HomeMy WebLinkAboutBLD-2014-0261 - COMMERCIAL TENANT IMPROVEMENT City of Anacortes Invoice/Permit#: BLD-2014-0261
904 6th i Street -
Applied date: 06/23/2014
t P.O.BaX 547 Issue date: 06/23/2014
� d1s Anacortes, WA 98221-0547 Expire date: 12/2212015
^ (360) 293-1901
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JobAddress: 1015 14TH ST Permit Type: Commercial Alteration/Repair Permit
ANACORTES WA98221-5201 Project:
APN:
Remarks: Tenant improvement, construct interior walls.
Owner: INTREPID NW LLC Contractor: STRANDBERG CONSTRUCTION
Address: PO BOX 319 Address: PO BOX 319
ANACORTES WA98221-0319 ANACORTES WA98221-0319
Phone: Phone: (360)293-7431
License#: STRANC1020CC
General Information: Fees:
Building Valuation 8000 Plan Review Deposit 49.81
Building Permit Fee 153.25
Plan Review Fee 30.63
State Building Code Fee 4.50
Total Calculated: 238.19
Deposits/Receipts: 0.00
Total Due: 238.19
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS: NOT COMMENCED WITHIN 180 DAYS,�OFR �,
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCEBi
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PVVISkf v
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR�NOT,�4
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHERPI3TATE-
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, J ..
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Commercial Building Permit Application
City of Anacortes Building Department
P.O. Box 547 Anacortes, WA 98221 -Street Address: 904 6th Street
Phone: (360) 293-1901 Fax: (360) 293-1938
SITE ADDRESS: I D i 5 14 h �ree sajje 13 eq+t&e or�CS
CONTRACTOR r BYApplicant PROJECT DESCRIPTION
NameJ�lGIV(�h2/f ll.l)hS�VbL[I1UN iK Tencv,+ Irv��roJGmenkSf �rarnC �n�+
Address i�0 QO`c �(9 lns{all jn}erior 8 �I Wallgi L�oorsl
CXh.ews+ �an� �Dwer�cla-� �ne,s '�
City/State/Zip &/ &C.OV Y , IAJGI� p9/1.9 �, o#'ue SP&Lf,, afj'iCo�� � 'j"P
Phone Zq3-��1{{'pp1"'`3�,1 I F 1A,X 29 l -CJIX(P UC '"`f-D 50!'V{r Morn , Cy�,bi nf.-I'S
State License tfJlf�tTl�lCZb2D �.L ESP Z 2 5
PARCEL NUMBER City of Anacortes Business License: Yea ❑No
PROPERTY OWNER
./ � ❑ Applicant LEGAL
GDESCRIPTION n
Name Il'�. 'e�l� `�"�`� IrL�li LA 7- 4i J6r\-V LP I �IO Lk I+S ,ArL�eyl-�C�D1r�s
Y(.Cb(,C(e21 i rrfVblurvtG. 2 o4 PL& SI �G
Address ?o I�^,(N.. I� 4 records 4S I I-' CDOn� , vjQSI11k �n
City/Sta(e/ZipARk CDd-e) It,Jkgq LLI PROJECT VALUATION oL7
Phone Z93-_1g31 FAX2g9-�bc� 8,00a•
E-Mail Address Number of Stories Z
Building Area:
❑Architect❑Designer ❑Engineer❑ Applicant I't Floor DI oED s.f. 2od Floor s.f.
1-.�w�-�t,L✓tF i%
- Name N I A- 3`a Floor s.f. Basement ST.
Address Lot Area s.f. Construction Type
City/Smte/Zip Use Zone
Phone FAX hnpervious Area
E-mail Address Other(Describe)
TENANT ❑Applicant LENDER
LENDER INFORMATION MUST BE PROVmED FOR PROJECTS OVER$5,000
Nance IN VALUATION PER R`CW. J
Address Name s l� l+ �+-CL
City/State/Zip Address IgDO amMeYGlal -enu£.
Phone FAX City/State/Zip I'AKC L. Qy F�e�S�Fn}-n
E-mail Address Phone No. �ty V' S r1Q f 35 p--)
CONTINUED ON THE BACK
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 Q Other Units O
Gas Outlets
Ventilation Fans
Gas Water Heater O
Range Rood
Commercial Plumbing Fixtures
Type of Fixture Number of Type of Fixture Number of
Fixtures Fixtures
Toilet O Utility Sink CD
Dishwasher O Hose Bibb Q
Hand Sink Water Piping
Kitchen Sink w/Disposal O Additional Fixtures
Clothes Washer C25
Electric Water Heater C7
I FECREBY ACKNOWLEDGE W HAVE READ TIHS PERNUT APPLICANT AND STATE THE INFORMATION IS CORRECT,AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACITIVIES COVEREDBY THIS PERNITI'APPLICATION. WITHTHISPERMTTALL
CONTRACTORS AND SUBCON"TRACTORS SHALL HAVE A CURRENT WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS
LICENSE. STOP WORK ORDERS WU.L BE ISSUED ON JOB SITES WHERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT
PR Pr6LICENSE., y t,j . 2U14
APPLICANT'S SIGNATURE
DATE
Last Updated Nov.9,2012