HomeMy WebLinkAboutBLD-2011-0405 - COMMERCIAL TENANT IMPROVEMENT 113�9O2-2 U5149 11/16/2011 01*01 1
Permit Fees OO8O37 $333.81
' City of Anacortes Permit#: BLD-2011-0405
— 9046th Street Ummme date: 11/08W2011
F' (] Bm�547� � Expire date: 05/06/2013
Anecortea. VVA 98221-0547
(360) 293-1801
Job Address: 1400 4THST Permit Type: Commercial Building Permit
ANACORTES VVA08221 Project:
A^PN: P55873
P5567S
P5538U
P31513
P31514
P31515
P3151G
P31517
P31518
Remarks: Add drywall and ventilation to welding shop per plans
Owner: TRIDENT SEAFOOD CORP Contractor:
Address: PO BOX 17589 Address:
SE/gTLE VVA98127'12G9
Phone: (360)203'3133 Phone:
Liomnee#:
General Information: Fees:
Building Valuation 10000 Plan Review Deposit 52.73
#of Ventilation Fans 2 Building Permit Fee 146.25
Plan Review Fee 42.33
Mechanical Permit Fees 38.00
Sewer Inspection Fee 50.00
State Building Code Foe 4.50
Total Calculated: 333.81
Deposits/Receipts: 0.80
Total Due: 333.81
THIS PERMIT BECOMES muu- mvovO|o |r WORK On CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180oAYa on IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. |
HEREBY CERTIFY THAT | HAVE READ AND EXAMINED THIS xPPuC/n'0w AND KNOW THE SAME TO as TRUE AND onansoT. ALL
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT, THE GRANTING Opx 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.
SIGNATURE op OWNER on AUTHORIZED AGENT oar
Y s t
a,== Commercial Building Permit Application
Building Department
P.O. Box 547 Anacortes, WA 98221
Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: qc)o S-�'_ Cav-�t S is
CONTRACTOR MApplicant PROJECT (D�ESCQRIPTIilON
Name l' t J�'r s�w�eed5 S�e CT 1 o C_I-
1`foo ` f"- sr r
Address A p�� �/Q y�-�-i I C�'CZ Q ✓�
City/state/Zip A AA CO 4fl , Wjk. &P 1 v
Phone FAX
State License# Exp
PARCEL NUMBER
City of Anacortes License
PROPERTY OWNER XApplieant LEGAL DESCRIPTION
Name
Address
City/state/Lip PROJECT VALUATION
Phone FAX
E-Mail Address Number of Stories
Building Area: ,r
El Architect El Designer ❑Engineer Applicant I'Floor f. �f)s.£ 2"d Floor s.f.
Name 31d Floor s.f. Basement s.f.
Address Lot Area s.f. Construction Type
City/Stave-zip Use Zone
Phone FAX Impervious Area
E-mail Address Other(Describe)
TENANT gApplicant LENDER
LENDER INFORMATION MUST BE PROVIDED FOR PRoIECTS OVER$5,000
Name IN VALUATION PER RCW.
Address Name
City/State/Zip Address
Phone FAX City/StateMip
E-mail Address Phone No.
CONTINUED ON THE BACK
� I
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
Boders/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/Disposal Additional Fixtures
Clothes Washer
Electric Water Heater
I HEREBY ACKNOWLEDGE IF HAVE READ THIS PERMIT APPLICANT AND STATE THE INFORMATION IS CORRECT,AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACITIVIES COVERED BY THIS PERMIT APPLICATION.WITH THIS PERMIT ALL
CONTRACTORS AND SUBCONTRACTORS SHALL HAVE A CURRENT WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS
LICENSE. STOP WORK ORDERS WILL BE ISSUED ON JOB SITES WHERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT
PROPER LICENSE.
APPLICANT'S SIGNATURE DATE
Last Updated 11-29-05
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