HomeMy WebLinkAboutPermit File 1916 10th Street 11 43C2-1 002 0 / 1i-{,2011 0011-
. Fr(ill t i Nes _I09130 $105 75
City of Anacortes Permit#: BLD-2011-0292
'�'71f: $ 904 6th Street Issue date: 08/25/2011
�"1" P.O.Box 547
Expire date: 02/20/2013
'0; Anacortes, WA 98221-0547
ofi `
Job Address: 1916 10TH ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-1420 Project:
APN: P56081
P56082
Remarks: Reroof with composition shingles.
Owner: ROBERT GILES Contractor: MOUNT BAKER ROOFING
Address: 1916 10TH ST Address: 3950 HOME RD
ANACORTES WA 98221-1420 BELLINGHAM WA 98226-9147
Phone: Phone: (360)733-0191
License#:
General Information: Fees:
Building Valuation 5882 Building Permit Fee 101.25
State Building Code Fee 4.50
Total Calculated: 105.75
Deposits/Receipts: 0.00
Total Due: 105.75
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 ISSU BY
E E ' ?, r ":7ill
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Re-Roof Building Permit Applica 1pr '': tii,, : J
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,:.- -. City of Anacortes Building Department r• ' + rT''i' ~-- •
`ooa's P.O. Box 547 Anacortes,WA 98221 F-f--.
Phone No.: 360-293-1901 FAX: 360.293.1938 ❑
Type of Permit: (check one) 2Residential 0 Commercial
Project Address: /q/(o /D1hS7Vefe, Parcel ID#
2 Q� S
Owner: g0h C /l es Phone Number: 2-61J o
Address: I'/1& (04h Sfree# City:_ 11-n a toges State: tdA Zip Code: qY�-�
Contractor: MT U OLKC.Y i o o-G r Cj. Inc- Phone Number: 3(D O '733'-t)d I
Address:,J50 14 ) ME R'd• City: S e I I I fl /l(,n State: WA Zip Code: %Q d
Contractor's License Number: MT13 Pr K O 55M I-- Expiration: 5- LI" 20 1 I
Type of Roofing: 'oYl Number of Layers: I Number of Squares: .0-15-
Class of Roofing: A o B o C Installing or replacing sheeting: //b
5For n
Work Scheduled to Begin: I � s no Work Scheduled to End: W/ r/l .-1- O{Cte
r o-+= J1-04-byl‘
The following is required for NON-Residential Buildings:
❑ All Non-Residential projects will require a site visit prior to the issuance of the permit for
obvious signs of fatigue, condition of existing roofing and number of existing layers.
O Two copies of the installation specifications and U.L. listed roof assembly.
O Building square footage:
❑ Occupancy Group Office Retail
Church Restaurant
School
Project Valuation: $ 5 1 f g 2,
I hereby certify the above information is correct and that the construction on, and the occupancy and the use of
the above described property will be accordance with the laws, rules and regulations of the State of
Washington. The applicant will be responsible for providing a method of safely accessing roof for inspection. A
final inspection and approval shall be obtained when the re-roofing is complete.
7WO 4 I at g gq- ll
Applicants Si.,natu' e Date
Revised September 11,2008
$ 105,76
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'i FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT Ng 7864
293-1901 BUILDING PERMIT
, 24 Hrs. Notice Requested Site Address 1916 10th Street
#' NAME (OR NAME OF BUSINESS) PLUMBING
a
Robert F Giles
MAILING ADDRESS 1916 10th Street No. TYPE OF FIXTURE OR ITEM FEE
CITY TELEPHONE NUMBER Water Closet $
Anacortes WA 98221 293-5068 Bathtub
NAME Lavatory
Shower
»_rm
ADDRESS • Kitchen Sink
Dishwasher
k CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME Water Heater
' Westcoast Roofing, Inc Urinal
a ADDRESS . Drinking Fountain
1144 S Burlington Blvd Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
o Burlington WA 98233 757-4000 Water Piping
j v STATE LICENSE NUMBER CITY LICENSE NUMBER
WESTCRI110KH
. [$Residential 0 Non-Residential PERMIT $
❑ New 0 Add ❑Alter [ Repair TOTAL.FEE $
• la Building 0 Plumbing 0 Mechanical MECHANICAL.
❑ Sign 0 Demolition 0 Other ❑ GAS 0 OIL ❑ ELECT. 0 OTHER
Legal Description of Property or Tax Account Number No. TYPE OF EQUIPMENT FEE
• Lot Block of
• #3 7 7 2 169 016 0005 Air Cond. Unit $
' Refrigeration Unit— HP
Boiler— s HP
Forced Air System— BTU/KW
Describe Work . Floor Furnace
new roof Wall Heater
Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
I CiSingle Family Residence ❑ Multi-Family Residence Range Hood
f ❑ Office . ❑ Retail ❑ Storage ❑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 TOTAL FEE $
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 PEES VALUATION FEE
By affixing my signature, I hereby certify that I am the owner of the Building 3 n(){) - 00 $ 39.00
property for which this permit is issued or am an authorized represen-
tative of the owner. Plan Check 0 .00
All provisions of laws and ordinances governing this type of work will Plumbing ,
be complied with whether specified herein or not,including routine calls Mechanical
for ins ' ns. Sign
�,,a� q Demolition
J„`� / Jl/j gV Energy Surcharge
S' nature of Owner or Aahorited Ages ) State Surcharge . fi()
Street Setback Side Yard Setback Rear Yard Setback Other
TOTAL $ A9,, cn
•
Use zone Occupancy Group Type of Cont. Conditions:
Lot Area Vacant Site Dwelling Units
❑Yes ❑No .
Fite Sprinklers Required No.of Stories Bedrooms Oca,pant Load
❑Yet -0No -
Size of Bldg Plans Checked By:
•
WHEN SIGNED AND DATED BELOW,THIS IS YOUR PERMIT
Permission is hereby given to do the shove described work awarding to the mmmvon
herein and second eg to the'pinned plans and specifications pertaining Dario,subject to .
compliance with the ordinances of the CITY OF ANACORTEB.
1 i, �'"i,`--
Permit Teamed By ,, ✓_.,. .:p-- -
- 05/23/90
Building Official ' (Dae)
Edwin Frank PERMIT N! 7864
Address / 9/G //) ,Zts
Legal Description -- /, /of n 13 yAa. or Hj/5 ' f 5 6bPhr /g
aIc /g 9 ,5/I '
Assessors Account No. 377 2 -/69 - D//
Permit No. Date Description Date Finaled
ZI 2-�' ‘/1b 6'X(9 r40/r/0 J
MECHANICAL PERMIT
CITY OF ANACORTES PERMIT NO. : MEC98-0121
P.O. BOX 547 APPLIED: 12/17/98
ANACORTES, WA 98221 ISSUED: 12/17/98
(206) 293-1901 EXPIRES : 12/17/99
SITE ADDRESS : 1916 10TH
ASSESSOR' S PARCEL NO. : 3772-169-016-0005
PROJECT DESCRIPTION: Gas furnace and piping.
- OWNER — CONTRACTOR
ROBERT GILES LAVINE'S HEATING
1916 10TH STREET P.O. BOX 992
ANACORTES WA 98221 ANACORTES WA 98221
293-5068 293-6543
LAVINHS0668F
TYPE OF WORK. . . :NEW 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 < 100K BTU: 1 50+ HP • 0 STOVE, APPLI . . . : 0
FURN >=100K BTU: 0 AIR HANDLING UNITS-- FIRE LOG/LITE. . : 0 I
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 r- NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 43. 05 MD 12/17/98 9523
TOTAL $ 43 . 05
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.
Issue by Applicant or Owner' s Signature
24 Hour Notice Required For All Inspections
mec_prmt, Rev: 06/11/92