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HomeMy WebLinkAboutPermit File 2707 Washington Boulevard .l , i,i.Iif L•;4-j• i�f�#•L �tt f LLe/•y j fy i�l�i. 102 F• t F�of E l �i'�- i9 $5 -O i ii6E f•J_JJ- -v•Jj.R.••e 'SIX Engineering and Development Services :' * r PO Box 54T leph ortes,WA 98221 Telephone 360.293.1920 Fax 360.293.1938 : t • E-mail engineering(a citvofanacortes.orq 1000, RIGHT-OF-WAY PERMIT APPLICATION Submit this application with payment at least five days before the work starts. Please complete both sides of this form. (City completes shaded sections.) SITEPERMIT ; ".; LOCATION: �j�1`►ll,t N"U:1ilroot< � , stityr,, 7014* 7 OWNER INFORMATION V CONTRACTOR INFORMATION 4 1 � Name ,/A , Name Address -7 o-7 \,�,, y_alms;.,,,- t:e3 I v`;�. Address City 1i' „ , k J City State i Zip c) -Z2 I State Zip Telephone G o 770 v 3�3 Telephone License Number PROJECT INFORMATION Work Includes (check all that apply) Era urb Cut CI water ❑ Sewer ❑ Storm ❑ Gas [�Sidewalk CI Street Cut ❑ Phone ❑ Power ❑ Cable [' Culvert P I •Describe Work: .0 t' d;i� cr �� J i�vc ?�( Si' i ..r c l c;`,v:. l�C d. re Li.�-•.csSi-e G1 Z.- C L u ✓ l/l .L.� i) ✓.r� Prv� �' ,-,; .„. 7 p , ��tx �.i�l/t��///f✓- �{.n^. 'C......cji t/ j�1�12/x/1�.1�, �l�i"i� `r//'Lr_ !d�(/� � � C��- /ca, a. -r cl au c/. Z_ =�c� c�L'�% 0�4 , PA'kMIT. TYKE C ttYki Gut: t C1.t`t$ a 41 id 1 -r ve al.W t k tstde Trpi€ted Way$20 Y max"G � 'ra a�E-Y' M'. C 4 � 1 j d -- .k-`i:Tt C#t '�1 I0-iE=IbtT r3-z _f z z �, g t © ►tra:dad before oi. ddlc ... ':- Work within the City Right-of-Way is permitted by approval of the City Engineer. All work in the right-of- way must be bonded. The applicant and owner must use warning signs, traffic control, and barricades as necessary to ensure public safety in the work area. The applicant and owner must restore the right-of- way to previous condition. The applicant and owner are liable for damage to public and private property. ''...'' '''.."4"t".t. - :ftz'''7:4r4r,„,.- ,.: 404„,......,,,,„ , ,s__, './.2/6-c___,/----- " �� � � Applicant Signature Date SITE DRAWING m'c r 4-1,•-. 1 . Show north arrow 2. Label streets 3. Draw plan \i : 1 I J 1, 1 II 1 \ I \ , (--1 \\1 A 11 Lia..rel a.t).lect 4:?LI S.Q.iflill..24/1.1- . i i\j k...) Ai 2.(...) et 0-r 3 \ :-.- 1 1 VP '' \ 1 'N, 1 \•• 1 • ,,_......, • • i I \ er,,e..._, .. tt1/4 _,....--.„, . . c.. • L--$ C73-0 ''':------: -- 1 F- 1 --' "raa (I\ ',_% 2.4-'.. i 1 I r ‘ \J -.:- . -4,.-i-ii--,,,;E-ii. :',,,,i 441 ,-,ia30.,',,,,w:*-,g-t-:!:--,,,,:E-N--4,.nsf.,-,--"-ei'p,",,J&I:e4i'::u •--,,,-::,f1Ii,',-;,!,::-..:,,,, -.;,:-,:.::---- CONSTRUCTIONINSPECTED ARTAPPROVED- ,,,n.-,,,',fr.,-,,-41,!,,,,,::---'-'-; ,-:; :,,,--:.,-- ',:,,,i.---,,-.,,,IIt-__--„:„:-i:-i„-A-::i3:f.zet:'-'‘,,,-,----,v':finVaillf:1-:•.-;:rintP10,72,'Z'i:;;F:N-Pi":.',ffl'Z,:.,;e--7,''..,.!'.':-I!':::::::'-j-1. -'.-..---..-:,-,_:':,:".:::{.:5:!"0-ji:_-_,-::,4-::.M : :,;i:..:-,-;-'..,!' - '-:-..:-;.if,Y'.-,:.44:,i--::',..NI:::',5-:,,g;.,,-_---!":',:..,1-„-i‘:=7:-j--,4:j;:.,i_Ks---.zi]--:?'-,',e;,-:::.k1,,,.15q,';,m:-..-_,,;g,'.'1,!44,1!.:g;:nl:_Rtll'w,n1 i.N,:-.ipri- V.,-;'-':-..-.-:,•:;:.7.'-';_l:,-:i;-!!'-::-':----.:_.-;-- -;--- . --.":--!-";.,?:.:-.1.,:„.?:,];.;'.:,.--':::,--,,-!—.---:-,--,.-.-_-.',-..:p.:--.-.,!,-,-,_.,,,-. ];'::'s;.‘:-:.;:kf.cf.,-.-,g',;-,:..-...,,,,-:,-;.,:-.-!---:;,:--,.!-. 1-_!,:,:-}:--:-....-.:::-.--..:-,.g-:-„e.".4.1':-.'.,:,':'ijii5t1,.:9;,..•;. ,',;%,,,,,,,V;;;,.,.`:,:::,-,-, ,,:,'Sk,,,,.. 74‘k.:'''';'.'n:',11-"-.:'-'-'"--:•.:-.-.•..--' .• --.- - .-- " ''-- -;,;A:?,':"1:q1;4 0.,-,'.,.,.',"-;:•4.:':1-,e',T;ii i:i'k.x1;!;_';'''...::''aiilji;_:,::,Ak-':.-:,-.-', :i-::;!'V',.--i•,•-,,!-E--,gi,,,zi'•.,-:-3;0'2- -•."a:se:•.:,;•-,f'NeC.',11:1-,:trA a41)-ti.0::,:it.--gz,4,-,',,,,''i-''----',":•,',- ----,--•------ • - •',' :,'.i ..::!::"•;ei,,tg.'241,:!•;4''' ,!;•ft::.,.-•';,.:4,•-,---,.::..,-- --1-!.-.,. .::'-'-t--,;g-,- ,,,, -,:f.,Q,,,-.iii ei If.-:!, -.--4,-.4e- :*-.-:_4ier:i,,:i,.;rielva-,,ii,:„ogig.,,,:- _ 14,,giftiti"r--:: toy;oft;t;i7:zroi#*-*.:40k t."4. .?:;;,,,,vieilitttlIzrast!4:-.„..ifv45-PA !:;.;., ,x)tewiiit-iyiPgtiwi4, : '!-:',:''''",'w:,,„,?c---1 -:;',,,,,i,P-.,0_, -!,,‘! ::!-:-i-i-4,.,::;:,:-'---gc.,8-,,-%gr Ft.!:e,,--i-i,v,, ,,,iek w.xi,.4-1404,1, 5,g,z•_.5,41,7*74:4,.,-.., :i1,:11:.wz.?,,,4,,_,,i,:_f,:.,,,,---..-;,-;-,4s.,...0 ,/,,,,i,:.fif,..., A,7z-e.'t1r.--er, ,.„,::,:-:-.:_;,,W,,,.4;;.•.,..;,....;, ,,,,,,,,........; ..._ . ..., - / 0 \ 0 , ��e �lr / .„.44...z::.::. .....;. iJ' s.— y S•• s r .'..�•.. • .. .. / m tip..•. • -.< PUBLIC EASEMENTS =1IE11111 0 D TI- 1 TIII. O 1'-0" / MINIMUM / O �j� � 1A CONCRETE\PAVED STREET T il( . GENERAL NOTES: �= I 4i O 1A. 3 INCH MINIMUM CLASS B ASPHALT, PER SECTION 9= f .l� 2-06.3(2) OF THE 2002 WSDOT STANDARD SPECIFICATIONS FOR ROADS, BRIDGES AND MUNICIPAL I I CONSTRUCTION. 4,4 4.4-.4 !,�t_ O 1 B. CONCRETE PATCH TO BE THE SAME DEPTH AS EXISTING 1'-0" •. •.'••;••nee'0,4�• CONCRETE STREET. MINIMUM :� :`<` •:;s;; i i%' !'•�!,. 5B 1C. 12 INCHES - COMPACTED DEPTH TOP SOIL TO BE Ato :Li }- FINISHED WITH SEED OR SOD. SEED TO BE WEED FREE. 'Z `•o Q . . ie. > 2. SAWCUT ,. Vi 0 J 3. ALL JOINTS BETWEEN OLD AND NEW ASPHALT TO BE 14 •`•.1`'. '' 3 SEALED (SECTION 5-05.3(8)8) USING A HOT POURED '`•'`• it'. JOINT SEALANT, PER SECTION 9-04.2(1). i��;�i; !Aft, S : 0 ! a .;..•! •<•!.•, w 4. 6 INCHES - CRUSHED SURFACING, PER SECTION I{ �••••'�'' •��' a 9-03.(9)3, AND PREPARED PER SECTION 2-06.3(2), :$51.4 "SUBGRADE FOR SURFACING". �IIII :I II_I ; .;..•_:.,•., •.!•..:°f:'.,�• 5(A). GRAVEL BASE MATERIAL, APPROVED WSDOT SPECIFIED `•:`'.•.'�•.'�• ' �''�'L':.�< / MATERIAL, OR SPECIFIED IN THE APPROVED PLANS. ..,,•.:,:::•..• :•:,•; MATERIAL TO BE COMPACTED TO 95%, PER SECTION 7-4, '.:':: . : ';;::.; O 7-09.3(1 1) "COMPACTION BACKFILL". SEE ALSO, ••• •};I SECTION 7-08.3(3) BACKFILLING". 0 4. ;•..'•:�'`.'.1ii, -•:•!-.:!`'''`.. / 5(8). CONTROL DENSITY FILL WILL BE REQUIRED BY THE CONTRACTOR IF THE TRENCH CROSSING FAILS. : o :{ :•;O'`:,•:::•:,:,:•,...:...: , = 6. THE PIPE ZONE SHALL BE BACKFILLED WITH SAND ,,1-.:'':;::°:x••',-i' ;::::;,.;;:>_} :1 / BACKFILL TO 12-INCHES ABOVE THE PIPE, PER i " SECTION 7-09.3(10) "BACKFILLING TRENCHES". THE ii :.•, .::...•<.,..•.:'................•.•:,'.•<:"I I 1 O8 PIPE ZONE SHALL BE COMPACTED TO 90%, PER ` SECTION 7-08.3(1)C. I I 711 I1 I I —� I1 / 7. SAND BACKFILL - PIPE ZONE 'T 1 1 In-f 8. 6 INCHES - SAND BACKFILL PAVED STREET 9. LAY ALUMINUM LOCATE TAPE A MINIMUM OF 12 INCHES BELOW FINISHED GRADE AND 12 INCHES ABOVE PIPE. DALE: NOT TO SCALE DETAIL: ST-01 DRAWN BY: S.L. a�Ty ��� FILE: ST-01 UTILITY TRENCH TYPICAL.DWG ilk igiii, STREET CUT REPAIR EFFECTIVE DATE: REVIEW BY DATE: REVIEWER: 94, `� TYPICAL 01-20-2005 01-20-2006 HYDE q CO B� J 0428804-1 0003 10/14/2004 002 4 • Permit Fees 006009 S8,909.73 'Cr Q City of Anacortes Permit#: BLD-2004-9971 904 6th Street Issue date: 10/14/2004 "1"+ _ P.O.Box 547 Expire date: 10/14/2005 ? a . 0 : Anacortes, WA 98221-0547 .,.,rj�c' i0lr ': (360) 293-1901 to , Job Address: 2707 WASHINGTON BLVD Permit Type: Single Family Residence Permit ANACORTES WA 98221 Project: APN: Remarks: New Single Family Residence Owner: DAVE REED Contractor: Address: 228080 RALLYE LN Address: SEDRO-WOOLLEY WA 98284 Phone: Phone: License#: General Information: Fees: Lot Area 7500 Plan Review Deposit 100.00 1st Floor Square Footage 1335 Building Permit Fee 835.50 2nd Floor Square Footage 1255 Plan Review Fee 443.08 Garage Square Footage 816 Mechanical Permit Fees 114.65 Deck Square Footage 200 Plumbing Permit Fee 139.00 Setback 2nd Side Yard 1255 State Building Code Fee 4.50 Building Valuation 260680 Sewer Inspection Fee 50.00 # Forced Air Furnace<=1,000 1 Storm Drain GFC-Residential 1,126.00 #of Bathtubs 3 Sewer GFC-Residential 4,682.00 #of Clothes Dryers 1 Park Impact Fee 615.00 #of Clothes Washers 1 Traffic Impact Fee 900.00 #of Dishwashers 1 Total Calculated: 9,009.73 #of Gas Fireplace 1 Deposits/Receipts: 100.00 #of Gas Piping 1 #of Gas Water Heaters 1 Total Due: 8,909.73 #of Water Piping 1 #of Hose Bibbs 1 #of Kitchen Sinks 1 #of Lavatories 4 #of Range Hoods 1 #of Showers 1 #of Slop Sinks 1 #of Ventilation Fans 4 #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 COhNSTRUCTION. --,,,, e„,c SIG URE OF OWNER OR AUTHORIZED AGENT ISSUED BY CITY OF ANACORTES BUIDLING DEPARTMENT RESIDENTIAL CHECKLIST (This form is to be completed prior to issuing the building permit) , Site Address: c 1O Wt3Kt re'( \t� N--a_ Date: q(3ti I bC 1 Contact Person: 1 Phone No.: -770 " Oge3 Assessors No.: Lot: ) Block: - Addition: WA. lot t c (Building Department Checklist for Completeness) OK NA OK NA ❑ Fire Department Access❑ Fire Flow Required 0 Fire Hydrant Located within 250 feet El Shoreline or Wetlands El Site Plan ❑ Covenant Approval El Required 0 Regulated Slopes El Facts and Findings Compliance ❑ Survey in File ❑ ❑ Fill on Site Received and Reviewed by: L L Date: C/30 fo y (Engineering Department Checklist for Completeness) OK NA OK NA ❑ Water Extension/Meter ❑ Sewer Extension/Connection ❑ Street Improvements/Sidewalks El Site Drainage Plan 0 Covenant Not to Oppose Future LID El Latecomers Agreement 0 Street Drainage ❑ Driveway location,slope,culvert ❑ Storm Drain Extension Received and Reviewed by: c t �� Date: i D-)2-O t'f FURTHER COMMENTS Zoning R 7 Lot Size: I` 7 3 ( Si Coverage Allowed: 30 SS- ,SF Actual Coverage: 1 t( 5 i ,F. �- -- !3 SI , 1 • I-NC d I !'7y -I\-/*.a 1 bM'5S_L- O'7VL1Tf G2SSJ ( Y1 i a/.o-,yasNnS 'I- --1-,0 1:. r 7F- - -.. .. 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