HomeMy WebLinkAboutBLD-2010-0291 - WINDOWS/DOORS/SIDING NEW OR REPLACED 1019603-1 0247 07/16/2010 001 9
y." s Permit Fees 008715 $153.00
G1T CJ :_ City of Anacortes
Permit#: BLD-2010-0291
i 904 6th Street Issue date: 0 7/1 612 01 0
P.O.Box 547
y' Crj ' Anacortes, WA 98221-0547 Expire date: 01/12/2012
,. (360) 293-1901
Job Address: 1300 O AVE Permit Type: Commercial Repair/Alter Permit
ANACORTES WA 98221-2187 Project:
APN: P55246
Remarks:
Owner: ANACORTES SENIOR HOUSING LLC Contractor: EXXEL PACIFIC
Address: 1300 O AVE Address:
ANACORTES WA 98221-2187
Phone: Phone:
License#:
General Information: Fees:
Building Valuation - 5000 Building Permit Fee 90.00
State Building Code Fee 4.50
Plan Review Fee 58.50
Total Calculated: 153.00
Deposits/Receipts: 0.00
Total Due: 153.00
i
THIS PERMITj6ECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WO, K/IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HEREBY°CERTIFY THAt READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS AND ORDI ANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT, THE GRANTING�A PE MI DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STAiLOR.L0 ,AL LA GU I CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Ilc�_
SIGNATUI2E�OF NER OR AUTHORIZED AGENT ISSUED BY
t
Residential Building Permit Application
Building Department
P.O. Box 547 Anacortes, WA 98224
Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS ! ® C) C/� f}GUF e
Name XX Z(✓
Address
City/State/Zip
- Phone'-' FAX.
State License# Exp
City of Anacortes License
Name rA�o rrfz=S_Oyen(io 1.- JSr
Address
City/State/Zip too-
Phone. rs_,00 FAX
Number of Dwelling Units
E-Mail Address Number of Stories
Building Area:
1"Floor s.f.. 2"^Floor '.. s.f.
Name L4,,/IAI)r 3rdFloor s.f.. Basement. s.f.
Address ( � '� �Q V`2 Garage s.f. Carport s f.
City/State/Zip A-IVAc u t-'I - S �'��/ Deck s.f. Lot Area ` 's.f.
0
Phone 67-c,2 7,r�-17 FAX
E-mail Address
JJ � � � \ ;.LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000
Name l��'���y (,XJt �So /J IN VALUATION PER RCw.
Address 5 'i-e— Name
City/State/Zip Address
Phones FAX City/State/Zip
E-mail Address - Phone No.
CONTINUED ON THE BACK
I
Residential Mechanical Fixtures
Fuel Type
El Natural Gas ❑ Electric ❑ Wood ❑ Propane Gas ❑ Other
Type of Equipment Number of Type of Equipment Number of
Fixtures Fixtures
Furnace<=100K BTU Clothes Dryer
Boilers/AC/HeatPum Gas Water Heater
Gas Outlets Gas Fireplace
Ventilation Fans Fireplace Insert
Stove,I Hance` Other Units
Ran a"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 Pi`in
Kitchen Sink w/Dis osal Additional Fixtures
I BE BY ACKNOWLEDGE I READ ERMIT APPLICANT AND STATE THE INFORMATION IS CORRECT,AND AGREE TO COMPLY
WIT ALL CITY ORDWANC ND ST S REGULATING ACITTVIES COVERED BY TIM PERMIT APPLICATION. WITH THIS PERMIT ALL
CONT ORS AND S RA RS SHALL HAVE A CURRENT WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS
LICENSE. WILL BE ISSUED ON JOB SITES WHERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT
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PROP R. C SF
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_� APANTIGrATU DATE
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Last Updated 11-29-05