .'-SUBMITTED
[II WORK TO BE DONE BY OWNER ❑ CONTRACTOR sieL
I'' RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE APPROXIMATE VALUE PERMIT FEES
r
OF WORK •
•
t !ISSUINGCO
I
h�'' 'BUILDING
:GAS PIPING C� ei°
g ''IPLUMBING AND W.S.
'SEWER CONNECTION INSP.
.' MECHANICAL r, . rfi`zIV . /Oa') =° . s CO
•
PLAN CHECK FEE
k'1 MISC.III
TOTAL /f7191 {V_ !j f °C
E'Ii LEGAL DESCRIPTION leT .102 d .G c( ev,en 7,10,.�ia
,rr7 . 77X -,. t_ nn--, , OW -05,E -f)7
I CITY INSPECTOR 9
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ADDRESS I qo z 2
LEGAL DESCRIPTION ,Q,(9± 2 „et ((AC
ASSESSORS- ACCOUNT NO. .`3 )v' -C7GU O$ arocy )
PERMIT NO. DATE DESCRIPTION DATE FINALED
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