HomeMy WebLinkAboutPermit File 1203 10th Street Ot City of AnacortesiT Permit#: BLD-2011-0285
\ 904 6th Street Issue date: 08/22/2011
P.O.Box 547 Expire date: 02/17/2013
'02 Anacortes, WA 98221-0547
; ' =¢ (360) 293-1901
Job Address: 1203 10TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-1922 Project:
APN: P55409
Remarks: Replace gas furnace.
Owner: RALPH WINTERBOTTOM Contractor: RONK BROS INC
Address: PO BOX 784 Address: 2917 COMMERCIAL AVE
GLENNS FERRY ID 83623-0784 ANACORTES WA 98221
Phone: Phone: (360)855-1025
License#:
General Information: Fees:
# Forced Air Furnace<=1,000 1 Mechanical Permit Fees 38.30
Total Calculated: 38.30
Deposits/Receipts: 0.00
Total Due: 38.30
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR !pi,
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 8
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
STAT LOCAL LAW RE ULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNA OF OWNER OR AUTHORIZED AGENT ISSUE BY
MECHANICAL PERMIT APPLICATION
Building Department
P.O. Box 547 Anacortes, WA 98221
Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: ) 2 D 3 /o q rd „E' sle% 98"'2 )
CONTIWOR
Name / d / �jf�p�j -y�N G PROJECT DESCRIPTION
• h ❑ New Work
Address 2. 9 1 7 ( ,12,1,1,7 r.A'C i 4s / hl[,^t
S
l � ) ❑ Alteration
City/State/ZipU2r7"n ei4 •.c c�
Phone-34C 2 qq S'3 ?, FAX 360 8 5.3- /0.27 Permit Fee 23.50
State License# Exp Type of Equip. Fee Each No. Amount
City of Anacortes Business License# Air Cond.Unit 10.65
PROPERTY OWNER j / 7 Refrigeration Unit 10.65
Name gefri!� �C/t J6_l) 4O `>-1 Forced Air System 14.80Address /`pX 7 g' AfFloor Furnace 14.80
City/State/Zip 6/-..A;A/5 F- 4 . /! <3 3t/-2 ' Wall Heater 14.80
Phone,,20 3 6`?-1 C 7 'FAX — Clothes Dryer 10.65
E-mail Address ,Vp/c'7,? UN/ a/ I S Gt/ (` )92/), t O' Ventilation Fan 7.25
APPLICANT Range Hood 10.65
Name P.474.4 J �iA) �•1 7I Gas Fireplace 10.65
Address Gas Water Heater 10.65
City/State/Zip 9; A37 Gas Piping 4.75
Phone FAX Other(Describe)
E-mail Address
CONTACT TOTAL FEES DUE
Name
Address f 43- rs, y
City/State/Zip
Phone FAX
•
E-mail Address
I HEREBY ACKNOWLEDGE I HAVE READ THIS PERMIT APPLICATION AND STATE THE INFORMATION IS CORRECT,AND
AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACTIVITIES COVERED BY THIS
PERMIT APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHLL HAVE A CURRENT
W •N STATE CONTRACTORS UCENSE AND A CITY BUSINESS UCENSE.STOP WORK ORDERS WILL BE
UED ON . : ITES WHE ONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT PROPER LICENSE.
C.�
APPLI 'S SIGNATURE DATE
Last Updated 11-29-05
MECHANICAL PERMIT
CITY OF ANACORTES PERMIT NO. : MEC93-0087
P.O. BOX 547 APPLIED: 04/16/93
ANACORTES, WA 98221 ISSUED: 04/16/93
(206) 293-1901 EXPIRES: 04/16/94
SITE ADDRESS: 1203 10TH ST
ASSESSOR' S PARCEL NO. : 3772-078-002-0004
PROJECT DESCRIPTION: Gas piping
— OWNER — CONTRACTOR
RALPH & LAURA WINTERBOTTEM
1203 10TH STREET
ANACORTES WA 98221
293-4223
TYPE OF WORK. . . :ADD BOILERS/COMPRESSORS- DOMES. INCIN ' 0
TYPE OF USE •RES 0-3 HP • 0 COMML. INCIN • 0
3-15 HP • 0 RELOC/REPAIR. . . : 0
FUEL TYPES 15-30 HP • 0 CLOTHES DRYERS. : 0
: /GAS/ / / : 30-50 HP • 0 GAS WTR HEATERS: 0
FURN < 1O0K BTU: 0 50+ HP • 0 STOVE, APPLI. . . : 0
FURN >=1O0K BTU: 0 AIR HANDLING UNITS-- FIRE LOG/LITE. . : 0
FURN - FLOOR. . . : 0 <= 10000 cfm. : 0 WOODSTOVES • 0
UNIT HEATERS. . . : 0 > 10000 cfm. : 0 OTHER UNITS • 0
VENT FANS • 0 EVAP COOLERS. . . : 0 GAS OUTLETS • 1
VENT SYSTEMS. . . : 0 HOODS • 0
VENT W/O APPLI. : 0
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 18.00 MD 04/16/93 1075
TOTAL $ 18. 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 pp an or Owner's Signature
24 Hour Notice Required For All Inspections
mecprmt, Rev: 06/11/92
ii
BUILDING PERMIT
CITY OF ANACORTES PERMIT NO. : BLD93-0098
P.O. BOX 547 APPLIED: 04/05/93
ANACORTES, WA 98221 ISSUED: 04/05/93
(206) 293-1901 EXPIRES: 04/05/94
SITE ADDRESS: 1203 10TH ST
ASSESSOR'S PARCEL NO. : 3772-078-002-0004
PROJECT DESCRIPTION: Reroof
OWNER -- — CONTRACTOR — LENDER
RALPH & LAURA WINTERBOTTEM
1203 10TH STREET
ANACORTES WA 98221
293-4223
TYPE OF WORK 'ADD AREA (sf) VALU. . . $: 3500
TYPE OF USE 'SF LOT • 0 REQUIRED SETBACKS----
CENSUS CATEGORY •434 1ST FLR • 0 FRONT 0 ft
ZONING 2ND FLR • 0 SIDE • 0 ft
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
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 44.50 MD 04/05/93 1027
STBC $ 4.50 MD 04/05/93 1027
TOTAL $ 49.00
i
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 ppl ant or Owner's gnature
24 Hour Notice Required For All Inspections
bld_prmt, Rev: 06/11/92