HomeMy WebLinkAboutPermit File 508 4th Street 0913103-1 '124 05/12/2009 001 9
Permit Fees 008335 $55.00
GAT Off. City of Anacortes Permit#: BLD-2009-0150
904 6th Street Issue date: 05/12/2009
. "!" +" P.O.Box 547 Expire date: 11/08/2010
to ° Anacortes, WA 98221-0547
ovet„.
Job Address: 508 4TH ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-1612 Project:
APN: P56508
Remarks: Reroof Single Family Residence
Owner: SIMAC JAMI J Contractor:
Address: 2801 J AVE Address:
ANACORTES WA 98221-3836
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 4800 Building Permit Fee 50.50
State Building Code Fee 4.50
Total Calculated: 55 00
Deposits/Receipts: 0.00
Total Due. 55.00
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTIO A OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HEREBY CERT 'Y THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS eF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT, THE G- ' .ITIN A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE 0' oCAL W R$ ULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
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1,FOR INSPECTIONS,OALL: CITY OF ANACORTES PESIAIT. 1314,c7?, 9412
g9.3-19oi G r:BU1LDIN PERMIT
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24 Hrs. Notice Requested 5 Site Address 508 4th Street
., ... .i 1 :NAME (OR NAME OF BUSINESS) ' ...,
PLUMBING
1frj 111amiltimac
!MAILING ADDRESS
No.
TYPE OF FIXTURE'OR ITEM FEE
.I. 1508 4th Street
! !:.,.:. I ••,-erti(! ! .. :TELEPHONE NUMBER Water Closet, ," $
'OH ;1...•;, WA 98221 Bathtub.,,Lii: 4A.11.41C011-tGS, . •
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TNAME 1 ,
, ! Lavatory
I Shower
1 r.: .• IV'''"'.! ' . , -.
II.ADDRESS ., ' Kitchen Sink
: . Dishwasher '
,-.H;1<e' l'errr TELEPHONE NUMBER Laundry Tray .,
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Clothes Washer .-
',4 !NAME . . Water Heater .
"EH IH Urinal
ADDRESS , . Drinking Fountain •
. Floor Sink or Drain
ITY-
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TELEPHONE NUMBER
C
Slop Sink
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Water Piping
!STATE LICENSE NUMBER' CITY.LICENSE NUMBER .
I DResidential . ,0.Non-Residential ,L, " PERMIT $
I'M New 0 Add .0 Alter ., O.lePair • Tiptettti,FEE $
cginilding.' ' 0 Plunking ONechanical .
MECHANICAL
Sign 0 Demolition 0;Other 0 GAS SOIL CI ELECT. . I:1 OTHER
(. Legal Description of Property'or:Tax Account Number . _..th."
No. , TYPE OF EQUIPMENT FEE
Lot Block of .
-
. ' Air Cond. Unit , . $
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_ Refrigeration Unit— HP
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Boiler ' HP
Poked Air System— . BTU/KW
' Des'cribe Work . Floor Furnace'.
repair Dorch. .
. , Wall Heater
. Unitjleatei
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Clothes DrYer, .
Occupancy Use : , . Ventifaiinn Fin
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1 Y.' OAitigle Family Residence it O Multi-Family Residence ' Range Hood
O Office O Retail , O Storage 0 Church Air Handling'Unit— , CFM .
0 Restaurant 0 Other :1: H ,
, Pre-m014faitied Stove or Fireplaee . .
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. : NOTICE -„ : Gas Piping
This permit is issued by the BUdding Official and,under the provisions ., .
, 4 of the Uniform Building Code;shnfiexpire by limitation-3andbecome null
and void if the building or workiantlioriied by such permit is not'com- .. PERMIT $
menced within 180 days from the claientpeimir issuance,',or if the building ' TOTAL FEE $ .
:7,Ir oilwork:authorized by such NSA ilo suspendd or abandoned at am;time . . . ..
after the work is commenced fora period of 180 daY,S.
' TOTAL FEES : '. VALUATION 1 FEE
By affixing my signature, I hereby.certify that I ant the owner of the 'Building.
iH 500.0 $ 10.00
property for,whkh this permit is iSsued or am an antbOrized represen- ' 4Y
tanve of the owner. ' . !Plan Check . 0.00
f I 7,.,.. 7 Plumbing '.
., All prpvisions of laws and ordinances governing thiatYpe of work will _. . .: . .
mecnantcat
be'compfied with whether specified herein or not,including routine calls ,
"..". for indsfections. . t. Sign .. Demolition
,..; z4.01 0,4 • ".. , 1'110 0 r) A C I C ; Energy Surcharge
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4.60
;; &prime of Ownefl'or Authcirized.',Agent " J Male) State Surcharge ' .
.,, ' Other
'.;,, Sireet'Setback ' 1 SideAmillSeitiack ' Rear YAM SttiiiCk
TOTAL'" $ 14 .150
' Conditions:
'1,,. Use Zone Occiipiincy Group Type of COM.
Lot Area Vacant Site Dwelling -,Gnits ,
b Yes 0 No
l. Fire Sprinkles Required No.of Stories Bedrooms Occupantt Load '.,
0 Yes 0 No .
Size of Bldg. Plans Checked By- . .. .
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waopoiGNED,AND thirtb;BELOW,THIS!IS YOULPFATAT
.:.', perin‘sio'fi is ticletkijAltSIWIOie otwAlomolwarkscasiikst the.conditions
C bereotrandiCatrtliWoattitip4rUte,01sni and irgeificatimii peitaihink Wick°,subject to
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,I.- complianceititii tlia,otiiiiiirticits'of the'GM OF ANACORTES.
08/09/91 .
..PernOt Istued By/ , ::.1,, ..,,r i 1.11.S. .k.,...-;.vr..1,....1./ Cl
, . • Building Official , : ;Oils)
1 ' .
Edwin Ftank
! • , PERMIT Iwir,, 012
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Address <Co� j � A rf/
Legal Description
Assessors Account No .
Permit No . Date Description Date Finaled
/3 / 9/3DM a 3/ogee �t