HomeMy WebLinkAboutPermit File 2001 29th Place 111/
t o CITY OF ANACORTES
WASHINGTON
yccatW BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At: 2001 29th Place
STREET&NUMBER
Owner: R&M LLP
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg. Permit#: BLD-2004-0316
Date Issued: May 11, 2005
Occ.Group: R3 Use Zone: R2
Has Been Inspected And Occupancy Is Hereby Authorized.
This 29th Day oNovember 20 OS
UTHORIZING
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
0513704-1 0002 05/17/2005 002 4
Permit Fees 005986 $9,140.98
Set O City of Anacortes Permit#: BLD-2004-0316
• 904 6th Street Issue date: 05/11/2005
.1.,41.y,,, P.O.Box 547 Expire date: 05/11/2006
Anacortes, WA 98221-0547 p
'",,4 c W` (360) 293-1901
Job Address: 2001 29TH PL Permit Type: Single Family Residence Permit
ANACORTES WA 98221-3870 Project:
APN:
Remarks: New single family residence.
Owner: R&M LLP Contractor:
Address: 4620 HICKORY DR Address:
ANACORTES WA 98221-8729 F
Phone: (360)661-3594 Phone:
License#:
General Information: Fees:
Lot Area 9920 Plan Review Deposit 100.00
1st Floor Square Footage 2135 Building Permit Fee 975.50
2nd Floor Square Footage 1018 Plan Review Fee 534.08
Garage Square Footage 665 Mechanical Permit Fees 121.90
Building Valuation 316160 Plumbing Permit Fee 132.00
# Forced Air Furnace<=1,000 1 State Building Code Fee 4.50
#of Bathtubs 2 Sewer Inspection Fee 50.00
#of Clothes Dryers 1 Storm Drain GFC-Residential 1,126.00
#of Dishwashers 1 Sewer GFC-Residential 4,682.00
#of Gas Fireplace 1 Park Impact Fee 615.00
#of Gas Piping 1 Traffic Impact Fee 900.00
#of Gas Water Heaters 1 Total Calculated: 9,240.98
#of Water Piping 1 Deposits/Receipts: 100.00
#of Hose Bibbs 2
#of Kitchen Sinks 1 Total Due: 9,140.98
#of Lavatories 5
#of Range Hoods 1
#of Showers 1
#of Ventilation Fans 5
#of Water Closets 3
THIS PERMIT BECOMES AN
D S NULL L 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. �� �\
I RE OF OWNER OR AUTHORIZED AGENT ISSUED BY
0508404 0012 0312512005 002 4
F'er5iit Fees 005986 S87.83
GAT Off, City of Anacortes Permit#: BLD-2005-0202
904 8th Street Issue date: 03/25/2005
P.O.Box 547 Expire date: 03/25/2006
02 Anacortes, WA 98221-0547
. Job Address: 2001 29TH PL Permit Type: Foundation Permit
ANACORTES WA 98221 Project:
APN:
Remarks: New single family residence(Foundation Only)
Owner: R&M LLP Contractor:
Address: 4620 HICKORY DR Address:
ANACORTES WA 98221-8729
Phone: (360)661-3594 Phone:
License#:
General Information: Fees:
Building Valuation 5000 Building Permit Fee 50.50
Plan Review Fee 32.83
State Building Code Fee 4.50
Total Calculated: 87.83
Deposits/Receipts: 0.00
Total Due: 87.83
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 CONSTRUCTIO .
7 /
SIGNAT E OF OWNER
OR L�OR THORIZED AGENT ISSUED BY
CITY OF ANACORTES "AS-BUILT" `Ver
CONTRACTOR: r�& r H R I YflC/4S'U' µ
PLAT/DIVISION: pl U{ -s N'f S (0(0 r BLOCK
LOT ADDRESS: ate c a.911#
DATE: / -1'C-- c
PERMIT# 1 c aOD COO),SCALE _
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CONTRACTOR: pit C Hie/SC7 At 20'AJ
PLAT/DIVISION: &A A-x Cr CZ b/p,.c BLOCK
LOT ADDRESS: r-,7C0/ 29'«
DATE: ft-/5t or
PERMIT#ekjio_p O 1n n SCALE _
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s CITY OF ANACORTES BUIDLING DEPARTMENT RESIDENTIAL
CHECKLIST
. (This form is to be completed plot to issuing the binding permit) .
• Site Address: 3-Ca\ ac\.`a" • Date: I —ytg—vS
tn.-soma (n.i - 3SgK
: .P.‘Contact Person.: \ 00 \' 20 _.`— e"--- Phone No.: •
Assessors No.: Lot ) Blodc - Addition: ? .i1 .4- S"'\"`-
•- (Building Department Checklist for Completeness) •
. OK NA • OK NA •
❑ . Fire Department Access 0 Fire Hydrant Located within 250 feet
. 0/ ❑ Fire Flow Required g .g S5 El Shoreline or Wedands
— --0--Site-Plan — errant Approval
0 Variance Required �w- fl't ArL • 0 Regulated Slopess
❑ Plat Facts and Findings Compliance ❑ Survey in F.de
0
Fill on Site .
•
Received and Reviewed by \\`> . Date I ,
(Engineering Department Checklist for Completeness) - F
OK NA ' OK NA • .
0 Cl Water Extension/Meter ❑ ❑ Sewer Extension/Connection
❑ 0 Street Improvements/Sidewalks 0 ❑ Site Drainage Plan
0 0 Covenant Not to Oppose Future LID ❑ . 0' Latecomers Agreement .
0 0 Street Drainage 0 0 Driveway location,slope,culvert
0 ❑ Storm Drain Extension
Received and Reviewed by: Date:
.
•`FURTHER COMMENTS]
•
Zoe Al,
Lot Size: 9 q LC.
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Coverage Allowed --� ___T
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