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HomeMy WebLinkAboutPermit File 2015 10th Street 0708204-2 0003 03/23/2007 002 102 Permit Fees 007352 $73.00 GST Y 0ott>,, City of Anacortes Permit#: BLD-2007-0216 904 6th Street Issue date: P.O.Box 547 Expire date: 03/21/2008 Anacortes, WA 98221-0547 Job Address: 2015 10TH ST Permit Type: Reroof Single Family Residence ANACORTES WA 98221-1421 Project: APN: P56129 Remarks: Re-roof residence Owner WARD DEDERICK C ETAL Contractor: CALIX ROOFING Address: 2015 10TH ST Address: 216 GIBSON ST ANACORTES WA 98221-1421 SEDRO-WOOLLEY WA 98284 Phone: (360)293-4934 Phone: (360)855-9203 License#: CALIXR*942DL General Information: Fees: Occupancy Group ir-1 Building Permit Fee 68.50 Building Valuation 7800 State Building Code Fee 4.50 Total Calculated: 73.00 Deposits/Receipts: 0.00 Total Due: 73.00 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 STAT CAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. jeov SIGNATUREdoF OWNER OR AUTHORIZZAGENT ISSt7 'Allelujah Business Systems, inc. 123 State St Sedro Woolley, WA 98284 360-848-1929 office 360.855-1157 office 360 855 9259 fox wWw aIlconiersVStems.00m Fax Transmittal corm So: e-5 19 J From: •a1 -I't /c4 Rain :5 Name: c. Date Sent 3I a*y1 p7 CC: 111 Phone: Number of Pages: Fec Z5G% -a-93 - 1935 ` Message; 1niao-it 4 - o Y�e.ScCItjt.d cor � nc1 to t . ,e,_ Cizivwx,. I?I Ck —t�nU{J � ir,�f;n t1-, o r+l or r o l-1 . Tif UU G%UeS4I tsnS � .e a a t Gx-1 3 o , g s s- °I ,a.o3 r ' its Residential Building Permit Application Building Department ''`tReo,� ' P.Q. Box 547 Anacortes, WA 98221 ' Phone No.: 360-293-1901 FAX: 360.293.1938 SITE ADDRESS: ao ► 5 1016 S.+. , Ano ccr $ LA 9g...3 I �ONTW iet. !'R' ,««tt►►I�,,,P' 11AfipieWttf` :,•141,Kr .t, rifikr iO1,4': . Namct Q.,�.f,j_ 9 , rv-r-06 1 $ 1,a'n‘t.. -- tii /^'� ets ,a en ce Address .'13 to Cs\`\ `A\ 1`. City/State/Zip Sato ablity 9 vt$iP Phontwot iss-')a,_„A FAX 0. State tinenae# Gta14IX Ie9°{]}p RxE oa lb ' ,1 If , ie City of Anaatcortesy'LIMyt{4yt�yyl dP b�-i s y(�9 S).. y'. �" y�� Ili'lryiA(.V1.f HR. t W YCA\II`.+�L(e;Y::, 1., i',v 7A�'1'.iikili��Ih��tilA KOWI �tl I .L\•i�',r, i ,, t S�,I l�,n 1 y l „ .Y•11 i 1 1' \` ... i a,lv� I Name_b;e,„„.,1 W cur a Address ..oiS I l0)' Sire: City/State/ZipState/7ip A1,,0.� �Qis_Irg _ � ' � 7 Phoml'o ,Z1 —t AX � Number of Dwelling Units E-Mail Address Number of Stories . Building Area: 7,`(#1.',F1'{'St'Ie,L`C,C10,,etx,'0.0fil grigtn_ d4"",;'•SM$ b1 I'Floor s.f. 2"s Floor s.f. Name 3N Floor s.f. Basement at Address Address Garage s.f. Carport a,£ City/State/Zip Deck s.f, Lot Area s.f. Phone FAX III ' E-mail Address T; n "i{in;ejS%"IA;i} N:dgUM ^I;P MEittc.,a •mfvi.,�..r���ai,.i n.';iERiii:ROKME!'t)i'�aVC�f'.:(.^tT,:1(y; i•':.:"i•" LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$S,000 Name IN VALUATION PER RCAF, 1 Address Name City/State/Zip Address Phone FAX . City/State/Zip IE-mail Address Phone No. CONTI NUED ON THE BACK • 07 0-9(6. ___±_a°� 4-- • =FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT x42 7629 293.1901 BUILDING PERMIT 24 Hrs. Notice Requested . Site Address .'.)t t!.1 t Pt ' , NAME (OR NAME OF BUSINESS) q ['knit it l• Ward PLUMBING AIL l� '>tlt^.eat 01'MAILING ADDRESS ADDRESS :M Na TYPE OF FIXTURE OR ITEM FEE CITY TELEPHONE NUMBER t Water Closet $ 2,of t i tlar.Ot t e':e.:, WA '28221 ."9•';•-492,4 Bathtub NAME 1 Lavatory • `-"t I Shower :.C)`.r ADDRESS Kitchen Sink Dishwasher CITY TELEPHONE NUMBER Laundry Tray Clothes Washer t NAME Water Heater fte.-tt 1 r on=sttucLion !,n. Urinal ADDRESS . Drinking Fountain ' tFSi 1110 201,11 's t r Eta L Floor Sink or Drain CITY TELEPHONE NUMBER 1 Slop Sink •-00 i o (mar or te- , WA 98221 295' 2717 1 Water Piping or)o STATE LICENSE NUMBER CITY LICENSE NUMBER PrOFILCCI4ICC aResidential 0 Non-Residential • PERMIT $ • .C)r) ❑ New C Add ❑Alter 0 Repair TOTAL FEE $ 1;.Ui! T ' O<Building 0 Plumbing 0 Mechanical MECHANICAL. ❑ Sign ❑ Demolition ❑ Other ❑ GAS ❑ OIL ❑ ELECT ❑ OTHER Legal Description of Property or Tax Account Number ° .i i Na TYPE OF EQUIPMENT FEE Lot Block I 7 ? of i s i t'd t-t t t N nat i.;r t e'n Air Cond. Unit $ Refrigeration Unit— HP Boiler— HP • Forced Air System— BTU/KW Describe Work • Floor Furnace '..tticlita .Bdcli Lion and remodel oar ago Wall Heater IL, bedroom and bedroom to bathroom. Unit Heater Clothes Dryer Occupancy Use Ventilation Fan 4 Single Family Residence ❑Multi-Family Residence Range Hood ❑ Office ❑ Retail ❑Storage ❑ Church Air Handling Unit— CFM I ❑ Restaurant ❑ 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 ISO 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 ISO days. TOTAL FEES VALUATION FEE ' By affixing my signature,I hereby certify that I am the owner of the Building "., i ^n .',() $ I Fit> no property for which this permit is issued or am an authorized represen- tative of the owner. Plan Check i I r.n All provisions of laws and ordinances governing this type of work will Plumbing I run be complied with whether specified herein or not,including routine calls Mechanical for inspections. Sign , Demolition Energy Surcharge Signature of Owner or Aathorited Agent (Date) State Surcharge Other Street Shack Side Writ Setback Rear Yard Setback TOTAL $ I ; `7 U Use Zone Occupancy Group Type ofComl. Conditions: Lot Area Vacua Site Dwelling Units ❑Yes ❑No Fire Sprinklers Required No.of Stories Bedrooms Occupant Load "‘ ❑Yes •DNo •Size of Bldg. PhDs Checked By: ..—. WHEN SIGNED MID DATE)BELOW.nos IS WPM PEEWIT Permission inhereby grimdescribed do-the abovebovedescribedmt ed work, rading to the conditions . hereto and aermang to the approved plans W meditations"pertaining therto,subject to aomplhoee with the ordinances of the CITY or ANACORTES. Permit Issued By 02/{t`tf 9{) Building Official (Dare) t .Je,ari l' rrinl' PERMIT rop 7629 1 I G z o, CITY OF ANACORTES WASHINGTON v h i coa1W BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the(Description of Building or Structure). A./} trC-fJ)IA ti nC„9--c� x9 � �:; Located At 'r, 1 /j` :�� VA Lit tt STREET&NUMBER Owner: k}r'I\,IC A.y,�. f tr-YA Constructed By: cDEC.-f:.1l t 70;CITA/1 A 1 C;vl'I 711 OWNER OR CONTRACTOR Bldg.Permit# I tract Date Of Issue: O>f`I ``-ir' Occ.Group: `C f'lh Use Zone: Ih''- Has Been Inspected And Occupancy Is Hereby Authorized, This girb Day Of AI,Au11,`+ 19 t lr'l . A' AUTAoRiziNc,oFFLCidi` SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS �- ■ 7629 2015 10th Street Dedrick Ward 2-9-90 Pearl Constr. Co. VN R3 RM Single Family Residence 3 79 D FR m t GA-V.SIC,ff P1.61 L NEW R,9TH cL C-0-4) - o Pett- o k. 577 -°t'O FRRraa r � 5 - l/ - it/e/m5-- V;aV G 'Xce( __Cy�(i1`' a. - -- :t FJ='� �c f.., R / J' (7ha,, JU.';_�p. J11: L c“,(72.,, C14a:; r � ()LAB°-c \ lthr' - 5- /5-9b ' ii 5-) to O Ta'pc\ R-\‘1,_ p 1 sr �--7490 c1lLi�� C9� it , CITY OF. ANACORTES BLDG/ PLUMBING 0 MECHANICAL ❑ PERMIT " _ 5464 Twonen.ua. I7$ IT A °"� J ANACORTEB, WASH. DATE f i it' i. PESMISSN IS NERDY • 1` OWNER UIlA fit e t i eta-- `e ©&af `0 ,i-' 5A LOCAT,LMFERE WOiPAC IS 70 BE DONE CONTRACTOR S>4 '/ "I) TO ERECT 0 STALL 0 OR REPAIR ott a- ,*57I& ryr/j, - 1 ' a A. i WNW EXPIRES ORE YEAR ATOM BATE ISSUED I, KARS FOR CONSTRUCTIOvampN 0 SUBMITTED RAW TO SF OOME WY OWNER0OOFII911Ci�1 ES RECEIPT OF FEES 1S AM IDM-ID6®AS nOLaOMlefc TYPE APP VALUE I PERMIT FEES OF MOM ISMS 1 SUM BINS .A o V 4J r U S T 6RS/MIN PISSIMI MI6 SS Mrs. t MAN CIMIa iaa r L lea ,.?ce/ c-c-1 ;U :, F St 3:/, 7,r /77 ( --ova ird S Cre. to ig,I / l7 ,db/Vc ,G7_ j (2C.l6j r /I Address ZO/s' /) s Legal Description / 7 734lc /77 on-G. Assessors Account No. 377z--/ 7`7- cl5F-O60c Permit No. Date Description Date Finaled 323 c) )-/z -i-z 20 X/o ` 2.eei jte.dc< 6ii s-a-g-17 1e, or(rs , y) 1