HomeMy WebLinkAboutPermit File 1101 16th Street .
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CITY OF ANACORTES
BLDG. PLUMBING ❑ MECHANICAL ❑
PERMIT 251
ANACORTES, WASH. DATE 43 7 19
PERMISSION I_S++,,HEREBY GRANTED TO:
��3'a e.s�A ` .. A..A A A
OWNER _
STREET }r� N �--
ADDRESS 1 I f t=r y <.
LOCATION WHERE WORK IS TO BE DONE
t ,
CONTRACTOR e,
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TO ERECT ❑ INSTALL Nt dA REPAIR ❑
�IN THE FOLLOWING MA,NNE C i o 0 e .... C) ('" . .__
...a_�>_o � cC
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
E iiPLANS FOR CONSTRUCTION WERE NOT SUBMITTED
I, WERE ❑
IIiWORK TO BE DONE BY OWNER E CONTRACTOR p°
',RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE APPROXIMATE VALUE PERMIT FEES
OF WORK
ISSUING I S on
BUILDING
11' GAS PIPING S',") CC 3 CO
PLUMBING AND W.S.
SEWER CONNECTION INSP.
MECHANICAL(; ; JArs' 7"k., Cr or::
PLAN CHECK FEE
MISC.
•
TOTAL t`✓` c CO / j L Li
LEGAL DESCRIPTION I-0 J S -'[ dyLk. 52, 6- - ',.
ry
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CITY INSPECTOR '
ADDRESS //0 j '.? //off �- - -
LEGAL DESCRIPTION Lc-f 4 ;2 L-K c5;2 c r- gI c ixD
ASSESSORS ACCOUNT NO. 377r2 - t P - C)-X -J
PERMIT NO. DATE DESCRIPTION DATE FINALED
(s, -15-77 conc neit c tzO
Incc���`^JJJ[[ ��````` �•
Y U Cityof Anacortes
Permit#: BLD-2012-0508
• 904 6th Street Issue date: 12/10/2012
P.O.Box 547
• is ; Anacortes, WA 98221-0547 Expire date: 12/05/2013
AlaillitCV.. (360) 293-1901
Job Address: 1101 16TH ST Permit Type: Demolition Permit
ANACORTES WA 98221-2222 Project:
APN: P55212
Remarks: Demolish fire damaged home.
Owner: RONALD SHERIN Contractor:
Address: 1020 HADDON RD Address:
ANACORTES WA 98221-5509
Phone: Phone:
License#:
General Information: Fees:
Dwelling Units 1
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
«�', � CITY OF ANACORTES
f
DEMOLITION PERMIT APPLICATION
Site Address: PI / G
7-6
Assessors Account No.: flt It 55—,i 1 2- Date: ///2/ / /z-
Lot(s): 2 Block: ca / t-2Addition: CD A' r �o-wm-�i
�f��� ^tier/i"
1�0 t Owners Name: / tl in prrwe Contractors Name: 11 r f -,'i3oi T�YJ tt C'3�+-^v`Tc/l.-4l&
Address: (0 2.0 Ha • a'✓P 4.4,Aca, Address: )''/iD II/ 5 r A714. ..eeks
State: WA Zip: 9 V Z Li State: Wit Zip: ''7K2.-? l
Phone: 3 fe o 2-ff'3 674.e Contractors License: 71.1K,4-6-1,-)A^1,SKIPI
Phone: 366 66/ J3. 9
Have Utilities Been Disconnected? Description of proposed demolition.
Water Dept.: Of No £ C -Zc.re_c
ejecfvc ) cf f C_.
Electric: 414 No
Cable: o (Oil 4,C�
Gas: ftiP No How Will Materials be disposed?3 LInto?
BARRICADES TO BE PROVIDED FOR PUBLIC PROTECTION,AREA MUST BE
ROPED OFF!
Applicant'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. Notify Northwest Air Pollution Authority prior to asbestos
removal or containment 1600 S. 2"d Street, Mt.Vernon,WA 98273 (360) 428-1617.
Fire Department Approval - 76w---1.---------
Date: 0//`?ll2--
Police Dept.Approval: ((�� Date:
Public Works Department Approval: �c. :ID- �-., Date: 1 - 0 7/IZ_
Museum: �%� Date: /�. ::, '//
Comments: Cam.V c�'A 1►0 IiNA SZ J"1-U• YN 1 DR4`Fil) I
`fAr a.<<s \\ ‘.toi nnN L ,vo i t,Q i vG u, -t-ve—wx,
11'7' 102-1 0175 08/19/2011 001 1
Permit Fees 006943 $38.90
rG%1 Y 0 City of Anacortes Permit#: BLD-2011-0284
f 904 6th Street Issue date: 08/19/2011
P.O.Box 547 Expire date: 02/14/2013
Anacortes, WA 98221-0547
' ' (360) 293-1901
Job Address: 1101 16TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-2222 Project:
APN: P55212
Remarks: Install gas fireplace and gas piping.
Owner: SHERIN RONALD M Contractor: CRAFT STOVES INSTALLATIONS, IN
Address: 1020 HADDON RD Address:
ANACORTES WA 98221-5509
Phone: Phone: (360)336-2532
License#:
General Information: Fees:
#of Gas Fireplace 1 Mechanical Permit Fees 38.90
#of Gas Piping 1 Total Calculated: 38.90
Deposits/Receipts: 0.00
Total Due: 38.90
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 REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
6tsy 04. MECHANICAL PERMIT APPLICATION
Building Department
P.O. Box 547 Anacortes, WA 98221
�400ic� Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: f I 61 (¢i`
CONTRACTOR
Name
C rck.c " stave 1N6,4I/i31 o S/NC PROJECT DESCRIPTION
y ❑ New Work
9
Address { 0 O . L-' V i 1
❑ Alteration
City/State/Zip 01 r l variv7 Oft ' 7 3
Phone 3 0 3 5 to p'1�5`: FAX� 5K Permit Fee 23.50
/,
State License# �"R T �9 r`7 7 OB/Exp Type of Equip. Fee Each No. Amount
City of Anacortes Business License# Air Cond. Unit 10.65
PROPERTY OWNER Refrigeration Unit 10.65
Name F 0�A S I / Forced Air System 14.80
Address L j boau.� / c� r SS/1n Floor Furnace 14.80
City/State/Zip /4 A)Pr-C. 0 V-�e� " I Wall Heater 14.80
Phone 26 0 d?J 6 7C c�FAX c> pewA A&P0 a 7 3 t/& F Clothes Dryer 10.65
E-mail Address S L1 e ri ti)S r�� Co6a1C/fs/,,I/e7 Ventilation Fan 7.25
APPLICAN Range Hood 10.65
Name 0,t4he r/A) Gas Fireplace 10.65 ! /4)0S�
Address l 0 C9 D 4164 ,Ci Gas Water Heater 10.65
City/State/Zip AN 14 C.7V+eS , GJ� ` I °�2/ 7,p Gas Piping 4.75 / 7,,3
Phone c3 60 '3 6 7 6� FAX .3 6Lt.o Other(Describe)
E-mail Address '/ r/AJSr 4,rB/5.r,C r
CONTACT
Name o N J 'Ae r 1 A) TOTAL FEES DUE
Address
City/State/Zip
Phone FAX
E-mail Address
I HEREBY ACKNOWLEDGE I HAVE READ THIS PERMIT APPLICATION AND STATE THE INFORMATION IS CORRECT,AND
AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACTIVITIES COVERED BY THIS
PERMIT APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHLL HAVE A CURRENT
WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS LICENSE.STOP WORK ORDERS WILL BE
ISSUED ON JOB SITES WHERE CONT CTORS/SUBCONTRACTORS ARE WORKING WITHOUT PROPER LICENSE.
61r9//
APPLICANT'S SIGNATURE DATE
Last Updated 11-29-05