HomeMy WebLinkAboutPermit File 2210 Lake Park Drive •
`\t OF CITY OF ANACORTES
WASHINGTON
y C,OP(W BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
S.lug1.e. Family :Residence
Located At: 1210 Lake Park Drive
STREET&NUMBER
Owner: harbor Construction
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg.Permit# 8883Date Of Issue: 6-25-91
Occ.Group R3/Li Use Zone: Mira
Has Been Inspected And Occupancy Is Hereby Authorized,
1 Itecemb4r 91
This .Day,Of ii 19 .
AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPEc/AL REQUIREMENTS.
•
/vi
OWLFTIFI. z
2 CONTRACTOR CERTIFIED
INOF➢FNOENT
INSULATIgI
1i Certificate of Insulation
The undersigned certifies that Owens-Corning Fiberglas insulation has been installed in accordance
with the manufacturer's recommended application of the product.
Types of Insulation
Batts Blowing Wool Coverage
Kraft Unfaced Foil FS 25 Cubed Standard R-Value Thickness Area
3gqS' Attic
Iqi Walls
I 1 Floors
We used bags of Loose Fill material covering sq. ft.
aa \ J\e
street address city, state, zip
Fiberglas b ing wool is n combustible, non-corrosive and inorganic.
Signed �-
c\ L \\-\ ctti ?Cic_ 1 1 4 l (a 3
company state license #
�e___ � C�\\`1 c. . +`r 1 ea-)--(o R--1cc mil (
city, state, zi date
Keep this certificate with your other valued papers. If you ever sell this property, this certificate
should be passed on to the purchaser.
,.FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT ?bit' 8883
293-1901 BUILDING PERMIT
24 Hts. Notice Requested Site Address 2210 take Park Or i ve
NAME(OR NAME OF BUSINESS) PLUMBING
Harbor Construction
MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
P.O. Box 946
CITY TELEPHONE NUMBER 2 Water Closet S 41_OO_
Oak Harbor, WA 98217 679-4747 2 Bathtub 4.Q4
NAME 3 Lavatory C. 00
Tee Square Graphics i Shower 00 '
ADDRESS I Kitchen Sink OD
2883 N 1300 West 1 Dishwasher 2,.00
CITY TELEPHONE NUMBER 1 Laundry Tray 2.00
Oak Harbor, WA 98277 675-6770 1 Clothes Washer a,00
NAME 1 Water Heater 2.00
Harbor Construction Urinal
cc
. iADDRESS _ Drinking Fountain , __
P.O. Box 946 Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
u Oak Harbor, WA 98277 679-4747 1 Water Piping 2.00
STATE LICENSE NUMBER CITY LICENSE NUMBER _
' IARBOC1143N1
tial ❑ Non-Residential PERMIT S 3.00
FIE' ew ❑ Add ❑Alter ❑'Repair TOTAL FEE $ 31 .00
sm':uildng ERPlumbing [°Mechanical MECHANICAL
6 Sign 0 Demolition P Other L3 GAS 0 OIL 0 ELECt. ❑ OTHER
Legal Description of Property or Tax Account Number No. TYPE OF
Lot 11 Block of EQUIPMENT FEE
Parade Air Cond. Unit S
Refrigeration Unit— HP
_ Boiler— HP
1 Forced Air System— BTU/KW 9 ,00
&scribe Work Floor Furnace
Single Family Residence Wall Heater
Unit Heater
Clothes Dryer
t )ccupancy Use Ventilation Fan
[ Single Family Residence ❑Multi-Family Residence Range Hood
' L7 Office ❑ Retail 0 Storage ❑ Church Air Handling Unit— CFM
0 Restaurant 0 Other Pre-manufactured Stove or Fireplace
' NOTICE 1 Gas Piping 3 ,00
This,permit is issued by the Building Official and,under the provisions
of the Uniform Building Code,shall expire by limitation and become null_
and'Void if the building or work authorized by such permit is not com- PERMIT $ 15 ,00
mencei within ISO days from the date of permit issuance,or if the building TOTAL FEE $ 27 .00
. or work authorized by such permit is suspended or abandoned at any time
• after the work is commenced for a period of Igo days. TOTAL FEES VALUATION FEE
By affixing my signature, I hereby certify that I am the owner of the Building 132. 131 .00 $ 516 ,00
propbrty for which this permit is issued or am an authorized represen-
tative of the owner. Plan Check 265 ,00
AlL,previsions of laws and ordinances governing this type of work will Plumbing 31 ,00 0
be complied with whether specified herein or not,including routine calls Mechanical 2 7 ,00
for ins+tections. Sign
Demolition
att ` 6,/z SJq, Energy Surcharge
s ,ze of Owner or Authorized Agent (Date) State Surcharge 4 50
susSetback (Side Yard sonar► (tear nut-Setback Other Sewer 2770 D0
TOTAL S 3.633 50
Use Zone Occupancy Group Type of Coast. - Conditions:
Deduct $50.00
Lot Area Vacant Site Dwelling Units
❑Yes ❑No
Fin Sprinkler Required No.of Stories Bedrooms Occupant Load
❑Yes ❑No
Site of Bldg. Plans Checked By:
WHEN SIGNED AND DAIED BELOW,T®B N YOUR PFRMT
hence sad aPormilicsiva to do the above dateribed.week,acowdiag to the amditiom
o the approved plats andSefficalicas part idtlg theme,subject to
ampWoes with the ordinates of the CITY OF ANACORTES.
ILO 00/,26r/91
Permit Issued By ; I t i . LO (.- ((1 CC
Building Official (Date)
Edwin Frank PERMIT