HomeMy WebLinkAboutBLD-2010-0481 - COMMERCIAL TENANT IMPROVEMENT 1034804-1 0001 12/14/2010 002 4
Permit Fees 008837 $282.94
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City of Anacortes pennit#: BLD-2010-0481
9048th Street Ymmme date: 12/14/2010
� P.[).Box547 Expire date: 06/11/2012
Anocortae. VVA 98221'0547
(360) 283-1801
Job Address: 14004THST Permit Type: Commercial Repair/Alter Permit
ANACORTES VVAQ8221 Project:
APN: P55673
P55G79
P55386
P31513
P31514
P31515
P31518
P31517
P31518
Remarks: Addition of11O square feet Vo breezeway area.
Owner: TRIDENT SEAFOOD CORP Contractor:
Address: PO BOX 17580 Address:
SEATTLE VVAQ8127'120Q
Phone: <380>293'3133 Phone:
License#:
General Information: Fees:
Building Valuation 12000 Building Permit Fee 10875
State Building Code Fee 4.50
Plan Review Fee 100.09
Total Calculated: 282.84
Deposits/Receipts: 0.00
Total Due:� ----�������
282.94
THIS PERMIT BECOMES NULL AND vo|o IF WORK On CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180oAYG. On IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. |
EnT|FYTH/�' | HAVE READ AND EXAMINED THIS *ppuCAT0NAND KmOvvTHE SAME TO Bs TRUE AND CORRECT. *u
HEREBYOS OF LAWS AND ORDINANCES GOVERNING THIS TvPsOFxxORKvx|LLosCOMPusovx|T* vxHsT*sn SPECIFIED HEREIN on
' ''-'�-�NOT� GIVE AUTHORITY TO VIOLATE On CANCEL THE PROVISIONS OF ANY OTHER
REGULATI
STATEIF�LJOALLA ,NG CONSTRUCTION OR THE PERFORMANCE OFCONSTRUCTION. �
W.11*4
Commercial Building Permit Application
Building Department
P.O. Box 547 Anacortes, WA 98221
. Phone No.:360-293-1901 FAX: 360.293.1938
SITE ADDRESS: j 4 LO tl
CONTRACTOR )q Applicant PROJECT DESCRIPTION
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Name 4 � VV\ l �►'151V c2 c\"
I-� ` �resz-7.e�c�� o.rect.
Address (�Q' P\ Q (,, ys�oA'\ Lowyc__
City/State/Zip 1 t c�C�-1r�ivjy� 'I I 11,
Phone Eq 3- C)(-5 G FAX 03 413ke
State License# LVVAIdTC.\ 164TXp
PARCEL NUMBER
City of Anacortes License
PROPERTY'OWNER \O Appricant LEGAL DESCRIPTION'
Name -T\—r�, i
d2U\y
Address A00 4-A)i
City/State/Zip ma wke i LLA PROJECT VALUATION
Phone 3b;_D J - 2'�FAX
E-Mail Address Number of Stories
Building Area:
❑Architect❑Designer O Engineer O Applicant ls`Floor s.f. 2nd Floor s.f.
Name 3`d Floor s.f. Basement s.f.
Address Lot Area s.f. Construction Type-
City/State/zip Use Zone
Phone FAX Impervious Area
E-mail Address Other(Describe)
TENANT ❑Applicant LENDER
LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000
Name IN VALUATION PER RCW.
Address Name
City/State/Zip Address
Phone FAX City/State/Zip
E-mail Address Phone No.
CONTINUED ON THE BACK
�,D -�°/0
Commercial Mechanical Fixtures
Fuel Type
❑ Natural Gas ❑ Electric ❑ Wood ❑ Propane Gas ❑ Other
Type of Equipment Number of Type of Equipment Number of
Fixtures Fixtures
Furnace<=100K BTU Gas Fireplace
Boilers/AC/Heat Pump Other Units
Gas Outlets
Ventilation Fans
Gas Water Heater
Range Hood
Commercial Plumbing Fixtures
Type of Fixture Number of Type of Fixture Number of
Fixtures Fixtures
Toilet Utility Sink
Dishwasher Hose Bibb
Hand Sink Water Piping
Kitchen Sink w/Dis osal Additional Fixtures
Clothes Washer
Electric Water Heater
I HE BY ACKNOWLEDGE IF HAVE READ THIS PERMIT APPLICANT AND STATE THE INFORMATION IS CORRECT,AND AGREE TO COMPLY
WIT LL CITY ORDINANCES AND STATE LAWS REGULATING ACTTIVIES COVERED BY THIS PERMIT APPLICATION. WITH THIS PERMTT ALL
CON A TORS AND SUBCONTRACTORS SHALL HAVE A CURRENT WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS
LIC S WORK OR RS WILL BE ISSUED ON JOB SITES WHERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT
PROP R L CE /
APP ANT'S SIGNATURE ----
Last Updated 11-29-05
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o�tT,. Anacortes Planning & Community Development Dept.
Permit Center
� P.O.Box 547,Anacortes,WA 98221-0547 PH(360)293-1901
f Ryan Larsen,Director Don Measamer,Building Official FAX(360)293-1938
December 3, 2010
Bob Bunch
Jim Gardner
P.O. box 954
Anacortes, WA 98221
As your request, Trident Seafood's located at 1400 4th Street is connected to the City of
Anacortes sewer system.
If you have any questions,please contact me at 293-1901.
Sincerely,
CITY OF ANACORTES
Don Measamer
Building Official