HomeMy WebLinkAboutPermit File 408 4th Street -2102— 0 8- 118 2OC;
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.. 08539 ;;4.:9 008
AZT Y. 04,, City of Anacortes Permit#: BLD-2009-0448
904 6th Street Issue date: 11/18/2009
.5 '` ci- P.O.Box 547 Expire date: OS/1712011
Y . tilt Anacortes, WA 98221-0547
q, �w (360) 293-1901
�-'oR.,,
Job Address: 408 4TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-1610 Project:
APN: P56473
P56485
Remarks: Remodel interior of home and install new siding and roofing.
Owner: DENNIS CULLEN Contractor:
Address: 408 4TH ST Address:
ANACORTES WA 98221-1610
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 25000 Plumbing Permit Fee 118.00
#of Water Closets 2 Plan Review Fee 110.83
#of Showers 2 State Building Code Fee 4.50
#of Bathtubs 1 Mechanical Permit Fees 45.25
#of Slop Sinks 1 Building Permit Fee 170.50
#of Clothes Washers 1 Total Calculated: 449.08
#of Dishwashers 1 Deposits/Receipts: 0.00
#of Ventilation Fans 3 �F
#of Lavatories 2 Total Due: 449.08
#of Water Piping 1
#of Hose Bibbs 3
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 it
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Pam
SIGNATURE OF OWN OR AUTHORIZED AGENT ISSUED BY '
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Project Description
Oldest part of house (north section): Reconfigure from 2 bdrm, 1 bath to 1 bdrm, 1 bath.
Flatten roof to eliminate problem dead valley. Remove rot and add studs where
needed. Retain original laundry room footprint and roof.
Main section of house: Reconfigure kitchen, add 1/2 bath. Remove rot and add studs
where needed.
Entire house: Replace windows (148.2 sf), rewire, new flooring, new siding.
II
pSry a; Residential Building Permit Application
Building Department
sy9oaatw P.O. Box 547 Anacortes, WA 98221
Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: LO < 11 t - .S17 11/2kA CoCLrEs t, 4q c(2 2
r::CONTRACTOR " D Applicant - PROJECT DESCRIPTION '.
tfu—Name1.C's'1VI/s F! f�/�ct �� "�E OC G� Nrc 'tl 2� lkr- � l, lu wt4-1a,;L,) ...
Address $(0 27 LAVA Sr' ISYu,J 4 -QWt-pRl rv-E. 12G- IN:lc. Qts"w1 l2 c
)NSUCPF , (d=pLAcc tJrnvl z 's CSOo
City/State/Zip7f/Jl c,z4 up7 7oa/ 5'D/Jt37 • ZCkotac-C- 4 2tzfpr-tn Ar.,1 4 W li
eX_si-jn,� ?o-N CAD)9C1rHdeei wood -Grit
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Phonec?0a -/9Y / FAX VIL-5
State License# c 0/ 9, 1 /(07 Exp 0 /0/0
‘o! 4vZ !� 7 PARCEL NUMBER
City of Anacortes LicensePs Co LL t9
PROPERTY OWNER „- Applicant, "LEGAL DESCRIPTION
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Name LZ-Son.-.—kcL'Vr o u*revinQ.r • Lin I Ito 1
Address 9O cf }>t j /
City/State/ZipCity/State/Zip nthireveg ,Un- `/Ydd/ PROJECT VALUATION
Phoner9'A ^(0 7 II? FAX e' S, 000
1J Number of Dwelling Units (I
E-Mail Address Caller, 39 c i-moylcai{ . Number of Stories /
"7 a Building Area:
0 Architect O Designer-0 Ett"gineer Applicant 1st Floor /3 (p Z s.f 2nd Floor s.f.
Name are Floor / s.f. Basement 70 0 s.f.
Address Garage s.f. Carport f
City/State/Zip Deck s.0 Lot Area Co 00 0 s.f.
Phone FAX
E-mail Address
CONTACT Applicant ., " LENDER
LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000
Name IN VALUATION PER RCW.
Address Name
City/State/Zip Address
Phone FAX City/State/Zip
E-mail Address Phone No.
CONTINUED ON THE BACK
Residential Mechanical Fixtures 1
,__//
�6d// Fuel Type
RcTatural Gas Electric 0 Wood ❑ Propane Gas 0 Other
Type of Equipment Number of Type of Equipment Number of
Fixtures Fixtures
Furnace<=100K BTU Clothes Dryer
Boilers/AC/Heat Pump Gas Water Heater
Gas Outlets Gas Fireplace
Ventilation Fans 3 Fireplace Insert
Stove,Appliance Other Units
Range Hood
Residential Plumbing Fixtures
Type of Fixture Number of Type of Fixture Number of
Fixtures Fixtures
Toilet 2 Clothes Washer I
Bathtub I Electric Water Heater
Shower 2 Utility Sink
Dishwasher I Hose Bibb
Hand Sink Water Piping J
Kitchen Sink w/Disposal Additional Fixtures
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 SIG DATE
1
-2102— 0 8- 118 2OC;
�. _txu< L __. _ ay. v 41L.L
.. 08539 ;;4.:9 008
AZT Y. 04,, City of Anacortes Permit#: BLD-2009-0448
904 6th Street Issue date: 11/18/2009
.5 '` ci- P.O.Box 547 Expire date: OS/1712011
Y . tilt Anacortes, WA 98221-0547
q, �w (360) 293-1901
�-'oR.,,
Job Address: 408 4TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-1610 Project:
APN: P56473
P56485
Remarks: Remodel interior of home and install new siding and roofing.
Owner: DENNIS CULLEN Contractor:
Address: 408 4TH ST Address:
ANACORTES WA 98221-1610
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 25000 Plumbing Permit Fee 118.00
#of Water Closets 2 Plan Review Fee 110.83
#of Showers 2 State Building Code Fee 4.50
#of Bathtubs 1 Mechanical Permit Fees 45.25
#of Slop Sinks 1 Building Permit Fee 170.50
#of Clothes Washers 1 Total Calculated: 449.08
#of Dishwashers 1 Deposits/Receipts: 0.00
#of Ventilation Fans 3 �F
#of Lavatories 2 Total Due: 449.08
#of Water Piping 1
#of Hose Bibbs 3
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 it
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Pam
SIGNATURE OF OWN OR AUTHORIZED AGENT ISSUED BY '
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9 03-ra hiccRoaso wf Ox.16-rnoc.... k"X.Q."sheParr ims £7/8154, sioinad. FLAT .13,2"4-co "TD "at)
,,,
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uv
NI /Ax i. •
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/ 24'--0" 9'_3" J .{Gi;/
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.{ 4'-4" k 9.-8" { 341"x68 1 8'8" ,I 3'-4" .1
Project Description
Oldest part of house (north section): Reconfigure from 2 bdrm, 1 bath to 1 bdrm, 1 bath.
Flatten roof to eliminate problem dead valley. Remove rot and add studs where
needed. Retain original laundry room footprint and roof.
Main section of house: Reconfigure kitchen, add 1/2 bath. Remove rot and add studs
where needed.
Entire house: Replace windows (148.2 sf), rewire, new flooring, new siding.
II
pSry a; Residential Building Permit Application
Building Department
sy9oaatw P.O. Box 547 Anacortes, WA 98221
Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: LO < 11 t - .S17 11/2kA CoCLrEs t, 4q c(2 2
r::CONTRACTOR " D Applicant - PROJECT DESCRIPTION '.
tfu—Name1.C's'1VI/s F! f�/�ct �� "�E OC G� Nrc 'tl 2� lkr- � l, lu wt4-1a,;L,) ...
Address $(0 27 LAVA Sr' ISYu,J 4 -QWt-pRl rv-E. 12G- IN:lc. Qts"w1 l2 c
)NSUCPF , (d=pLAcc tJrnvl z 's CSOo
City/State/Zip7f/Jl c,z4 up7 7oa/ 5'D/Jt37 • ZCkotac-C- 4 2tzfpr-tn Ar.,1 4 W li
eX_si-jn,� ?o-N CAD)9C1rHdeei wood -Grit
i
Phonec?0a -/9Y / FAX VIL-5
State License# c 0/ 9, 1 /(07 Exp 0 /0/0
‘o! 4vZ !� 7 PARCEL NUMBER
City of Anacortes LicensePs Co LL t9
PROPERTY OWNER „- Applicant, "LEGAL DESCRIPTION
( ZE <o
Name LZ-Son.-.—kcL'Vr o u*revinQ.r • Lin I Ito 1
Address 9O cf }>t j /
City/State/ZipCity/State/Zip nthireveg ,Un- `/Ydd/ PROJECT VALUATION
Phoner9'A ^(0 7 II? FAX e' S, 000
1J Number of Dwelling Units (I
E-Mail Address Caller, 39 c i-moylcai{ . Number of Stories /
"7 a Building Area:
0 Architect O Designer-0 Ett"gineer Applicant 1st Floor /3 (p Z s.f 2nd Floor s.f.
Name are Floor / s.f. Basement 70 0 s.f.
Address Garage s.f. Carport f
City/State/Zip Deck s.0 Lot Area Co 00 0 s.f.
Phone FAX
E-mail Address
CONTACT Applicant ., " LENDER
LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000
Name IN VALUATION PER RCW.
Address Name
City/State/Zip Address
Phone FAX City/State/Zip
E-mail Address Phone No.
CONTINUED ON THE BACK
Residential Mechanical Fixtures 1
,__//
�6d// Fuel Type
RcTatural Gas Electric 0 Wood ❑ Propane Gas 0 Other
Type of Equipment Number of Type of Equipment Number of
Fixtures Fixtures
Furnace<=100K BTU Clothes Dryer
Boilers/AC/Heat Pump Gas Water Heater
Gas Outlets Gas Fireplace
Ventilation Fans 3 Fireplace Insert
Stove,Appliance Other Units
Range Hood
Residential Plumbing Fixtures
Type of Fixture Number of Type of Fixture Number of
Fixtures Fixtures
Toilet 2 Clothes Washer I
Bathtub I Electric Water Heater
Shower 2 Utility Sink
Dishwasher I Hose Bibb
Hand Sink Water Piping J
Kitchen Sink w/Disposal Additional Fixtures
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 SIG DATE
1
BUILDING
PERMIT
CITY OF ANACORTES PERMIT NO. : BLD98-0350
P.O. BOX 547 APPLIED: 09/08/98
ANACORTES, WA 98221 ISSUED: 09/08/98
(206) 293-1901 EXPIRES : 09/08/99
SITE ADDRESS : 408 4TH ST
ASSESSOR' S PARCEL NO. : 3772-286-002-0003
PROJECT DESCRIPTION: Reroof Residence with Class A comp.
— OWNER — CONTRACTOR — LENDER
BEV BOZANICH SAVAGE ROOFING, INC
408 4TH ST. 911 31ST STREET
ANACORTES WA 98221 P. O. BOX 336
ANACORTES WA 98221
293-2021
SAVAGRI114P0
TYPE OF WORK •ADD AREA (sf) VALU. . . $ : 4800
TYPE OF USE •SF LOT • 0 REQUIRED SETBACKS----
CENSUS CATEGORY •434 1ST FLR • 0 FRONT 0 ft
ZONING 2ND FLR • 0 SIDE • 0 ft
:R2 BASEMENT • 0 REAR • 0 ft
OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING--
:R3 : ? : ? : ? OTHER 0 TOTAL • 0
TYPE OF CONSTRUCTION HANDICAPPED: 0
: 5N : ? : ? : ? NUMBER OF UNITS • 0 COMPACT • 0
OCCUPANT LOAD STORIES • 0 IMPRV SURF. : 0 sf
. 0 : 0 : 0 : 0 : BUILDING HEIGHT. : 0 ft
I
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 50 .50 MD 09/08/98 8961
STBC $ 4 .50 MD 09/08/98 8961
TOTAL $ 55. 00
I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all
ordinances and laws regulating activities covered by this permit.
Issued by Applicant or Owne ' s Signature
24 Hour Notice Required For All Inspections
bld_prmt, Rev: 06/11/92
0 \ /
PLUMBING PERMIT
CITY OF ANACORTES PERMIT NO. : PLM98-0030
P.O. BOX 547 APPLIED: 07/24/98
ANACORTES, WA 98221 ISSUED: 07/24/98 I
(206) 293-1901 EXPIRES : 07/24/99
SITE ADDRESS : 408 4TH ST
ASSESSOR' S PARCEL NO. : 3772-286-002-0003
PROJECT DESCRIPTION: install backflow device
— OWNER — CONTRACTOR
BEV 802ANICH SIMPLY YARDS
408 4TH ST. 809 33RD STREET
ANACORTES WA 98221 ANACORTES WA 98221
293-3451
SIMPLY*09207
TYPE OF WORK •ADD KIT SINKS W/DISP: 0 WTR PIPING/TREAT: 0
TYPE OF USE •RES WASHING MACHINES : 0 HOSE BIBBS • 0
ELEC WTR HEATERS : 0 GREASE TRAPS • 0
WATER CLOSETS . . . : 0 LAUNDRY TRAYS . . . : 0 ADD' L FIXTURES . . : 1
BATH TUBS • 0 URINALS • 0
SHOWERS • 0 WASTE INTERCEPT. : 0
DISHWASHERS • 0 DRINKING FOUNT. . : 0
LAVATORIES • 0 FLOOR DRAINS • 0
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 27 . 00 DM 07/24/98 8746
TOTAL $ 27 . 00
I hereby acknowledge that I have read this permit and state the above inform ' n is correct, a a ee to comply with all
ordinances and Laws regulating activities covered by this permit.
i
i
Issued by App is t r ner ' s Signature
24 Hour Notice Required For All Inspections
plm_prmt, Rev: 06/11/92
o2Y2'sU y
BACKFLOW DEVICE TEST REPORT
2
NAME OF PREMISES Get./ Bcja4,cji'c/�
SERVICE ADDRESS Li (DY IfFet• Afekwi-r4 LA,/t `7ra2/
LOCATION OF DEVICE Fr I- /a - 7 l/cce/A
DEVICE: , I 140---) 'jcd X L 3l'- y,376 93- -
Manufacturer Model Size Serial No.
LINE PRESSURE AT TIME OF TEST T 0 LBS.
PRESSURE DROP ACROSS FIRST CHECK VALVE LBS.
CHECK VALVE NO. 1 CHECK VALVE NO. 2 DIFFERENTIAL PRESSURE RELIEF VALVE_
INITIAL 1. Leaked ❑ 1. eaked ❑ 1. Opened at lbs.
TEST Reduced Pressure
2. Closed Tight .� S 2. Closed Tighter C frt. Did Not Open 0
Cleaned 0 Cleaned ❑ Cleaned ❑
R Replaced: Replaced: Replaced:
E Disc 0 Disc 0 Disc, Upper ❑
P Spring 0 Spring 0 Disc, Lower 0
A Guide 0 Guide 0 Spring 0
I Pin Retainer 0 Pin Retainer 0 Diaphragm, Large
R Hinge Pin 0 Hinge Pin ❑ Upper ❑
S Seat ❑ Seat 0 Lower 0
Diaphragm 0 Diaphragm 0 Diaphragm, Small
Other, Describe . . . 0 Other, Describe . . . ❑ Upper 0
Lower 0
Spacer, Lower ❑
Other, Describe 0
FINAL
Opened at lbs.
TEST Closed Tight 0 Closed Tight ❑ Reduced Pressure
REMARKS:
I
THE ABOVE REPORT IS CERTIFIED TO BE TRUE:INITIAL TEST PERFORMED BY Witt V Urt0Ujj4 OF f1-1I tire re , DATE K SJ cr
REPAIRED BY
/ DATE
FINAL TEST PERFORMED BY OF DATE
I
PWK 303 1/82 1
Address OS // 1
Le al Description 2
O C • la ,.?
2.r/ 171,�)y,l/
/94
Assessors Account No . 3722 .- 7SG - or) - rioo3, •
Permit No . Date Description Date Finaled
3c>8o /�'/�/7 /re - /-cz'