HomeMy WebLinkAboutPermit File 402 4th Street . ,
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CERTIFICATE OF OCCUPANCY
This is to certify that the below listed building or structure
has been inspected and occupancy is hereby authorized:
Description: Addition to back of house with bath, laundry,
Bedroom and kitchen.
Location: 402 4th St.
Owner: Kitty Ford
Constructed by: Skagit Sound Construction Services
Building Permit #: BLD-2015-0523
Date issued: 10/16/2015
Use Zone: R2
Dated: May 09 / 2017 y —
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Authorizing Official: _a ,
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- - .Q''`4 City of Anacortes Invoice/Permit#: BLD-2015-0484
r `,- 904 6th Street 1
Applied date: 09/23/2015
P.O.Box 547 Issue date: 09/23/2015
six'' '0; Anacortes, WA 98221-0547 Expire date: 03/2112017
Job Address: 402 4TH ST Permit Type: Foundation Permit •
ANACORTES WA 98221-1610 Project:
APN: P56489
Remarks: Foundation only permit for addition & remodel of exinsting residence. •
Owner: KITTIE FORD Contractor: ' SKAGIT SOUND CONSTRUCTION SERVICES
Address: 402 4TH ST Address: 4120 MARINE HEIGHTS WAY
ANACORTES WA 98221-1610 ANACORTES WA 98221-8273
Phone: Phone: (360) 708-7527
License#: SKAGISC874.12
General information: Fees:
Building Valuation 10000 Building Permit Fee 181.25
Plan Review Fee 117.81
State Building Code Fee 4.50
Total Calculated: 303.56
Deposits/Receipts: 0.00
Total Due: 303.56
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WIThII'nl 180 ( AYS,.. 1 IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORRIS COMVENL D2, I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL ?ROVJSIQ JS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Oil NOTE THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHWF2, ST4TE` 7R
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ``1 cc,
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY `" n' a `''
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s''Cs1 Y .ci ,,. Cityof Anacortes
Invoice/Permit#: BLD-2015-0523
L 904 6th Street
Applied date: 10l14I2015
P.O.Box 547
{ Issue date: 10I1612015' { Anacortes, WA 98221-0547 Expire date: 04/13/2017
' liiii,.1 Or' , (360) 293-1901 •
Job Address: 402 4TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-1610 Project:
•
APN: P56489
•
Remarks: Rebuild rear part of house remodel bath, laundry, bedroom, & kitchen.
Owner: KITTIE FORD Contractor: SKAGIT SOUND CONSTRUCTION SERVICES
Address: 402 4TH ST Address: 4120 MARINE HEIGHTS WAY
ANACORTES WA 98221-1610 ANACORTES WA 98221-8273
Phone: Phone: (360) 708-7527
License#: SKAGISC874J2
General Information: Fees:
Building Valuation 60000 State Building Code Fee 4.50
#of Ventilation Fans 2 Mechanical Permit Fees 59.30
#of Lavatories • 1 Plumbing Permit Fee 83.00
#of Bathtubs 1 Building Permit Fee 713.75
#of Clothes Dryers 1 Plan Review Fee 463.94
#of Clothes Washers 1 Total Calculated: 1,324.49
#of Dishwashers 1 Deposits/Receipts: 0.00
#of Water Closets 1
#of Showers 1 Total Due: 1,324.49
#of Kitchen Sinks 1
#of Hose Bibbs 2
#of Range Hoods 1
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITON 180 DA1fS, OR, l
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORT IS COMMENCEDz li;
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISION i
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, Ht
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER TATE:Fb
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 3 .17 +.'
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY ;L, 1'
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A & E insulation, Inc. nvoice!
15205 39th Avenue NE
Marysville, WA 98271 Date invoice#
3/31/2017 27873
BUTT° Job Location
Kittie Ford 402 4th Street
402 4th Street I Anacortes,•WA 98221
Anacortes,WA 98221
I
Terms Due Date
Due on receipt 3/31/2017
Description Amount
Insulate Home 1,160.00T
Add Blown-in Fiberglass to Existing Insulation at Attie,Area For R-49 Total
Install 60"Mega Baffles in Attic
R-30 High Density Batts to Under Floor
•
.•
•
We appreciate your prompt payment.
— — Subtotal
Sales Tax (8.5%) $98,60
Total $1,258.60
I Payments/Credits so.00
Balance Due $1,258.60
Phone# Fax#
, 3606511058 (360)651-1259
Works
ublic
•
• Engineering and Development Services
Residential Inspection
Address: Lj L1 Date: —
Owner:
Contractor: __ "1
Inspected by: u j �► , 1,L4
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1. Water Meter Sox Vtic
❑ Set firm and level to finished grade or backside of sidewalk elevation.
❑ Lid and box undamaged. •
❑' Water meter and customer shutoff installed.
_ I ❑ No debris.
❑ -Accessible—no landscape obstruction.
0 Driveway installation has drive-over box and lid.
❑ Customer gate valve intact.
. ❑ No leaks at connections.
2. Curb and Gutter I,,,
r ❑ No cracks, damage, graffiti, footprints, finishing blemishes, or other objectionable
marks.
If road frontage improvements:
❑ Expansion joints every 15 feet and at driveways.
❑ Concrete has broom finish.
0 No low spot at curb line, especially at driveway cut. Maximum grade change in
20 feet is inch.
3. Sidewalk I
No cracks, damage, graffiti, footprints, finishing blemishes, or other objectionable
marks.
ADA compliant=1 percent slope to curb.
_Aps'_4i If road frontage improvements:
LI , Expansion joints every 15 feet and at driveways.
❑ Concrete has broom finish •
4. Driveway Approaches
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No cracks, damage, graffiti,footprints, finishing blemishes, or other objectionable
is t marks.
,'j ADA compliant.
5. Streets lif\.14
❑ No cracks, blemishes.
If road or alley improvements:
_❑ Received proctor and sieve analysis of ballast, crushed rock, and asphalt.
❑ Received passing materials testing reports for sub-grade, ballast, crushed
rock, and asphalt.
Received tonnage tickets consistent with required thickness per approved
❑ plans.
6. Sanitary Sewer
❑ Inspection card signed off and/or verified in Building Department database.
❑ As-built record filed in the address file.
Screw cap(s) installed on clean-out(s)_
Clean-out(s) set at finished grade.
7. Storm Drainage
❑ Inspection card signed off,and/or verified in Building Department database.
[] As-built record filed in address file.
Not blocked or diverted to adjacent parcel.
8.blic Utilities Out of Traveled Way
Concrete collars around City utilities.
.j.. Final grading ok.
NI Restored to prior condition or better.
9 f ndscape'
b Bonded for completion at later date.
Verified against approved landscape plan:
❑ Installation.
❑ Type and quantity of plants.
Sod or seed in place.
] Root barrier(receipt filed).
10. rosion Control Measures .
BMPs removed.
j All debris removed. Site clean.
[ ` Permanent vegetation established. •
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