HomeMy WebLinkAboutPermit File 4111 Jasper Way •
o`t v o CITY OF ANACORTES
WASHINGTON
v' 0B BUILDING DEPARTMENT •
CERTIFICATE OF OCCUPANCY
This is to certify that the (Description of Building or Structure):
Single Family Residence •
Located At: 4111 Jasper Way
STREET&NUMBER
Owner: Irving Construction
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg. Permit#: BLD-2004-0293
Date Issued: February 22, 2005
Occ.Group: R3 Use Zone: R3
Has Been Inspected And Occupancy Is Hereby Authorized.
This 23rd Day of June PO 05
Cetri
AUTHORIZING ICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
•
Gib X C%. City of Anacortes Permit#: BLD-2004-0293
\ 904 6th Street Issue date: 02/22/2005
`"" . P.O.Box 547
1 Expire date: 02122/2006
"' te2 Anacortes, WA 98221-0547
, 'y 'c.4s (360) 293-1901
Job Address: 4111 JASPER WAY Permit Type: Single Family Residence Permit
ANACORTES WA 98221 Project:
APN: P120996
Remarks: New single family residence.
Owner IRVING CONSTRUCTION Contractor IRVING CONSTRUCTION CORP
Address: 819 COMMERCIAL AVE Address: 819 COMMERCIAL AVE
G G
ANACORTES WA 98221 ANACORTES WA 98221
Phone: (360)293-6354 Phone: (360)293-6354
License#: IRVINCC044KG
General Information: Fees:
Occupancy Group it-1 Sewer GFC-Residential 4,682.00
Use Zone R3 Plan Review Deposit 100.00
Basement Square Footage 565 Building Permit Fee 778.00
Lot Area 14027 Plan Review Fee 405.70
1st Floor Square Footage 754 Mechanical Permit Fees 121.90
2nd Floor Square Footage 1092 Plumbing Permit Fee 160.00
Garage Square Footage 699 State Building Code Fee 4.50
Building Valuation 237180 Sewer Inspection Fee 50.00
# Forced Air Furnace<=1,000 1 Storm Drain GFC-Residential 1,126.00
#of Bathtubs 2 Park Impact Fee 615.00
#of Clothes Dryers 1 Traffic Impact Fee 900.00
#of Clothes Washers 1 Total Calculated: 8,943.10
#of Dishwashers 1 Deposits/Receipts: 100.00
#of Gas Fireplace 1
#of Gas Piping 1 Total Due: 8,843.10
#of Gas Water Heaters 1
#of Water Piping 1
#of Hose Bibbs 3 - uri
#of Kitchen Sinks 1 e cn
#of Lavatories 4 r* a
#of Range Hoods 1 -n I
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#of Showers 3 0, u
#of Slop Sinks 1 _ n
#of Ventilation Fans 5 a o
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#of Water Closets 3 CD CD
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81 X 4 City of Anacortes Permit#: BLD-2004-0293
904 6th Street Issue date: 02/22/2005
`PP P.OBox 547 Expire date: 02/22/2006
Anacortes, WA 98221-0547
`'41; ' "`� (360) 293-1901
.9�.ORS,
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.
CCSIGN OF OWNER ORR AUTHOR AGENT ISSUED BY
CITY OF ANACORTES BUIDLING DEPARTMENT RESIDENTIAL
CHECKLIST
- i
(Yids form is to be completed pdor to issuing the building permit)
Site Address: 0
1.-9 �� \\ CX Co� 1A Data l ' �-
y Contact Person: 6"e C- � Phone No.:2Q 3-f-?
Assessors No.: 'I°1 9R Lot cr)-S• Block - Addidon: Ci2Ait4 05^
•
(Building Department Checklist for Completeness)
OK NA OK NA
O Fire Department Atrrcc 0 Fire Hydrant Located within 2S0 feet
O Fire Flow Required 0 Shoreline or Wetlands
O Site Plan ❑ Covenant Approval.
❑ Variance Required 0 Regulated Slopes
O Plat Facts and Findings Compliance 0 Survey in File
O Fill on Site
•
Received and Reviewed by: - Data l i `i --D•
(Engineering Department Checklist for Completeness)
OK NA OK NA -
Q El Water Extension/Meter ❑ _ Sewer Extension/Connection
[] D Street Improvements/Sidewalks ❑ Site Drainage Plan
0 0 Covenant Not to Oppose Future LID - ❑" Latecomers Agreement
❑ (3 Street Drainage 0 Driveway location,slope,culvert
0 D Storm Drain Extension
Received and Reviewed by . W Data I-' —OS
•
"`FURTHER COMMENTS(
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Zoning: Q a
Lot Size: ItioS07
Coverage Allowed LA-ct y
)
Actual-Coverage: — - 1,
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LOT 24 LOT 27 I/ / /a Adl+cmi La ei nape La
USING RESIDENCE T UNDER CONSTRUCTORxo/ /
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g UN INIMES 5' 5 5' VERIFY 5 5•/y'
UNDERGROUND. Pm1ER 0.NLY-Ousury
LOT
CD ^ _ 108.20(PLAT INIMRI uxo�lm 92.71 _LOCATION
6 0 _0 x em nn%TER aNLY_ti-__ SP10_3?E 200.91;iPLA _.___-JJ
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n DER Rs POWFR.WADWECAS� --'—" . 0:73.2t 71127 ._.+_.-- 101 SIDE SETBACK 1 r
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OT 25 ,• 4,027 sf
bI WATER UNE ON LOT zs WIN aN' m'-0' N \GM. T
m WATER
O I .; CONDUIT UNDER FNACH WRONG % ry N _ •*6, HG 1
- Z MEIER N o FAD FOR LOT 26 NEIGHBOR. la —•Q _ \ P� NRN-ARWNO 1 LOT 28
Rfi—0 Adleam W
-e i .e O'10'32"E 108.19'(PLAT) a.\ SEE Puns FOR ' x+'-0•owila 1 1 DOTING RESIDENCE
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tA S]0•—)•r R6'-0'WIDE ORIr£WAY PO➢ , O \. WAUWEA V I T
.� I TO BE IxsruLm DURING JT \ \ ���� i I
LOT 26 mxs RUCHON
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TO NE SUBMITTED NEXT FOR PLAN REVIEW FM 1 FppryRlNt _
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SILT FENCE
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a ;. 10' PRNATE STORM DRAIN EASEMENT A--SD DEB
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NO'12'26'W 92.20' vm7,.
1 LOT 1 I LOT 2 I LOT 3 I
1 SKYLINE,DIVISION 12 1 SKYLINE.DIVISION 12 1 SKYLINE.DIVISION 12 I
COSTING RESIDENCE [RISING RESIDENCE WSIINC RESNENCE
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SITE U PLAN
0508204-1 0010 03/23/2005 002 4 i
GAT Y O . Cityof Anacortes Permit Fees 006059 $10,062.85
Permit#: BLD-2005-0019
,' 904 6th Street Issue date: 03/23/2005
P.O.Box 547
;' t/}-,'' Anacortes, WA 98221-0547 Expire date: 03/23/2006
`�,, w (360) 293-1901
Job Address: 4115 JASPER WAY Permit Type: Single Family Residence Permit
ANACORTES WA 98221-3251 - Project:
APN: P120997
Remarks: New single family residence.
Owner: IRVING CONSTRUCTION Contractor:
Address: 819 COMMERCIAL AVE Address: I
ANACORTES WA 98221-4130
Phone: (360)293-6354 Phone:
License#:
General Information: Fees: I
Lot Area 9375 Plan Review Deposit 100.00
1st Floor Square Footage 1471 Building Permit Fee 933.00
2nd Floor Square Footage 1614 Plan Review Fee - 506.45
Garage Square Footage 714 Mechanical Permit Fees 121.90
Building Valuation 299528 Plumbing Permit Fee 160.00
# 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 Clothes Washers 1 Sewer GFC-Residential 5,646.00
#of Dishwashers 1 Park Impact Fee 615.00
#of Gas Fireplace 1 Traffic Impact Fee 900.00
#of Gas Piping 1 Total Calculated: 10,162.85
#of Gas Water Heaters 1 Deposits/Receipts: 100.00
#of Water Piping 1
#of Hose Bibbs 3 Total Due: 10,062.85
#of Kitchen Sinks 1
#of Lavatories 4
#of Range Hoods 1 I
#of Showers 3 I
#of Slop Sinks 1
#of Ventilation Fans 5 1
#of Water Closets 3
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. F
SIGNAWUR OF OWNER OR AUTH I AGENT ISSUED BY
G1T Y City of Anacortes Permit#: BLD-2005-0033
904 6th Street Issue date: 01/27/2005
!' P.O.Box 547 Expire date: 01/27/2006
tll„' Anacortes, WA 98221-0547
Job Address: 4111 JASPER WAY Permit Type: Foundation Permit
ANACORTES WA 98221 Project:
APN: P120996
Remarks: Construct new single family residence.
Owner IRVING CONSTRUCTION Contractor:
Address: 819 COMMERCIAL AVE Address:
G
ANACORTES WA 98221
Phone: (360)293-6354 Phone:
License#:
General Information: Fees:
Building Valuation 3000 Building Permit Fee 38.50
Plan Review Fee 25.03
State Building Code Fee 4.50
Total Calculated: 68.03
Deposits/Receipts: 0.00
Total Due: 68.03
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR Ir
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. F 9
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 8
NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER r=
STATE OR LOCAL,LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNAT_U OF OWNER OR AUTHgI�LED AGENT IS ED
CITY OF ANACORTES "AS-BUILT" ptsewer
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CONTRACTOR: J Cs(
PLAT/DIVISION: CQ (,%t 1 ('?1tr._ 17 BLOCK l o t lc
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PLAT/DIVISION: &2.I I (a (L BLOCK
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