HomeMy WebLinkAboutBLD-2010-0439 - COMMERCIAL TENANT IMPROVEMENT 1030604-1 0001 11/ii';?,r 2010 002 4
Permit Fees 008837 $3.'7'0.06
0 ._ City of Anacortes Permit#: BLD-2010-0439
904 6th Street Issue date: 10/28/2010
°0 w" P.O.Box 547
Co ` Anacortes, WA 98221-0547
Expire date: 04/25/2012
(360) 293-1901
C p Ra
Job Address: 1400 4TH ST Permit Type: Commercial Repair/Alter Permit
ANACORTES WA 98221 Project:
APN: P55673
P55679
P55366
P31513
P31514
P31515
P31516
P31517
P31518
Remarks: Interior office remodel approximately 775 square feet
Owner: TRIDENT SEAFOOD CORP Contractor: QUANTUM CONSTRUCTION INC
Address: PO BOX 17599 Address: 12761 QUANTUM LN
SEATTLE WA 98127-1269 ANACORTES WA 98221-8364
Phone: (360)293-3133 Phone: (360)293-0656
License#: QUANTUM*66DF
General Information: Fees:
Building Valuation 14000 Building Permit Fee 191.25
State Building Code Fee 4.50
Plan Review Fee 124.31
Total Calculated: 320.06
Deposits/Receipts: 0.00
Total Due: 320.06
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 LOC L LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATU E OF OWNER OR AUTHORIZED AGENT IS UED BY
Residential Building Permit Application
Building Department
' P.O. Box 547 Anacortes,WA 98221
Phone No.:360-293-1901 FAX: 360.293.1938
SITE ADDRESS: 140 0 4
CONTRACTOR pplicant PROJECT DESCRIPTION P
//�� rp�kUtnn W1r1,�Q'Y V4tE'► � 1r�tJv'., �Jt' -► MFe1MC1c�3L` d`t
Name
Address e,q?rox 1�
City/SUM—M rp W—*A,
Phone 2-q� �t _�C( 4Z j
State License#C& lwaav
a PARCEL NUMBER
City of Anacorte4 License
PROPERTY-QWNER" ... „.' Applicant LEGAL DESCRIPTION
Name
Address 140
City/State p 1� 1�.t,i H PROJECT VALUATION
r..
Phone-- '..4A
*' Number of Dwelling Units
E-Mail Address , a , >.'."' s°, p�R Number of Stories
Building Area:
❑Architect❑Designer In E . R . l Applicant la Floor s.f. 2od Floor s.f.
+: 7`
Name Yd Floor s.f. Basement s.f.
Address Garage s.f. Carport s.f.
City/Statemp Deck s.f. Lot Area s.f.
Phone FAX
E-mail Address
CONTACT ❑Applicant LENDER
LENDER INMRMATION MUST BE PROVIDED FOR PROJECTS ovER$5,000
Name IN VALUATION PER RCW.
Address Name
City/State/Zip Address
Phone FAX City/StatefLip
E-mail Address I Phone No.
_. ', ,CONTINUED ON THE BACK
Residential Mechanical Fixtures
Fuel Type
❑ Natural Gas ❑ Electric ❑ Wood ❑ Propane Gas ❑ Other
Type of Equipment Number of Type of Equipment Number of
Fixtures Fixtures
Furnace 4--100K BTU Clothes Dryer
Boilers/AC/Heat Pump Gas Water Heater
Gas Outlets Gas Fireplace
Ventilation Fans Fireplace Insert
Stove Appliance Other Units
Range Hood
Residential Plumbing Fixtures
Type of Fixture Number of Type of Fixture Number of
Fixtures Fixtures
Toilet Clothes Washer
Bathtub Electric Water Heater
Shower Utility Sink
Dishwasher Hose Bibb
Hand Sink Water Piping
Kitchen Sink w/Disposal Additional Fixtures
I HEREBY ACKNOWLEDGE IF HAVE READ THIS PERMIT APPLICANT AND STATE THE UWORMATION IS CORRECT,AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING.ACITIVIES COVERED EY THIS PERMIT APPLICATION.WITH THIS PERMIT ALL
CONTRAC71qRS AND SURCONTRACfORS SHALL HAVE A CURRENT WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSDIESS
LICENS WO ERS BE ISSUED ON JOH SITES WHERE CONTRACPOR.SMMCONTRACfOR.S ARE WORKING WITHOUT
PROPER LI rl
APPLIC 'S SIGNATURE DATE
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Last Updated 11-29-05