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HomeMy WebLinkAboutPermit File 2207 10th Street Y GtT Ofi., City of Anacortes Permit#: BLD-2008-0414 904 6th Street Issue date: 08/12/2008 P.O.Box 547 Expire date: 10/11/2008 %Uy= Anacortes, WA 98221-0547 '4,4 (360) 293-1901 Job Address: 2207 10TH ST Permit Type: Demolition Permit ANACORTES WA 98221-1444 Project: APN: P56214 Remarks: Remove 300 gallon heating oil UST. Owner: SCRIBNER MALCOLM TRUSTEE Contractor: Address: 2207 10TH ST Address: ANACORTES WA 98221-1444 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 Y �, . ,1 o ari,. ° CITY OF ANACORTES a 1 :r, DEMOLITION PERMIT APPLICATION 4 . M III Site Address: ,x o) 0 7 /0f4 7 Assessors Account No.: Date: 4 Lot(s): Block Addition: 'rite tl�-,1 ` Owners Name: Mari D rc,e, Sctrin✓C �V 1 Contractors Name: a rL C l e0 r _r e L Address: 0? a 0 7 /(Tf�� _ Address: S' 9 5 /�- 2� a Dot^ State: W a Zip: q pa I State: G/% Zip: 98L 0/ Phone: R(o D —el q 3 - 7 7.9 Contractors License: ,g e% 997ir/ Phone: 0 451,q�a,�gere) Have Utilities Been Notified? Description of proposed demolition. How will materials be disposed? Water Dept.: Yes No e C b rr vw S 5 1- one 30 6 a_,- Electric: Yes No f Cable: Yes No e r p t L ( A f t Gas: Yes No ) BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION, AREA MUST BE ROPED OFF! kpp ' ant's or Agent's Signature ASBESTOS WARNING Breathing asbestos is hazardous to your health. Before starting a renovation or demolition project, survey for friable asbestos materials. NotifyNorthwest Air Pollution Authority prior to asbestos I removal or containment 1600 S. 2°a Street,Mt. Vernon,WA 98273 (360) 428-1617. Fire Department Approvi t-�l-. Date: 7—f t— ©k Police Dept. Approval: Date: Public Works Department Approv • , • Date: `y �7�� 3 Comments: �� 0700903-1 0009 01110/2007 001 2 06 .• t'i'�iil is Fees. 007335 $55.00 `S1 Y O City of Anacortes Permit#: BLD-2007-0027 = 904 6th Street Issue date: 01/10/2007 " .otlielsr P.O.Box 547 Expire date: 01/10/2008 tvw Anacortes, WA 98221-0547 CiJ' aytic w. (360)293-1901 Job Address: 2207 10TH ST Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-1444 Project: APN: P56214 Remarks: Removal of old roof and replacement with a new roof. Owner: SCRIBNER MALCOLM TRUSTEE Contractor: Address: 2207 10TH ST Address: ANACORTES WA 98221-1444 Phone: Phone: License#: General Information: Fees: Building Valuation 4670 Building Permit Fee 50.50 State Building Code Fee 4.50 Total Calculated: 55.00 Deposits/Receipts: 0.00 Total Due: 55.00 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 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. SIGN)AkURF F OWNER OR AUTHORIZED AGENT ISSUED BY -ivy a Residential Building Permit Application Building Department 4. At P.O. Box 547 Anacortes, WA 98221 Phone No.: 360-293-1901 FAX: 360.293.1938 SITE ADDRESS: a o O l D . S� . H,Vt acn W . gFoio7 CONTRACTOR I Applicant ' PROJECT DESCRIPTION r ((� (( ��.'�q!co • Cl,.. 75 Crnova.L, o" oLL li-oolF Name J �"r'C' K�O +• c.V\ - ` � Address ,�,GI SC) Ow\eII Yepfofcevne,(cL U.) c.`Lk nece Ire'o'F- City/State/Zip 2Ufa y\q vrt U k.• J Phone733 co FAX A/Qi State License it Exp PARCEL NUMBER City of Anacortes License PROP ER/�TY OWNER. y.Applicant LEGAL DESCRIPTION: • Name /\4 c\V 1 0 V L c c_rt/ , uk o r-f" Address �C 07 0 7 to-Lk Sir c. City/State/Zip 149-)aCt9lte-c �a� PROJECT VALUATION J 77 '1 A 20 O 98 . Phone,7Lo o(.qj.,�� 7F�X �� Number of Dwelling Units E-Mail Address rY)5c(rtI3rlc4^i a Number of Stories VexL2-on. v\Pi Building Area: ©Architect t7 Designer O Engineer❑-Applicant 1st Floor s.f 2nd Floor s.f. Name 3rd Floor s.f. Basement s.f. Address Garage s.f. Carport s.f. City/State/Zip Deck s.f. Lot Area s.f. Phone FAX E-mail Address CO TACT LJ Applicant LENDER LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000 Name IN VALUATION PER RCW. Address Name City/State/Zip Address Phone FAX City/State/Zip E-mail Address Phone No. CONTINUED ON THE BACK Residential Mechanical Fixtures Fuel Type ❑ Natural Gas 0 Electric 0 Wood 0 Propane Gas 0 Other Type of Equipment Number of Type of Equipment Number of Fixtures Fixtures Furnace<=100K BTU Clothes Dryer Boilers/AC/Heat Pump Gas Water Heater Gas Outlets Gas Fireplace Ventilation Fans Fireplace Insert Stove,Appliance Other Units Range Hood Residential Plumbing Fixtures Type of Fixture Number of Type of Fixture Number of Fixtures Fixtures Toilet Clothes Washer Bathtub Electric Water Heater Shower Utility Sink Dishwasher Hose Bibb Hand Sink Water Piping Kitchen Sink w/Disposal Additional Fixtures I HEREBY ACKNOWLEDGE IF HAVE READ THIS PERMIT APPLICANT AND STATE THE INFORMATION IS CORRECT,AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACITIVIES COVERED BY THIS PERMIT APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHALL HAVE A CURRENT WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS LICENSE. STOP WORK ORDERS WILL BE ISSUED ON JOB SITES WHERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT PROPER LICENSE. AA. l/VLL</ ///O`D 7 APPLICANT SIGNATURE DATE FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT . 293-1901 BUILDING PERMIT 24 Hrs. Notice Requested Site Address - `�'1 1I..'t I, C..r t sc''L NAME(OR'NAME OF BUSINESS) PId1MB NC ma,t'gtda Sci ibtta l' ., MAILING ADDRESS Na TYPE OF FIXTURE OR ITEM FEE CITY TELEPHONE NUMBER Water Closet S s-el .Ac or t tos. W;I '?tt2"2 I . . . --'i 5''4 Bathtub NAME Lavatory Shower . rii ADDRESS Kitchen Sink Dishwasher CITY TELEPHONE NUMBER Laundry Tray Clothes Washer NAME I Water Heater _ uv l.iel Aire Inc.. Urinal ce AE Drinking Fountain _ ..'I:,.'DDR 7 SS In i`d i i c n :;t t'c. t- Floor Sink or Drain CITY TELEPHONE NUMBER Slop Sink u Lieninjttani, WA 9E><:..?..' Water Piping STATE LICENSE NUMBER CITY LICENSE NUMBER _ BE LALFIAL6ZLJ OPResidential '`'�f ❑ Non-Residential PERMIT $ e),-, Add❑New ' ❑ ❑-Alter C Repair 1 TOTAL FEE $ 1', a', • ❑Building CS Plumbing Mechanical MECHANICAL ❑ Sign ❑ Demolition ❑Other ❑ GAS , ❑ OII., ❑ ELECT'. ❑ OTHER Legal Description of Property or Tax Account Number No TYPE OF EQUIPMENT FEE Lot Block of Air Cond. Unit $ Refrigeration Unit— HP Boiler— HP ' • 1- Forced Air System BTU/ICW '' '''' Describe Work Floor Furnace lnst.al I ja's fut Race, and w+at i, Wall'Heater heat et Unit Heater Clothes Dryer Occupancy Use Ventilation Fan L7 Single Family Residence 0 Multi-Family Residence Range Hood ❑ Office 0 Retail 0 Storage 0 Church _ Air-'Handling Unit— CFM ❑ Restaurant 0 Other Pre-manufactured Stove or Fireplace NOTICE I Gas Piping ' .kit) 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 $ I ', C" inenced within 180 days from tee dale of permit issuance,or if the building TOTAL VEE $ ^`i .'-'", 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 Building $ property for which this permit is issued or am an authorized represen- o ;;;- tative of the owner. Plan Check • All provisions of laws and ordinances Plumbing Pia governing the of work will Mechanical 1 ' be complied with whether specified herein or not,including routine calls for ins ns. Sign Demolition ,R,,,,,.. Energy Surcharge Manaus of owner or Authorized Agent (Due) State Surcharge Street Setback Side Yard Said Rear YardSandi Other TOTAL $ ':2 .Of) Use Zone Occupancy Otoup Type ofConal. Conditions: 1 i Lot Area Wend Site Dwelling Units ❑Yee ❑No Fire Sprinklers Required No.of Stories Bedrooms Occupant toad - ❑Yes ❑No Size of Bldg. Plans Checked By: 1 WHEt,!FMB MID iy p ,teP- 7MSisY�Os r Pumnal*MS bee IS e� v v - - . von,a ts to the aocktieoa Mews arid seed diiitta the aaa - i dm%subject to I eatpWeel with the,Shan di the DM OF ANA 1 �r V Ij4n } Permit Issued By rt1'.,i J,7ekebr ('—Write t Bai mg ark -(Dale) NC! da Ay 22 F.cltui II 1' ; ,ant, t1f" 6Y PERMIT 0 a FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT eft" Ittite 293-1901 BUILDING PERMIT 2207 10TH 24 Hrs. Notice Requested Site Address NAME (OR NAME OF BUSINESS) t�lcolm Scribner PLUMBING MAILING ADDRESS 07 tOth Street No. TYPE OF FIXTURE OR ITEM FEE CITY NE NUMBER Water Closet $ Anacortes r WA 98221 293 Bathtub NAME Lavatory Shower ADDRESS Kitchen Sink Dishwasher CITY TELEPHONE NUMBER Laundry Tray Clothes Washer NAME Water Heater 2wner Urinal ADDRESS Drinking Fountain Floor Sink or Drain CITY TELEPHONE NUMBER Slop Sink o Water Piping STATE LICENSE NUMBER CITY LICENSE NUMBER d0 Residential ❑ Nqn-Residential v PERMIT $ ❑New ❑ Add ❑ Alter ❑ Repair TOTAL FEE $ >0 Building ❑ Plumbing 0 Mechanical MECHANICAL ', ❑'Sign ❑ Demolition ❑ Other ❑ GAS ❑ OII; ❑ ELECT. ❑ OTHER Legal Description of Property or Tax Account Number Na TYPE OF EQUIPMENT FEE Lot Block of Air Cond. Unit $ li Refrigeration Unit— HP Boiler— HP Forced Air System— BTU/KW Describe Work Floor Furnace Remodel Kitchen Wall Heater - Unit Heater Clothes Dryer Occupancy Use Ventilation Fan 13 Single Family Residence 0 Multi-Family Residence Range Hood 0 Office 0 Retail 0 Storage 0 Church Air Handling Unit— CFM 0 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 coin- PERMIT $ menced within 180 days front the date of permit issuance;or if the building TOTAL PEE $ 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 S e 0 "ON UU : By affixing my signature, I hereby certify that I am the owner ofthe G G property for which this permit is issued or am an authorized represen- Building $ tative of the owner. Plan Check All provisions of laws and ordinances governing this type of work will Plumbing be complied with whether specified here' or not, including routine calls Mechanical for inspectiogs. �,l Sign i / Demolition a. 5o f�YI -i /ki ,- ,01//, 40, • (6,6)/ : -- • / 7 Energy Surcharge Signature of Owner or Agent (i:W State Surcharge c5 SO Street Setback Side Yard setback ' hn ar Y d Setback Other TOTAL $ Use Tune Occupancy Group Type at'Caut. Conditions: ',I Lot Area Vacant She Dwelling Units ❑Yes ❑No Fire Sprinklers Required Na of Stories Bedrooms Occupant Load ❑Yes ONo Site of Bldg. Plans Checked By: WHEN satins ALA DATED IMB le YOUR P$RMTF Fermatas.b*S., tS do$e tat,ama4q to the eoodhiem ham mid geeorAita' ' . ",ioddi p rtaieing theirs subjdet to eompgam with tie MIS CITY tee ANACORIES. (01 ClayUn i i 7/91 Permit Issued B. Edrof'� tG�`rank (Dpel PERMIT sift! $140 0 CI FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT Ne 8703 293-1901 BUILDING PERMIT 2207 10th Street 24 Hrs. Notice Requested Site Address NAME (OR NAME OF BUSINESS) Malcolm Scribner PLUMBING 2M 0 7 lath street G ADDRESS Na TYPE OF FIXTURE OR ITEM FEE �Q7 CITY TEL,EPHONE NUMBER Water Closet $ Anacortes, WA 98221 93— Bathtub NAME Lavatory Shower ADDRESS Kitchen Sink Dishwasher CITY TELEPHONE NUMBER Laundry Tray Clothes Washer NAME Water Heater Fields Enterprise Urinal ta ADDRESS Drinking Fountain 'tole D Avenue Floor Sink or Drain CITY TELEPHONE NUMBER Slop Sink c An�C®rtec: WA 9E221 2 - 19 Water Piping . u STATE LICENSE NUMBER CITY LICENSE NUMBER FIELDE127LP ❑'`Residential Cl Non-Residential PERMIT $ ❑ New ❑ Add ❑ Alter Et Repair TOTAL FEE $ ftBuilding ❑ Plumbing 0 Mechanical MECHANICAL ❑ Sign ❑ Demolition 0 Other 0 GAS 0 OIL 0 ELECT. 0 OTHER Legal Description of Property or lax Account Number Na TYPE OF EQUIPMENT FEE Lot Block of Air Cond. Unit $ Refrigeration Unit— HP • Boiler— HP Forced Air System— BTU/KW Dbacribe Work Floor Furnace Per oaf Wall Heater Unit Heater Clothes Dryer ' Occupancy Use Ventilation Fan ❑"'Single Family Residence 0 Multi-Family Residence Range Hood ❑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 corn- 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 FEES O�VVALUATION tt .On By affixing my signature, I hereby certify that I am the owner of the 0-© Building $ f no piupvrty for which this permit is issued or am an authorized represen- tative of the owner. All provisions of laws and ordinances governing this type of work will Plumbing be complied with whetl}er specifed herein gr not,including routine calls Mechanical for inspections , ;°-,,! ! Sign !! 1 Demolition . ., ' +( .�.t.9,,�,•t' :G`•IA 1 < . ^. (:• /�! Energy Surcharge i ,ce(l Signaerre of Owner or Authorized Agent (Date) State Surcharge street Setback Side Yard Setback Rear 19id Setback Other TOTAL $ ei Use Zone Occupancy Group type of Conn. Conditions: r Lot Area Vacant Sae Dwelling Units ' ❑yes ❑No Fire Sprinklers Required Na of Stories Bedrooms Occupant Load ❑yes ❑No Size of Bldg. Plans Checked By: nee sisezeos DA , TBB I8 YOUR paw Arminian is hereby given to do the dremnl wart according*NW rendition' Mewl and!aeendi!g to the apposed trans and apectlicadapertathilig t6`rto.subject to compliance with the ordinances of the CITY OF ANA 04/24/91 Penal Issued By r i.1 .I . .- (Le .'.;. (O C S2...... Building Official (Dale) ' Edwin Franc' �pat� PERMIT llil a Address 2269 7C2 Legal Description s Lig r _Vac Z, z °K a Assessors Account No. 3772-2_62.- on s O0o7 Permit No. Date Description Date Finaled I