HomeMy WebLinkAboutPermit File 1207 10th Street 0429304-1 0001 10/19/2004 002 4
r, Fermit Fees 006101 $43.00
City M BCOrtes Permit#: BLD-2004-0110
904 6th Street Issue date: 10/19/2004
P.O.Box 547
Expire date: 10/19/2005
iw' f/;I: Anacortes, WA 98221-0547
+ 4?` (360) 293-1901
Job Address: 1207 10TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221 Project:
APN: P55410
Remarks: Construct new deck per drawings.
Owner: MARY ANN HENSON Contractor:
Address: 1207 10TH ST Address:
ANACORTES WA 98221
Phone: (360)293-7370 Phone:
License#:
General Information: Fees:
Building Valuation 2500 Building Permit Fee 38.50
State Building Code Fee 4.50
Total Calculated: 43.00
Deposits/Receipts: 0.00
Total Due: 43.00
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 REGULATING CO RUCTION OR THE PERFORMANCE OF CONSTRUCTION.
CnQ
SIGNAT RE O WNER OR AUTHORIZED AGENT ISSUED BY
111111 co .
* FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT § 9681
293-1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address 1207 10th Street
NAME (OR'NAME OF BUSINESS) PLUMBING
John Henson
MA1I BQO ADDRESS Na TYPE OF FIXIUREG(I ITEM PEE
t207 fOth• f3treet
CITY TELEPHONE NUMBER Water Closet 3„
Anucortes, WA 98221 293-7370 Bathtub
NAME Lavatory
Shower
ADDRESS Kitchen Sink
Dishwasher
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME Water Heater
Northwest Roof Care Prof. Urinal
ADDRESS Drinking Fountain
Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
8 Mount Vernon, WA Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
QtResidential Cl, Non-Residential PERMIT $
❑ New ❑Add ❑Alter ' ❑Repair TOTAL FEE $
CXBuilding 0 Plumbing 0 Mechanical MECHANICAL
❑Sign ❑Demolition ❑ Other ❑ GAS ❑ OIL ❑ ELECT. ❑ OTHER
Legal Description of Property or Tax Account Number No. TXPR,61?,EQUIPMENT FEE
Lot Block t of
. .r .
3772-078-004-0002 AirCond. Unit $
Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
Describe Work Floor Furnace
Reroof Wall Heater
Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
CXSingle Family Residence 0 Multi-Family Residence Range Hood
0 Office 0 Retail 0 Storage 0 Church Air Handling Unit— CFM
❑ Restaurant 0 Other Pre-manufactured Stove or Fireplace
NOTICE Gas Piping
This permit is issued by the Building Official and,under the provisions
of the Uniform Building Code,shall expire by limitation and become null
and void if the building or work authorized by such permit is not com- PERMIT $
menced within 180 days from the date of permit issuance,or if the building
or work authorized by such permit is suspended or abandoned at any time TOTAL PEE $
after the work is commenced for a period of 180 days.
TOTAL FEES VALUATION FEE
By affixing my signature, I hereby certify that I am the owner of the Building 4,UOU.UU $ 45100
property for which this permit is issued or antan authorized represen-
, tabus of the owner. Plan Check U .UU
Allprovisions of laws and ordinancesPlumbing
governing thiscltype work will Mechanicel
be complied with whether specified herein or not,including routine calls
for inspectors Sign
- .)• 1 Demolition
. o Energy Surcharge
move cf Owner or Aoflhotimd Apt (Due) State Surcharge 4 . 50
,Sam Setback `Side lied Saadi sear rind Setback Other
TOT.kL $ 4r . 50
e
Use Zone Omgparop y d 'type of Cam. CondRbna: i
Lot Area Vacant Sit Dwelling Unit
O lit O No
Pun Sprinklers Required Na of Stories Bedrooms Occupant Load
O Yes ❑No
Sim of Bldg. Plans Chocked By:
WHEN AND DA71Rt maw,TES PR IS YOUR RaQP
maths
ham add s " tot *roved phis y�mmPiemisiee is lee het tie elerieetheerlbed 0es t ti aceetdIng n ouRPot to
e eepamea with the esdiiaeeeaof the CITY 0* ANAODRTPH.
I
f ` .04 /15/92
Perml Issued By 1- -7 j a' d-:_ t/JJ i -- ( i t Q.-,
Building Official (Date)
Edwin Frank
PERMIT f d' 3681
,_,..1.-'.. .-.. .
. - , -, "...-... •
FOR INSPECTIONS CALL: . WY OF ANACORTES
, .
' 1293-1901 BUILDING PERMIT
..24 Hrs. Notice Requested. .
Site Address 1207 10th St rest'
..,,
ME(QP'NAME OF BUSINESS) .
NAME
nefitton PLUMBING
„ att.,644101 ,,, A
?tut 0 lutn AEsss-street , No. TYPE OF FIXTURE OkITEM FEE
TELEPHONE NUMBER Water Closet $
51;141cortes, WA 98221 2.93-7370
Bathtub NAME :
. Lavatory
Shower
,ADDRESS Kitchen Sink
. .
Dishwasher
'. CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME Water Heater
Urinal
re .
ADDRESS Drinking Fountain
'
, Floor Sink of
_.
CITY TELEPHONE NUMBER ' Slop Sink
.
- Water Piping.
STATE LICENSE NUMBER CITY LICENSE NUMBER
. . .
- CfResidential ,El Non-Residential : , — PERMIT $
QNew DAM El Alter Q Repair , IDTAcFEE $
Or Building 0 Plumbing El Mechanical NWRILOgIAL
... 0 Sign 0 Demolition bl. Other 0 GAS 0 OIL 0'ELECT. 0 OTHER
: - Legal pen of Priterty or TM Account Nrimber
re ,..., . No. TYPE OF EQUIPMENT FEE
1614"-i-gi-na'41Ft:A 3772—u r a—OVA—00t12 Air Cond. Unit $
Refrigeration Unit— HP
Boiler— HP
Forced Air System— . BTU/KW
Floor Furnace
%are; en rn
ng on house Wall Water
. .
Unit Heater '
CloMes Dryer
Occupancy Use Ventilation Fan
. 6 Single Family Residence El Multi-Family Residence Range Hood
'). • El Office ID Retail ID Storage 0 ehnrch ' Air Handling Unit— r- CFM
0 Restaurant El Other Pre-manufactured Stove or Firephee
NOTICE Gas Piping
This permit is issued bythe Building Official and,Mider the provisions
l ' oldie Unifonanilding Code,shall expire by limitatichnivinecome null
- -r-, and void if the building or work authorized by such-termit is not corn- PERMIT $
menced within*days from the.date of permit issuartingor if the building
IOTA, i E E $
or work authorized by such permit is suspended or abanfi oned at any time
',.... after the work is commenced for a period of MO dayi.
TOTAL FEES VALOATION FEE
., By affixing my signature, I hereby certify that I al the owner of the Build 6,000.00: $ 57 .00
. . property for which this permit is issued or am an authorized represen- ing
tative of the owner. ' Plan Check 0.00
.
Plumbing
.'. All provisions of laws and ordinances governing thri type of work will n _,
be complied with whether specified herein or not,incliMing routine calls mecilamcw
for inspections. Sign
Demolition
, •
r7P 11-41.4--end „ Energy Surcharge
. '
. ,
s. re of Owner or Authorized Agent (Date) j State Surcharge 4.50
-7, Other
,. , strea send side hot scemck ' r"w'iteetTard Sethrik
Tout' $ 61 . 50
Z Conditions:one Occupancy Group Type of Const.
.. .
Lot Area Vain Site Dwelling Units
0 Ym 0 No
Fire Sprinklers Required No.of Stories Bedrooms Occupant Load
- 0 Yes 0 No
1
,., Size of Bldg. Mins Crhecked By: •
•
WHEY Eft4ftem AND OAMISIELOIT,THIS IS yqint Muer
Psemieleastetnitjadtp:to do the eborreit eisaidag to the maiden.
: harem and' ' ' ' te, iiiireved pine led pertaining therto.subject to
' .i, compliers with the- " at the CITY OF ANAOORTES.
01/23/92
Permit Issued By i.- Cm\ V ti'l,c Lid (c..CDC Q, .
Bending°mew -' 1138e) NI nit
Edwin Frank
PERMIT
, .
- -
FOR INSPECTIONS CALL: CITY OF ANACORTES ``
PERMIT .�:d,. $648
2ea-4aoi BUILDING PERMIT
24 Hrs. Notice Requested Site Address .1207-10th Street
NAME(OR NAME OF BUSINESS) PLUMBING
John Henson MAILING ADDRESS No. TYPE OF FIXTURE.OR ITEM FEE
1207 10th Street
CITY TELEPHONE NUMBER Water Closet $
Anacorte.> , WA 9822" 293 -7370 Bathtub
NAME Lavatory
Shower
ADDRESS Kitchen Sink
Dishwasher
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME I Water Heater 2 .00
c Larson Heating, Inc. Urinal
ADDRESS Drinking Fountain
1 482 /loci,- Larne Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
u Anacortes, WA 9822. 293-4967 Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
LARS0IHI *112ME 4253
❑.Residential ❑ Non-Residential PERMIT $ : . 00
❑l New ❑ Add ❑ Alter ❑Repair TOTAL FEE " $ 15 . 00
❑ Building DyPlumbing D,Mechanical MECHANICAL
❑ Sign 0 Demolition ❑'Other Els,,AS ❑ OIL ❑ ELECT. ❑ OTHER
Legal Description of Ptopeety or Tax Account Number
Lot 3 t 1 Block 78 of Na TYPE OF EQUIPMENT FEE
Or ig ittal Flat. 37'i2-078 -004 -000_2 Air Cond. Unit $
Refrigeration Unit— HP
Boiler— HP
I Forced Air System— 75 ,0O0 BTU/KW t- ,00
Describe Work Floor Furnace
'install gas piping , gas furnace , Wall Heater
sl.,:y :.."ti es heater. Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
D,Single Family Residence 0 Multi-Family Residence Range Hood
D Office 0 Retail ❑ Storage 0 Church Air Handling Unit— CFM
❑ Restaurant 0 Other Pre-manufactured Stove or Fireplace
NOTICE 1 Gas Piping : . 00
This permit is issued by the Building Official and,under the provisions
of the Uniform Building Code,shall expire by limitation and become null
' and void if the building or cork authorized by such permit is not com- PERMIT $ ir .00
tnenced within 180 days from the date of permit issuance,or if the building
TOTAL FEE $ 27 .00
or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of 180 days. TOTAL FEES VALUATION FEE
By affixing my signature, I hereby certify that I am the owner of the
ptupealy for which this permit is issued or am an authorized represen- Building f
tative of the owner. Plan Check C .00
All provisions of lawns and ordinances governing this type of work will Plumbing .OQ
be complied with whether specified herein or not,including routine calls Mechanical 27 ,()U
for inspections. Sign ,
/ Demolition
!, (Ca-
4 ec. _. Energy Surcharge
Signature of Owner or Authorized Agent J(Date) State Surcharge
Street Setback side lard Setback Bnr wh'dF r'.eWack Other TOTAL $ .$s. .Ut)
use Zone Occupancy Omup Type or Cunt. Conditions:
Lot Area Vacant Site Dwelling Units
D Yee DNo •
Fire Sprioklen Required Na of Stories Bedrooms Occupant Load
❑Yes DNo
Size of Bldg. Plans Checked By:
WHEN SIGNED AIYD DA'In).RFLOW,TUN 18 YOUR mum .
Fermlains is baby give&to do the there depedind work according to the conditions '
hetetanad aaetedifig to the approveddaps errtpe�nt'tonspertaininpertaining thertw subject to
--
com
— -with the ordimneee ofthe CITY OF AOOR7E8.
C / e- 0 03/91
Permit Issued By C!
eliding Official Dam)) r
' Fa lit Fr..mit
PERMIT 0 1
Address /707 /644 Si
Legal Description f3U�
Assessors Account No. 377Z-. 07k- ®ny—
Permit No. Date Description Date Finaled
9R-3 s zy k icon
• //L`f gGec /410:r Cc®ti c