HomeMy WebLinkAboutPermit File 2204 14th Street GZT O City of Anacortes Permit#: BLD-2009-0312
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904 6th Street Issue date: 08/31/2009
P.O.Box 547 Expire date: 02/27/2011
02 Anacortes, WA 98221-0547
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Job Address: 2204 14TH ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-2054 Project:
APN: P56241 I
Remarks: Reroof
Owner: ALCORN REVOCABLE TRUST Contractor:
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Address: 2204 14TH ST Address:
ANACORTES WA 98221-2054
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 3200 Building Permit Fee 44.50
State Building Code Fee 4.50
Total Calculated: 49.00
Deposits/Receipts 0.00
Total Due• 49.00
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR±FL8
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 O
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR2
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. ‘cy
SIGNATURE NER AUTHORIZED AGENT ISSUED BY
: :FOR INSPECTIONS.CALL:' CITY OF ANACORTES PERMIT .,
293-1901 BUILDING 'PERMIT
24 Hrs. Notice Requested Site Address 2204 't ' Street
' _ NAME (OR NAME OF'BUSINESS)
: Ernest L,' 11G F37e PLUMBING , . .
MAILING ADDRESS '
2204 14th Street No. TYPE OF FIXTURE.OR•ITEM 'FEE. ' ,
. CITY TELEPHONE NUMBER Water Closet $
Ane.cartee, WA 98221 293-OM34 Bathtub
NAME Lavatory
�i Shower
"',, E ADDRESS Kitchen Sink:
x Dishwasher
CITY TELEPHONE NUMBER Laundry Tray `
- Clothes Washer
NAME Water Heater
Barran Heating Urinal
Q ADDRESS Drinking Fountain
tFS P. 0, Box 1116Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
°u Bellingham, WA 98227 87S°-1.1 31 Water Piping .,
- STATE LICENSE NUMBER CITY LICENSE NUMBER
IS SARROHA179D7 4124,
a ' ❑kltesidential D Non-Residential l - PERMIT $ '
❑ New ❑ Add ❑ Alter ErRepair - TOTAL;FEE, $
0 Building 0 Plumbing O-sMechanical MECHANICAL I
'
0 Sign ❑ Demolition d Other EXGAS 0 OIL ❑ EI Cr. 0 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
Forced Air System— BTU/KW
Describe Work . . Floor Furnace'
-� Install Gas stove - Wall Heater _
- Unit Heater ,. -
' „ . Clothes'Dryer-
Occupancy Use - - Ventilation Fan
DxSingle Family Residence 0 Multi-Family Residence Range(Hood
„j 0 Office : 0 Retail 0 Storage ,. 0 Church - Air Handling Unit— - CFM
0 Restaurant 0 Other I Pre-manufactured Stove or Fireplace 6.SO
NOTICE 1 Gas Piping 3.t7O
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 $ 15.00
menced within 180 days from the date of permit issuance;tpr if the building TOTAL FEE $ 24=50
or work authorized by such permit is suspended or abandoned at any time '
' I "'.' after the work is commenced for a period of 180 days: TOTAL FEES VALUATION FEE
By affixing my signature, I hereby certify that I ani-the owner of the • Building -a $
property for which this permit is issued or am an audibrized r'epresen-
tative of the owner. Plan Check O=CJO
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 24, 5 to
for inspections. Sign
'�Demolition
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jxz--e..- -�ice• 'G44?.' ;,v '-Energy Surcharge
3�,, Sig/intuitof Owner or Authorized Agent+„ ,(Pate) '.Stare Surcharge
' Street Setback Side Yard Setback Rear Yatil Setback Other
"
TOTAL': $ 24.5U
i Use Zone Occupancy Group Type of'Consc Conditions:
: Lot Area Vacant Site Dwelling Units -
❑Yes ❑No
-. Fire Sprinklers Required No.of Stones Bedrooms Occupant Load
", ❑Yes ❑No
Size of Bldg. Plans Checked By: -
WHEN SIGNED AND DATED BELOW,THIS IS YOUR PERMIT
Permission is hereby given to do the above described work according to the conditions
hereon and according to the approved plans and specifications pertaining therto,subject to •
compliance with the ordinances of the CITY OF ANACORTES. - -
' i�1`G/25/91
Permit Issued By ': i�: t{ �w'1 e t _ .. #`;`"5`t 0(„..Q., M
Building Official (Date) '
Edwin Frank
PERMIT
'-
BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
ri 2 856
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THIS IS TO CERTIFY that the (description of building
or structure): lLcAk12. I- ,asIAAA1-4d
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Owner: "LW'S ' 1.00..tancel.A4
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Street and No • 2 2.04 /"Th "TtrfS r
C Contractor: iiikte.Vwolotr Fire Zone:..3
Building Permit No • 2.$4%Occ. Group: R, 3 Use Zone: Rt Iwesio
has been inspected and occupancy is hereby 1
authorized:
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61- 2.9 4/ 1
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Qs-Raki,, Ufa ,
.!, \ Building Inspector
CITY OF ANACORTES
BLDG. 0 PLUMBING D MECHANICAL-❑
- cC. PERMIT J `. a94.41
4_Telephone 293,5173 ,f f
ANACORTES, WASH. DATE `-+"C T ' 19h
LPERMISSION-IS HEREBY GRANTED TO:
OWNER- ',tt t-'_. 2{x.,((Ri ..
STREET )r. . , -
ADDRESS-oe '£1I ^/ y
LOCATION WHERE WORK IS TO SE DONE
L C,y M
CONTRACTOR G' red:Asr.:rr (..A
TO ERECT Q` N} TALL ❑ OR' REPAIR -,❑
IN THE FOLLOWING MANNER./ ice..= ?"``�"+.t. . 74-) 6'7' -. -A
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
E NOT
' PLANS FOR CONSTRUCTION WER WERE ❑ SUBMITTED
:WORK TO BE DONE BY OWNER ❑ CONTRACTOR%
RE.41
CEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE APPROXIMATE VALUE PERMIT FEES
OF WORK
ISSUING I �a�
:BUILDING "7o',j OG - ';,/ E:Y3 �I
GAS PIPING
PLUMBING AND W.S. _ ;t
SEWER CONNECTION INSP.
MECHANICAL •
PLAN CHECK FEE
TOTAL 7Jc,%°'
LEGALfDESCRIPTION efi':' xf< - - Si � !
9
at( INSPECTOR
- I -
CITY OF ANACORTES
BLDG. a PLUMBING ,®;, MECHANICAL
PERMIT 2543
,_` ANACORTES, WASH. DATE /11 - 19 iti,?
: PERMISSION IS HEREBY GRANTED TO: , «4, .
C OWNER / - .. <r, .mire/-'
It/ < t.€_
,STREET
.;; ADDRESS C9c't .+"' ° d'�.
LOCATION WHERE-WORK IS TO BE DONE
CONTRACTOR 727, IA/rile
TO ERECT Cit. INSTALL EZ OR REPAIR ❑
IN THE FOLLOWING.MANNER. A lX Aif 3 _AC ar.i:.1./7...7ol`A. `c
li:,f'".�r'.yF�y AJAi R/ _ p',,vy . I"�'2 P���yi�1/.d,/y5 ./A �'t} it,,,,/ 2 17,t �" S•,
sc
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
r! PLANS FOR CONSTRUCTION WERE
NOT El
SUBMITTED
WORK, TO BE DONE BY OWNER k CONTRACTOR IE
cl RECEIPT'OF FEES IS ACKNOWLEDGED AS FOLLOWS:
°HI I'"['I ! ' '1 APPROXIMATE VALUE
TYPE OF WORK PERMIT FEES
jIISI,SU• �ING tier"
•
I`II'„ !
k ''`dQ„BUILDING tie ...Cr :'"#':'- i72 t"� .
[iii'1 ;`GAS PIPING - 1
i,,; ,�,',:P ILU,MBING AND W.S. ?One)�^t e'e ,--7 ''�.'n
'I"SEWE CONNECTION INSP. i Oe, j
R
' '�MECHAI;NICAL in. O ex) ..✓ O
rI "P,LAN CHECK FEE i-. 0(1)� s
fJ MISC.
I,.' TOTAL zit .r+' ,^y CC) . r? 3 I
t`', LEGAL DESCRIPTION F nti. r /7 /»f i. ,./7 I`r 7: 111
Flow/Ar. r ar) . ?Wt ei ✓. 7X nr 41..sy.4--n r,..:r,I
`CITY INS F ECT .... i;
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A COVENANT NOT TO OPPOSE FUTURE LOCAL IMPROVEMENT DISTRICT
The undersigned, owner (s) of the following described property:
//' /«r K r:/c' c�-,.'�-� // •��G' �!/Ir.--.0 r€:2e'S
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for and in consideration of the granting of a building permit by the
City of Anacortes for the construction of
on said property do (es) covenant and agree on behalf of themselves ,
their heirs , successors and assigns , to waive the right to protest
the formation of a local improvement district which would finance
the construction of the following improvements which are required
to be made in accordance with Ordinance No. 1836;
- ..ram-rTr=,P' 4:f. .�.T'-,_ /°c« ,.C` G.'
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This agreement constitutes a covenant running with the land and
shall be binding upon all parties and their heirs , successors and
assigns , until said improvements listed herein are actually con-
. structed and the final assessment roll , if a local improvement
district is utilized, has been certified to the City Treasurer for
collection, or payment.
IN WITNESS WHEREOF I have hereunto set my hand and seal this
i *day of 198a
STATE OF WASHINGTON)
SS
COUNTY OF 5 ,41 "T)
I, _52Ni.c_1/4.4Afi-D-17 Ailcc=-,J , a Notary Public in and for the
State of Washington , residing at pc,u gco(L,2..S , do hereby certify
that on this 2 J)t day of /\O\yFz,A.-1 }c (2„ 198c4 personally appeared
before me ( i c,�I. � w /AJ j _Lik ..3O , to me known to be
the individual (s) described herein and who executed the within instru-
ment and acknowledged that H-f'csigned and sealed the same as } free ,
and voluntary act and deed for the uses and purposes therein mentioned .
GIVEN UNDER MY HAND AND OFFICIAL SEAL thisZ4 day of 1/000C«+-V �. '-,
198'Z? •
I!
• otary Public in and for the
State of Washington , residing
at A L L,S/ W/ —
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7¢. 98' - Td. 917' ✓ a f 71.9 --t • 74.97 .,' RES- �
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LEGAL DESCRIPTION
ASSESSORS ACCOUNT NO.
PERMIT NO. DATE DESCRIPTION DATE FIN,ALED
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