HomeMy WebLinkAboutBLD-2019-0201 - COMMERCIAL TENANT IMPROVEMENT -- 4 '-.. City of Anacortes Invoice/Permit#: BLD-2019-0201
904 6th Street
Applied date: 04/10/2019
P.O.Box 547 Issue date: 04/10/2019
0; Anacortes, WA 98221-0547
4f
411/2 " (360) 293-1901 Expire date: 10/08/2020
ob Address: 1400 4TH ST Permit Type: Commercial Alteration/Repair Permit
ANACORTES WA 98221 Project:
APN: P55673
P55679
P55366
P31513
P31514
P31515
P31516
P31517
P31518
Remarks: Provide foundation for relocated storage tank.
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#:
General Information: Fees:
Building Valuation 15000 Building Permit Fee 251.25
Plan Review Fee 163.31
State Building Code Fee Comm 25.00
Total Calculated: 439.56
Deposits/Receipts: 0.00
Total Due: 439.56
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
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATU F N R OR AUTHORIZED AGENT ISSUED BY
/ . a'',.r Invoice/Permit#: BLD-2019-0201
I�� ti, Applied date: 04/10/2019
r� 8221-0547 Issue date: 04/10/2019
�" Expire date: 10/08/2020
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"� Permit Type: Commercial Alteration/Repair Permit
Project:
Finance Department
019133-0014 Carla B. 04/10/2019 02:33PM
PERMITS AND INSPECTIONS
QUANTUM CONSTRUCTION INC
BLD-2019.0201
Commercial
Alteration/Repair Permit
Provide foundation for
relocated storage storage tank.
issued
2019 Item: BLD-2019-0201 Contractor: QUANTUM CONSTRUCTION INC
Building Permit Fee 251 .25 Address: 12761 QUANTUM LN
Plan Review Fee 163.31
Mechanical Permit Fees 0.00 ANACORTES WA98221-8364
Plumbing Permit Fee 0.00
State Building Code Fee Phone: (360)293-0656
Comm 25.00 License#:
Payment Id: 239977
Fees:
439.56 )00 Building Permit Fee 251.25
Plan Review Fee 163.31
Subtotal 439.56 State Building Code Fee Comm 25.00
Total 439,56
Total Calculated: 439.56
CHECK 439.56 Deposits/Receipts: 0.00
Check Number072516 Total Due: 439.56
Change due 0.00
Paid by: QUANTUM CONSTRUCTION INC
II II III I I II I I 111 I I MI
I d t II II II
Thank you for your payment
CUSTOMER COPY
I hIJ VtKIVII I btL JlVI O NULL rirvu vviu it vvJRK 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
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/44/7
SIGNAT R F N R OR AUTHORIZED AGENT ISSUED BY
c,%1 Y o PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
1 _ COMMERCIAL & MULTI-FAMILY BUILDING PERMIT APPLICATION
k.y h Mailing Address:P.O. Box 547, Anacortes, WA 98221
"VIACw Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE COMMERCIAL&MULTI-FAMILY BUILDING PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street,Suite#): PARCEL(S)#•
1110'0 ee -- Ps5i)6P)
Subdivision/Lot#: PROJECT VALUATION: $
A'°1 /5 00o. c
APPLICANT: Phone:
QyJo►h� Co 4& - 360-293 - 06-��
Address(Street,Ci ,State,Zip): Email Address: ,
M,; 0' ® Q c an.�1AvlL, .1-0 r►l
PROPERTY OWNER: Phone:
T NoJe",÷ .S
Address(Street,City,State,Zip): Email Address:
6303 S.k id►Ao it, Ave.Ai>)S &-
CONTACT PERSON: Phone:
M 14t. &m(d&i1 L360 c2 A a(3S-"b
Address(Street,City,State,Zip): Email A dres :
141Ke. guc.A40m.C.1..c-o'i
LENDING AGENCY: Phone:
Address(Street,City,State,Zip): Email Address:
CONTRACTOR:* , Phone:
Q v vim, 3 46 .2.13 0 6376
Address(Street,City,State,Zip): Email Address
12-)4 I Q oc„ rh Lei tr 0 (443 m i k A Qutoluric i.cd�
Profession License# Exp.Date:
*All Contractors&subcontractors must have a valid City of Anacortes iG�` a/.TO
business license prior to doing work in the City. Contact the City's Business License#: Exp. ate:
Finance Department at(360)299-1968. 4
6 /g
PROPOSED WORK: Pfa „Fnur reAwh ` fe.lar� s�, �`'�4,e. .a
ret e y esw1+4 re,Pk.ea butitt.Cer► 2'
PROPOSED NEW SQUARE FOOTAGE:
Basement SQ': f�J 1st Floor SQ': r 2nd Floor SQ':
3rd Floor SQ': �`" 4th Floor SQ': Garage SQ':
Other SQ': Retaining Wall: Yes ❑ No ❑ Fire Sprinkler: Yes ❑ No„2r
Occupancy Group(s): Occupant Load(s) Type of Construction:
I declare under penalty of perjury that the information I have provided on this form/application is true,correct,and
complete,and that I am the property owner or duly authorized agent of the property owner to submit a permit application
to the City of Anacortes.
Print Name: M i'kQ $f, j/) Owner ❑ Agent I (specify): Cor4,0e.`Iot
Signature: Ae061.44.y Date: ii f/0 0 /
Page 1 of 5
IMPERVIOUS SURFACE AREA:
Existing Impervious SQ': New Impervious SQ': Q
Total Disturbed Land/Soil SQ': Total Proposed: Cut: /Q cy Fill: Q
New hard surfaces(pervious&impervious) Q
Land converted from native vegetation to lawn or landscaping SQ': O
Land converted from native vegetation to pasture SQ': 0
MECHANICAL:
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: Gas#: Elec#: BTU: Other#:
Wall Heater: Gas#: Elec#: Other:#: Location(s):
Gas Water Heater: #: Location(s):
Heat Pump: Elec#: Other#:
Air Condifioner/Handler: Elec#: Other:#: Location(s):
Radiant/Hydronic Heating: Gas#: Elec#: Other:#: Location(s):
Exhaust Fans: Bath#: Laundry#: Kitchen#: Other#:
Range Hood: #: Type 1 or 2(Circle which one) Location(s):
Fireplace: Gas#: Elec#: Other:#: Location(s):
Clothes Dryer&Duct: Gas#: Elec#: Other: #: Location(s):
Stove/Range/Oven: Gas#: Elec#: Other:#: Location(s):
Refrigeration Unit: Elec#: Other:#: Location(s):
Gas Piping/Outlet(s): #: Location(s):
Boiler: Gas#: Elec#: BTUs: Location(s):
Other: #: Location(s): g j 2
;}-i 7+w� i r."&. . ;:w ,� �.+t"" fr:4'm+7,��S r,t4' '" w f..,F=�`�� "- [ ,,- € , c
PLUMBING FIXTURES:
Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total#:
Water Closet(Toilet): Refrigerator water supply(for water/ice dispenser):
Kitchen Sink: Pressure Reduction Valve/Pressure Regulator:
Utility Sink: Water Service Line:
Tub: Water Piping:
Hand Sink: Clothes Washer:
Shower: Electric Water Heater: Tank-less? Yes 0 No 0
Dishwasher: Backflow Prevention Device:
Urinal: Hose Bib:
Floor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall 0 Grease Interceptor:
Other: Other:
TOTAL PLUMBING FIXTURE&
Page 2 of 5
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Date: 4-69-19
Job: 1404-63-GS
Sheet: S10F I
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1 Trident Seafoods Campus Map
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QUANTUM Tank Foundation Location Trident Seafoods Campus Map
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1: CONSTRUCTION INC.
Quantum Construction, Inc. : : 12761 Quantum Lane, Anacortes, WA 98221 : : April 10, 2019 : : 1400 4th St, Anacortes, WA 98221