HomeMy WebLinkAboutPermit File 1119 10th Street •
City of Anacortes Invoice/Permit#: BLD-2015-0023
904 6th Street Applied date: 01/21/2015
'""�" ' :. P.O.Box 547 Issue date: 01/21/2015
02' Anacortes, WA 98221-0547
Expire date: 07/19/2016
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Job Address: 1119 10TH ST Permit Type: Irrigation Permit
ANACORTES WA 98221 Project:
APN:
Remarks: Install irrigation system with backflow device
Owner: GARY GOGERTY Contractor: CONFORTI LANDSCAPING
Address: 1119 10TH ST Address: 14851 BENSON RD
ANACORTES WA 98221 BOW WA 98232
Phone: (206)399-2109 Phone: (360) 757-6310
License#:
General Information: Fees:
#of Backflow Devices 1 Plumbing Permit Fee 27.00
Total Calculated: 27.00
Deposits/Receipts: 0.00
Total Due: 27.00
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 GULATING O TRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIG A URE OF OWNER 0 AUTHORIZED AGENT ISSUED BY
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Finance Department
015036-0001 Maryellen 01/23/2015 10:17AM
PERMITS AND INSPECTIONS
GARY GOGERTY
BLD-2015-0023
Irrigation Permit
Install irrigation system
with backflow device
issued
2015 Item: BLD-2015-0023 27.00
Payment Id: 44361
27.00
Subtotal 27.00
Total 27.00
CHECK 27.00
Check Number 011414
Change due 0.00
Paid by: GARY GOGERTY
II I11111111111111I 111111111AI
Thank you for your payment
CUSTOMER COPY
DUPLICATE RECEIPT
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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: New single family residence
Location: 1119 10th Street
Owner: Donna Terra Gary-Gogerty
Constructed by: Rustad Construction
Building Permit#: BLD-2014-0286
Date issued: July 15, 2014
Use Zone: R-4
Dated: December 9, 2014
Authorizing Official: (Psi
3T-- ._ City of Anacortes Invoice/Permit#: BLD-2014-0286
904 6th Street Due date: 07/03/2014
_ P.O.Bax 547 Issue date: 07/15/2014
k!, ,1e0-5. Anacortes, WA 98221-0547 Expire date: 01/11/2016
Y V'' (360) 293-1901
Job Address: 1119 10TH ST Permit Type: Single Family Residence Permit
ANACORTES WA 98221 Project:
APN:
Remarks: New single family residence constructed per approved plans. Impact fees credited from demolished existing residence
Owner: WILLIAM GILLESPIE Contractor: RUSTAD CONSTRUCTION
Address: PO BOX 866 Address: PO BOX 937
MOUNT VERNON WA 98273-0866 ANACORTES WA 98221-0937
Phone: (360)293-2135 Phone: (360)661-2428
License#: RUSTACI016JN
General Information: Fees:
1st Floor Square Footage 1627 Plan Review Deposit 200.00
Garage Square Footage 460 Building Permit Fee 1,559.35
Building Valuation 201000 Plan Review Fee 813.58
# Forced Air Furnace<=1,000 1 Mechanical Permit Fees 104.00
#of Bathtubs 2 Plumbing Permit Fee 118.00
#of Clothes Dryers 1 State Building Code Fee 4.50
#of Clothes Washers 1 Sewer Inspection Fee 50.00
#of Dishwashers 1 Total Calculated: 2,849.43
#of Gas Piping 1 Deposits/Receipts: 200.00
#of Gas Water Heaters 1
#of Water Piping 1 Total Due: 2,649.43
#of Hose Bibbs 2
#of Kitchen Sinks 1
#of Lavatories 2
#of Range Hoods 1
#of Showers 1
#of Slop Sinks 1 1i -i -o txt '"` (wl '
#of Ventilation Fans 4 71 fl' ' -4 -P. M1,
#of Water Closets 2 2 4 m o ::1is �-
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN: 180 DA,S ffj
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMIVIENGXV q
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PffOVB
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN ORX1OT,JI IE,
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER TATa
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. t'! r-' C. - .•
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
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Baldwin, Jim
From: Monte Rustad <mdrustad@hotmail.com>
Sent: Friday, December 05, 2014 7:50 AM
To: Measamer, Don;Ingalls, Paul; Baldwin,Jim
Subject: 1119 10th St landscaping
To City of Anacortes,
The soon to be owner, Donna Terra Gary-Gogerty, of new home at 1119 10th st would like to acknowledge the
cities landscape requirements.
The majority of ground cover is complete. Along 10th street is not and is exposed topsoil. It is raked out and
controlled by sidewalk. She plans to complete landscaping this spring, when we have warm days to enjoy the
process.
Thank you for granting an occupancy, before this final requirement is complete.
Thank you
Rustad Construction Inc
By: Monte Rustad
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Engineering and Development Services
Residential Inspection
Address: 1 11ct — I®T '5 i Date:
Owner:
Contractor: IZ.v..st u 1O v a:U-( T LColtJ
Inspected by: t� (.� iAst._
1. Water Meter Box
Set firm and level to finished grade or backside of sidewalk elevation.
c1id and box undamaged.
dater meter and customer shutoff installed.
o debris.
Accessible—no landscape obstruction.
❑ Driveway installation has drive-over box and lid_
t mer gate valve intact.
o leaks at connections.
2. Curb and Gutter
Hacks, 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_
DNo low spot at curb line, especially at driveway cut. Maximum grade change in
20 feet is 'A inch.
3. Sidewalk
fld' cracks, damage, graffiti, footprints, finishing blemishes, or other objectionable
m
ADA c_ompliant—1 percent slope to curb.
if road frontage improvements:
❑ Expansion joints every 15 feet and at driveways.
❑ Concrete has broom finish -
11044. Driveway Approaches
D No cracks, damage, graffiti, footprints, finishing blemishes, or other objectionable
marks_
❑ ADA compliant_
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141),, 5: Streets
❑ No cracks,blemishes. _
If road or alley improvements:
❑ " Received proctor and sieve analysis of ballast, crushed rock, and asphalt.
❑
n
Received passing materials testing reports for sub-grade,-ballast, crushed
rock, and asphalt.
Q
Received tonnage tickets consistent with required thickness per approved
plans.
•
6. Sanitary Sewer
❑ Inspection card signed off and/or verified in Building Department database.
Er As-builtrecord filed in the address file. -
[t, rew cap(s).installed on clean-out(s).
[-1iean-out(s)set at finished grade.
7. Storm Drainage
❑ Inspection card signed off and/or verified in Building Department database.
fa--"As-built record filed in address file.
[—11ot blocked or diverted to adjacent parcel
411( 8. Public.Utilities Out of Traveled Way
❑ Concrete collars around City utilities.
❑ Final grading ok. .
❑ Restored to prior condition or better.
9. Landscape "i› .112_ Cc)ov&(.5c lZ7
❑ Bonded for completion at later date.
Verified against approve d landscape plan: .
❑ Installation.
❑ Type and quantity of plants. .
❑ Sod or seed in place. -
❑. Root barrier(receipt filed).
10. Erosion Control Measures .
❑ BMPs removed.
-
❑ All debris removed. Site clean.
0 Permanent vegetation established.
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LOCAL, STATE &FEI9M.PUILP1NG COPS lill:AVVN 13Y: PrUC Fus-rAr PAS: 06/21/14 :
A- Y 4,fi City of An rtes Perrflit#: BLD-2010-0414
904 6th Street Issue date: 10/11/2010
,"' P.O.Box 547
l/, .' Anacortes, WA 98221-0547 Expire date: 12/10/2010
(360) 293-1901
Job Address: 1119 10TH ST Permit Type: Demolition Permit
ANACORTES WA 98221-1920 Project:
APN: P55270
Remarks: Demolish House
Owner: 1 ANACORTES 10TH STREET LLC Contractor:
Address: 13142 PERSONS RD Address:
BOW WA 98232-7222
Phone: Phone:
License#:
General Information: Fees:
Total Calculated:
Adjustments:
Deposits/Receipts:
Total Due:
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.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
0 . 1
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CITY OF ANACORTES
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DEMOLITION PERMIT APPLICATION
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Site Address: /1/9 IO ` -Circe', S
Assessors Account No.: 377 2- 05 C 0 f - No 7 Date: 8 - /7-'0
Lot(s): Block: Addition:
Owners Name: &Y / i' i c1 e.( Contractors Name: 121 f'tIP.r Cbrisly'f,t.C.hg)1�
Address: l�}2. o ns 1 Address: 13 U 2- 1e rs 6 1'tS Rcl ko t4.)
State: la- Zip: el 8 23 2- State: W itZip: �'1'W2-3 Z
Phone: 3(,0• '4 2I - Iq D) Contractors License: KRE2 DC=Ca‘I f e
Phone: 36C) - -7 0 1- SS'8'
Have Utilities Been Disconnected? Description of proposed demolition.
Water Dept.: L 'No
Electric: No
Cable: . - No
Gas: Yes No How Will Materials be disposed?
BARRICADES TO BE'PROVID FOR P LI PROTECTION,AREA MUST BE
ROPED OFF!
1 pplicant's or Agent's Signature
ASBESTOS WARNING x_ 15I� j �d /a
�-I
Breathing asbestos is hazardous to your health. Before starting a renovation or demolition project,
survey for friable asbestos materials. Notify Northwest Air Pollution Authority prior to asbestos
removal or containment 1600 S. 2°`' Street,Mt. Vernon,WA 98273 (360) 428-1617.
Fire Department Approval: w;V\ a dL 14.111110 e(26 n-, Date: tO) ,► ) l J
Police Dept. Approval: - 4--"..N. Date:
Public Works Department Approval:, \1\1 ::a3a)t,.„.. Date: L d J i/7?
Museum: Date: 41.4..Q�1. a`f'i�1
Comments: o
10/11/2010 13: 01 36070755E6 KREIDER CONSTRUC ON PAGE 02/06
FROM :PHILLIPS ENVIRONMENTAL SUCS PAX NO. :3608547731 Aug. 19 2010 02:08PM P1
PHILLIPS ENVIRONMENTAL, SERVICES
29354 BACUS RD,
SEDRo WOoLLEY,WA 98284
360.8547900 FAX 360.6847731
FAX COVER SHEET
Date: 9,-19 -t o
To; _rZ 't Fax Number: -717—.%' T
At: — (A t f:"r pecie. „ Phone Number: c ._`f i - I90/
From: Dave Philips
Total Number of Pages:
(including this corer shank)
•
•
Subject:
(/uS Poc jg6 ) ChnSfar r r-• 1119 1 ae .i 97"-
Comments: (>0
Privileged and Confidential Communication
This facsimile lrq,tcmis'ian i:e'nratns private and com'idenitt i information intended solely for the toe of the
individual(s)named above, tf pnu are not the intended recipient, he advised that the unauthorized)use, disclosure, copying,
OP distribution of this information is strictly prohibited, Om have received this fax In error,please
not!fy sender!tnntt;dintrily by telephone, and return the original transmitted documents to sender by mail.
If all pages are not received j,Iaase notify sender us soon as pos.slhle ai f360)ii54-7900,
10/11/2010 13:01 36070755 KREIDER CONSTRUC ON PAGE 03/06
FROM :PHILLIPS ENVIRONMENTAL SVCS FAX NO. :360E547731 Aug. 19 2010 02:09PM P2
PHILLIPS ENVIRONMENTAL SERVICES
29354 BAcus Ro.
SEPRO WOOLLEY, WA 98284
360.854-7900 FAX 360454-7731 .
August 19, 20'10 Survey No. 100StS
Kreider Construction
13142 Persons Rd.
Row, WA 98232
360-421-1901
RE: Asbestos Survey: 1119 10th St., Anseortes,WA
On August I S, 2010, I inspected a single family,residence located at the above referenced address for
the purpose of determining the presence or absence of building materials that might contain asbestos.
Title 40 Code of Federal Regulations(40 CFR), subpart M, section 61,1.41, established the allowable limit of .
asbestos in building materials at 1%by weight. Materials containing more than 1%eshe,stos arc regulated and
roust be handled in accordance with Federal, State, and Local regulations.
Surveys are based on "visible and accessible materials' and although reasonable effort was made to locale and
test all suspect materials, some suspect materials may remain bidden in walls or below floor underlayment or
other areas until demolition or renovation work makes them accessible. If other suspect materials are discovered
dusting the course of demolition or remodel activities they will require testing pitiar to continuing work.
Twelve bulk samples were collected and subsequently analyzed for asbestos content by Polarized Light
•
Microscopy with Stain Dispersion, None of the samples were found to contain more than 1% asbestos.
This letter along with the attached material list and lab report will comprise the `Asbestos Survey'.Please call
us if you have any questions.
Sincerely,
•
i)a,ve R. Phillips
AHERA Bldg, Insp.
Ccrt.* 10-0024(expires 1-6-1.1)
enclosure
10/11/2010 13: 01 36070755E6 KREIDER CONSTRUCON PAGE 04/06
FROM :PHILLIPS ENVIRONMENTAL SVCS FAX NO. :3608547731 Rug. 19 2010 02:09PM P3
PHILLIPS ENVIRONMENTAL SERVICES
29394 BAcus RD.
SCOR"WOOLL V,WA 98284
360.854-7900 FAX 360,854'7731
Client: Kreider Construction Asbestos Survey- 1119 1014 St. Survey#: 10086
1314 Persons Rd. Anacortcst WA
Bow,WA 98232
3&I-421-19b1 • Survey date: 8.18-10
Homogeneous Material List
Material ii&Description— Location(hmmog.area) Type Frlalt Comb Qty. Sample#&Lotatine Asbestos
,-
1—Asphalt roofing, Carport roof „ TMiae N F I - I s Carport roof N/D
2 Asphalt roof w/sand + Main.roof(Linder Inetal) Misc' N F 2 Mttin roof. N/D .
3 2 layers vinyl sheet Kitchen floor(top layers) Misc' N F 3 Kitchen floor N/I)
_4J Linoleum Kitchen(below underlay) Misc N F _ 4 I. Kitchen floor 1 N/0 1
$ Vinyl tile on vinyl Bath floor(top layers) -Miss N T F - 5 Bathroom floor N/D
sheet remnant
f,, Vinyl tile on linoleum Bath(below unttoriny) Mlse N F f+ Bathroom floor N/0 .
' 7 'Popcorn' ceiling paint bedroom coiling Surf N 1^' la Front bedroom calling N/D
tsxture 7b Front bedroom ceiling N/D
7c Front bedroom ceiling N/D
8 Drywall&jr.Comp. Walk,ceilings Mlse N F 8a Front bedroom wall N/I)
' Rb Living room wall N/D H
9 Calming putty Windows Miss N J F 9 {'Dining room window • I , N/D
•
Nth•,None Detected
rr=Nor fasted•previous sample tested positive
Nine; Friability assessment?'wore mode on these materials in their present undisturbed condition.
N damp m disturbance of any king tatty Mlle Annie nun-hipbta matoriula In became friable.
Quantities yhnwn are upprn}tinlotn-field verification recommended
10/11/2010 13:01 36070755 KREIDER CONSTRUCON PAGE 05/06
FROM :PHILLIPS ENVIRONMENTAL SVCS FAX NO, 13609547731 Aug. 19 2010 02:09PM P4
PHiLLIPS ENVIRONMENTAL. SERVICES
293S4 BACUS RD.
SEDRO WOOLLEY, WA 98284
360-854-79QO American Industrial I1yaimc Association Lub ID,tt 102950 FAX 360,854,7731
AASBESTOS.B_ LK SAMPIA,A►NAZM '
Client Name: Kreider Construction
13142 Per:rons Rd. Survey#; 10086
Row,WA 98232
360-421-1901
Source of Samples: 11119 l0tb St.,Anacorteo,WA gate Reed;8.18-10
h.~ Y� •' .. _„ Analytical Method: PolarizedLight Microscopy with Dispersion Staining(PLM4i)S Method)
Sample#; Lab No.: 49629 Location; Caroort roof ,,_
i,nyers Description: _ Nr .Fibrous Material: Other Fibrous Mat']:°A A kbestos pe: %
1 slyer I of 2 Asphalt torch-down roof Asphalt M Synthetic 20% _None detected_
Layer 2 of2 Asphalt felt Ay1?hnit Glass 20% None detected
•
Sample 0: 2 Lab No,: 49630 Location: Main rr1c;F, ttnder'Octal roofs
Layers Description; Non-Fihroua Material: - Other Fibrous Mat'!:"/o Asbestos Type: %
1,aycr 1 of 2 Asphalt roof w/Anr1 Asphalt/gain Ies Col Ili last 20% None detected
i.ayer 2 crr 2 Asphalt roof w/sttnrl Asphalt/granules Cellulose 20% None detected
Sample#: 3 _ Lab No.: 49631 Location: Kitchen floor(top layers)
Layers Description: Non-Fibrous Material; Other Fibrous Mat',:% AShentrIN Typet°/n
Layer I of 6 White vinyl shoe( _. Vinyl/I.ihtdcr None detected None detected
Layer'2 of 6 Croy 111trou.s paper-like Material Hinder/Pine particles - Ccllulnma 20%,(ilass 10% None detected
Layer 3 of 6 Yellow mastic _ Mastic/binclar Cellulose trace Nnnc detected
I,aycr 4 of 6 Or white vinyl sheet Vinyl/flintier None detected None detected
Layer 3 of d_ ()ray fibrous paper-list material f3lndc:r/rino particles M - Cellulose 20%,[.ilacs 10"ln None detected
I,nycr 6 of fi Yellow rnnstUC Mastic/binder Cellulo9c MCC None detected
Sample ft; 4 Loh No.: 49632 Location: Kitchen floor below underlay)
Layers Description: W _Nan-Fibrous Materia): Other_Fibrnus Mat'':% Asbestos Type: %
Layer 1 of 3 Multi-color linoleum w Linoleum Celluloac S% None detected
-nw
I aryer 2 of 3 t3rocn fibrous paper- e tnalar liklFi.l 13indcne part
icles ..� Ce1Iu1oae$10% .� None detected
Layer 3 of 3 brews maskMastic/binder Celhduse tract None detected
. Samplem # 5 Lab No.: 49633 Location: Rath-morn floor(top layers)
_— Layers Description: Non-Fibrous Material: Other Fibrous Mat'l:% Asbestos Type; %
Layer t of S 'fern vinyl tile Vlnyl/hinder None deleuted None detected,,
I.aycr 2 of 5 Clear mastic Mastic/binder C,allulose trace None detected
!Ayer 3 of 5 Grey leveling compound Binder/fine particles Cellulose trace None detected
Layer 4 of 5 t'irey fibrous paper-111ce material lnder/Fine particles Cellulose 20%,,Ohms s 104.4 None detected
1.Dyer 9 of-5 Yellow mastic Mastic/hinder Cellulose trace None detected.......... ....... ......... De: .5...'''f 9- t o . . ..
Dave B,Phillips
Samples retained for 2 weeks unless otherwise requested in writing.
Lab results arc!camplotely confidential. WrilIti t permission Is requirted to release results to another party,
10/11/2010 13:01 36070755 KREIDER CONSTRUCTION PAGE 06/06
411
FROM :PHILLIPS ENVIRONMENTAL SVCS 1'AX NO. :3E108547731 Rug. 19 2010 02:10PM PS
PHILLIPS ENVIRONMENTAL SERVICES
29354 RACut3 RD.
S DRO WOOLL,e1r, WA 98264
360-854-7900 AniaNcnn Ir 1usrrial Hyt;iime A-vsoeinrron Lahti).k 102950 FAX 3604 154-7731
AS1R> STOS BULK_SAMPLE ANALYSIS •
Semple#: 6 Lab No.; 49634 Location: Bathroom floor(below undet•lay_) _
l.aycr9 _ Description; — Non-Fibrous Material; Ocher Fibrous Mat % Asbestos ype:
Layer 1 of 5 Croon vinyl tile Vinyl/Bin er Nana detected None detected
I.ri"ycr 2 of 5 Clear mastic Mastic/hinder Cc11ulose lines _ None detected
!Ayer 3 of 5 Multi-color linoleum I.Innlcum Cellulose 5% _ None detected -
!Ayer 4 of 5 I rlreen fibrous psiper.11lre material Milder/Fluparticles Cellulose SO% None detected
•
LAyer 5 of'5 r Rrnwn mastic _— Mastic/binder-_ Cellulose tract None detected
Semple#: 7a hp
ab No; 49635 T.ac allon: Front bedroom ceilu�center
_I.aycrs Description: Non-Fibrous Material; - ,Other Fibrous Met"I:% Achestna Type: '
Layer 1 of I 'Popcorn'ceiling texture Iihrderlsynthctic row ii�t Cull trace None detected
Salome)4! 7b Lab No.: 49636 ,, Location: Front bedroore 51111 ,S'W corner
1,ayorts Description: Non-t'Ibrous Material:• Other Fibrous Marl;% Asbestos Type %
layer I of 1 r `P& rn'ceiling I•clure ^Binder/synthetic foam lumps Celhtlnse trace e •None detected
Sample#: 7e �rnb No.: 49637 J.neetian: Front bedroom ceiling,NE corner
Layers Description: _ 'Non-Fibrous Material: Other Fibrous Mat'l:% Asbestos Type;%
'Ayer I of I `Popcorn'ceiling texture hinder/synthotiu loam hmps' Cellulose trace None detected
Sample 1t; 8a Lab No.; 49638 Location: Front ho&iroont wall
Layers Description; _ , Non-fibrous Material: Other Fibrous Mat Location:
% A5belttos T ; %
__Layers
I or Off white compacted powdery rnat'l Binder/fine particles Cellulose true None detected
Layer 2 of 2 .Drywall Gypsum/wood Chips C;sltuleiac 30% None detected
Sample li: lib 1stb No.: 49639 Location: Living.,room wail
havers Description_ Non-Fibrous Material; Other Fibrous Mat'I;% .-- w Assbcitnn T'pet %
•
Layer i al'2 Off whin:crmpn.rted powdery mat'I Rindcriline particles r Cellulose trace None detected
` 1I.nyer 1 of 2 Drywall Gypsrun/wood chips Cellulose 30% None detected
Sample Ti: 9 Leb No.; 49641) Location: Dininu room window
_ Llyers Description: Non-Fibrous Material; Other Fibrous Mat'1;%!, ,Asbc,+tosr Tvygs%
Layer 1 of I (7lrtxina putty Binder/tint particles Cellulose trace- None detected
4
Analysst:c)........c.e.„4m.....
..Dace' ,V" J' — iDave I'I.
Samples retained for 2 wueha unies$otherwise re9utated in writing.
Loh results are i N>?i/t/clely CstYilldar,tia1, Wrillen permission 1s required to Nlsaso recultx to another party.
BUILDING PERMIT
CITY OF ANACORTES PERMIT NO.: BLD2000-00310
P.O. BOX 547 APPLIED: 00-10-03
ANACORTES,WA 98221 ISSUED: 00-10-03
(360)293-1901 EXPIRES: 01-10-03
SITE ADDRESS: 1104 11TH STREET
ASSESSOR'S PARCEL NO.: 3772-058-016-0000
PROJECT DESCRIPTION: Reroof garage.
OWNER CONTRACTOR
CLAUS FAMILY CORP.
15893 YOKEKO DRIVE
ANACORTES, WA 98221
Primary Phone: Primary Phone:
Phone 1: 293-3081 Phone 1:
License#:
TYPE OF WORK: ROF AREA VALUE: $ 685.00
TYPE OF USE: SF LOT: sf REQUIRED SETBACKS:
CENSUS CATEGORY: ?
FLR: sf
ZONING: 1STFLR: sf FRONT: ft
2NDOccupancy Groups BASEMENT: sf SIDE 1: ft
GAR/CARPORT: sf SIDE 2: ft
1: R3 2: OTHER: sf REAR: ft
3: 4:
REQUIRED PARKING
Construction Types NUMBER OF UNITS: TOTAL:
1: 5N 2: STORIES: HANDICAPPED:
3: 4: BUILDING HEIGHT: ft COMPACT:
IMPRV SURF: sf
FEES NOTES:
Type By Date Receipt Amount
PRMT MRD 00-10-03 0105550 $13.00
STBC MRD 00-10-03 0105550 $4.50
Total: $17.50
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 state and federal laws regulating activities covered by this permit.
g .1, / 2 roctt) rl
Issued by icant or Owners Signature D � �
CONDITIONS OF APPROVAL:
24 Hour Notice Required For All Inspections
\\ �
m«: 4NAL ma
MUNICIPAL BUILDINS
+ Ell STREET
(3S0) 1
NONCE DEPARTMENT
RED-HCFIAT:03-3105550 CgOct 032
LA8dIFE ID:n 5Y m 03
/§
HILDIPAS 13 § a\
s
: STATE s
L DUE 861g00
FROM:_, > C.< > a\ G±
TOTAL TENDERED $61.00
---- �
CHANCE DUE Ǥ
( )
BUILDING PERMIT
CITY OF ANACORTES PERMIT NO.: BLD1999-00059
P.O. BOX 547 APPLIED: 5/12/99
ANACORTES,WA 98221 ISSUED: 5/12/99
(360)293-1901 EXPIRES: 5/12/00
SITE ADDRESS: 1119 10TH
ASSESSOR'S PARCEL NO.: 3772-058-018-0107
PROJECT DESCRIPTION: Construct 12 foot by 24 foot per approved plans as noted.
OWNER CONTRACTOR
RITI CLAUS I
15893YOKEKO DRIVE
ANACORTES, WA 98221
Primary Phone: Primary Phone:
Phone 1: 293-3081 Phone 1:
License#:
TYPE OF WORK: ADD AREA VALUE: $ 3,800.00
TYPE OF USE: SF LOT: 288sf REQUIRED SETBACKS:
CENSUS CATEGORY: 438
1ST FLR: sf
ZONING: ? 2ND FLR: sf FRONT: 201t
Occupancy Groups BASEMENT: sf SIDE 1: 10ft
GAR/CARPORT: sf SIDE 2: Sft
1: U1 2: OTHER: sf REAR: 20ft
3: 4: REQUIRED PARKING
Construction Types NUMBER OF UNITS: TOTAL:
1: 5N 2: STORIES: 1 HANDICAPPED:
3: 4: BUILDING HEIGHT: 16 ft COMPACT:
IMPRV SURF: 28 sf
FEES NOTES:
Type By Date Receipt Amount
PRMT EF 5/12/99 10028 $44.50
STBC EF 5/12/99 10028 $4.50
Total: $49.00
I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply
with all ordinan and state and federal laws regulating activiti .. gvered by¶his permit. �r
Issued b Ap Iicant or Owner's ignature
CONDITIONS OF APPROVAL:
24 Hour Notice Required For All Inspections
11
BUILDING PERMIT
CITY OF ANACORTES PERMIT NO. : BLD93-0367
P.O. BOX 547 APPLIED: 08/17/93
ANACORTES, WA 98221 ISSUED: 08/17/93
(206) 293-1901 EXPIRES: 08/17/94
SITE ADDRESS: 1119 10TH ST
ASSESSOR'S PARCEL NO. : 3772-058-018-0107
PROJECT DESCRIPTION: Reroof Residence
— OWNER — CONTRACTOR — LENDER
ROBERT CLAUS
350 YOKEKO DRIVE
ANACORTES WA 98221
TYPE OF WORK *ADD AREA (sf) VALU. . . $: 2900
TYPE OF USE •SF LOT • 0 REQUIRED SETBACKS----
CENSUS CATEGORY • 434 1ST FLR • 0 FRONT • 0 ft
ZONING 2ND FLR • 0 SIDE • 0 ft
:7 BASEMENT • 0 REAR • 0 ft
OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING--
:R3 : 7 : 7 :7 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
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 38.50 DM 08/17/93 2017
STBC $ 4.50 DM 08/17/93 2017
TOTAL $ 43. 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.
Nigh
Qu oourinil ey LQ-k c cr ir'-'A plicant or Ownerrs Signa--L
ture
by
24 Hour Notice Required For All Inspections
btd_prmt, Rev: 06/11/92
�° CITY OF ANACORTES
BLDG. ❑ -PLUMBING t3 MECHANICAL ❑
PERMIT 4 6801
Telephone 293-1901
Anacofln,WA Date /Sr /Os r' 19 Sr
PERMISSION IS HEREBYf G5ANTED TO:
OWNER /2 a S
STREET f i
ADDRESS tit / 9 /Le S7.
Location where work is to be done
CONTRACTOR airy-fit
TO ERECT ❑ INSTALL ❑ OR REPAIR W
IN THE FOLLOWING MANNER: !Vf•/-Pr /rPe fry YN,a
L ex
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
OT
PLANS FOR CONSTRUCTION WERE
RE.g SUBMITTED
WORK TO BE DONE BY OWNER 9it CONTRACTOR 0
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE APPROXIMATE VALUE PERMIT FEES
OF'WORK +
State Building Code Surcharge , {
State Energy$tudy Surcharge
Building
Plumbing and W.S.
Mechanical
Plan Check Fee
` 3
TOTAL 00
LEGAL DESCRIPTION gi.)0/4 ile4 #L g/k nt
377] - !49 -6,107
• c